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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Dialysis catheters (DC) are used not only for hemodialysis but also for continuous renal replacement therapy or apheresis such as plasma exchange, which are employed across multiple hospital sections, including intensive care unit (ICU) as well as various general wards. The insertion site is protected with a dressing material (an adhesive transparent sheet), similar to commonly used central venous catheters. This dressing material is replaced periodically according to a nursing procedure established by the facility. However, the adhesive strength of recent dressing material is too strong, making replacement difficult for nurses. Here we report a case of catheter damage that occurred during replacement of the dressing material at a general ward. We propose a creative change of DC junction for patient safety.
A woman in her 70s had a DC placed in her right internal jugular vein. Upon arrival at the dialysis room, a massive blood contamination was noted on the gauze protecting the catheter junction and branch tubes. A dialysis nurse found a partial cut of the DC near the junction. A new catheter was placed on the opposite side (left jugular vein) by a dialysis doctor, and hemodialysis was started. Microscopic examination in a related research laboratory revealed that the cut had been caused by contact with a sharp instrument, such as scissors.
This case had been reported to the medical safety department of our institution as a serious incident. Of course, every nurse knows that scissors use is strictly prohibited when replacing a dressing material for a central venous catheter. I would like to raise the issue of DC design that may inadvertently induce prohibited actions based on this incident. In other words, since the dressing material adhered firmly to the catheter and could not be removed, scissors were inevitably used. Although a remover is recommended for detaching firmly adhered dressing materials, it is uncommon for general wards to stock such rarely used items. Furthermore, while it is known that a branch tube can be detached from the junction by alcohol, there is no guarantee that removal agents containing organic solvents will not cause similar detachment. A similar unavoidable procedure can occur with nearly all catheters in changing a dressing material for the insertion site. Indeed, while physicians and clinical engineers focus on the DC shape from the insertion site to the tip to improve catheter performance, nurses primarily focus on the external components from the insertion site when evaluating the DC. If a dressing material can be easily removed, it is also expected to reduce the infection risk of insertion site by inadvertently touching.
Easy removal of the dressing material from the catheter could serve as a fundamental measure to prevent recurrence of such incidents. Therefore, we propose that all manufacturers develop dialysis catheters with an innovative junction design that reduces adhesion of dressing materials, for example by adding small protrusions or roughening the surface at the junction.
