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[Simple process of management of central venous catheter]
T Yasunaga1, M Kanai, N Fukuyama
1Department of Surgery, Kokura Memorial Hospital, Kitakyushu, Japan.
Insights
This study simplified central venous catheterization for cancer and post-op patients receiving transfusions. The new method proved safe and effective, with a low complication rate of 2.7%.
Area of Science:
- Medical Procedures
- Vascular Access
- Oncology Nursing
Context:
- Central venous catheterization is vital for long-term venous access in terminal cancer and postoperative patients.
- High-calorie transfusions require reliable and safe venous access.
- Conventional catheterization protocols can be complex and restrictive for patients.
Purpose:
- To simplify the procedure for central venous catheterization.
- To reduce complications associated with central venous catheters.
- To improve patient mobility and comfort during catheterization.
Summary:
- A simplified central venous catheterization technique was developed, featuring intermittent heparinized flushes and a specialized active plug.
- No filter was used during infusions, and patients were allowed to bathe and ambulate.
- Over two years, 111 patients underwent the procedure, with a mean catheter dwell time of 27.5 days and a total of 3058 catheter days.
- Catheter-induced fever occurred in only 2.7% of patients, indicating a high safety profile.
Impact:
- The simplified procedure is exceptionally safe and valuable in clinical practice.
- This method offers a less restrictive alternative to conventional central venous catheterization techniques.
- Potential for wider adoption in managing patients requiring long-term venous access.
Abstract:
In our institution, central venous catheterization is a routine procedure in terms of keeping the veins in terminal cancer patients and postoperative patients, as well as on purpose to perform high calorie transfusion. Here we describe our efforts to simplify the process. The process is characterized by the intermittent transfusion with filling up of 100-fold diluted heparin; no use of filter at the usage; but free side infusion from a trigonal active plug, which is also used for blood transfusion. These patients are permitted to bathe and stay out. During a recent 2 years, a total of 111 patients was managed with this process. Duration of catheterization ranged from the shortest of 5 days to longest of 96, with a mean of 27.5 and total days of 3058. Catheter-induced fever as a complication was observed in only 3 cases (2.7%). This procedure has a considerably simplified process, which can be said to depart from the conventional ones in terms of keeping clean, however, in actual clinical routine, it is extremely safe and valuable.