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Exchange of Abdominal Catheter

Date: Sep 28, 2010

Question:

Just curious what you come up with...thanks! PROCEDURE(S): Peritoneal Dialysis Catheter Repositioning HISTORY: End Stage Renal Disease INDICATION: Catheter Malfunction MEDICATIONS: Fentanyl 200mcg; Midazolam 4mg CONTRAST: Omnipaque 350, 3510 ml COMPLICATIONS: None. TECHNICAL: Following informed consent, and verification of the appropriate patient identification and procedure to be performed, the abdomen, including the indwelling peritoneal dialysis catheter were sterilely cleaned, prepped, and draped. Contrast was injected via the peritoneal dialysis catheter. A stiff Terumo wire was advanced through the catheter until the tip of the peritoneal dialysis catheter was redirected into a different portion of the peritoneal cavity. Post repositioning contrast injection confirmed free flow into the peritoneal cavity. The catheter was flushed with saline and sterilely dressed. FINDINGS: The existing peritoneal dialysis catheter was in a small contained space. Contrast flowed back along the distal 10 cm of the catheter until instilled into the open peritoneal space. The peritoneal dialysis catheter was repositioned from the contained space into the open peritoneal cavity. IMPRESSION: Peritoneal dialysis catheter repositioning as described.

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