CYCLER

PD CATHETERS
• MADE UP OF POLYURETHANE OR SILICONE RUBBER

• COMMON TYPES ARE :

- TENCHKOFF CATHETERS

- TORONTO WESTERN CATHETERS

- MISSOURI SWAN NECK CATHETERS

 PARTS OF PD CATHETER

1. THE EXTERNAL SEGMENT – THE PART THAT IS OUTSIDE THE

BODY AND VISIBLE TO US

2. THE TUNNELED SEGMENT – THE PART OF THE CATHETER THAT

IS TUNNELED THROUGH THE SUBCUTANEOUS TISSUE AND THE
RECTUS MUSCLE

3. THE INTRA-PERITONEAL SEGMENT – THE PART OF THE

CATHETER INSIDE THE PERITONEAL CAVITY
PRE OPERATIVE AND POST OPERATIVE
CARE FOR TENCKHOFF CATHETER
INSERTION
 PRE OPERATIVE CARE
• FAST FOR 8 HOURS
• ALLOW ESSENTIAL MEDICATIONS
• CHLORHEXIDINE SOAP ABDOMINAL WASH ON DAY OF
SURGERY
• BOWEL PREPARATION NOT NECESSARY
• REMOVAL OF BODY HAIR LIMITED TO THAT NECESSARY TO
FACILITATE PERFORMANCE OF PROCEDURE
• EMPTY BLADDER
• SINGLE DOSE OF PROPHYLACTIC ANTIBIOTIC
 POST OPERATIVE CARE
• CATHETER IRRIGATION WITH 1 L OF HEPARINIZED SALINE
PERFORMED AS AN IN-AND-OUT FLUSH WITHIN 72 HOURS
FOLLOWING SURGERY AND WEEKLY THEREAFTER UNTIL PD
INITIATED
• DELAY PD FOR A MIN OF 2 WEEKS TO ALLOW WOUND HEALING
• CHANGE DRESSINGS WEEKLY FOR 2 WEEKS
• THEN PATIENT SHOULD BEGIN A ROUTINE OF DAILY EXIT-SITE
CLEANSING WITH ANTIBACTERIAL SOAP
• SHOWERING ONLY PERMITTED AFTER 1 MONTH IF WOUND

HEALING UNCOMPLICATED

• AVOID CATHETER MOVEMENT AT THE EXIT SITE

• USE STERILE GAUZE DRESSING OVER EXIT SITE

• NO TUB BATHING AND SWIMMING

 COMPLICATIONS

• INFECTIOUS

• NON – INFECTIOUS

- CATHETER RELATED

- CATHETER UNRELATED
 INFECTIOUS
• PERITONITIS
• EXIT SITE/ TUNNEL INFECTION
 CATHETER RELATED NON INFECTIOUS

• DAMAGE TO VISCERA

• BLEEDING FROM PUNCTURE SITE

• LEAKAGE OF DIALYSATE

• POOR DRAINAGE
 CATHETER UNRELATED NON INFECTIOUS

• BACK PAIN

• PLEURAL EFFUSION

• METABOLIC DISTURBANCES