Ultrasound vascular access
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Ultrasound Guided Hemodialysis Vascular Catheter insertion
Jafar Al-Said, M.B.CHb. MD. FASN. FACPNephrology and Internal Medicine Consultant
Bahrain Specialist Hospital
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Cuffed Tunneled Rt. IJ Hemodialysis catheter
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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
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Ultrasound Probes
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Ultrasound beam
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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.
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Non Cuffed Hemodialysis Catheter insertion
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CXR confirmation for the position.
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Cuffed Tunneled Catheter insertion
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