Air embolism following removal of hemodialysis catheter

Şahutoğlu, Tuncay; Şakacı, Tamer; Kara, Ekrem; Ahbap, Elbis; Sevinc, Mustafa; Koç, Yener; Baştürk, Taner; Sahutoglu, Elif; Ünsal, Abdülkadir

doi:10.1111/hdi.12456

Cited by 12 publications

(3 citation statements)

References 15 publications

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“…19 The severity of AE ranges from asymptomatic or transient mild symptoms to severe organ ischemia, hemodynamic failure or rarely death. 20 The awareness of this complication, the use of sonographic guidance during HDC placement, careful techniques and meticulous care during insertion, utilization, and removal of the HDC, help to mitigate this potentially fatal complication. During catheter removal, placing the patient in Trendelenburg position with breath holding is recommended.…”

Section: Air Embolismmentioning

confidence: 99%

Hemodialysis Catheters: Update on Types, Outcomes, Designs and Complications

Khudari

Ozen

Kowalczyk

et al. 2022

Semin intervent Radiol

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Hemodialysis catheters (HDCs) are an essential part of kidney replacement therapy. While these catheters are considered only the bridge to long-term vascular access such as arteriovenous fistulas and grafts, they are associated with significant morbidity and mortality and subsequent increased health care expenditures. However, despite these risks, a large proportion of end stage kidney disease population initiates dialysis using these catheters. The pathogenicity of HDCs stems from its invasive nature to the venous vasculature tree resulting in both mechanical and infectious complications. Therefore, the wide use these catheters in dialysis population and the associated complications necessitated continuous innovations in the catheter material, design, and placement techniques. This review provides an update on the catheter types, catheter tip designs, and the new technologies and innovations aimed to improve the catheter functionality and mitigate its related complications.

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Section: Air Embolismmentioning

confidence: 99%

Hemodialysis Catheters: Update on Types, Outcomes, Designs and Complications

Khudari

Ozen

Kowalczyk

et al. 2022

Semin intervent Radiol

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“…3 Su frecuencia según la literatura revisada es baja reportándose incidencias menores de 0,13%. 4,5 Presentamos el caso de un paciente adulto mayor, que desarrolló un evento cerebro vascular asociado a embolia gaseosa. Este manuscrito fue elaborado siguiendo la guía CARE para reporte de caso 6 y el comité de ética institucional brindó su autorización para la publicación del artículo.…”

Section: Introductionunclassified

Embolismo gaseoso cerebral: a propósito de un caso de ictus masivo.

Canales-Pichén¹,

Vences²

2023

revecuatneurol

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Introducción: El embolismo gaseoso cerebral es una entidad poco frecuente pero potencialmente fatal, el cual ocurre por la entrada de aire a la circulación sanguínea cerebral y es originada por múltiples causas entre ellas asociadas a procedimientos médicos. Caso clínico: Se presenta el caso de un paciente varón de 81 años que luego del retiro del catéter de alto flujo de hemodiálisis, inicia con deterioro del nivel de conciencia, el cual empeora progresivamente y en la tomografía cerebral se evidenciaron múltiples lesiones hipodensas, compatibles con embolismo gaseoso cerebral. Debido a su evolución tórpida pasa a la unidad de cuidados intensivos y fallece en horas posteriores. Conclusión: Es importante conocer las medidas preventivas para evitar la aparición de esta complicación y así mismo conocer las medidas generales y específicas a adoptar cuando ésta se presenta.

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“…5 Precautions to decrease AE risk during removal are valsalva maneuver or holding breath after full inspiration, immediate coverage of removal site, and application of airocclusive dressing. [5][6][7] According to the largest published series on AE, 67 patients with AE were evaluated retrospectively. The central vascular access procedure was the second leading cause of AE (n = 9).…”

Section: Introductionmentioning

confidence: 99%

Educational value of Internet videos in vascular access

Sevinc

2019

J Vasc Access

Self Cite

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Aim: The aim of the study was to evaluate individually uploaded Internet materials about catheter insertion and removal in terms of their educative value. Methods: YouTube videos for both catheter insertion and catheter removal were investigated. Rating, like, dislike, the position of a patient, maneuvers during removal, immediate coverage of removal site, and type of cover material were noted. A survey regarding daily practices for catheter interventions and approaches to educative social media platforms had been taken from medical professionals as well to determine the effect of social media on learning practices. Results: A total of 50 insertion and 35 removal videos were investigated. The popularity of insertion and removal videos was 4.7 (1.6–16.5) and 1.88 (0.66–4.54), respectively. ( p = 0.011). The position of a patient during insertion was supine in 80%, Trendelenburg in 18%, and upright in 82.9% of the removal videos ( p = 0.000). The survey showed that medical professionals watched insertion videos (66%) more than removal videos (11.7%) ( p = 0.002). Catheter insertion positions were similar among participants ( p = 0.553). Removal positions were different in specialties ( p = 0.023) in which especially nephrologists tend to remove the catheter at the sitting position. Conclusion: Medical professionals think that removal is an easier procedure than insertion. They both search more for insertion videos and upload more insertion videos. Insertion practices are similar among different specialties. However, removal practices are more heterogeneous. Individually uploaded catheter videos at YouTube are not reliable educative materials. More free official work should be produced to maintain sufficient qualified online material on social media platforms.

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Air embolism following removal of hemodialysis catheter

Abstract: AE following catheter removal carries a major risk of mortality. Great awareness and attention to preventive procedures and appropriate care after development of AE seem mandatory.

Cited by 12 publications

References 15 publications

Hemodialysis Catheters: Update on Types, Outcomes, Designs and Complications

Hemodialysis Catheters: Update on Types, Outcomes, Designs and Complications

Embolismo gaseoso cerebral: a propósito de un caso de ictus masivo.

Educational value of Internet videos in vascular access

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