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A dialysis catheter is placed in a patient whose kidneys have failed in order to establish and maintain vascular access for dialysis treatments.A short term catheter insertion is done in emergency cases like acute kidney failure. If a patient requires long-term dialysis therapy, a long term dialysis catheter will be inserted. Long term catheters contain a dacron cuff (a synthetic material) that is tunneled beneath the skin approximately 3-8 cm. The tunnel is thought to add a barrier to infection.How Is It Created?

The catheter is placed in one of the large veins. A common site is superior vena cava (SVC). A SVC catheter is placed by puncturing the internal jugular vein in the neck (most often on the right side), and the catheter is then advanced downwards toward the chest; or a SVC catheter can be inserted via subclavian veins right behind the clavicle (the collar bone), often on the right. If the access of SVC is difficult, the femoral veins can be used. This is an inferior option, however, because the groin site is more prone to infection and also because patient cannot sit upright.Procedure•  You will lie on an exam table for the procedure. The technologist or nurse will connect monitors for your heart rate, blood pressure, and pulse, and an intravenous (IV) line will be inserted into a vein in your hand or arm. This will be used to give you sedatives during the procedure. Some patients receive general anesthesia, but in most cases, this is not necessary.•  A nurse will shave, sterilize, and cover the area of your body where a catheter will be inserted with a surgical drape. The area will then be numbed using a local anesthetic. You may feel a tiny pinch when the anesthesia is administered.•  The doctor will make a very small nick, and you may feel some pressure as the catheter is inserted, but you won’t feel any serious discomfort. Using image-guidance, the catheter will be manipulated to the vein. You may feel some additional pressure as the catheter is put in place. The procedure usually takes between 30 and 40 minutes.•  Some patients stay overnight but in most cases this is not necessary. You will need to rest after the procedure and should avoid strenuous activity for several days. Your doctor will instruct you on any specific limitations to your daily activity.Note:•  You may have some swelling or bruising at the sight of the catheter. In most cases over-the-counter pain medications can help with this. You should talk to your doctor if you experience any discomfort after the procedure.•  Your doctor will give you specific instructions about caring for the catheter but in this environment, caring for the site is left to the medical team especially the nurses. The most important thing to keep in mind is that the site must be kept clean and dry.•  You should call your doctor if you have any problems with the catheter or if you have any bleeding, fever, increased swelling or drainage at the catheter insertion site.Please contact us or call 01 2705803 and 01 8967328 if you have any questions.

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