Management of pericannular bleeding after peritoneal dialysis catheter placement

摘要

Pericannular bleeding is a common acute complication developed within 1 month after peritoneal dialysis (PD) catheterinsertion, especially in patients subjected to long subcutaneous tunneling (1-3). We designed a protocol for the management of acute postoperative pericannular bleeding.Acute pericannular bleeding is defined as the need to change the dressing more than twice daily within 2 weeks of the operation. Our protocol includes intravenous administration of 16 jxg desmopressin every 12 hours for 3 doses, and gauze compression with an elastic bandage (Figure 1: the external cuff is loosely covered with 6-10 pieces of gauzes to produce homogenous compression when an elastic bandage is placed encircling the trunk).