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[Experience with the use of a subcutaneous venous access system in 57 pediatric patients]
F J Alliende-González1, F G Antillon-Klüssmann, L Sierrasesúmaga-Ariznabarreta
1Departamento de Pediatría, Facultad de Medicina, Clínica Universitaria de Navarra, Pamplona, España.
Insights
Subcutaneous venous reservoirs offer a safe and effective method for long-term central venous access in pediatric patients, primarily for chemotherapy administration. While infection is a risk, it is manageable, making reservoirs a valuable tool for these young patients.
Area of Science:
- Pediatric Surgery
- Vascular Access Devices
- Oncology
Context:
- This study evaluates the use of subcutaneous venous reservoirs in pediatric patients requiring long-term central venous access.
- The study period was from May 1983 to December 1988, involving 57 pediatric patients (29 boys, 28 girls) aged 2-18 years.
- Fifty-one patients had malignant illnesses, and seven had other pathologies.
Purpose:
- To assess the efficacy and complications associated with subcutaneous venous reservoirs in pediatric patients.
- To determine the suitability of these devices for various treatments including chemotherapy, hydration, nutrition, and blood product transfusion.
- To evaluate the incidence of complications, particularly infection.
Summary:
- A total of 62 subcutaneous venous reservoirs were implanted in 57 pediatric patients.
- The reservoirs facilitated endovenous administration of chemotherapy, antibiotics, hydration, nutrition, blood product transfusions, and sample extraction.
- The most significant complication was infection, occurring at an average rate of 0.06 episodes per 100 days per reservoir. Other complications were less frequent.
Impact:
- Subcutaneous venous reservoirs are a useful tool for pediatric patients needing prolonged central venous catheterization.
- The findings support the use of these devices in managing complex pediatric cases requiring long-term venous access.
- This study contributes to understanding the safety and utility of venous access devices in pediatric oncology and critical care.
Abstract:
Since May of 1983 to December of 1988, 62 subcutaneous venous reservoires were implanted in 57 pediatric patients; 29 were boys and the remaining 28 were girls between the ages of 2 and 18 years. Fifty-one patients had malignant illnesses and seven other pathologies. The reservoir was used for the endovenous administration of cytotoxic chemotherapy and antibiotics, hidration, nutrition, the transfusion of blood product and the extraction of samples for laboratory tests. In our experience the most important complication was the infection of the system, on the average 0.06 episodes of infections occurred for every 100 days per reservoir. Other complications observed were less frequent. In our opinion the subcutaneous reservoir represents an useful tool for the care of the pediatric patients who require a central venous catheter for long periods of time.