Vascular access for home intravenous therapy in children

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06:59

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Published on: November 9, 2016

Walter J Chwals1

  • 1Case Western Reserve University, School of Medicine, Rainbow Babies and Children's Hospital, Cleveland, Ohio 44106, USA. wjc2@po.cwru.edu

JPEN. Journal of Parenteral and Enteral Nutrition
|January 3, 2006
PubMed

Insights

This review covers long-term vascular access devices for children, including implantation procedures, complication avoidance, and system comparisons. It aids clinicians in selecting optimal devices for pediatric patients.

Area of Science:

  • Pediatric medicine
  • Vascular surgery
  • Medical devices

Background:

  • Long-term vascular access is crucial for pediatric patients requiring prolonged therapies.
  • Various vascular access devices (VADs) exist, each with unique characteristics.
  • Choosing the appropriate VAD impacts treatment efficacy and patient outcomes.

Purpose of the Study:

  • To provide a comprehensive overview of VADs for pediatric long-term vascular access.
  • To detail implantation procedures and suitable anatomical sites.
  • To compare different VAD systems, highlighting their pros and cons.

Main Methods:

  • Systematic review of current literature on pediatric vascular access devices.
  • Description of implantation techniques and site selection criteria.
  • Comparative analysis of different VAD types based on efficacy and safety.

Main Results:

  • Overview of available VADs: central venous catheters, peripherally inserted central catheters, and implantable ports.
  • Discussion of common complications (e.g., infection, thrombosis) and preventative strategies.
  • Comparative data on device longevity, usability, and patient tolerance.

Conclusions:

  • The selection of pediatric VADs requires careful consideration of clinical context and device-specific features.
  • Proper implantation technique and vigilant monitoring are key to minimizing complications.
  • This review serves as a guide for healthcare professionals in optimizing long-term vascular access in children.

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