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Questions about PD? Ask!

Question:

Andrea B
from Tas, Australia asked on April 29, 2014:



what would be the 5 most predisposing factors in preventing catheter complications?



Answers:

Expert A, from (United States):
The important issues to consider to minimize the risk for catheter-related complications are (1) correct placement of exit site relative to the belt line and abdominal pannus and for the patient to be able to see the exit site to perform daily care, (2) placing the tip of the catheter in deep pelvis to maximize hydraulic function of the catheter and prevent omental entrapment, (3) identify and lyse selected adhesions at the time of placement of PD catheter to prevent the formation of pockets, (4) omentopexy in patients with redundant omentum, and (5) not place sutures or staples at exit site.

Disclaimer: The answers represent personal views of the experts. The readers should use their own discretion in interpretation and application of the answers and the ISPD does not hold liability for such usage.


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