Safety of bedside placement of tunneled dialysis catheter in COVID-19 patients.
Tarik HananeJames LaneEduardo Mireles-CabodevilaAnita J ReddyJonathan J TaliercioTushar J VachharajaniPublished in: The journal of vascular access (2020)
COVID-19 patients admitted to the ICU have high incidence of AKI requiring prolonged renal replacement therapy and often necessitate the placement of a tunneled dialysis catheter (TDC). We describe our experience with two cases of COVID-19 patients who underwent successful bedside placement of TDC under ultrasound guidance using anatomical landmarks without fluoroscopy guidance. Tunneled dialysis catheter placement under direct fluoroscopy remains the standard of care; but in well selected patients, placement of tunneled dialysis catheter at the bedside using anatomic landmarks without fluoroscopy can be safely and successfully performed without compromising the quality of care and avoid transfer of COVID-19 infected patients outside the ICU.
Keyphrases
- ultrasound guided
- end stage renal disease
- chronic kidney disease
- sars cov
- peritoneal dialysis
- coronavirus disease
- healthcare
- intensive care unit
- acute kidney injury
- quality improvement
- ejection fraction
- newly diagnosed
- risk factors
- pain management
- respiratory syndrome coronavirus
- prognostic factors
- atrial fibrillation
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome