Vascular Access in Hemodialysis: the 2006 KDOQI ... - Network 6

Clinical Practice Recommendations forVascular Access in Pediatric Patients9.2 Stenosis surveillance:An AVG stenosis surveillance protocol should beestablished to detect venous anastomosis stenosis anddirect patients for surgical revisionClinical Practice Recommendations forVascular Access in Pediatric Patients9.3 Catheter sizes, anatomical sites and configurations:Catheter sizes should be matched to patient sizes withthe goal of minimizing intraluminal trauma andobstruction to blood flow while allowing sufficientblood flow for adequate HD. (CPR)9.3.2 External cuffed access should be placed in theinternal jugular with the distal tip placed in the rightatrium. (C)9.3.3 The blood flow rate of an external access should beminimally 3-5 mL/kg/min and should be adequate todeliver the prescribed HD dose. (CPR)