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Reliable venous access is vital to ensure that potentially life-saving chemotherapy and supportive care can be delivered to children with cancer. The use of central venous catheters (CVCs) has revolutionized intravenous therapy, minimizing both physical and emotional trauma. Whilst children, parents and professionals appreciate the benefits of such devices, CVCs are not without serious risks and are associated with significant morbidity and occasional mortality (Lucas et al 1996, Ingram et al 1991). CVC care involves many groups, surgeons, physicians, nurses and parents to name a few. When trying to explore reasons for line failure, individual groups such as surgeons and nurses cannot examine their practice in isolation from the other key players involved; clearly all will have some impact on CVC efficacy. |
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