HEMODIALYSIS CENTER: Compassionate Renal Care

Thainakarin Hospital's Hemodialysis Center is dedicated to providing essential hemodialysis services for patients at the end stage of chronic renal failure and those with acute renal failure. With a commitment to excellence, we offer a range of treatments and support under the care of experienced nephrologists and nurses, adhering to the standards of the Association of Thai Interventional Neuroradiology. 

  

Our offerings include: 

• Closely monitored treatment by experienced nephrologists and nurses 

• Shared and private rooms in a welcoming environment 

• Services for the general public, government officials, and social security beneficiaries with chronic renal failure 

• On-line Hemodiafiltration and Hemodialysis 

  

Diseases and Symptoms Addressed: 

  

Suggestions for patients and relatives regarding maintenance of permanent vascular access 

  

What is Vascular Access? 

Vascular access for hemodialysis refers to the pathway through which blood is brought from the patient's body to the filter and cleaned blood is returned. There are two types of vascular access: central venous access catheters and permanent vascular access surgery. 

  

Maintenance of Central Venous Access Catheter or Plastic Access for Hemodialysis: 

• Keep the wound clean and avoid touching or removing the dressing. 

• Prevent the wound from getting wet; seek treatment if it peels off or becomes wet. 

• Avoid wearing o-neck t-shirts to prevent obstruction of vascular access. 

• Consult a physician in case of abnormalities or issues. 

  

Patients with Permanent Catheter: 

Arteriovenous fistula is preferred as it offers fewer complications and longer useful life. 

• Arteriovenous graft may be used if the coronary artery is small, placed under the skin for use within 2-4 weeks. 

• Patients should follow self-care instructions for a successful recovery. 

  

Self-Care Guidelines: 

• Elevate arms to reduce edema during the first 3 days after surgery. 

• Start gentle exercises on the arm without pain or bleeding after 3 days, using a rubber ball. 

• Avoid wetting the wound, touching or hitting surgical sites. 

• Do not use the arm for pressure measurement, blood drawing, or IV fluids. 

• Follow prescribed antibiotics if given after surgery. 

  

During Hemodialysis: 

• Avoid wearing wrist accessories or shirts that constrict the arm. 

• Clean the access area before treatment. 

• Regularly examine the access area for any changes. 

• Refrain from rubbing the skin near the access site. 

• Follow exercise recommendations using a rubber ball. 

• Avoid pressure measurements, blood drawing, and IV procedures on the access arm. 

  

At Thainakarin Hospital's Hemodialysis Center, we prioritize patient well-being and comfort. With our dedicated team, advanced techniques, and comprehensive care, we're here to support your renal health journey. 

Thainakarin Hospital's Hemodialysis Center delivers specialized treatment for end-stage and acute renal failure patients. Services include on-line hemodiafiltration, shared/private rooms, and expert care from nephrologists and nurses. We cater to general, government, and social security patients.