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Insertion of Temporary Dialysis Catheters


Hello...I am looking for any research papers, references and all of your thoughts and unit specific approaches to this issue. We are presently reviewing our procedure for the insertion of a temporary IJ or subclavian in a hemo patient with no access. At present we prophylactically will give 1 gram cefazolin and Ddavp preinsertion to help with post insertion infections and bleeding. However, this particular procedure was developed quite a number of years ago and the use of these particular pre-insertion meds is being reviewed. I am having trouble tracking down any evidence one way or the other regarding their use. Anyone out there with information to support or not these practices, what do you do etc. :uhoh3:

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