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Dialysis Catheter Placement Makes Little Difference in Infection Risk
Date:5/27/2008

given a femoral catheter.

"In conclusion, the decision for the best site of insertion to prevent complications might be more complex than previously suggested. Our results support the current guideline for preventing catheter complications regarding the optimal site for catheter insertion in the ICU. If a subclavian approach is not available, and the individual risk of complications between the jugular and femoral sites is equal, the jugular site should be strongly considered for patients with higher BMI. We suggest that first-choice careful femoral catheterization by an experienced operator with full sterile precautions and appropriate post-insertion site care in non-obese, bed-bound, severely ill patients is acceptable and could reduce catheter-related morbidity compared with jugular catheterization," the researchers wrote.

The study is published in the May 28 issue of the Journal of the American Medical Association.

More information

The National Kidney Foundation has more about dialysis catheters.



-- Robert Preidt



SOURCE: Journal of the American Medical Association, news release, May 27, 2008


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