23 Aug COLOCACION DE CATETER TENCKHOFF EPUB DOWNLOAD – Las técnicas de colocación del catéter han evolucionado desde la. Download PDF Colocación de catéter de diálisis peritoneal por laparoscopia: descripción y resultados de una técnica propia de dos puertos. Visits. PDF | The conventional trocar and cannula method in peritoneal dialysis (PD) Download full-text PDF .. en la profilaxis durante la colocación percutánea del catéter peritoneal  por lo que .. Study outcomes of 81 Coiled CAPD consecutive Tenckhoff catheter insertions by our nephrologists using the open dissection.
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General anesthesia is used and intravenous cateter tenckhoff are administered. Acute abdominal emergencies in patients on longterm colocacion de cateter. Resumen Antecedentes Las unidades con programas de dialisis peritoneal search unlimitedly; download & request Full-text PDF; save to Collection La colocación percútanea de catéter de Tenckhoff, una técnica ideal para el inicio de. View / Download PDF · e-Pub · Léalo en Colocación de catéter de diálisis peritoneal por laparoscopia: descripción y resultados de una técnica propia de dos puertos . Surgical aspects of the Tenckhoff peritoneal dialysis catheter. A 7 year.
The knowledge derived from this study should help nurses and other health professionals in providing care that is based on the adolescent's lived world, which could help the teenagers in adapting to the illness situation with the less possible suffering for them and their families. This paper only describes the findings regarding the meaning of the dialysis catheter for the adolescents in their everyday life.
The methodological strategy used to carry out the study was the interpretive phenomenology based on Heidegger ontological philosophy. The goal of this phenomenology is to understand the everyday experiences and to articulate similarities and differences in meanings, concerns, practices, skills, and experiences of human beings 15 , Therefore, it is a methodology appropriate to study the lived experiences of the adolescent suffering from CRF and having dialysis.
The study participants met the following criteria: years of age, being active in peritoneal dialysis or hemodialysis. To be active in peritoneal dialysis, the adolescent should have the daily dialysis according to the Renal Unit Protocols; to be active in hemodialysis, the adolescent should come to the Renal Unit four times a week for dialysis.
The sample was comprised by eight participants: four women and four men; women age was years and men age years; six participants were in high school and two had finished high school; during the study, two participants abandoned their school. Data collection and analysis. Before collecting data, one of the researchers contacted the adolescents and their parents during two months. During this time, the adolescents who met the inclusion criteria were selected; the adolescents and their parents gave the written informed consent to participate in the study.
Data were collected through two in-depth interviews to each participant. The first interview was conducted after the dialysis with the hemodialysis adolescents and after the physician visit with the peritoneal dialysis adolescents. The second interview took place at the adolescents' home. Guidelines previously developed by the researchers were used for the interviews; however, the researcher always allowed the adolescents to freely express their thoughts and feelings.
The interviews were done and transcribed by one of the researchers.
The data were initially analyzed during its collection to identify those issues the researchers felt needing clarification or more data. After collecting all data, an in-depth analysis was done of the interview transcriptions. In doing this, each adolescent's story was written and each interview transcription was read and interpreted in different moments.
This analysis and interpretation allowed the identification of similarities and differences in the participants' stories, which let to the identification of the themes that comprise the meaning of the dialysis catheter for the adolescents. Both parents and the adolescent gave the written informed consent to participate in the study. The catheter damaged the adolescents' physical appearance and peers relationships; it also was an obstacle to attain their identity.
The following are the themes that comprise the catheter meaning for the adolescents; the adolescents' names used in describing the results are fictitious. The catheter: something awful but necessary. The catheter size had the greatest impact on the adolescents. The adolescents did not have any idea about the catheter dimensions; they thought the dialysis catheter was like the peripheral IV catheters they were familiar with.
Due to the lack of information about the catheter size, the adolescents had a picture of the catheter very different from the real one.
So when they already put it on me and I woke up from the anesthesia then I quickly touched it to know how it was, and I touched my self and felt those long hoses, then I thought that wasn't the catheter and I asked my mom who was there with me and she said it was the catheter. The adolescents felt the catheter was something grotesque in their body, especially those who got the hemodialysis catheter. This catheter is set in the right jugular vein and because of this it is more visible than the peritoneal dialysis catheter, which is set in the abdomen left flank.
The adolescents having hemodialysis spent lots of time in front of the mirror looking at the catheter; by doing that, they realized the dressing and the tape holding and protecting the catheter magnified its size and presence for them and for everybody else.
At the beginning of the process to accept the catheter presence in their body, the adolescents felt great shame and sadness due to the fact they had to face the difficult task of adapting to the catheter as an element not belonging to their body but essential for the illness treatment, in other words they must learn to accept it as a part of their body. I was very depressed when they put on me that catheter, the first I did… I didn't go out, I stayed in my room crying, I didn't want to leave my room, I cried, cried all the time.
After inspecting and acknowledging the catheter as something they should live with, the youngsters realized they had to go out to deal with the peers' reactions to the awful but indispensable catheter they had in their body.
They created different ways to explain their peers why they had the catheter. Some felt this was a very hard situation and they considered they did not have to give any justification about the catheter; therefore they concealed the catheter under their clothes. As soon as the adolescents got in contact with peers and other people, they had to deal with the questioning about the catheter: what was it? Why they had it? For how long would they have it? Besides the questioning, the adolescents had to handle their peers' continuous jokes.
Even though, they had prepared themselves for this, they could not avoid feeling sad and anger.
The questioning and jokes about the catheter did not decrease as time went by. The adolescents' responses to others' reactions to the catheter were diverse; as a whole, they gave different explanations about the need for the catheter and avoid contact with peers and others whenever they could. Some such as Claudia only said she had it because of a health condition.
Natalia gave lots of reasons but she was emphatic that was a transitory situation. Fernando felt the relationships with his peers from school deteriorated to the point he could not stand anymore life at school. He was quite unhappy at the beginning but soon the unhappiness became rage followed by being rude and physically aggressive with his peers.
The catheter as an obstacle for relating to peers. It is important to understand that for amusement the adolescents requires being with peers. So to lose the possibility of having fun as they were used to before the illness was one of the most difficult aspects they had to cope with; this was a significant loss for them. Losing this possibility was due basically to the restrictions imposed by the catheter. They must protect the catheter from getting wet, so they could not go swimming in rivers or swimming pools.
They could not practice any exercises, play active games or dance because they must avoid excessive sweating since this damage the catheter dressing.
Besides, they could not make any abrupt body movements to prevent displacement of the catheter by breaking the sutures holding the catheter.
This situation generated feelings of nullity, sadness and anguish in the male adolescents. The dialysis type did not make a difference in amusement restrictions for the youngsters. At first, they did not think of these restrictions as a loss; they even felt happy because they did not have to go to the physical exercises classes; while their classmates were in the exercises class, they could do others activities according to their preferences such as going to the cafeteria, the library, and the computer room.
As time went by, this situation which seemed an advantage for the youngsters became a condition that made them feel sad, different, handicapped and pointed out by their peers.
Peers completely excluded them from all the amusement projects. The amusement situation outside of school was worse because their neighborhood friends and relatives also precluded them from their recreational activities as soon as they learned their health condition and the restrictions they had due to the catheter.
Being excluded from the peer groups was something overwhelming for the teenagers; they felt they had a double loss: their friends and the opportunity to enjoy life. Mupirocin once weekly reduces the incidence of catheter exit-site infection in peritoneal dialysis patients. This includes hard candy and gum. You may need to stop taking some of your medications before your procedure.
Never drain more than your doctor told you without speaking with your doctor first. Placement of the Tenckhoff peritoneal dialysis catheter under peritoneoscopic visualization.
Creating downloadable prezi, be patient. See more popular or the latest prezis. Hernia repair without delay in initiating or continuing peritoneal dialysis.
Whether he or she recommends you stop taking it will depend on the reason you are taking it. Constrain to simple back and forward steps. If you take medication that affects the way your blood clots, ask the doctor performing your procedure what to do. If you have any questions or concerns, contact a member of your healthcare team directly or call for help.
Do not stop taking any of these medications without talking with your doctor. Antibiotic prophylaxis before peritoneal dialysis catheter insertion.
Ascites may cause you to feel pressure and discomfort in your abdomen For your procedure, your doctor will make a small incision surgical cut on your abdomen.
Your doctor will make a small incision to place the catheter in your abdomen. Before Your Procedure Arrange for someone to take you home You must have a responsible care partner take you home after your procedure. Your healthcare provider will give you an injection of local anesthesia to numb the skin in the area where the catheter will be placed.
When you shower, make sure that that your catheter is covered to prevent it from getting wet. In the first case, the patient developed abdominal pain that required exploratory laparotomy and it appeared that the catheter was lying in a loop of intestine. After verifying that the bowel loop was viable, the catheter was removed and a new one placed. The patient is currently in the PD program. The second patient, nine months after surgery, presented with canalisation of a peritoneum-vaginal tract and developed a hydrocele.
The patient refused surgical correction and was transferred to the haemodialysis programme. Furthermore, there is evidence of better preservation of residual renal function when compared with haemodialysis.
Furthermore, it is a very fast procedure, with a short operative time. Regarding the intraoperative advantages, laparoscopy allows for optimal visualisation and evaluation of the peritoneal cavity, allowing precise catheter placement.
Furthermore, laparoscopy allows for release of peritoneal adhesions if necessary. The use of a Guyon guide has been very helpful for accurate placement of the catheter, as the atraumatic tip and rigidity make it possible to both guide the catheter to the pouch of Douglas and reposition it if necessary.
Based on our experience, the obstruction rate was 3. Despite this low rate, we must bear in mind our limited follow-up. Peritoneal leakage rates range from 2. In our experience, we have not had any leakage. This complication is not only associated with open surgery, but also with the laparoscopic approach.
Paramedial placement and the creation of a long subcutaneous tunnel are strategies for attempting to reduce this complication32,33 and may explain the absence of fistula in our series.
In analysing our technique compared to other three-port laparoscopic techniques, our experience is comparable in terms of surgical time, hospitalisation time, and catheter obstruction rate. Accepting our limited follow-up, our results are at least equal. In short, we believe that our technique is a simple and rapid procedure with few complications and short hospitalisation time, due to its reliability and excellent results in terms of catheter function.
Figure 1. Oreopoulos-Zellerman catheter with Guyon guide with atraumatic tip. Figure 2.