For Hemodialysis
VASCULAR ACCESS

What is a catheter?

•  Catheter is inserted into large veins for dialysis It is a flexible tube system. The catheter has 2 There is a connection section. Red during dialysis session Blood is taken from the connection, the blood is cleaned in the machine and the blue is given back to the patient through the connection.

• Catheters are used when you do not have permanent intravenous access or when the function It is the vascular access option applied when loss of blood occurs.

•  Catheters are ready for use immediately after insertion.

• Catheters are often placed in the neck, sometimes in the groin.

•  Catheters are used by experienced people for all kinds of cardiovascular It should be worn in centers where surgical intervention can be performed.

Why are catheters inserted from the neck preferred?

•  Neck catheters cause fewer restrictions in the patient's daily life.

• Neck catheters are less likely to become blocked and can be used for longer periods of time.

•  Neck catheters have less risk of infection.

• Neck catheters cause fewer problems in future fistula and graft surgeries.

What are the drawbacks and potential risks of catheters?

• Catheters are not suitable for long-term use. Long-term use of catheters increases the risk of infection. Infection may require antibiotic treatment or catheter replacement.

• Neck catheters may restrict neck movements and comfortable sleeping position. Inguinal catheters cause difficulty in walking and other daily activities.

• Excessive sweating can increase the risk of infection, especially in summer.

• By applying a protective waterproof film to the catheter area, you can take a shower.

• There are life-threatening risks during catheter insertion. The main risks are rupture of the lung membrane, bleeding, vascular occlusion and arrhythmia.

• Catheters cause narrowing and blockages in the venous system. can open. This affects your chances of fistula and graft surgery in the future. reduces.

• If adequate blood flow cannot be provided through the catheter, insufficient dialysis may occur. may occur.

What is a temporary catheter?

• Temporary catheters are placed for short-term use.

• Patients who develop problems with their fistula and graft should be treated temporarily until the problem is resolved.
  undergoes hemodialysis with a hemodialysis catheter.

• It is recommended to use the temporary catheter for 3 weeks in the neck and 1 week in the groin.

What is an indwelling catheter?

• Permanent catheters are catheters that can be used for a longer period of time. The average usage period is 6-12 months.

• Permanent catheters enter the vein through a tunnel created under the skin.

• There is a pad on the catheter that prevents the spread of infection.

There is felt.

In which patients should permanent catheters be preferred?

• Patients with low life expectancy and poor general condition.

• Signs of severe coronary artery disease or severe heart failure monitored patients.

• Patients with persistent low blood pressure.

• Used fistula and graft options in arms and legs or patients for whom these methods are not suitable.

• It takes a long time for fistula and graft to be formed and matured. Patients who are thought to require

How should preparations be made before catheter insertion?

• Do not eat or drink anything for 6 hours before the procedure.

• Take your blood pressure medications and other medications with a small amount of water.

• Ask your doctor if you are using blood thinners notify. Stop taking such medications when your doctor recommends it.

• If you have diabetes and use insulin before the procedure

Your insulin dose should be adjusted.

How is the catheter inserted?
Catheters are generally inserted under operating room conditions by Nephrology, Radiology, Anesthesia or Cardiovascular Surgery doctors.

Before Procedure:

• Be sure to accompany a family member for the catheter procedure.Go to the hospital.

• Your medical history, allergy status and The medications you use are examined.

• At this time, the procedure to be performed is briefly explained to you. What you are wondering You can ask questions to your doctor.

During the Process:

•  Your legs are lifted up a little and the neck veins are

is made evident.

•  Local anesthesia and sometimes an intravenous sedative medication is applied. You will be awake during the procedure.

•  Your skin is cleaned with cleansing solution and covered with sterile covers is covered.

•  Temporary catheter goes directly into your vein, whereas permanent catheter After being advanced through the tunnel under the skin, it is inserted into your vein.

•  The stitches fixing the catheter are placed and the catheter area is dressed is closed.

•  After the procedure, a lung x-ray is taken and the location of the catheter and

The condition of the lungs is checked.

Post Process:

•  After the catheter is inserted, he is under surveillance in the hospital for 1-2 hours you will stay. Then to your home or dialysis center You can go.

•  The catheter has become dislodged at home or in the area where the catheter is inserted If you see bleeding, do not panic. On dressing to your dialysis center or the nearest one by applying gentle pressure. Apply to hospital.

•  If you have pain, you can take painkillers recommended by your doctor.

 

What should your dialysis team pay attention to when using catheters?

•  Dialysis team and patient, mask in catheter care and use should use.

•  It should be checked that the stitches securing the catheter are intact.

• There is redness, increased temperature and discharge at the catheter entry site.

It should be checked that there is no

•  At the end of dialysis, the inside of the catheter should be filled with heparin serum or special closure must be filled and closed with solutions.

•  After each dialysis, apply antiseptic solution around the catheter should be cleaned and the dressing reclosed.

• Catheter maintenance should only be performed by your dialysis team. Yourself Never tamper with the catheter, do not open or change the dressing.

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