VASCULAR MAPPING TECHNIQUE AS AN ALTERNATIVE TECHNIQUE FOR INSERTION OF CENTRAL VENOUS CATHETER FOR HEMODIALYSIS

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Abstract Title *

VASCULAR MAPPING TECHNIQUE AS AN ALTERNATIVE TECHNIQUE FOR INSERTION OF CENTRAL VENOUS CATHETER FOR HEMODIALYSIS

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Co-author 1

Achmad Fikry achmadfikry@unhas.ac.id Faculty of Medicine, Hasanuddin University Nephrology & Hypertension Division, Department of Internal Medicine Makassar Indonesia *

Co-author 2

Haerani Rasyid haeraniabdurasyid@yahoo.com Faculty of Medicine, Hasanuddin University Nephrology & Hypertension Division, Department of Internal Medicine Makassar Indonesia -

Co-author 3

Hasyim Kasim hasyimkasim@yahoo.com Faculty of Medicine, Hasanuddin University Nephrology & Hypertension Division, Department of Internal Medicine Makassar Indonesia -

Co-author 4

Sitti Rabiul Zatalia zatalia_ramadhan@yahoo.com Faculty of Medicine, Hasanuddin University Nephrology & Hypertension Division, Department of Internal Medicine Makassar Indonesia -

Co-author 5

Nasrum Machmud nasrummachmud29@yahoo.com Faculty of Medicine, Hasanuddin University Nephrology & Hypertension Division, Department of Internal Medicine Makassar Indonesia -

Co-author 6

Akhyar Albaar rvpakhyarmd@gmail.com Faculty of Medicine, Hasanuddin University Nephrology & Hypertension Division, Department of Internal Medicine Makassar Indonesia -

Co-author 7

Khadijah Khaerunnisa ijhasho@yahoo.com Faculty of Medicine, Hasanuddin University Nephrology & Hypertension Division, Department of Internal Medicine Makassar Indonesia -

Co-author 8

Co-author 9

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Co-author 11

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Introduction

Real-time USG guidance technique for insertion of CVC HD can minimize the risk of complications, but many operators still have limitations in using it, so adjustments to CVC insertion techniques are still needed. The purpose of this study was to see the effectiveness of the use of vascular mapping techniques for CVC for HD insertion.

Methods

Data collected retrospectively, from medical record. This cross-sectional study at Dr. Wahidin Sudirohusodo Hospital, Makassar (July 2023 – July 2024) included CKD and AKI patients who had inserted temporary CVC for HD. Vascular Mapping techniques were compared for first-attempt success and complications. Data were analyzed using IBM SPSS 25.

Results

From 402 patients, 46.8% male (n=190), 52.7% female (n=212), average age 50.32 years. Indications for HD were CKD (n=379, 94.3%) and AKI (n=23, 5.72%). The average duration for CVC for HD insertion is 16.01 minutes, successful rate of CVC for HD insertion is 97.3%, first attempt rate 70.6%. For complication arterial puncture in 15.7%, hematom 13.9%, king-king catheter is 2.0%, and malposition of tip catheter is 0.7%. A study in Saudi Arabia reported that only 21.8% of operators used USG guidance. The problem of comfort during insertion and not being trained are problems that still occur. The first attempt success rate in this study almost same with study by Rathi et al, (2015) used real-time USG techniques was 78.96%.

Conclusion

The vascular mapping technique for CVC HD insertion is an alternative technique for operators who still have limitations in USG techniques with a high success rate and is not much different from the real-time USG technique with minimal complications

Kewords