OBJECTIVE We assessed a unique technique of laparoscopic peritoneal dialysis (PD) catheter insertion which can minimize catheter dysfunction. METHODS We performed a retrospective review of patients undergoing laparoscopic PD catheter placement with a Quinton percutaneous insertion kit between July 2000 and December 2004. RESULTS Thirty-one catheters were placed laparoscopically. The mean op...

Access for parenteral nutrition is generally obtained by placement of a central ve n o u s catheter. Cannulation of the subclavian, internal jugular, or femoral veins with advancement of the catheter tip into the superior or inferior vena cava ach i eves central venous access. Catheter tip placement elsewhere than the vena cava is considered peripheral access. Based on catheter tip location, th...

Despite the level of skill of the operator and the use of ultrasound guidance, central venous catheter (CVC) placement can result in CVC malpositioning, i.e., an unintended placement of the catheter tip in an inadequate vessel. CVC malpositioning is not a complication of central line insertion; however, undiagnosed CVC malpositioning can be associated with significant morbidity and mortality.

We use intraoperative fluoroscopy with contrast medium for correct placement of lumbar catheters in lumboperitoneal (LP) shunts. The patients are in the left or right lateral decubitus position on a radiolucent operating table and a portable C-arm fluoroscope is placed vertically. After confirming the puncture level fluoroscopically, a lumbar puncture is performed. The catheter is introduced in...

Background: Iatrogenic urethral injury is a well-known risk of urinary catheter insertion. Associated morbidities include stricture formation, catheter associated infection, risk for instrumentation, and extended length of stay. Yet, insufficient attention is paid to its prevention. Objective: This study aimed to assess the effectiveness of a computerized...

Objective: Chronic kidney disease (CKD) is a complicated kidney defect causing permanent failure in renal function in progressive stages. Hemodialysis is the most accepted treatment to maintain body’s fluid/electrolyte homeostasis at the terminal stages of the disease. Permanent hemodialysis catheter (permicath) may be inserted blindly or by fluoroscopic guidance. This study aimed to compare th...

BACKGROUND The standard technique for the placement of ventricular catheters (VC) comprises a high proportion of malpositioning of the catheter (12.5 to 40%). Technical advances such as neuronavigation or ultrasound have been shown to increase the accuracy of the procedure. Since these means result in significant technical and time consuming efforts, they are used for selected cases only. In or...

Percutaneous insertion of central venous catheter (CVC) is a valuable procedure in managing critically ill patients. However, placement of CVC is not without its complications. The author reports a case in which a CVC was inserted into the right pleural cavity which was not detected by the usual clinical methods of confirming catheter placement and an antero-posterior (A-P) chest x-ray.