Evaluation of the Frequency of Shaldon’s Catheter Complications in the Hemodialysis Patients in Ahvaz Razi Hospital

Objective: The insertion of central venous catheters in patients with chronic renal failure and poisoning is a vital step for these patients. Therefore, it is necessary to know the complications and clinical applications of these catheters. The aim of this study was to identify catheter complications in patients with Shaldone dialysis catheter and the choice of the best method for preventing the occurrence of these complications in patients. Methods: The study population consisted of all patients, who were admitted in the ICU poisoning for dialysis and used Shaldon s catheter. Information including age, sex, cause of admission, duration of admission, duration of catheterization, the type of complication, and the use of Shaldon s catheter were extracted from patients files and special forms. Results: Among the 80 patients, who had Shaldone s catheter, 59 were uncomplicated and 21 were complicated. The most common complication was catheter site infection (8.8%). There were 5% of patients with pneumothorax, 5% with bleeding, 2.5% with thrombosis, 1.3% hemothorax, 1.3% hematoma, 1.3 % pneumothorax plus hemothorax, and 1.3% catheter site infection along with thrombosis. Conclusions: According to the pertinent literature, if the experienced patients practice catheterization, the internal jugular catheter is a more appropriate and feasible approach than femoral. It is recommended to conduct catheterization by experienced individuals with the introduction of a catheter and under the guise of ultrasound to minimize the occurrence of some complications.