Thinking on your feet in PD

Thinking on your feet in PD

We recently had a bedside PD catheter insertion that was limited by severe infusion pain when trying to do the initial fill with a temporary peritoneal catheter.    We hypothesized that the pain was due to the pH of the dialysate, as the pain did not abate by repositioning the temporary catheter.

Katie Cave, our patient care co-ordinator from the Abbotsford Regional Hospital PD unit exhibited MacGyver-like ingenuity.  Instead of being forced to abandon the procedure and rebook it under general anaesthetic, Katie left the procedure room and in about 5 minutes, came up with a setup to allow us to use physioneal during the insertion procedure.  She has kindly created a cartoon of the setup so others can replicate it should this problem be encountered in the future.

 

Physioneal During Catheter insertion

 

Thanks to her quick thinking, the procedure was completed without difficulty or complication.