Palindrome™ Precision Video: Reverse Tunneled Catheter Procedure - Palindrome Retrograde | Medtronic

Introduction

This tutorial provides a step-by-step guide to the Palindrome™ Precision RT-Reverse Tunneled dialysis catheter insertion procedure via the right internal jugular vein. Understanding this process is essential for healthcare professionals involved in hemodialysis, ensuring safe and effective catheter placement.

Step 1: Prepare the Equipment

• Gather necessary tools and supplies:
  • Palindrome™ Precision RT-Reverse Tunneled catheter
  • Valved pull-apart safety sheath
  • Sterile drapes and gloves
  • Ultrasound machine for vein localization
  • Catheter placement kit (including scalpel, hemostats, and sutures)
• Ensure sterile conditions to minimize infection risk.

Step 2: Patient Positioning

• Position the patient:
  • Place the patient in a supine position with the head turned slightly to the left.
  • Ensure the right internal jugular vein is accessible.
• Clean the skin over the insertion site using antiseptic solution.

Step 3: Locate the Vein

• Use an ultrasound machine to visualize the right internal jugular vein:
  • Identify the vein's location and depth.
  • Mark the insertion point on the skin for accuracy.

Step 4: Insert the Catheter

• Make a small incision at the marked point:
  • Use a scalpel for a precise cut.
• Insert the valved pull-apart safety sheath:
  • Gently advance the sheath into the vein.
  • Confirm proper placement by checking for blood return.

Step 5: Place the Catheter

• Insert the Palindrome™ Precision catheter through the sheath:
  • Ensure the catheter is advanced smoothly to avoid kinks.
• Secure the catheter in place.

Step 6: Finalize the Procedure

• Remove the safety sheath carefully:
  • Ensure the catheter remains in place during sheath withdrawal.
• Suture the catheter to the skin:
  • Use appropriate suturing techniques to secure the catheter.
• Apply a sterile dressing over the insertion site.

Conclusion

The Palindrome™ Precision RT-Reverse Tunneled catheter insertion is a critical procedure in hemodialysis. By following these steps, healthcare professionals can ensure proper placement and minimize complications. Always review local protocols and guidelines, and consider additional training or resources if needed. For further education, explore additional hemodialysis resources available through Medtronic.