DIALYSIS Catheter Explained | Unboxing Interventional Radiology Equipment 

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Just had my catheter exchanged.. lol def not a good feeling and all while being awake

@@moneymakintash me too

My grandma was put on hemo dialysis a year ago and had a loop graft put it in her lower right arm but it got infected with mrsa after a month or two. They then put in a CVC on her neck and she’s been using it for the past 7 months. We just went in for surgery to get a AV Graft put in her upper left arm and after the surgery her hand became ice cold and numb so we took her to the ER. They admitted her and the next day the surgeon reached out to get my decision on the next step. He said it wouldn’t be a good idea to leave it as is and hope because if it gets worse when they use the graft it could lead to full loss of motor function in her hand. So the two options he gave me was one to remove the graft fully and continue using the CVC until her arm heals and talk about getting another one done. The other option was for him to go into the incision and try to bring it higher to another vein to maybe increase blood flow to the hands but he said he can’t really predict what will happen. It could cause the graft to stop working and it’ll have to be removed after anyway. So we went ahead with removing the graft completely and gonna wait and see what our next options are. My question is how long can someone have a CVC in for HD and what’s the main causes of failure besides infection? She’s had it for 7 months and we’re concerned if she can’t get another AV Graft in her arm what would we do if the CVC gets infected or something. She only weighs 95lbs and her veins are very small which is the reason they are doing grafts instead of fistulas

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for mine, the lumens are covered with guaze and taped off so that it is only used for the treatment. Blood draws are done with fresh pokes elsewhere. On the guaze is a label with the concentration of heparin, the amount, and date. The lumens themselves are stamped with the amount of heparin put in each one. a bold label to draw it out and not flush is also there. Its pretty strict. Mine is labeled as a CVC and used for plex

Thx!

Agreed!

how are you doing now?

@gun4ha66 HI! I'm doing OK, thank you for asking. It was scary but I am pushing through it. How are you?

Give them to me

yeah a hemodialysis catheter is usually not permanent for this reason. eventually they will get an AV fistula (graft if needed) or peritoneal dialysis access.

at least this is the information I gathered when I shadowed a vascular surgeon :)

@@TheBeyondDiva thank you!

@Frank Franky Interesting, thank you!

yup, only peritoneal dialysis should be done by the patients. even tho the catheter is under the skin, infections are common because the ports are exposed. although it’s called a PERMAcath, it’s still meant for short term use.

Is it better than the alternative? I'm I'm about to let myself die

Lol no. Sometimes a catheter tip can cause the heart to ‘skip a beat’ which the doctor should be made aware of

Dr. Cellini Isn’t that called a palpitation or something along those lines?

@@carsoncox4356 It's called a PVC.

Wut??

@@Sixdays_aweek general surgeon when A patients has to start dialysis or the start Chemo they may need a dialysis tube in the stomach and Chest to get treatment and chemo patients need a port in the chest to get chemo.General surgeons work with the digestive system,transplants,Chest procedures,and organs

In terms of the content of the item, as for the method of installation

If for instance, I've filled it with a solution containing 40g glucose/100 mL (40%) but I came to realise, I wish to have 20 % instead. Can I fix this without opening the catheter and in that case, how can I go about it?

I have no idea

Heyyoo