Complications of Internal Jugular Catheters in Haemodialysis Patients Key Findings from a Nigerian Kidney Care Center

Introduction: Internal jugular vein catheters (IJC) play a vital role in haemodialysis, especially in regions where alternative vascular access methods are limited. However, these catheters are associated with complications of varying severity. A recent study conducted at a kidney care center in Nigeria provides critical insights into the immediate and late complications of IJCs.

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Key Findings from the Study:

• Study Overview:
  • Conducted at Hilton Clinics Port Harcourt, Nigeria.
  • Examined 129 patients who underwent 150 internal jugular catheter insertions.
  • The majority (96.9%) had right IJC placement.
• Immediate Complications (10% of procedures):
  • Kinking of the guidewire (2%)
  • Difficulty in locating the vein (1.3%)
  • Arterial puncture (1.3%)
  • Difficult tunneling (1.3%)
• Late Complications (34.9% of procedures):
  • Infection (12.8%)
  • Poor blood flow (9.2%)
  • Bleeding (5.5%)
  • Spontaneous catheter removal (5.5%)

Preventing Catheter-Related Complications:

• The American Society of Nephrology (ASN) emphasizes the importance of maximal sterile precautions during insertion to reduce infection risks.
• The use of ultrasound guidance for catheter placement significantly lowers immediate complications (as suggested by nephrology best practices).
• Regular monitoring and patient education can help prevent late complications such as infection and catheter dislodgement.

Strategic Link Placement:

• Read the full study at https://doi.org/10.29328/journal.jcn.1001037.
• For more research on nephrology and dialysis care, explore related articles on HSPIOA.

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