Preliminary study on improved "pull technique" for peritoneal dialysis extubation
10.3760/cma.j.cn101721-20210127-00030
- VernacularTitle:改良式"薅除式"腹膜透析拔管术初探
- Author:
Wenqian WEI
1
;
Shu RONG
;
Man YANG
;
Lijie GU
;
Weijie YUAN
Author Information
1. 上海交通大学附属第一人民医院肾内科 200080
- Keywords:
Peritoneal dialysis;
Peritoneal dialysis extubation;
Improved "pull technique";
Catheter-related infection
- From:
Clinical Medicine of China
2021;37(4):323-326
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To introduce the improved "pull technique" and its preliminary application in Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine.Methods:Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine has started to implement the "pull technique" since March 2018.After one patient suffered from postoperative tunnel infection, we′ve improved the operation method: after successful extubation, small incision was made at the tunnel entrance, and the skin was properly trimmed and sutured to close the tunnel entrance.Results:Until May 2020, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine has implemented the modified tube removal for 15 patients.During the follow-up period (0-25 months), there was no secondary infection or peritoneal effusion.Conclusion:For patients who meet the indications of "pull technique" , the improved "pull technique" is a trial method, which can reduce the risk of secondary infection and peritoneal effusion.
