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on-Tunneled Catheter (NTC) Tip location: What is the effect on Resource Use for Chronic Kidney Disease patients undergoing Hemodialysis?

Not Applicable
Conditions
End-Stage Renal Disease
Renal and Urogenital - Kidney disease
Registration Number
ACTRN12622001402730
Lead Sponsor
niversidad Autonoma de Coahuila
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
116
Inclusion Criteria

Patients over 18 years of age who have accepted the placement of the NTC for hemodialysis.
Patients who have signed the informed consent.
Patients who can remain seated for the chest X-ray in a protocolized manner.

Exclusion Criteria

Patients who cannot collaborate in the performance of chest 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
To compare the use of economic and human resources to solve the composite early complications episodes when NTC the tip is placed in the second intercostal space vs the fourth intercostal space.<br><br>The episodes of dysfunction, episodes of repositioning and episodes of relocation of the NTC will be assessed as a composite primary outcome.<br><br>Dysfunction is defined as the impossibility of the NTC to provide adequate blood flow (>250 mL/min), assessed by review of medical records.<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, assessed with an anteroposterior radiography.[48 hours post-catheter placement.]
Secondary Outcome Measures
NameTimeMethod
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