Dinwiddie Lesley C, Bhola Cynthia
Vascular Access for Education and Research, Cary, NC, USA.
Nephrol Nurs J. 2010 Sep-Oct;37(5):507-20, 528; quiz 521.
Vascular access is essential for hemodialysis (HD). Many patients require a catheter for HD, either long-term or short-term, if they do not have a functional fistula or graft. Catheter-related complications, such as bacteremias and catheter dysfunction, can be reduced with consistent use of recommended practices for catheter management. This article will detail the complications, challenges, and the need for best practices. It will describe current recommended practices of catheter care and how they are integrated into the care of patients on HD in North America.
血管通路对于血液透析（HD）至关重要。如果许多患者没有功能性动静脉内瘘或移植物，那么无论是长期还是短期，他们进行血液透析都需要一根导管。通过持续采用推荐的导管管理方法，可以减少与导管相关的并发症，如菌血症和导管功能障碍。本文将详细介绍并发症、挑战以及最佳实践的必要性。它将描述当前推荐的导管护理方法，以及这些方法如何融入北美的血液透析患者护理中。
