DIALYSIS Catheter Explained | Unboxing Interventional Radiology Equipment
ฝัง
- เผยแพร่เมื่อ 17 ม.ค. 2020
- It has definitely been a while since I have done one of these videos in which I unbox equipment that we use on a daily basis in Interventional Radiology. The last video I did like this was over a year ago! Anyways, today I unboxed and explained everything there is to know about a hemodialysis catheter aka tunneled dialysis catheter aka Permcath aka vascath aka HD catheter. What makes this central venous catheter unique is that it is actually tunneled underneath the skin, which greatly reduces infection risk. This is a VERY common procedure we do in Interventional Radiology. We usually place a few of these EVERY single day.. So if you want to see more of the supplies we use and/or the different types of procedures we do, let me know in the comments below! Enjoy :)
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#dialysis #hemodialysis #interventionalradiology
Hi! I have been following you for about 6mths. Love your channel. I have been a Radiology technologist for almost two years and have decided to go into IR. Could you do more “unboxing,” videos of different trays? I’m still getting a bit hung up on all the different catheters and sheaths, and guide-wires. Thanks.
That's so neat. Yes there may are other videos on the subject but I like learning about it from a familiar and understood source of information. 🤓❤
Thx!
Awesome video Doc! Always here trying to learn something new. Would you be able to do a video about TIPS procedure?
I am very thankful for these videos, please keep making them 😍😻
I love medical procedures and gadgets. We need more videos like this one, please. 😂 👏 Cellini for President 2024
Cheers for the Video clip! Excuse me for butting in, I would appreciate your opinion. Have you researched - Reyameron Linkify Blitzkrieg (erm, check it on google should be there)? It is an awesome one of a kind guide for learning how to avoid dialysis and boost your kidney health minus the normal expense. Ive heard some great things about it and my mate after a lifetime of fighting got astronomical success with it.
Winner of a video, I've been looking for "chronic kidney disease treatment medication" for a while now, and I think this has helped. Have you ever come across - Aenarter Uncomplicated Assistance - (search on google ) ? It is an awesome one of a kind product for discovering how to help your kidney function minus the normal expense. Ive heard some amazing things about it and my m8 got amazing success with it.
Great Video! Sorry for chiming in, I would love your initial thoughts. Have you tried - Reyameron Linkify Blitzkrieg (probably on Google)? It is a great exclusive product for learning how to avoid dialysis and boost your kidney health without the headache. Ive heard some super things about it and my old buddy Taylor at last got great results with it.
Nice Video! Sorry for the intrusion, I would love your opinion. Have you thought about - Reyameron Linkify Blitzkrieg (do a search on google)? It is a good exclusive product for learning how to avoid dialysis and boost your kidney health minus the hard work. Ive heard some decent things about it and my best friend Jordan at very last got great results with it.
Appreciate video content! Apologies for chiming in, I am interested in your thoughts. Have you heard the talk about - Reyameron Linkify Blitzkrieg (just google it)? It is a good one of a kind product for learning how to avoid dialysis and boost your kidney health minus the normal expense. Ive heard some extraordinary things about it and my friend at very last got excellent success with it.
Really cool video concept. Definitely would like to see more videos like this
Omg where were this video when i started in IR? Lol! Clear explanation for beginners who’s starting their career in IR. Great job, Doc. IR/Cath Tech here. 😎👏🏼👍🏻
Thank you for sharing your teaching tutorial!🙏📖
This was really interesting!!
Pretty amazing the things that can be done. Very interesting!
Agreed!
I had one of these put in for dialysis 6 months ago. I’m glad I didn’t watch this before but it’s interesting to know now what was going on while I felt that tugging. I get it out tomorrow!!!
❤🎉😂
Hey Dr Cellini, greetings from the UK, this is very useful for IR nurses to learn the steps of each procedure, please more videos like this! Thanks so much.
I’d like to see a Power Port! I’m getting one placed sometime soon, so it would be cool to see a video from you on it
Lovely video content! Sorry for butting in, I am interested in your initial thoughts. Have you considered - Reyameron Linkify Blitzkrieg (google it)? It is an awesome one of a kind product for learning how to avoid dialysis and boost your kidney health minus the hard work. Ive heard some extraordinary things about it and my work buddy at last got astronomical success with it.
A lot off day waitting this proseejer looking.thanks doctor.
This is helpful for rotations thanks!
Amazing, knowledge is so powerful!
Thank you for doing this video. I had the dialysis catheter put in almost 2 years ago. Not fun at all being awake and going thru it, but a very interesting process.
Just had my catheter exchanged.. lol def not a good feeling and all while being awake
@@moneymakintash me too
My grandma was put on hemo dialysis a year ago and had a loop graft put it in her lower right arm but it got infected with mrsa after a month or two. They then put in a CVC on her neck and she’s been using it for the past 7 months. We just went in for surgery to get a AV Graft put in her upper left arm and after the surgery her hand became ice cold and numb so we took her to the ER. They admitted her and the next day the surgeon reached out to get my decision on the next step. He said it wouldn’t be a good idea to leave it as is and hope because if it gets worse when they use the graft it could lead to full loss of motor function in her hand. So the two options he gave me was one to remove the graft fully and continue using the CVC until her arm heals and talk about getting another one done. The other option was for him to go into the incision and try to bring it higher to another vein to maybe increase blood flow to the hands but he said he can’t really predict what will happen. It could cause the graft to stop working and it’ll have to be removed after anyway. So we went ahead with removing the graft completely and gonna wait and see what our next options are.
My question is how long can someone have a CVC in for HD and what’s the main causes of failure besides infection? She’s had it for 7 months and we’re concerned if she can’t get another AV Graft in her arm what would we do if the CVC gets infected or something. She only weighs 95lbs and her veins are very small which is the reason they are doing grafts instead of fistulas
This was awesome! Can you do more of these...😁
Thanks for your demonstration! I've been a Hemodialysis Technician for six years in both outpatient and inpatient modalities, and I access several of these every day. Let me tell you, sometimes these things are just the worst, even immediately out of surgery. Is there a technique you've seen surgeons employ that makes them perform better? Also, did you mean Superior Vena Cava, or do you actually run the guide wire straight through the right atrium? Are you performing consistent imaging to ensure placement, or does the J hook prevent perforation? I'm a year away from graduating to become an RN, but for some reason your explanation of this procedure made me want to go to Medical school instead to do IR.
Hi I’m a new grad in interventional radiology and I would love more videos like this!!!
Got my radiology exam next week so this is a good of procrastination I guess!
Excellent Video clip! Forgive me for chiming in, I would appreciate your opinion. Have you considered - Reyameron Linkify Blitzkrieg (probably on Google)? It is an awesome one off guide for learning how to avoid dialysis and boost your kidney health without the normal expense. Ive heard some extraordinary things about it and my mate finally got cool results with it.
Lovely Video clip! Forgive me for chiming in, I am interested in your initial thoughts. Have you researched - Reyameron Linkify Blitzkrieg (should be on google have a look)? It is an awesome exclusive guide for learning how to avoid dialysis and boost your kidney health without the normal expense. Ive heard some amazing things about it and my buddy finally got amazing success with it.
Great video content! Excuse me for chiming in, I am interested in your opinion. Have you heard about - Reyameron Linkify Blitzkrieg (Have a quick look on google cant remember the place now)? It is a smashing one off guide for learning how to avoid dialysis and boost your kidney health without the headache. Ive heard some incredible things about it and my m8 got great success with it.
Great Video! Excuse me for chiming in, I am interested in your thoughts. Have you tried - Reyameron Linkify Blitzkrieg (erm, check it on google should be there)? It is a great exclusive product for learning how to avoid dialysis and boost your kidney health minus the normal expense. Ive heard some awesome things about it and my buddy finally got astronomical success with it.
Thank you for sharing this!!😊
I am about to have this done and I am so nervous. Really, im being a big baby lol but You make it seem less scary. It's actually interesting. Thank you Dr. Cellini! 💚💚💚
how are you doing now?
@gun4ha66 HI! I'm doing OK, thank you for asking. It was scary but I am pushing through it. How are you?
I absolutely love your channel I like And subscribe right away, I sent a lot of students to this channel as well
My grandma was put on hemo dialysis a year ago and had a loop graft put it in her lower right arm but it got infected with mrsa after a month or two. They then put in a CVC on her neck and she’s been using it for the past 7 months. We just went in for surgery to get a AV Graft put in her upper left arm and after the surgery her hand became ice cold and numb so we took her to the ER. They admitted her and the next day the surgeon reached out to get my decision on the next step. He said it wouldn’t be a good idea to leave it as is and hope because if it gets worse when they use the graft it could lead to full loss of motor function in her hand. So the two options he gave me was one to remove the graft fully and continue using the CVC until her arm heals and talk about getting another one done. The other option was for him to go into the incision and try to bring it higher to another vein to maybe increase blood flow to the hands but he said he can’t really predict what will happen. It could cause the graft to stop working and it’ll have to be removed after anyway. So we went ahead with removing the graft completely and gonna wait and see what our next options are.
My question is how long can someone have a CVC in for HD and what’s the main causes of failure besides infection? She’s had it for 7 months and we’re concerned if she can’t get another AV Graft in her arm what would we do if the CVC gets infected or something. She only weighs 95lbs and her veins are very small which is the reason they are doing grafts instead of fistulas
This HD acute nurse really enjoyed your simple to follow video. I did watch a short procedural video right before this, they tied nicely together. Thank you!
Whoaaa... That is interesting. I cringe a bit whenever I even think of anything like this being put in me Lol! But I'm sure it's not as bad as it seems, once you get used to it. :P Thanks for the video!
Thank for this I’m on dialysis and wondering how they get the catheter on
Wow... I never realozed how far the tubing went in. I have been on dialysis 8 months now and definitly look forward to getting a transplant and having it removed! Better than the alternative, though... lol
Is it better than the alternative? I'm I'm about to let myself die
Hi Dr. Cellini,
My question concerns the concentration of a substance within the dialysis catheter. Is it possible to change the concentration of glucose within the catheter, once it's been closed and without opening it?
If for instance, I've filled it with a solution containing 40g glucose/100 mL (40%) but I came to realise, I wish to have 20 % instead. Can I fix this without opening the catheter and in that case, how can I go about it?
Is that possible to make a video with central line removal? Cuffed power line?
Hey doc I suffer from amblyopia or lazy eye. Can I do radiology?Or even med school?
Hey.....I have been following you .....great videos
IAM also thinking to do interventional radiology ....but from UK......what is your opinion.....after my training in UK I would lik to work in USA......will I be able to work in USA after by speciality training from UK...??
I have no idea
Does IR put in uteretal stents or only urologist?
Why is the piece that hangs inside the right atrium Y-shaped? What’s the significance? So it doesn’t enter the RV?
I just had this done yesterday so I could donate my stem cells
Give them to me
That kit was from 2008! Have they changed at all in the last 12 years?
how does the peeling away work, a little hard to visualize
May i know what's the brand of the IJC set?
How does someone k ow which size would fit them and what are the most commonly used sizes?
Interesting.
This is Retrograde type, a reverse tunneling technique for correct tip placement.
How do you identify if the catheter is only for dialysis or can be used to give meds or blood draws without asking anyone? They all look the same. Is it labeled VAS cath, which tells everyone that it’s only used for dialysis? How are the catheters for meds inserted either jugular or subclavian different (looks not purpose) from VAS or ASH cath?
for mine, the lumens are covered with guaze and taped off so that it is only used for the treatment. Blood draws are done with fresh pokes elsewhere. On the guaze is a label with the concentration of heparin, the amount, and date. The lumens themselves are stamped with the amount of heparin put in each one. a bold label to draw it out and not flush is also there. Its pretty strict. Mine is labeled as a CVC and used for plex
Would there be a risk of infection since the injectable ports are hanging outside the skin?
yeah a hemodialysis catheter is usually not permanent for this reason. eventually they will get an AV fistula (graft if needed) or peritoneal dialysis access.
at least this is the information I gathered when I shadowed a vascular surgeon :)
@@TheBeyondDiva thank you!
@Frank Franky Interesting, thank you!
yup, only peritoneal dialysis should be done by the patients. even tho the catheter is under the skin, infections are common because the ports are exposed. although it’s called a PERMAcath, it’s still meant for short term use.
this is also used by interventional nephrologist right
?
Will you show how to assemble the catheter please?
Can't they also use a Hickman line for dialysis as well?
This is what general Surgeons put in The patients peritoneum and chest.
Wut??
@@Sixdays_aweek general surgeon when A patients has to start dialysis or the start Chemo they may need a dialysis tube in the stomach and Chest to get treatment and chemo patients need a port in the chest to get chemo.General surgeons work with the digestive system,transplants,Chest procedures,and organs
what is the difference between hemodialysis & permcath?
In terms of the content of the item, as for the method of installation
How do u calculate thr length needed?
Curved Plastic GMkey Hemodialysis Catheter Kit, For Clinical
Pakistani price kya hai😢
Hi doc ❤
Have people ever said they feel those split parts of the catheter flapping in their heart?
Lol no. Sometimes a catheter tip can cause the heart to ‘skip a beat’ which the doctor should be made aware of
Dr. Cellini Isn’t that called a palpitation or something along those lines?
@@carsoncox4356 It's called a PVC.
Can you show a groshong catheter??
How can help me to learn english language?!
I just saw a little pair of scissors from that box
First
Heyyoo
@3:04 OH, So Kind of like a midline
Why don’t they put you to sleep to take it out