Tenckhoff Catheter Insertion Research Articles

Equilibrium Peritoneal Dialysis (EPD) in Acute Renal Failure (ARF) Secondary to Rhabdiomyolysis

The purpose of this work is to assess EPD in ARF patients who have suffered rhabdomyolysis. In preparation for Tenckhoff catheter insertion dialysis exchanges through a stylet catheter were used every 30 minutes; after implantation of the Tenckhoff catheter we started 2L of solution with six four-hour exchanges. Dialysis was discontinued after 16 days on average when patients had a urinary volume of over one litre in 24 hours. Results allow us to conclude that EPD is an adequate method of treatment for ARF due to rhabdomyolysis.

Catheter Break-in for Continuous Ambulatory Peritoneal Dialysisuniversity of Missouri Experience

Retrospective analysis of the results of several break-in techniques in our institution revealed that a 10 day delay in CAPD initiation after a midline Tenckhoff catheter insertion is sufficient to prevent leakage in patients maintained on intermittent peritoneal dialysis. A leak or obstruction related to an insufficient surgical technique can be promptly diagnosed and corrected. An irrigation technique seems to be useful in non-uremic patients, but frequently fails to disclose a one-way obstruction with a consequent delay in a surgical correction. Recently we have introduced a modification of this technique in which the patency of the catheter is checked with one in and out exchange using a small volume of dialysate during outpatient clinic visits every 2– 3 days.