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Elimination of Post-Procedural Bleeding After Placement of Tunneled Dialysis Catheters 

Elimination of Post-Procedural Bleeding After Placement of Tunneled Dialysis Catheters
Chapter:
Elimination of Post-Procedural Bleeding After Placement of Tunneled Dialysis Catheters
Author(s):

Almas Syed

, Robert Evans Heithaus

, and Chet R. Rees

DOI:
10.1093/med/9780199986071.003.0047
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date: 26 November 2020

This chapter discusses how to prevent postoperative bleeding with the placement of tunneled dialysis catheters. Tunneled intravenous chest catheters, particularly dialysis catheters, sometimes result in oozing or frank bleeding from the incisions during the first 24 hours after placement. This problem is exacerbated by the large diameter and stiffness of these catheters. Moreover, patients requiring these catheters frequently suffer from abnormal hemostasis profiles—an elevated international normalized ratio, thrombocytopenia, or abnormal platelet function due to uremia is commonly seen. The technique discussed in this chapter ensures that the potential bleeding sites throughout the operative site and tract are coated and permeated by a hemostatic agent.

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