Placement of tunnelled haemodialysis catheters—interventional standard
Overview
Paper Summary
This review article discusses the current standard for creating tunnelled haemodialysis catheters (tHDCs), including patient selection, placement techniques, and strategies to minimize infection and thrombosis. It focuses on novel developments like ultrasound and ECG-guided positioning and offers a decision-making approach for choosing the appropriate insertion method based on patient and resource factors.
Explain Like I'm Five
Doctors are using ultrasound and heart monitors to help place dialysis catheters more accurately and safely, which is important for patients needing dialysis.
Possible Conflicts of Interest
One author (M.K.) participates in a post-marketing study for dialysis catheters sponsored by Joline. Other authors declare no conflicts.
Identified Limitations
Rating Explanation
This is a helpful review article summarizing important considerations for tHDC placement and offering guidance to clinicians based on best practices and emerging techniques. While it lacks new research findings, it serves as a valuable resource in the field. The declared conflict of interest appears minor and unlikely to significantly bias the review.
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