Catheter Removal - MedComp Symetrex Mode D'emploi

16. ALWAYS ENSURE BOTH INJECTION CAPS ARE ATTACHED TO
CATHETER LUERS POST PLACEMENT.
CAUTION:
Failure to verify catheter placement with fluoroscopy may result in
serious trauma or fatal complications.
17. Suture incision site as needed and apply an adhesive wound dressing.
18. Suture wings to patient's skin.
FEMORAL VEIN PLACEMENT PROCEDURE
For femoral placement, position the patient supine, and insert the catheter tip
to the junction of the iliac vein and inferior vena cava.
WARNING:
The risk of infection is increased with femoral vein insertion.
NOTE:
Catheters greater than 37cm are intended for femoral vein insertion.
NOTE:
To reduce the number of cannulation attempts and mechanical
complications, CDC Guidelines recommend the use of Ultrasound Guidance, if
available. Ultrasound guidance should only be used by those fully trained in
its technique.
1. Assess the right and left femoral areas for suitability for catheter
placement. Ultrasound may be helpful.
2. On the same side as the insertion site, have the patient flex the knee
with the thigh abducted and the foot placed across the opposing leg.
3. Locate the femoral vein, posterior/medial to the femoral artery.
4. Go to Part A Percutaneous Access (Common Steps)
5. Go to Part B Tunnel Catheter (Common Steps)
6. Go to Part C Catheter Insertion Technique (Common Steps)
7. Go to Part D Catheter Aspiration (Common Steps)

CATHETER REMOVAL

Free cuff from surrounding tissue prior to removal. Withdraw the catheter
through the exit site. Apply pressure to proximal tunnel for approximately
10-15 minutes or until bleeding stops. Suture incision and apply dressing in a
manner to promote optimal healing.
CAUTION:
Remove catheter with care. Sharp, jerking motions and undue
force may tear catheter.
STORAGE
Store at room controlled temperature. Do not expose to solvents, ionizing
radiation or ultraviolet light. Rotate inventory so that catheters are used before
the expiration date on the package label.
REFERENCES
• Leblanc M, Bosc J, Paganini E, Canaud B, Central Venous Dialysis
Catheter Dysfunction, Advances in Renal Replacement Therapy.
1997;4:377-89.
• Hirsch D, Bergen P, Jindal K. Polyurethane Catheters for Long-Term
Hemodialysis Access. Artificial Organs 1997;21:349-354.
• Renner C RN. Polyurethane vs. Silicone PICC Catheters. JVAD Spring
1998; 16-21.
• National Kidney Foundation Dialysis Outcomes Quality Initiative (DOQI)
• 2011 CDC Guidelines for the prevention of IntraVascular Catheter-
Related Infections.
• Patel PR et al. Bloodstream infection rates in outpatient
hemodialysis facilities participating in a collaborative prevention effort:
a quality improvement report.Am J Kidney Dis. 2013 Aug;62(2):322-30
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