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REVIEWS AND ORIGINAL ARTICLES |
From the Division of Nephrology Toronto Western Hospital Toronto, Canada MST 288
On occasions, it may be necessary to interrupt long-term peritoneal
dialysis -now most commonly CAPD, because of peritonitis, mechanical and
catheter problems, or to permit abdominal surgery, The most convenient way to
provide vascular access for hemodialysis during these interruptions is by
means of the subclavian cannula, This paper describes our experience with 41
peritoneal di, alysis patients who required hemodialysis over the last three
years, Usually the complications of subclavian cannulation are not serious and
can be kept to a minimum by obeying a few simple rules, This technique offers
great advantages to both patient and staff, but the most important are
conservation of the patient's blood vessels and the avoidence of repeated
femoral punctures.
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