Permacath catheter insertion for dialysis in mumbai

Dr Jathin vein center is the best place for permacath catheter insertion in mumbai.

What is Permacath Catheter Insertion?

Permacath is a way to get access to the blood veins for dialysis treatment. The access is gained through the major blood vein, called jugular veins in the neck or the upper chest.  

Catheters can be categorized into the tunnel and non-tunnelled catheters. Tunnel cuff catheters are often referred to as Permacath, which is a permanent catheter or used for a longer duration, whereas non-tunnelled catheters are used for a shorter duration treatment, known as temporary catheters.

For patients who face problems while AV Fistula (ArterioVenous fistula) Maturation, for them permacath, is a great option to start dialysis, which ensures that the risk of infection reduces over time. The permacath is banded, which means it holds the skin together and allows the skin tissue to cover the catheters. Due to this, it becomes impossible for bacteria to enter the bloodstream and it becomes less prone to any kind of infection in the body.

Permacath often carries two bores: one to allow blood to enter the dialysing machine from the body, and another to return the blood to the human body from the machine to maintain a balance.  

The whole permacath procedure is usually done in an X-Ray Room to check whether the permacath is placed in the right position or not and to avoid any kind of complications too. 

Procedure to insert Permacath Catheter port:

  • The whole procedure starts with giving the anesthesia or sedation to the patient. This will make the patient relaxed during the procedure and make it easy for doctors to do the further procedure.
  • A clip will be placed in one of the patient’s hands and fingers to measure the oxygen level during the procedure to keep the patient safe while doing it.
  • Clothing, such as gloves and towels used by doctors, will be kept clean to reduce the danger of any kind of infection while doing the procedure and afterwards.
  • Then, the permacath will be inserted in the jugular veins in the chest or the neck of the patient and the portion will be stitched later.
  • Ultrasound Guidance is needed during the whole procedure to avoid unnecessary complications during and after the procedure.
  • The catheter will come out from the chest wall, which will also be stitched for the next 10 days.

There are some complications related to it, such as shortness of breath, pain, bleeding etc after completing the procedure, which are some of the common complications that can be easily treated by the medical team. But there are other complications as well, such as Arterial Puncture, Air Embolism, hemothorax, etc. Hence, it is highly recommended to talk to our doctor if the patient faces any kind of problem after the procedure to take the safety measure by the professional medical team.

 

What are the advantages of a Permacath Catheter in comparison to a temporary catheter?

  • Permacath is used for a longer duration, say weeks to months, in comparison to the temporary catheter. Therefore, there is no need to spend your money frequently on it.
  • Permacath is easy to insert and remove. 
  • Permacath reduces the afterwards serious complications such as infection and blockage, which are usually found in temporary catheters.
  • Permacath is usually inserted for a longer duration and avoids the insertion of needles multiple times. Hence, a patient-friendly product. In the temporary catheter, patients always get irritated by the procedure due to frequent needle insertion.
  • In the emergency condition of dialysis, the permacath is the most preferred choice as it can be inserted immediately.

How to care for a Permacath Catheter?

As the permacath catheter is going to remain with you for a time duration. Therefore, it is important to learn how to care for a permacath catheter. So, you would live with it with comfort and fewer problems occur while carrying it. The following things you can follow while carrying a permacath catheter:

  • Always remember to keep the catheter cap closed. Open it while doing dialysis only. Otherwise, the air will go into the catheter and create a problem in circulation in the body.
  • You will have to do special care while tossing and turning in bed which can pull out the catheter and lead to heavy bleeding.
  • Always wear a clean and dry cloth on the catheter side and it is highly recommended to take a short shower on the catheter side. In short, keep the catheter site as clean and dry as possible.
  •  Make sure your catheter remains in its place and doesn’t move.
  • If you find any redness and irritation around the catheter, immediately contact the doctor.
  • Along with the above recommendations, do follow the provided instructions and guidelines by the doctor for a better result and early recovery.

How to remove the Permacath Catheter?

Permacath catheters can be removed due to various reasons. It can be no longer needed, Infection has been removed or occurred, due to better alternatives available in the market to use, which is more effective. But removing the Permacath is always seen as a simpler surgical procedure than to insert in the jugular veins, which is a longer process. 

The removal procedure is finished within 15 minutes by starting with giving anesthesia to the patient. Anesthesia is not mandatory to use. But, it is used by doctors as per the requirements of patients. Then, a cut is made carefully, to remove the catheter from the patient’s body. After it, the cut is stitched properly, and then the patient is discharged from the hospital.

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