1/🧵
🔥PART 2/2 on #PD catheter complications

#NephTwitter #NSMC #medtweetorials #medtwitter #Nephmadness
You see a patient w/ a past history of C-section for poor inflow/outflow 1️⃣ week post laparoscopic PD catheter insertion
📊What are the possible causes of flow problems? 2/

What’s your approach to flow?

1️⃣ Catheter irrigation → 1L of solution (dialysate/saline)
2️⃣ If slow fill → Flush/aspirate with syringe (aseptic technique! 🧤 😷)
3️⃣ If resistance both ways → Likely two-way obstruction

👇 Use an approach to catheter flow problems:

1/14
⚡Thread ONE of TWO on troubleshooting PD catheter complications
🗣“Catheter isn’t working, time to switch to hemodialysis”
🗣 “PD catheters can be so frustrating”
Have you heard these 🗣 before?
You are not alone!
#NephTwitter #tweetorial
Got⬇️flow on PD, what's next? 2/14
🔥Maintaining peritoneal access is a lifeline for PD patients

⚡Up to 20% of PD transfers to HD are from catheter complications pubmed.ncbi.nlm.nih.gov/12322816/

⚡Prompt management of catheter complications may prolong patient survival on this modality