In-Centre Hemodialysis (In-Centre HD)

In-center hemodialysis (In-Center HD) is a therapy option that filters your blood outside your body using a hemodialysis machine and a manufactured filter, called a dialyzer. 

What Is In-Center Hemodialysis (In-Center HD)?

During haemodialysis (HD), the haemodialysis machine removes a small amount of your blood from your body through a needle or catheter. The dialyser then filters your blood, removing waste, toxins, and excess fluid before returning your filtered blood back into your body. 

In-centre haemodialysis (HD) treatments take place at a hospital or dialysis clinic under the supervision of a clinical care team.

Patient in Bed

How Does In-Center Hemodialysis (In-Center HD) Work?

With in-center hemodialysis (In-Center HD), you will typically travel to your hospital or dialysis clinic 3 times a week to receive 3-5-hour treatments each time, depending on the dialysis schedule your clinician has prescribed. There, you will be taken care of by a nurse or clinician throughout your treatment. 

Illustration of a medical facility

Choosing a type of in-center hemodialysis (In-Center HD)

If you and your clinician decide that in-center hemodialysis (In-Center HD) is the best treatment option for you, you may be able to choose between receiving in-center treatments during the day (daytime HD) or, in some cases, receiving them at night (nocturnal HD). Daytime hemodialysis (HD) is the most common choice of therapy and is the most likely to be available to you. Your sessions will be scheduled at a time that fits your hospital or clinic. Days and times for therapy will be allocated depending on available spaces.

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Preparing for in-center hemodialysis (In-Center HD)

Before your in-center hemodialysis (In-Center HD) treatments start, you will also need to have a surgical procedure that creates a dialysis access site under your skin called a fistula. This fistula lets unfiltered blood flow from your blood vessels through the hemodialysis machine and lets clean blood flow back into your blood vessels. Access to this fistula is created by inserting two needles into the blood vessels in the fistula.

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Benefits of In-Center Hemodialysis (In-Center HD)

In-center hemodialysis (In-Center HD) is performed under the supervision of a supportive clinical team, meaning that you can let others take care of you during treatment. You can use your treatment time to sleep, read, work on your laptop, listen to music or do something else you enjoy. You will also have the opportunity to talk to other dialysis patients, so you can exchange information and stories about dialysis journeys similar to and different from your own.

Where to go next?

PD at home

Peritoneal Dialysis (PD) at Home

Peritoneal dialysis (PD) is the other type of dialysis which can be done at home. We explain more on PD. 

Illustration of a man and woman sleeping in a bed during at-home peritoneal dialysis

Automated Peritoneal Dialysis (APD)

APD allows dialysis to be performed while you sleep.  

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Kidney Transplant & Conservative Care

If you and your clinician decide dialysis isn’t right for you, there are other treatment options you may consider.