ultrasound vascular access
Post on 20-Nov-2014
378 Views
Preview:
DESCRIPTION
TRANSCRIPT
Ultrasound Guided Hemodialysis Vascular Catheter insertion
Jafar Al-Said, M.B.CHb. MD. FASN. FACPNephrology and Internal Medicine Consultant
Bahrain Specialist Hospital
Cuffed Tunneled Rt. IJ Hemodialysis catheter
Ultrasound guidance for Hemodialysis Catheter insertion
All Hemodialysis catheters should be placed under US.
Fluoroscopy is needed for the Cuffed tunneled catheters.
National Kidney Foundation KDOQI
Ultrasound Probes
Ultrasound beam
Variation of Internal Jagular Vein
1%
14%
14%
0%
70% Caroti
d.Carotid.
66%
18%1
%
14%
1%
Caridi JG et al: Sonographic guidance when using the right internal jagular vein for central vein access. Am J Roentgenol 1998;171: 1259-1263.
AnteriorRt. Lt.
Non Cuffed Hemodialysis Catheter insertion
CXR confirmation for the position.
Cuffed Tunneled Catheter insertion
top related