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on-Tunneled Catheter (NTC) Tip location on Chronic Kidney Disease patients undergoing Hemodialysis.

Not Applicable
Completed
Conditions
Renal and Urogenital - Kidney disease
End-Stage Renal Disease
Registration Number
ACTRN12619000774123
Lead Sponsor
Hospital Universitario, Dr. José E. González, Universidad Autónoma de Nuevo León
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
165
Inclusion Criteria

Patients over 18-years old who have accepted the placement of the NTC for hemodialysis.
Patients who have signed the informed consent.
Patients who can stay seated for the chest radiograph in a protocoled manner.

Exclusion Criteria

Patients who cannot collaborate in the performance of chest PA radiography or NTC placement.
Patients who had an immediate complication during the placement, related to puncture such as pneumothorax, hemopneumothorax, catheter placement in the carotid artery, malpositioning of the NTC, hemomediastinum, air embolism.
The use of other than the right internal jugular vein for vascular access to NTC placement.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The number of dysfunction, repositioning and relocation composite episodes due to NTC tip placement on the second intercostal space versus the fourth intercostal space.<br><br>Disfunction is defined as the impossibility of the NTC to provide adequate blood flow (>250 mL/min).<br><br>Repositioning is defined as the need to accommodate the catheter because the tip of the NTC, assessed by anteroposterior radiography, is below the atrio-cava junction.<br><br>Relocation is defined as the need to remove and place a new NTC, because the tip of the NTC was lodged 1 cm above the bronchial carina, evaluated with an anteroposterior radiography.[48 hours post-catheter placement.]
Secondary Outcome Measures
NameTimeMethod
The number of dysfunction episodes due to NTC tip placement on the second intercostal space versus the fourth intercostal space.<br><br>Disfunction is defined as the impossibility of the NTC to provide adequate blood flow (>250 mL/min).[48 hours post-catheter placement.];The number of repositioning episodes due to NTC tip placement on the second intercostal space versus the fourth intercostal space.<br><br>Repositioning is defined as the need to accommodate the catheter because the tip of the NTC, assessed by anteroposterior radiography, is below the atrio-cava junction.[48 hours post-catheter placement.];The number of relocation episodes due to NTC tip placement on the second intercostal space versus the fourth intercostal space.<br><br>Relocation is defined as the need to remove and place a new NTC, because the tip of the NTC was lodged 1 cm above the bronchial carina, evaluated with an anteroposterior radiography.[48 hours post-catheter placement.]
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