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Studies in children are limited, but research about PICC lines demonstrates a 23-57 percent incidence of thrombosis in adults and increased complications in children who are exposed to multiple PICC line placements. Studies from adult patients have demonstrated the high risk of vascular injury after central line and PICC line placement. National guidelines from the Kidney Disease Outcomes Quality Initiative (KDOQI) have recommended avoiding placement of central lines in CKD patients, if possible, due to the high risk of complications. The recommendation to avoid central line placement is the basis of vascular access preservation in the “Fistula First Innovation” program for adult dialysis patients. National guidelines from the Kidney Disease Outcomes Quality Initiative (KDOQI) state the following: “In patients with CKD stage 4 or 5, forearm and upper-arm veins suitable for placement of vascular access should not be used for venipuncture or for the placement of intravenous (IV) catheters, subclavian catheters, or peripherally inserted central catheter lines (PICCs). Because of the substantial risk for loss of useable upper-extremity veins and central venous stenosis with PICCs, the Work Group recommends strongly that PICCs not be used in patients with CKD”. Special consideration may be necessary in emergency circumstances in which no other safe access is achievable., Unlimited DVR storage space. Live TV from 60+ channels. No cable box required. Cancel anytime., Благовещенская пер.Светлый 8А разрушаются дома г.Черноморск ул.Морская Дом 115м на 4 сотках 4 млн .
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