Authors (including presenting author) :
Cheung SF(1), Kwok LP(1), Chan SK(1), Kwok MK(1)
Wu CC(1)
Affiliation :
Department of Medicine, YCH
Introduction :
Tenckhoff catheter placement of YCH relied on both the urology team and the renal team of the Princess Margret Hospital (PMH). The average waiting time was about 6 months. Many patients got worsen condition during the waiting period and required urgent haemodialysis in addition. Thus, the burden of Haemodialysis Unit (HU) was high.
Objectives :
By introducing Seldinger technique into the tenckhoff catheter placement of YCH, it should able to:
1. Reduce the workload of HU
2. Reduce the stress on HU
3. Shorten the waiting time for commencement of PD
Methodology :
YCH renal team has implemented the use of Seldinger technique in tenckhoff catheter placement in the clinical setting.
Result & Outcome :
The HD sessions in YCH and waiting time for tenckhoff insertion were significantly reduced time. The workload and the operating cost of HU were reduced. The post-operative complications were minimized.
38 patients who had received HD when waiting for tenckhoff insertion were recruited. 19 patients who were waiting for tenckhoff insertion by PMH renal and YCH urology team had received a total of 650 HD sessions in 2020. The other 19 patients who were waiting for tenckhoff insertion by YCH renal team had received a total of 226 HD sessions in 2021.
The need of HD sessions was markedly dropped by 65%. (From 650 to 226) which could reduce workload and stress of HU.
