DOI: 10.36347/sjams.2016.v04i06.002

Pages: 1878-1880

In our institute peritoneal dialysis (PD) catheter insertion in a patient with end-stage renal disease (ESRD) has been routinely accomplished by a surgeon under general anaesthesia. That procedure often introduces delays in starting dialysis of patients, by passing golden period of patients which has already been consumed in utilizing an operating room as well as anesthesia services. As peritoneal dialysis catheter cannulation is simple, safe and time saving access procedure. In this context, operating room facilities and staff and general anesthesia services are not required and catheter insertion can be performed in a procedure room using local anesthesia, thereby minimizing the time for starting dialysis and completely bypassing the mortality risk associated with general anesthesia.