Ultrasound-guided Placement of Permanent Hemodialysis Catheters Compared to the Traditional Blind Method
Background: Central venous hemodialysis catheters are one of the most common vascular accesses for patients suffering from end-stage kidney disease. The application of ultrasound-guided placement of permanent hemodialysis catheters is highly recommended by the new guidelines because of its advantage...
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| Format: | Article |
| Language: | English |
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Shaheed Beheshti University of Medical Sciences
2019-10-01
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| Series: | International Journal of Medical Toxicology and Forensic Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/ijmtfm/article/view/25389/pdf |
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| author | Arash Mohammadi Tofigh Farbod Emami Yeganeh Elham Mirzaian Behzad Nemati Honar |
| author_facet | Arash Mohammadi Tofigh Farbod Emami Yeganeh Elham Mirzaian Behzad Nemati Honar |
| author_sort | Arash Mohammadi Tofigh |
| collection | DOAJ |
| description | Background: Central venous hemodialysis catheters are one of the most common vascular accesses for patients suffering from end-stage kidney disease. The application of ultrasound-guided placement of permanent hemodialysis catheters is highly recommended by the new guidelines because of its advantages over the traditional blind methods.
Methods: In this prospective study, the samples comprised patients (N=80) referred to a vascular surgery clinic by their nephrologist or elective vascular surgery consultations and asking for the placement of permanent hemodialysis catheters in Imam Hossain Hospital (A referral hospital complex center in, Tehran, Iran) during 2014 to 2015. The patients were randomly divided into two groups (n=40); one of the groups underwent the placement of catheters with the guidance of Doppler ultrasound and the other with the traditional blind method. Then, the data were analyzed by SPSS V. 21 software.
Results: There was statistically significant fewer attempts for successful placement (Z= -2.725, P=0.006), less insertion failure (Chi-Square=9.600, P=0.002), fewer failures with the first attempt (Chi-square=9.600, P=0.002), and less total placement time (t=1.379, df=69.549, P=0.172) in the sonography-guided group compared to the blind method. Furthermore, there was no significant difference in venous cannulation time and complications such as pneumothorax, neck hematoma, and carotid puncture between the two groups. Moreover, the patients had significantly greater satisfaction with the sonography-guided method (Z=-4.306, P=0.0001).
Conclusion: According to this study, it might be beneficial to use ultrasound as the first method of permanent hemodialysis catheters insertion and patients would be more satisfied with this approach as well. In addition, learning the blind method is recommended to the practitioners because of the possibility of lacking ultrasound in an emergency. |
| first_indexed | 2024-12-20T05:06:03Z |
| format | Article |
| id | doaj.art-7f4e0c88561e468eb5863bf6d9bf91ec |
| institution | Directory Open Access Journal |
| issn | 2251-8762 2251-8770 |
| language | English |
| last_indexed | 2024-12-20T05:06:03Z |
| publishDate | 2019-10-01 |
| publisher | Shaheed Beheshti University of Medical Sciences |
| record_format | Article |
| series | International Journal of Medical Toxicology and Forensic Medicine |
| spelling | doaj.art-7f4e0c88561e468eb5863bf6d9bf91ec2022-12-21T19:52:24ZengShaheed Beheshti University of Medical SciencesInternational Journal of Medical Toxicology and Forensic Medicine2251-87622251-87702019-10-019421322010.32598/ijmtfm.v9i4.25389Ultrasound-guided Placement of Permanent Hemodialysis Catheters Compared to the Traditional Blind MethodArash Mohammadi Tofigh0https://orcid.org/0000-0002-3712-0650Farbod Emami Yeganeh1https://orcid.org/0000-0002-4626-5851Elham Mirzaian2https://orcid.org/0000-0001-5408-3911Behzad Nemati Honar3https://orcid.org/0000-0003-4249-8479Department of General Surgery, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of General Surgery, School of Medicine, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Pathology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.Department of General Surgery, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Background: Central venous hemodialysis catheters are one of the most common vascular accesses for patients suffering from end-stage kidney disease. The application of ultrasound-guided placement of permanent hemodialysis catheters is highly recommended by the new guidelines because of its advantages over the traditional blind methods. Methods: In this prospective study, the samples comprised patients (N=80) referred to a vascular surgery clinic by their nephrologist or elective vascular surgery consultations and asking for the placement of permanent hemodialysis catheters in Imam Hossain Hospital (A referral hospital complex center in, Tehran, Iran) during 2014 to 2015. The patients were randomly divided into two groups (n=40); one of the groups underwent the placement of catheters with the guidance of Doppler ultrasound and the other with the traditional blind method. Then, the data were analyzed by SPSS V. 21 software. Results: There was statistically significant fewer attempts for successful placement (Z= -2.725, P=0.006), less insertion failure (Chi-Square=9.600, P=0.002), fewer failures with the first attempt (Chi-square=9.600, P=0.002), and less total placement time (t=1.379, df=69.549, P=0.172) in the sonography-guided group compared to the blind method. Furthermore, there was no significant difference in venous cannulation time and complications such as pneumothorax, neck hematoma, and carotid puncture between the two groups. Moreover, the patients had significantly greater satisfaction with the sonography-guided method (Z=-4.306, P=0.0001). Conclusion: According to this study, it might be beneficial to use ultrasound as the first method of permanent hemodialysis catheters insertion and patients would be more satisfied with this approach as well. In addition, learning the blind method is recommended to the practitioners because of the possibility of lacking ultrasound in an emergency.https://journals.sbmu.ac.ir/ijmtfm/article/view/25389/pdfdialysiscathetersanatomic landmarksultrasonographydoppler |
| spellingShingle | Arash Mohammadi Tofigh Farbod Emami Yeganeh Elham Mirzaian Behzad Nemati Honar Ultrasound-guided Placement of Permanent Hemodialysis Catheters Compared to the Traditional Blind Method International Journal of Medical Toxicology and Forensic Medicine dialysis catheters anatomic landmarks ultrasonography doppler |
| title | Ultrasound-guided Placement of Permanent Hemodialysis Catheters Compared to the Traditional Blind Method |
| title_full | Ultrasound-guided Placement of Permanent Hemodialysis Catheters Compared to the Traditional Blind Method |
| title_fullStr | Ultrasound-guided Placement of Permanent Hemodialysis Catheters Compared to the Traditional Blind Method |
| title_full_unstemmed | Ultrasound-guided Placement of Permanent Hemodialysis Catheters Compared to the Traditional Blind Method |
| title_short | Ultrasound-guided Placement of Permanent Hemodialysis Catheters Compared to the Traditional Blind Method |
| title_sort | ultrasound guided placement of permanent hemodialysis catheters compared to the traditional blind method |
| topic | dialysis catheters anatomic landmarks ultrasonography doppler |
| url | https://journals.sbmu.ac.ir/ijmtfm/article/view/25389/pdf |
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