Peripherally inserted central venous catheters are a good option for prolonged venous access in children with cancer

作者: Sarfraz Abedin , Gauri Kapoor

DOI: 10.1002/PBC.21344

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摘要: Background A long term venous access device is essential in children with malignancies for the safe administration of medication and to avoid repeated painful venipunctures. The advantage peripherally inserted central catheters (PICC) over conventional catheter (CVC) easy bedside insertion without need general anesthesia theatre time. purpose this study was evaluate our experience PICCs particularly regard life, reason removal complications suffering from various malignancies. Procedure A retrospective analysis all cancer done demographic data, removal, complications. latter two were evaluated association patient age, days, year insertion. Results Of 127 children, median life 161 days a total 18,955 (for 124 patients, 3 lost follow-up). Elective occurred 63/101 (62.4%) due resulted complication rate 2.41 per 1,000 days. common reasons suspected infection, breakage/leakage, dislodgement, phlebitis, occlusion rates 1.27, 0.57, 0.31, 0.06, 0.06 respectively. Conclusion We found PICC be convenient, cheap, safe, reliable intravenous malignancies. This possible help dedicated care nurses. Pediatr Blood Cancer 2008;51:251–255. © 2008 Wiley-Liss, Inc.

参考文章(29)
Mareia A. Ryder, Peripheral access options. Surgical Oncology Clinics of North America. ,vol. 4, pp. 395- 427 ,(1995) , 10.1016/S1055-3207(18)30434-4
Li Kuo Shen, Chih Pong Chang, Chi Ming Lee, Ting Kai Leung, Retrospective study of the total insertion period of peripherally inserted central catheter: Discussion of anti-thrombogenic surface and other biomaterial requirements Bio-medical Materials and Engineering. ,vol. 16, pp. 183- 188 ,(2006)
Philip K. NG, Mark J. Ault, A. Gray Ellrodt, Lawrence Maldonado, Peripherally Inserted Central Catheters in General Medicine Mayo Clinic Proceedings. ,vol. 72, pp. 225- 233 ,(1997) , 10.4065/72.3.225
Sing Lam, Peripherally Inserted Central Catheters in an Acute-Care Hospital Archives of Internal Medicine. ,vol. 154, pp. 1833- 1837 ,(1994) , 10.1001/ARCHINTE.1994.00420160070009
Louise J. Walshe, Sharp F. Malak, Janet Eagan, Kent A. Sepkowitz, Complication Rates Among Cancer Patients With Peripherally Inserted Central Catheters Journal of Clinical Oncology. ,vol. 20, pp. 3276- 3281 ,(2002) , 10.1200/JCO.2002.11.135
J Dubois, L Garel, B Tapiero, J Dubé, S Laframboise, M David, Peripherally inserted central catheters in infants and children. Radiology. ,vol. 204, pp. 622- 626 ,(1997) , 10.1148/RADIOLOGY.204.3.9280235
Naomi P. O'Grady, Mary Alexander, E. Patchen Dellinger, Julie L. Gerberding, Stephen O. Heard, Dennis G. Maki, Henry Masur, Rita D. McCormick, Leonard A. Mermel, Michele L. Pearson, Issam I. Raad, Adrienne Randolph, Robert A. Weinstein, , Guidelines for the prevention of intravascular catheter-related infections. Infection Control and Hospital Epidemiology. ,vol. 23, pp. 759- 769 ,(2002) , 10.1086/502007
Y.-S. YAP, C. KARAPETIS, S. LEROSE, S. IYER, B. KOCZWARA, Reducing the risk of peripherally inserted central catheter line complications in the oncology setting. European Journal of Cancer Care. ,vol. 15, pp. 342- 347 ,(2006) , 10.1111/J.1365-2354.2006.00664.X
Leonard A. Mermel, Prevention of Intravascular Catheter–Related Infections Annals of Internal Medicine. ,vol. 132, pp. 391- 402 ,(2000) , 10.7326/0003-4819-132-5-200003070-00009