Double Lumen Catheter

At Esha Kidney & Medical Care we have the top notch equipment available for Double Lumen Catheter Procedure. We have the qualified and specialized doctors who can easily perform the Double Lumen Catheter Procedure on you or your patient and provide you with 100% accurate and perfect result. For further details please feel free to call us for appointment.

+92-51-4570505

+92-333-5410005

What is an Double Lumen Catheter?

Single- or double-lumen catheters are usually made of polymers (polyethylene, polyurethane), enabling a simple and direct implant possibility. The length of the catheter must be chosen in accordance with the insertion site. The femoral route requires catheters of 30 to 35 cm in length for the distal tip to be located in the inferior vena cava. The internal jugular vein route needs shorter catheters of 20 to 25 cm in length, with tip location at the inferior vena cava–right atrium junction. The subclavian vein should not be used because of the very high risk of subsequent venous stenosis. For sufficient blood flow rates to be achieved, the diameter of these catheters must be ideally between 12 and 14 French. It is recommended that the use of nontunneled catheters not exceed 7 days.

How Double Lumen Catheter work

For the treatment of ARF in the ICU, double-lumen catheters are used instead of single-lumen catheters. The latter requires a dialysis machine able to deliver dialysis using the mode “single needle” but is associated with higher recirculation, decreasing the delivered dialysis dose. The best insertion site providing the higher blood flow is the right jugular vein, but femoral access still remains the emergency site and is associated with the lower rate of acute complication during insertion. Concerning the rate of nosocomial infection or catheter dysfunction between jugular and femoral access, recent data seem to challenge the usually reported higher rate of infection or catheter dysfunction with femoral access.9,10 The subclavian access should be avoided, considering the high rate of venous stenosis after dialysis catheter insertion.

Usually the use of an arteriovenous fistula in chronic renal failure patients is discouraged in the ICU, considering the risk of infection, the risk of low cardiac output, and the lack of experience of the ICU nurse. Use of the long-term cuffed catheter may be considered after the acute phase in a stable patient, but the occurrence of systemic infection usually leads to catheter removal. The diameter of the catheter is important to consider to obtain a good blood flow with acceptable pressures. In this setting, 12 Fr seems to be the minimal inner diameter.

How Double Lumen Catheter procedure is performed

The patient’s neck and chest are washed preop- eratively with 4% chlorhexidine gluconate. The patient is positioned supine on an operating room table designed for fluoroscopic use. A rolled towel is positioned between the scapulae to displace the subclavian vein anteriorly. Both sides of the neck and anterior chest are prepared with a 1% povidone- iodine solution followed by an alcohol rinse and then draped with a povidone-iodine-impregnated adhe- sive drape. One percent lidocaine without epineph- rine is infiltrated 2 cm infraclavicularly at the junction of the middle and lateral thirds of the clavicle. The subclavian vein is cannulated percutaneously with an 18 -gauge needle. A 100 cm / 0.038 mm diameter soft- tipped J-wire is passed through the needle and positioned in the area of the superior vena cava-right atrial junction under fluoroscopic guidance.

The catheter is laid across the chest along the path of the guide wire and is positioned to curve gently down over the anterior chest. The exit site of the catheter is chosen 3 cm distal to the Dacron cuff and is in- filtrated with 1% lidocaine. The skin and subcuta- neous tissue along the planned catheter track are also infiltrated with 1% lidocaine. A i cm incision is made at the selected distal exit site and at the proximal guide wire exit site. A clamp is passed between the two incisions and the catheter is grasped and posi- tioned in the track so that the Dacron cuff is 3 cm from the skin exit site.

Why Esha Kidney Care?

Esha Kidney Care is committed to elevating the health and quality of life patients suffering from kidney diseases. Our mission is to provide kidney disease patients with personalized care, quality dialysis treatment and patient education. We’re committed to ensuring that each patient is confident in their therapy choice and kidney dialysis treatments.

Contact Information

B-1298, 4th B Road, Satellite town Near Kali Tanki, Rawalpindi

Email: info@eshakidneycare.com

Hospital: +92 051 4570501

Phone: +92 051 4570505

Cell: +92 333 5410005

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