Medtronic plc. · NYSE:MDT

Medtronic — Technical Presentation (June 2020)

11 slides from Medtronic's technical presentation, June 2020

  1. Slide 1: Postoperative PD Catheter Care and Catheter Break-In

    POSTOPERATIVE PD CATHETER CARE AND CATHETER BREAK-IN PERITONEAL DIALYSIS TRAINING PROGRAM

  2. Slide 2: Overview

    OVERVIEW  Early and late PD complications  Immediate postoperative care  Clinical care  Patient instructions  Long-term postoperative care  Early catheter break-in 2 This content was developed for customer training only. Please do not copy or distribute. 06/2020; US-RC-2000003

  3. Slide 3: Potential Complications of PD

    POTENTIAL COMPLICATIONS OF PD1 EARLY COMPLICATIONS LATE COMPLICATIONS  Bleeding  Exit site infection  Viscus perforation  Tunnel infection  Dialysate leak  External cuff extrusion  Exit site and cuff infection  Obstruction by omentum  Obstruction (one- or two-way)  Dialysate leak  Infusio

  4. Slide 4: Main Goals of Immediate Postoperative Care

    MAIN GOALS OF IMMEDIATE POSTOPERATIVE CARE2  Minimize bacterial colonization of the exit site and tunnel during early healing period  Prevent trauma to the exit site and traction on the cuffs by immobilizing catheter  Minimize intra-abdominal pressure to prevent leakage NOTE: No single best metho

  5. Slide 5: Immediate Postoperative Care

    IMMEDIATE POSTOPERATIVE CARE  Optimal to start PD about 2 weeks after insertion3  PD nurse to flush within one week3  Sterile dressing applied postoperatively and maintained for at least a week4  No dressing changes until first flushing unless dressing is soaked or contaminated4  Dressing chang

  6. Slide 6: Postoperative Care: Patient Training

    POSTOPERATIVE CARE: PATIENT TRAINING4  Patient training is essential to postoperative success  Whenever possible, training should be provided by a PD-trained nurse  “PD-trained” considered 6 to 8 weeks of orientation followed by mentorship; observing and being observed  Continuing education is i

  7. Slide 7: Patient Instructions for Postoperative Care

    PATIENT INSTRUCTIONS FOR POSTOPERATIVE CARE5  Avoid bathing, showering, and getting catheter and exit site wet  Keep the catheter immobilized as much as possible  Leave the dressing undisturbed  Instructions on avoiding and treating constipation  Teach warning signs of possible infection  Inst

  8. Slide 8: Long-Term Postoperative Care

    LONG-TERM POSTOPERATIVE CARE4  The exit site is healed when the skin appears normal without gapping, erythema, draining, crusting and tenderness  Patients can perform exit site care once healed  Patient instructions for chronic exit site care:  Wash hands thoroughly with soap and water, and supp

  9. Slide 9: Early Catheter Break-In

    EARLY CATHETER BREAK-IN6  Two week wait time before initiating dialysis may not be possible  If catheter-based conversion to short-term hemodialysis is also not desired, can start PD within 24 hours of placement  Requires special technique  Urgent start may be undertaken based upon clinical need

  10. Slide 10: Conclusions

    CONCLUSIONS  The catheter is a PD patient’s lifeline  Postoperative care is important to reduce catheter malfunction and infection  Patient education is a critical component of postoperative care as patients play a major role in their short and long-term catheter care  When ideal two week healin

  11. Slide 11: References

    REFERENCES 1. Bender FH. (2012). Avoiding harm in peritoneal dialysis patients. Advances in Chronic Kidney Disease. 19(3),171-178. 2. Gokal R, Alexander S, Ash S, Chen TW, Danielson A, Holmes C, et al.(1998). Peritoneal catheters and exit- site practices toward optimum peritoneal access: 1998 update

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