Abstract
Background Intensive care unit (ICU) patients require dialysis catheters (DCs) for renal replacement therapy (RRT). They carry a high risk of developing end-stage renal disease, and therefore their vascular access must be preserved. Guidewire exchange (GWE) is often used to avoid venipuncture insertion (VPI) at a new site. However, the impact of GWE on infection and dysfunction of DCs in the ICU is unknown. Our aim was to compare the effect of GWE and VPI on DC colonization and dysfunction in ICU patients.
Highlights
Ill patients routinely require temporary dialysis catheters (DCs) for renal replacement therapy (RRT)
Guidewire exchange vs new-site placement for temporary dialysis catheters insertion in ICU patients: is there a greater risk of colonization or dysfunction?
Cases were DCs inserted by Guidewire exchange (GWE) (N = 178), controls were DCs inserted by new-site placement (NSP) (N = 178)
Summary
The aim of this study was to compare the effect GWE and new-site placement (NSP) strategies on DC colonization and dysfunction in patients requiring DC placement
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