I am pleased to invite you all to a comprehensive discussion on the topic of Continuous Renal Replacement Therapy (CRRT). During our session, we will delve into the intricacies of CRRT in a simplified manner, step by step. Remaining parts will be discussed in coming videos. Whether you are a medical professional seeking to expand […]
During dialysis therapy, different size of dialysis catheters, dilators, introducers and AVF needles are utilised. We need to understand gauge system. OVERVIEW The French catheter scale (most correctly abbreviated as Fr, but also often abbreviated as FR or F) is commonly used to measure the outer circumference of cylindrical medical instruments including catheters. The French […]
Therapeutic apheresis (TA) is an extracorporeal procedure for various diseases as primary treatment or as an adjunct therapy in which large quantities of plasma are removed and replaced by FFP (Fresh Frozen Plasma), albumin and saline. Requirement of replacement fluid during therapeutic apheresis is to prevent hemodynamic instability due to volume depletion and decreased oncotic […]
PREFERRED TEMPORARY DIALYSIS CATHETER LOCATION FOR DIALYSIS THERAPY BY DR JIGAR SHRIMALI CVCs should preferably be inserted into the right jugular vein, as It carries the lowest risk of thrombosis and stenosis Straight course into the superior vena cava or right atrium reduces the risk of malposition and allows high blood flow Gives more chance to […]
First of all, let’s have 2 cases to discuss where catheter tip was not in ideal position, but was in anterior mediastinum. 1) INNOMINATE VEIN PERFORATION 40-year-old female with K/C/O HTN and CKD STAGE 5D, started on MHD through right IJV temporary DLC. She had poor calibre vessels for AVF creation. She developed […]
PORT/CLAMP FRACTURE OF TUNNELLED DIALYSIS CATHETER BY DR VEERABHADRA GUPTHA, DR JIGAR SHRIMALI As tunnelled dialysis catheters are used for long term, wear and tear is an issue, majorly affecting port or clamp as they are repeatedly manipulated. Due to this we see a fractured port or clamp as a common issue for tunnelled dialysis […]
ROLE OF VENOUS PRESSURE AND ARTERIAL PRESSURE IN DETECTION OF NEEDLE DISLODGEMENT Venous pressure: All dialysis machines must be equipped with a functioning venous pressure alarm, which stops the blood pump and clamps the blood lines in case of a venous pressure outside the alarm limits. An acute decrease in dialysis venous pressure should theoretically […]
48-year-old female patient, HTN CKD STAGE 5D, was on thrice a week MHD, through left BC AVF. One day she had venous needle dislodgement due to an unintentional limb moment. This led to excessive bleeding which was timely detected and stopped by the dialysis technician. Here we can see the oozing of blood from the […]
AIR DETECTION ALARM TROUBLESHOOTING DR JIGAR SHRIMALI 62 year old male, who is k/c/o DM, HTN, CAD, CKD STAGE 5D on thrice a week MHD. At the end of the dialysis, as per nephrologist’s prescription intravenous 7% Amino Acid solution was started at the end of dialysis. This solution when came to end, the technician […]
CASE DISCUSSION 33 years old female, K/C/O HTN, CKD STAGE 3, loss to follow up for 1 year, admitted with A/CKD with H/O alternate drug intake. She had complaints of nausea, vomiting and breathlessness with serum creatinine value of 12.4 mg/dl and metabolic acidosis. She was started on haemodialysis with right IJV temporary DLC. She […]
