Hemodialysis. Hemodialysis is done in a dialysis center or hospital by trained health care professionals.
A special type of access, called an arteriovenous (AV) fistula, is placed surgically,
usually, in your child's arm. This involves joining an artery and a vein together.
An external, central, intravenous (IV) catheter may also be inserted, but is less
common for long-term dialysis. After access has been established, your child will
be connected to a large hemodialysis machine that drains your child's blood, bathes
it in a special dialysate solution that removes waste substances and fluid, then returns
it to your child's bloodstream. Hemodialysis is usually done several times a week
and each session lasts for 4 to 5 hours. Because of the length of time hemodialysis
takes, it may be helpful to bring games or reading materials for your child to keep
him or her busy during this procedure.