El catéter como elemento fundamental en las terapias de depuración renal

• Almudena Mateos Dávila ^[1] ; Pablo Sánchez Ballesteros ^[3] ; José Martínez Pérez ^[1] ; Núria Fabrellas Padres ^[2] ; Eva Maria Guix Comellas ^[2]
  1. [1] Hospital de la Santa Creu i Sant Pau

     Hospital de la Santa Creu i Sant Pau

     Barcelona, España

     
  2. [2] Universitat de Barcelona

     Universitat de Barcelona

     Barcelona, España

     
  3. [3] Consorcio Hospitalario Provincial de Castellón.

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• Localización: Revista ROL de enfermería, ISSN 0210-5020, Vol. 46, Nº. 1, 2023, págs. 41-47
• Idioma: español
• DOI: 10.55298/ROL2023.4563
• Títulos paralelos:
  • The catheter as a fundamental element in renal cleansing therapies
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• Resumen
  • español

    El término “catéter” es muy conocido para las enfermeras, sin embargo, el manejo de las vías para los pacientes con fallo renal es un tema que ofrece cierta dificultad.

    Las facetas específicas con relación a este tipo de catéteres y el tratamiento depurativo renal son el objetivo de este capítulo. Se analiza cómo hacer el cálculo del flujo de sangre, cómo elegir un buen catéter según su morfología, cuál es la técnica mejor para conservarlo y de qué forma sellarlo cuando se deje en reposo, sin tratamiento depurativo.

    Estos y otros conocimientos fundamentales se describirán, a partir de la evidencia hallada en la literatura.

  • English

    The word catheter is well known to nurses, however, its management for patients with renal failure is a subject that offers some difficulty.

    The problems with this specific catheter and the renal purifying treatment are the objective of this paper. It analyses how to calculate the blood flow, how to choose a good catheter according to its morphology, what is the best technique to preserve it and how to lock it when it is left at rest, without any purifying treatment.

    These and other fundamental knowledge will be described, based on the evidence founded in the literature.

• Referencias bibliográficas
  • Maynar Moliner J, Honore PM, Sánchez-Izquierdo Riera JA, Herrera Gutiérrez M, Spapen HD. Handling continuous renal replacement therapy-related...
  • Harada M, Ooki M, Kohashi K, Ichikawa T, Kobayashi M. Clinical Survey of Decreased Blood Flow Rate in Continuous Renal Replacement Therapy:...
  • Hoste EAJ, Bagshaw SM, Bellomo R, Cely CM, Colman R, Cruz DN, et al. Epidemiology of acute kidney injury in critically ill patients: the...
  • Siebeck M, Dimski T, Brandenburger T, Slowinski T, Kindgen-Milles D. Super High-Flux Continuous Venovenous Hemodialysis Using Regional...
  • Meersch M, Küllmar M, Wempe C, Kindgen-Milles D, Kluge S, Slowinski T, et al. Regional citrate versus systemic heparin anticoagulation...
  • Baldwin I, Fealy N. Nursing for Renal Replacement Therapies in the Intensive Care Unit: Historical, Educational, and Protocol Review....
  • Joannidis M, Oudemans-van Straaten HM. Clinical review: Patency of the circuit in continuous renal replacement therapy. Crit Care. 12...
  • Prevalencia de infecciones (relacionadas con la asistencia sanitaria y comunitarias) y uso de antimicorbianos en hospitales de agudos...
  • Karkar A, Ronco C. Prescription of CRRT: a pathway to optimize therapy. Ann Intensive Care. 6 de marzo de 2020;10(1):32.
  • Kirwan CJ, Jackson L, Prowle JR. A Continuous Renal Replacement Therapy Protocol on the Updated Nikkiso Aquarius Platform Using Regional...
  • Baldwin I. Continuous renal replacement therapy. Keeping pace with changes in technology and technique. Blood Purif. 2002;20(3):269-74.
  • Kellum JA, Lameire N, Aspelin P, Barsoum R, Burdmann E, Goldstein S. Official Journal of the International Society of Nephrology KDIGO....
  • Kelly YP, Mendu ML. Vascular access for renal replacement therapy in acute kidney injury: Are nontunneled catheters the right choice?...
  • Villa G, Neri M, Bellomo R, Cerda J, De Gaudio AR, De Rosa S, et al. Nomenclature for renal replacement therapy and blood purification...
  • Huriaux L, Costille P, Quintard H, Journois D, Kellum JA, Rimmelé T. Haemodialysis catheters in the intensive care unit. Anaesth Crit...
  • Owen DG, de Oliveira DC, Qian S, Green NC, Shepherd DET, Espino DM. Impact of side-hole geometry on the performance of hemodialysis catheter...
  • Connor N. ¿Qué es el flujo laminar vs turbulento? Definición [Internet]. Thermal Engineering. 2019 [citado 22 de enero de 2022]. Disponible...
  • Jenkins R, Funk J, Chen B, Thacker D. Effects of Access Catheter Dimensions on Bloodflow in Continuous Arteriovenous Hemofiltration1....
  • Girardot T, Monard C, Rimmelé T. Dialysis catheters in the ICU: selection, insertion and maintenance. Curr Opin Crit Care. diciembre de...
  • Vesely TM, Ravenscroft A. Hemodialysis Catheter Tip Design: Observations on Fluid Flow and Recirculation. J Vasc Access. enero de 2016;17(1):29-39.
  • Ibeas-Lopez J. New Technology: Heparin and Antimicrobial-Coated Catheters. J Vasc Access. marzo de 2015;16(9_suppl):S48-53.
  • Módulo formación «Bacteriemia zero» [Internet]. [citado 15 de marzo de 2020]. Disponible en: http://hws.vhebron.net/formacion-BZero/index.html
  • O’Grady NP. Guidelines for the Prevention of Intravascular Catheter-Related Infections (2011). 2017;80.
  • Ibeas J, Roca-Tey R, Vallespín J, Moreno T, Moñux G, Martí-Monrós A, et al. Guía Clínica Española del Acceso Vascular para Hemodiálisis....
  • Brass P, Hellmich M, Kolodziej L, Schick G, Smith AF. Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization....
  • Letachowicz K, Goździk A, Gołębiowski T, Letachowicz W, Kusztal M, Szymczak A, et al. Dialysis Catheter Insertion with Extended Ultrasound...
  • Goossens GA. Flushing and Locking of Venous Catheters: Available Evidence and Evidence Deficit. Nurs Res Pract. 2015;2015:1-12.
  • Bong YC, Walsham J. Systemic Anticoagulation Related to Heparin Locking of Non-Tunnelled Venous Dialysis Catheters in Intensive Care Patients....
  • Honore PM, Gutierrez LB, Redant S, Kaefer K, Gallerani A, De Bels D. What should be the best dialysis catheter lock in critically ill...
  • Quenot J-P, Helms J, Bourredjem A, Dargent A. Trisodium citrate 4% versus heparin as a catheter lock for non-tunneled hemodialysis catheters...
  • Tolwani A. Continuous Renal-Replacement Therapy for Acute Kidney Injury. N Engl J Med. diciembre de 2012;27:367:2505-2514.
  • Dirkes S, Wonnacott R. Continuous renal replacement therapy and anticoagulation: What Are the Options? Crit Care Nurse. 2016;36(2):34-42.
  • Davies H, Leslie G. Maintaining the CRRT circuit: non-anticoagulant alternatives. Aust Crit Care Off J Confed Aust Crit Care Nurses. noviembre...
  • Kim IB, Fealy N, Baldwin I, Bellomo R. Insertion Side, Body Position and Circuit Life during Continuous Renal Replacement Therapy with...
  • Baldwin I, Jones D, Carty P, Fealy N. Continuous Renal Replacement Therapy Without Anticoagulation: Top Ten Tips to Prevent Clotting....
  • Joannes-Boyau O, Velly L, Ichai C. Optimizing continuous renal replacement therapy in the ICU: a team strategy. Curr Opin Crit Care. 2018;24(6):476-82.