UMEM Educational Pearls

Category: Critical Care

Title: Hemodialysis Catheters

Keywords: hemodialysis catheters (PubMed Search)

Posted: 12/2/2008 by Mike Winters, MD (Updated: 8/12/2020)
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Hemodialysis Catheters

Two weeks ago, we had a PEA arrest of a patient receiving HD.  A significant delay occurred in administering fluids and medications as a result of "no iv access".  Don't forget that in these situations you can use the hemodialysis catheter.

  • Typically these are double-lumen catheters in the IJ or femoral vein; one lumen carries blood to the HD machine and the other returns it to the patient
  • Importantly, each lumen is equivalent in diameter to an introducer catheter (8 French) - permitting rapid flow
  • Fluids and medications can be rapidly given through these catheters in code situations