APACHE, Acute Physiology and Chronic Health Evaluation; ICU, intensive care unit; SOFA, Sequential Organ Failure Assessment. To the Editor: Renal replacement therapy is recommended to be initiated immediately in patients with life-threatening acute kidney injury (AKI) related symptoms. Ultrasound-guided insertion of hemodialysis catheter is recommended for vascular access. Agitated saline bubbl...

Abstract Central venous catheter insertion is a commonly performed procedure in the operating room and intensive care unit. It associated with many complications, some of which may be life-threatening. We report here an accidental hemodialysis into brachiocephalic trunk, was successfully removed by endovascular technique.

Peritoneal dialysis (PD) is a safe, efficient and cost-effective method for renal replacement therapy. It can be used correction of uremia, volume overload, metabolic disorders etc in Acute kidney injury. Use PD AKI has become increasingly safe with advent softer Tenckhoff catheters. We report case performing CFPD using hemodialysis catheter.

Infective endocarditis in hemodialysis patients is a serious complication of the dialysis catheter. Pulmonary complications are rare and may include lung abscess. We report case 72-year-old chronic female patient diagnosed with tricuspid valve complicated by giant abscesses. This underlines impact on poor outcomes IE patients.

BACKGROUND The role of both host and pathogen characteristics in hematogenous seeding following Staphylococcus aureus bacteremia is incompletely understood. METHODS Consecutive patients with intravascular catheter-associated Staphylococcus aureus bacteremia were prospectively recruited over a 91-month period. The corresponding bloodstream isolates were examined for the presence of 35 putative...

BACKGROUND Infection is the leading cause of morbidity and the second leading cause of mortality in patients on renal replacement therapy. The rates of bloodstream infection in hemodialysis patients vary according to the type of venous access used. Gram-positive bacteria are most frequently isolated in blood cultures of hemodialysis patients. This study evaluated risk factors for the developmen...

Background: Central Venous Catheters (CVCs) are used not only as a tool to access to central venous system, but also for hemodynamic monitoring, parenteral nutrition, chemotherapy and hemodialysis. The use of CVCs is associated with some complications notably infections that are troublesome both to patient and physician. We conducted this study to examine catheter fixation with skin fold techni...

BACKGROUND Patients starting dialysis often have substantial residual kidney function. Incremental hemodialysis provides a hemodialysis prescription that supplements patients' residual kidney function while maintaining total (residual + dialysis) urea clearance (standard Kt/Vurea) targets. We describe our experience with incremental hemodialysis in patients using NxStage System One for home hem...