Abstrait

Analysis of internal jugular catheter (IJC) inserted by a nephrologist for haemodialysis in a kidney care center in Nigeria.

Okafor UH, Ezeala BA, Maeke B

Background: Internal jugular catheter is an important vascular access, and plays a critical role in haemodialysis. It can be used for both salvage (acute) and maintenance (chronic) haemodialysis. The objective of the study was to analyze the outcome of internal jugular catheter inserted by a nephrologist for haemodialysis in a kidney care center in Nigeria.

Methodology: This was a prospective non randomized study. All patients who had IJC inserted at the center (Hilton Clinics) from 1st October 2011 to 31st September 2016 who gave consent were recruited for the study. Their bio data, clinical parameters and details of their IJC insertion were documented. The data obtained was analysed with SPSS version 22.

Results: A total of 129 patients were recruited for the study, and they had 150 IJC insertions. There were 59.7% males and 40.3% females with a ratio of 1.5:1. The age range was 12 to 84 years and mean age was 51.4±15.2 years. Hypertension and chronic glomerulonephritis were the commonest cause of kidney failure. All the patients had haemodialysis using femoral catheters before IJC was inserted, 96.9% had right IJC, 80.7% had tunneled IJC, 74.4% had one insertion, 3.1% three insertions. Infection was the commonest complication and it is the commonest reason for removal or replacement of catheter.

Conclusion: Internal jugular catheter insertion for haemodialysis by a nephrologist is viable and has good outcome.