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Catheter Insertion and Exchange

 

What is a Catheter?

A catheter is a medical device that can be inserted in the body to treat diseases, perform a surgical procedure, allow drainage, and administration of fluids or gases. Catheters can be used for various purposes, such as providing intravenous (IV) fluids, monitoring vital signs, or delivering medications directly into the bloodstream.

What is a Catheter Insertion or Exchange?

Catheter Insertion or Exchange is a medical procedure in which a thin, flexible tube called a catheter is placed into a patient's body to administer treatments, medications, or conduct necessary tests. 

A common type of catheter is a peripherally inserted central catheter known as PICC line. A PICC line is inserted into a vein in your arm and threaded into a larger vein near your heart. PICC lines are used to deliver medications, fluids and nutrition directly into your bloodstream.

Catheter insertions or exchanges are a necessary procedure for many people who need dialysis. Catheters can be used for temporary or permanent dialysis access. 

  • Temporary catheters are typically used for people who are new to dialysis or who are waiting for a permanent dialysis access to be created. Temporary catheters are inserted in the arm or leg.
  • Permanent catheters are typically used for people who have been on dialysis for a long time. Permanent catheters are inserted in the chest or abdomen.

Causes for a Catheter Insertion or Exchange

  • Need for long-term IV therapy or medication delivery
  • Difficulty in obtaining intravenous access
  • Monitoring and managing fluid balance
  • Frequent blood tests or dialysis treatments

The Iowa Clinic Vascular team is well-equipped to handle both the initial insertion of a catheter and the replacement of existing ones, ensuring your comfort and safety throughout the process.

What to Expect During a Catheter Insertion or Exchange

Our team will walk you through the entire catheter insertion process, explaining each step and addressing any questions or concerns you may have. The procedure typically involves the following steps:

  1. Preparation: Before the insertion, we will thoroughly clean and sterilize the insertion site to reduce the risk of infection.
  2. Local Anesthesia: To minimize discomfort, a local anesthetic will be administered at the insertion site.
  3. Catheter Placement: Using advanced imaging guidance, the catheter will be gently inserted into the appropriate vein or body cavity.
  4. Securement: Once in place, the catheter will be securely fixed to prevent unintentional movement.

If you have an existing catheter that requires replacement due to blockage, infection, or the end of its useful life, our team can perform a catheter exchange with minimal disruption to your daily activities.