| Autor: |
Colombani PM, Dudgeon DL, Buck JR, Miller DM, Ghory MJ, Buckloo C, Haller JA Jr |
| Jazyk: |
angličtina |
| Zdroj: |
JPEN. Journal of parenteral and enteral nutrition [JPEN J Parenter Enteral Nutr] 1985 Jan-Feb; Vol. 9 (1), pp. 38-41. |
| DOI: |
10.1177/014860718500900138 |
| Abstrakt: |
During a 21-month period, 50 consecutive pediatric oncology patients undergoing bone marrow transplantation and/or cytoreductive chemotherapy had 61 silastic central venous catheters placed to facilitate their therapy. All catheters were used for medications, routine blood sampling, and transfusions, with 45% also used for hyperalimentation and 57% used for bone marrow transplantation. Catheters were utilized during both inpatient and outpatient therapy periods. Total catheter days numbered 8455, an average of 139 days per catheter. Forty-seven catheters (77%) were removed electively or were in place at time of patient death. Seven were removed for mechanical complications (1/1409 catheter days). Four additional episodes of presumed catheter sepsis were managed with antibiotics and did not require catheter removal (40% of septic episodes). One catheter is still in place after 585 days. Complication rates were not influenced by this multiple use protocol. With standardized catheter care and surveillance, multipurpose, long-term central venous access can be safely utilized in the immunosuppressed pediatric patient. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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