If you have chronic kidney failure, you need to receive hemodialysis for your lifetime. Fistula is the most common access method used for hemodialysis. If a fistula is not suitable for you or you need immediate dialysis, a dialysis catheter must be inserted into your body. A dialysis catheter is called permcath and it helps your doctor to access your blood for filtering it.
A permcath is a flexible plastic tube inserted into the vein. It has two hollow bores and a cuff. The cuff holds the catheter and acts as a barrier against infections. The two hollow bores carry blood from and to the body and dialysis machine.
When is a Permcath Required?
Hemodialysis is used to remove waste fluids and chemicals from your body when your kidneys are not working. Hemodialysis involves taking out blood from your body and moving to the dialysis machine. Then, the blood is filtered in the machine and is sent back to your body. For this, a fistula, graft, or a permcath is required. Permcath is the best choice if you need to undergo dialysis immediately.
The benefit of using a permcath is that it can be used directly for dialysis. Permcath can be used for a long duration. Whereas other dialysis access needs an operation to use them and they should not be used for more than six months after creating them.
How To Prepare for Permcath Placement?
The doctor will discuss with you on how to prepare for the process. You might need to stop drinking and eating 4 hours before the procedure. The doctor will also ask you about the medications you are using. The doctor will ask you to stop taking blood thinners from a few days before the procedure. You should also stop taking medications that might be allergic to you.
You might also need to undergo a physical exam, blood test, and other required tests as recommended by your doctor.
What Happens During the Procedure?
Before performing the procedure, you will be given anesthesia to help you deal with the pain during the procedure. The nurse will clean the area where the catheter should be inserted using an antiseptic solution. The catheter will be inserted into the blood vessel in your chest. The doctor will also make an incision near your neck for directing the catheter.
The procedure actually involves tunnelling under the skin on the right side of the chest. The tunnelling process prevents infection and it can be kept for a long period. The catheter is then moved to the internal jugular vein. Then it is moved towards the right atrium.
The doctor will use an X-ray or ultrasound to position the catheter correctly. The catheter will be held in place through small stitches. A clear dressing will be placed at the exit site.
How to Take Care of Permcath?
You can keep permcath for a longer duration without any infections or clotting by taking proper measures. The measures include:
- Always keep the catheter wet.
- Keep the insertion site clean and ensure to change the dressing for each dialysis.
- Do not let air enter into the catheter.
- When the catheter is opened, cover your nose and mouth with a mask to avoid bacteria from entering your catheter.
- Talk to your doctor immediately if you notice any redness around the catheter.
- Know the signs and symptoms which require immediate attention.
Looking for a Clinic for Permcath Placement? Visit Renown Kidney Clinic Today
Renown Kidney Clinic is one of the top clinics for offering dialysis services in Hyderabad. We have an excellent team of nephrologists who collaborate with other hospitals for offering our services. We have inserted hundreds of permcath to help patients with kidney diseases. We have the latest and less invasive procedures. For more information, contact us today.