Safety of bedside placement of tunneled dialysis catheter in COVID-19 patients

Author:

Hanane Tarik1ORCID,Lane James1,Mireles-Cabodevila Eduardo1,Reddy Anita J1,Taliercio Jonathan J2,Vachharajani Tushar J2

Affiliation:

1. Department of Critical Care Medicine, Respiratory Institute, Cleveland Clinic and Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA

2. Department of Nephrology and Hypertension, Glickman Urological & Kidney Institute, Cleveland Clinic and Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA

Abstract

COVID-19 patients admitted to the ICU have high incidence of AKI requiring prolonged renal replacement therapy and often necessitate the placement of a tunneled dialysis catheter (TDC). We describe our experience with two cases of COVID-19 patients who underwent successful bedside placement of TDC under ultrasound guidance using anatomical landmarks without fluoroscopy guidance. Tunneled dialysis catheter placement under direct fluoroscopy remains the standard of care; but in well selected patients, placement of tunneled dialysis catheter at the bedside using anatomic landmarks without fluoroscopy can be safely and successfully performed without compromising the quality of care and avoid transfer of COVID-19 infected patients outside the ICU.

Publisher

SAGE Publications

Subject

Nephrology,Surgery

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