Dialysis catheters for blood purification therapy in neonates

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  • 新生児血液浄化療法における透析用カテーテル
  • シンセイジ ケツエキ ジョウカ リョウホウ ニ オケル トウセキヨウ カテーテル

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<p>To perform blood purification therapy（BPT）, it is important to ensure that vascular access can be placed safely and used without interrupting treatment. To maintain stable vascular access for newborns it is necessary to master catheter puncturing and inserting techniques, to select an appropriate insertion site, adjust the tip position according to each neonatal patient, and manage catheter use appropriately. Among these, the selection of a dialysis catheter is extremely important. However, there is little data regarding the use of dialysis catheters in neonates. In the United States, it has been reported that using a 6Fr central venous catheter（CVC）in newborns, instead of a 7Fr dialysis catheter, reduces the incidence of complications and facilities a more stable dialysis process. In Europe, the conventional approach is to use 4-5Fr CVCs instead of dialysis catheters. In Japan, neonatal BPT can be safely performed with the use of 6Fr dialysis catheters, which are commercially available. However, smaller infants, weighing less than 2kg, require CVCs alternatives rather than dialysis catheters.</p>

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