On dialysis patient having some problems all fistula are failed and both juglar are block and capd also non working further what i do i m a tech pl?

Dialysis Access: Your options are either to have your peritoneal dialysis catheter replaced or repositioned surgically if you desire peritoneal dialysis. If hd is preferred, you could consider a femoral (thigh) fistula or even a chest (subclavian) fistula. Grafts are alternatives if you have occluded vein or poor veins. I deal with difficult dialysis access regularly and there is usually some option available.

Transplant?: Are you a transplant candidate? If not and you need hemodialysis an interventional radiologist can likely evaluate you for and subsequently place a dialysis catheter directly into your inferior vena cava. Check with your nephrologist or surgeon for an appropriate referral.