What is a tunnelled catheter?

A tunnelled catheter is a soft, flexible tube that runs under your skin from a vein in your chest or neck to a large vein near your heart. One end of the tube stays outside the body. This catheter is a type of central venous line. You may have it for weeks, months, or longer.

The catheter gives you medicine, blood products, nutrients, or fluids over a long period of time. It makes getting these things more comfortable for you because they are put into the tube. You are not stuck with a needle every time. The catheter may be used to draw blood for tests only if another vein, such as in the hand or arm, can't be used. The end of the catheter sometimes has two or three openings. This is so that you can get more than one type of fluid or medicine at a time.

Your doctor will give you medicine to make you sleep or feel relaxed. He or she will make two small cuts (incisions) in your body. Your doctor will thread the catheter up a vein in your chest or neck.

After the procedure, you will probably have small bandages where the doctor put in the tube and where it comes out of your body. The area may feel sore for a few days. You may have stitches. Sometimes glue is used instead of stitches.

What happens before the procedure?

Preparing for the procedure

• Understand exactly what procedure is planned, along with the risks, benefits, and other options.
• 
  Tell your doctors ALL the medicines and natural health products you take. Some of these can increase the risk of bleeding or interact with anesthesia.
• If you take blood thinners, such as warfarin (Coumadin), clopidogrel (Plavix), or aspirin, be sure to talk to your doctor. He or she will tell you if you should stop taking these medicines before your procedure. Make sure that you understand exactly what your doctor wants you to do.
• Your doctor will tell you which medicines to take or stop before your procedure. You may need to stop taking certain medicines a week or more before the procedure. So talk to your doctor as soon as you can.
• If you have an advance care plan, let your doctor know. Bring a copy to the hospital. If you don't have one, you may want to prepare one. It lets your doctor and loved ones know your health care wishes. Doctors advise that everyone prepare these papers before any type of surgery or procedure.

What happens on the day of the procedure?

• 
  Follow the instructions exactly about when to stop eating and drinking. If you don't, your procedure may be cancelled. If your doctor told you to take your medicines on the day of the procedure, take them with only a sip of water.
• Take a bath or shower before you come in for your procedure. Do not apply lotions, perfumes, deodorants, or nail polish.
• Do not shave the surgical site yourself.
• Take off all jewellery and piercings. And take out contact lenses, if you wear them.

At the hospital or surgery centre

• 
  Bring a picture ID.
• You will be kept comfortable and safe by your anesthesia provider. You may get medicine that relaxes you or puts you in a light sleep. The area being worked on will be numb.
• The procedure will take about 1 hour.

Going home

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  Be sure you have someone to drive you home. Anesthesia and pain medicine make it unsafe for you to drive.
• You will be given more specific instructions about recovering from your procedure. They will cover things like diet, wound care, follow-up care, driving, and getting back to your normal routine.