Tunneled dialysis catheters are an essential form of vascular access for patients who require immediate or interim hemodialysis when permanent access such as an arteriovenous fistula or graft is not yet available. At International Modern Hospital (IMH), tunneled catheter placement is performed under strict clinical protocols to ensure safety, functionality, and infection prevention.

A tunneled dialysis catheter is a flexible tube inserted into a large central vein, typically the internal jugular vein, and tunneled under the skin before exiting the chest wall. The tunneling process reduces infection risk and allows the catheter to remain in place for weeks to months if required.

This form of access is commonly used for patients initiating urgent dialysis, those awaiting fistula or graft maturation, patients with acute kidney injury requiring short-term dialysis, or individuals with limited vascular options. While tunneled catheters are not ideal for long-term dialysis due to higher infection and clotting risks, they play a critical role in maintaining continuity of care.

At IMH, catheter placement is performed using ultrasound and fluoroscopic guidance to ensure accurate vein selection and minimize complications. The procedure is carried out in a controlled environment by experienced clinicians, following international aseptic standards.

Post-procedure, catheter position and function are confirmed before dialysis initiation. Patients receive detailed education on catheter care, hygiene, and warning signs of infection or malfunction. Dialysis nurses and nephrologists conduct routine inspections to ensure continued catheter integrity.

The emphasis is always on minimizing catheter dependency and planning early conversion to safer long-term access options.
Through meticulous technique, structured follow-up, and patient education, IMH ensures tunneled dialysis catheters are used safely and effectively as part of an integrated renal care pathway.