Pediatric subcutaneous treprostinil site maintenance and pain control strategies from the Pediatric Pulmonary Hypertension Network
Autor: | Emma Olson Jackson, Anna Brown, Julia E. McSweeney, Claire Parker |
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Rok vydání: | 2021 |
Předmět: |
lcsh:RC705-779
Pulmonary and Respiratory Medicine lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty Side effect prostacyclin business.industry medicine.medical_treatment lcsh:Diseases of the respiratory system Disease Pain management medicine.disease Pulmonary hypertension Infusion Site advanced practice nursing Pain control lcsh:RC666-701 pulmonary hypertension Medicine Original Research Article business Intensive care medicine Central venous catheter Treprostinil medicine.drug |
Zdroj: | Pulmonary Circulation Pulmonary Circulation, Vol 11 (2021) |
ISSN: | 2045-8940 |
Popis: | Pulmonary arterial hypertension is a chronic, progressive, and life-threatening disease in children with diverse causes of pulmonary arterial hypertension. The most severe cases of pulmonary arterial hypertension require aggressive treatments with systemic administration of continuous prostacyclin therapy, including treprostinil and epoprostenol. The successful use of continuous subcutaneous treprostinil therapy eliminates the need for an indwelling central venous catheter and its associated risks. However, pain at the subcutaneous infusion site, an expected side effect of this therapy, is often a deterrent to its widespread use. Effective subcutaneous treprostinil site maintenance and pain management is essential to achieve success with this therapy, but strategies surrounding site maintenance and pain control vary significantly between pediatric pulmonary hypertension treatment centers. In an attempt to standardize practice, a survey on the use of subcutaneous treprostinil and site maintenance and pain management strategies, as well as its perceived effectiveness, was disseminated to 13 pediatric pulmonary hypertension centers of the Pediatric Pulmonary Hypertension Network. Responses to the survey were collected and analyzed and were developed into a set of formalized strategies to facilitate knowledge sharing and standardization of practice. |
Databáze: | OpenAIRE |
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