For short term haemodialysis, it is the usual practice to insert a temporary ‘double lumen’ catheter into the central veins. The neck veins and the subclavian veins are the more preferred site than the femoral veins at the thigh. However, insertion is more difficult in such locations and complications can occur. It is desirable to use modern ultrasound and X-ray guidance to assist with the implantation.
Dr Ho Chung Ping and Ms Wong Sui Lan discussed various aspect of the catheter placement with the demonstration. For patients needing intravenous therapy, a triple lumen catheter, which has an additional lumen for fluid administration, can be used.