Dialysis Catheter

Overview

4.7 out of 5 (114 Reviews)

Credits

1.50

Post-Assessment Questions

7

Start Date

1 Sep 2023

Last Review Date

11 Apr 2026

Expiration Date

31 Aug 2026

Estimated Time To Finish

90 Minutes


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Activity Description

Dialysis catheters provide vascular or peritoneal access for renal replacement therapy across the spectrum of acute kidney injury, advanced chronic kidney disease, and established end-stage kidney disease. Hemodialysis catheters deliver high extracorporeal blood flow rates, whereas peritoneal dialysis catheters enable dialysate instillation and drainage within the peritoneal cavity. Understanding variations in anatomy and associated complications is crucial for the ideal functioning of both hemodialysis and peritoneal catheters. Although necessary for renal replacement therapy, both types of catheters have associated complications. This activity reviews current best practices in catheter selection, image-guided insertion, tip positioning, and maintenance. This activity also examines major complications, including dysfunction, infection, and central venous stenosis, and outlines evidence-based prevention strategies such as lock solutions, care bundles, and exit-site management. Emphasis is placed on individualized access planning guided by the ESKD Life-Plan and on the interprofessional processes required to optimize catheter performance and patient outcomes.


Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Apply best-practice techniques for ultrasound-guided internal jugular hemodialysis catheter insertion, ensuring optimal catheter length, accurate tip position, and confirmation using fluoroscopic or ECG-based methods.

  • Differentiate absolute and relative contraindications to hemodialysis and peritoneal dialysis catheter placement and integrate this knowledge into clinical decision-making for individualized patient care.

  • Identify common catheter complications—such as dysfunction, infection, fibrin sheath formation, central venous stenosis, exit-site infections, and peritonitis—using contemporary evidence-based strategies, including antimicrobial or antiseptic lock solutions and standardized maintenance bundles.

  • Implement interprofessional strategies to enhance catheter longevity, reduce infection risk, and incorporate dialysis access planning into the patient’s individualized ESKD Life-Plan to minimize unnecessary catheter dependence.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Nurses: StatPearls designates this activity for 1.50 ANCC contact hour(s). Nurses should only claim credit commensurate with the extent of their participation in the activity.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

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Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the US Food and Drug Administration. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

Darcey A. on 1/19/2021

Carrie S. on 8/28/2021

Hassan A. on 9/15/2021

Nora W. on 10/26/2021

Halyna H. on 12/1/2021

ERROR: first choice for tunneled HD placement if right IJ..In the article this states subclavian (twice). who wrote this? a surgeon?

Frank S. on 12/21/2021

none

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Unlimited Nurse CE

Stay up to date on the latest medical knowledge with 6345 CE activities. In these online self-assessment activities, read our reference articles and test your knowledge with more than 7566.5 hours of CE.

Single Activity

Take this single activity

$37.50 1 activity

6 Month Unlimited Nurse CE

Access to all the Unlimited Nurse CE activities in all specialties.

$89 per half year per user

1 Year Unlimited Nurse CE

Access to all the Unlimited Nurse CE activities in all specialties.

$139 per 1 year per user