Vascular Access Work Including Permcath

Vascular Access Work Including Permcath

Vascular access is a critical component for patients undergoing renal replacement therapies such as hemodialysis or hemofiltration. It provides a means to draw blood from the body, process it, and return it. There are several types of vascular access methods, including the use of a Permcath (permanent catheter), which is commonly used for both short-term and long-term dialysis.

Steps in Permcath Placement

  • Review of medical history and imaging to determine the best vein for access.
  • Ensuring the patient is a candidate for catheter placement.
  • Sterilizing the insertion site.
  • Administering local anesthesia or sedation.
  • Ultrasound-guided vein puncture to minimize complications.
  • Insertion of a guidewire and dilators to create a track.
  • Placement of the catheter using a tunneling technique, which helps reduce the risk of infection.
  • Securing the catheter and confirming placement with fluoroscopy or X-ray.

Regular flushing and dressing changes to prevent blockages and infections.

Advantages of Permcath

  • Immediate usability for hemodialysis or infusion.
  • Suitable for patients awaiting permanent vascular access like an AV fistula or graft.
  • Lower infection rates compared to non-tunneled catheters.
Call Now Button