Vas Cath for Dialysis

Vas Cath for Dialysis is a large bore central venous catheter placed in the Jugular Vein or Femoral Vein and used for Dialysis to address Kidney Disease and Renal Failure.  Vas Cath is a temporary dialysis catheter which can typically be used for up to 30 to 45 days.  Vas Cath provides a temporary alternative to Arteriovenous fistula (AV Fistula) and Arteriovenous graft (AV Graft) for dialysis access and treatment and this page further describes its use.

Kidney Disease or Renal Failure

Kidney Disease or Renal Failure is the malfunction of the Kidney causing the Kidney to lose its filtering ability. As a result of Kidney disease, Kidney failure or Kidney injury, the Kidney shuts down and waste accumulates in the body and the body’s chemical balance gets disrupted. The body is designed to protect the brain, heart, and lungs and thus, when there is trauma or disease, the body will direct all resources including blood to protect those three organs causing the Kidney to lose support and functionality. Symptoms of Kidney Disease and Renal Failure include fluid retention, fatigue, shortness of breath and decreased urine output.

Vas Cath for Dialysis
Human Body prioritizes Brain, Heart, and Lungs over the Kidney and Liver
Vas Cath for Dialysis

Renal Failure is confirmed by blood labs testing BUN, Creatine, Electrolyte and other markers

Temporary Renal Failure

Temporary Renal Failure can occur and be reversed, allowing the Kidney to return to full functionality. For example, in the case of physical trauma to the body such as in a serious car accident, the body will direct resources to protect other vital organs. The Kidney will start to falter, traditional symptoms will manifest, and blood labs will document the failure. However, as the body stabilizes and heals, the Kidney can as well, sometimes on its own and sometimes with the help of temporary dialysis to perform the function of the Kidney while the Kidney is recovering. Vas Cath Insertion can be an effective, efficient and less intrusive procedure than more permanent options such as AV Fistula and AV Graft to enable dialysis.

Vas Cath Insertion at the Bedside Advantages

Vas Cath Insertion at the Bedside can be advantageous. While Vas Cath Lines can be placed in the interventional radiology department by hospital clinicians, placement of these Lines at the Bedside by Vascular Access Clinicians can prove valuable. Vas Cath insertion and placement at the bedside can be beneficial for many of the same reasons other Central Venous Lines at the bedside can be preferable including more effective infection control, decreased transportation time and expense, easier coordination of treatment, less patient disruption, decreased length of stay for the patient, and improved efficiency and use of resources such as facilities, equipment, supplies and medical specialists. Since Vas Cath Lines serve the important purpose of the Kidney function, speed is critical especially in the case of suspected Temporary Renal Failure where Kidney preservation and restoration is feasible and desirable. Vascular Access clinicians who can provide Vas Cath placement at the bedside and then read a confirmation X-Ray to confirm tip placement, can clear the Vas Cath Line for usage often much quicker than other options. Contrast Dye Neuropathy (CIN) rates are high in the renal population and using the bedside dye-free approach and ultrasound eliminates this risk. Vas Cath or Temporary Dialysis Catheters at the Bedside serve the important purpose of providing immediate care without disrupting future care options enabling the patient’s care plan to be carefully developed.

Vascular Wellness placing a Vas Cath Central Venous Line to be used for Temporary Dialysis.

Vascular Wellness placing a Vas Cath Central Venous Line to be used for Temporary Dialysis

Vas Cath Central Venous Line successfully placed, confirmed, and ready for

Vas Cath Central Venous Line successfully placed, confirmed, and ready for use

Dialysis Catheter Infection Prevention and Control

Dialysis Catheter Infection Prevention and Control is incredibly important because veins are limited and non-renewable resources and treating infections can result in additional vein usage. Vascular Wellness’ approach of placing Large Bore Catheters anatomically lower and near the clavicle, makes care and maintenance of the line much easier than when the Catheter is placed high on the neck. Further, Vascular Wellness has proven success with Statlock Stabilization, a sutureless approach, which further mitigates risk of a Central Line Associated Bloodstream Infection (CLABSI). Finally, the Vas Cath can be clinically appropriate therapy when a Permanent Dialysis Catheter becomes infected and must be removed. Since the patient still requires dialysis, the Vas Cath can enable such treatment until the infection is cleared at which point a replacement Permanent Dialysis Catheter can be provided and the Vas Cath is removed. This approach protects the replacement Permanent Dialysis Catheter from acquiring the same infection and then having to be removed as well. Inserting and removing Permanent Dialysis Catheters decreases a patient’s expected life span as veins and arteries get consumed and are no longer available for later use.

Vascular Wellness Clinicians are Vas Cath Insertions Experts

Vascular Wellness Clinicians are Vas Cath Insertions Experts and Vascular Wellness has developed a best practices methodology for delivering superior results. In order to perform Vas Cath Lines, each Vascular Wellness Clinician must be Vascular Access Certified by the Association for Vascular Access, have successfully performed at least 200 Small Bore Internal Jugular, Femoral, or Axillary Central Lines, and be certified in Advanced Cardiac Life Support (ACLS). Once this prequalification is satisfied, then such Clinician may sit for the Large Bore Insertion Class which includes both a classroom and skills test component. In order for the competency to be completed and the Clinician to be certified, the Clinician must successfully perform and place 10 Large Bore Line Insertions with a Preceptor. Once certified, the Clinician is then subject to semi-annual skills assessments to ensure skills maintenance and continued improvement and adoption of the latest best practices. The Large Bore Insertion Class and ongoing semi-annual skills assessments are based on and incorporate recommendations from the National Renal Foundation, Centers for Disease Control, and American Vascular Association. Vascular Wellness’ approach to Vas Cath Lines improves patient outcomes and preserves veins, potentially expanding a dialysis patient’s expected lifespan by 5-7 years. As of the date of publication:
• Vascular Wellness has placed over 7,000 central lines in the internal jugular, femoral, and axillary vessels with zero insertion related infections and no suboptimal patient outcomes.
• No insertion complications or complications within the first 7 days on record. No bleeding requiring transfusion, no infections, no DVTs, and no inadvertent arterial sticks.

National Renal Foundation logo

National Kidney Foundation

CDC logo

Centers for Disease Control

association of vascular access

Association of Vascular Access

Advanced Cardiovascular Life Support ACLS

Advanced Cardiovascular Life Support

For more about how our Vascular Access Nurse Clinicians place Vas Caths for Dialysis and other Large Bore Lines read the article HERE…

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Vascular Wellnesssm provides vascular access clinical nursing services at the bedside across the southeast to a diverse client base including hospitals, long term acute care centers, surgical and outpatient centers, skilled nursing facilities, and at-home care.

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