Procedure similar to central line<unk> 
Precise procedural differences will depend on type of line used
Generally, HD lines have larger diameters (12-14Fr) than TLCs and require additional dilation
Length varies based on site of insertion
Right Internal Jugular: 12-15 cm
Left Internal Jugular: 15-20 cm
Femoral Vein: 19-24 cm
HD<unk> s also tend to be more firm and unforgiving than TLCs, so use caution and ultrasound!
Location selection
Consider coagulopathy, prior surgeries, altered anatomy, ability to tolerate lying flat etc.
Generally, RIJ > LIJ > Femoral > subclavian
RIJ
Direct line to caval-atrial junction --> higher blood flow
Less complications such as kinking, obstruction, stenosis
Use 13.5Fr, 15cm<unk>  generally
LIJ
Tortuosity--> reduced flows
Long<unk>  (19.5cm usually) required
Femoral vein
Easier/faster but reduces patient mobility, higher risk of infection in longer term
Use longest possible<unk>  to ensure tip reaches distal IVC
Subclavian
Least preferred site because it is noncompressible<unk><unk> s typically have 2 lumens (exceptions exist such as Trialysis<unk> s)
Red lumen= "arterial" = carries blood away from patient to HD machine
Blue lumen= "venous" = carries blood from machine back to patient
Types of<unk><unk> s include:
Shiley
Niagara
Trialysis
Quinton
Precise procedural differences will depend on type of line used
Right Internal Jugular: 12-15 cm
Left Internal Jugular: 15-20 cm
Femoral Vein: 19-24 cm
Consider coagulopathy, prior surgeries, altered anatomy, ability to tolerate lying flat etc.
Generally, RIJ > LIJ > Femoral > subclavian
RIJ
Direct line to caval-atrial junction --> higher blood flow
Less complications such as kinking, obstruction, stenosis
Use 13.5Fr, 15cm<unk>  generally
LIJ
Tortuosity--> reduced flows
Long<unk>  (19.5cm usually) required
Femoral vein
Easier/faster but reduces patient mobility, higher risk of infection in longer term
Use longest possible<unk>  to ensure tip reaches distal IVC
Subclavian
Least preferred site because it is noncompressible
Direct line to caval-atrial junction --> higher blood flow
Less complications such as kinking, obstruction, stenosis
Use 13.5Fr, 15cm<unk>  generally
Tortuosity--> reduced flows
Long<unk>  (19.5cm usually) required
Easier/faster but reduces patient mobility, higher risk of infection in longer term
Use longest possible<unk>  to ensure tip reaches distal IVC
Least preferred site because it is noncompressible
Red lumen= "arterial" = carries blood away from patient to HD machine
Blue lumen= "venous" = carries blood from machine back to patient
Shiley
Niagara
Trialysis
Quinton
Dialysis catheter placement
Iridodialysis
IV fluid resuscitation
Urinary alkalinization
Austere peritoneal dialysis
Theraputic peritoneal lavage
Whole bowel irrigation
Hemodialysis/Hemoperfusion