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Temporary & Perm Cath Insertions in Bangalore

Temporary & Perm Cath Insertions

Permacath Insertion for Dialysis

Dialysis patients need cath insertions or dialysis catheters (hollow tubes). Blood is exchanged between the haemodialysis machine and the catheter. Catheters are inserted into a patient's veins to provide repeated access to their blood. There are two main types of cath insertions: Temporary and Permcath insertions.

What is a Temporary Cath Insertion?

Temporary catheters, or vascaths (non-tunnelled hemodialysis catheters / Quintons), generally last 10 days if placed in the jugular or subclavian vein and 5 days in the femoral vein. 

How does the Procedure Work?

The catheter is usually placed at the bedside during an emergency, which requires an X-ray to confirm that its tip has been positioned correctly. It is not necessary to take a post-procedure X-ray. Since the procedure is performed under fluoroscopic guidance, the tip position will be confirmed during the procedure.

A vascath does not have a tunnelling mechanism like a permcath and enters the vein directly. This type of central line does not tunnel into the subcutaneous tissues and does not have a cuff to grow into. Consequently, it can be removed by simply cutting the retention sutures. Once the retention suture has been removed, the patient’s bed head should be lowered. A central line should never be removed from a patient while they are seated or standing. Visit our Nephrology hospital in Yeshwanthpur, Bangalore for the best treatment.

What is a Permcath Insertion?

Permcaths are plastic tubing that serves the same purpose as temporary catheters during haemodialysis. Permcaths have cuffs that hold the catheter in place and protect against infection. The plastic in a permcath is white, soft, and flexible and measures about 6 inches/15cms long. 

How does the Procedure Work?

Before the procedure, the patient will receive an intravenous (IV) antibiotic. It is recommended not to eat eight hours or drink four hours before the procedure. Due to some medications, there is a risk of increased bleeding. Before the procedure, the patient may need to stop taking these medications. After the procedure, they may speak to their doctor about resuming these medicines.

The patient will receive pain medication and sedation through an IV during the procedure. They will lie on the table with a small cushion under their head. A special soap is used to clean their neck and shoulder, and a local anaesthetic is administered. A needle is inserted into the vein using ultrasound as a guide. Catheters are placed in veins by tunnelling under the skin. The patient might feel a pulling or tugging sensation. Following placement, the catheter can be used right away. The overall procedure will take approximately 1 hour.

An X-ray can be taken after the procedure to ensure the catheter has been positioned upright. The patient will be in observation for a few hours, and the head of the bed should be elevated for three hours after the procedure. Book an appointment at our multi-speciality hospital today.

Difference Between Temporary and Permcath

  • There is a mild difference in both of their bore sizes; permcath is slightly larger.

  • Both of them are used for dialysis. Vascaths are non-tunnelled, while the permcaths are tunnelled under the skin.

  • Permacaths can have a longer dwell time and a lower infection risk because of this tunnelling and cuff.

Experience world-class healthcare at Manipal Hospitals. Our expert team of doctors and state-of-the-art facilities ensure personalized and advanced treatments. Take the first step towards wellness. Book an appointment today.

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