Minimally invasive 'pull technique' for peritoneal dialysis catheter removal
| Autor: | Feng-Xia Zhang, Bo Hong, Jian Wang, Xiao-Qing Chen, Feng Cao, Run-Xiu Wang, Xiao-Sheng Li, Xian-Hu Tang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Catheters medicine.medical_treatment 030232 urology & nephrology Peritonitis 030204 cardiovascular system & hematology Peritoneal dialysis Catheterization 03 medical and health sciences 0302 clinical medicine Catheters Indwelling Peritoneal dialysis catheter Medicine Humans In patient Catheter removal Silicone tube Device Removal business.industry General Medicine medicine.disease Surgery Catheter Nephrology Cuff business Peritoneal Dialysis |
| Zdroj: | Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis. 41(1) |
| ISSN: | 1718-4304 |
| Popis: | A simple, noninvasive method for removing peritoneal dialysis (PD) catheters, called the “pull technique,” has become popular in recent years. Physicians still worry, however, about the range of its application and possible complications such as infection of the retained cuff and breakage. We, therefore, applied this technique in patients and enriched its administration for removing PD catheters. Altogether, 24 PD catheter removals in 24 patients were reviewed during the period from July 2018 to October 2019 in our hospital. Using the pull technique, the PD catheter’s superficial cuff was dissected using an electronic knife, and the deep cuff was retained. All patients’ catheters were successfully removed with no breakage. No incision or retained cuff was infected during the follow-up period (1.1–15.6 months). The appropriate peak force of pull traction was approximately 12–13 pounds, not very different from the mean maximum tensile force of 21.48 pounds for silicone tube breakage. The use of intermittent (rather than sustained) traction may reduce the breakage risk of the silicone tube. This method is a safe, practical, minimally invasive method for removing PD catheters, and it is suitable for application on special patients with peritonitis or who are on an immunosuppressant. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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