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Care and management of children with a totally implanted central venous access device: portacath

Janice Mighten1

  • 1Nottingham Children's Hospital, Nottingham University Hospitals NHS Trust, Nottingham, England.

Nursing Children and Young People
|August 31, 2019
PubMed

Insights

Advances in technology allow children with life-limiting conditions to live longer, often requiring central venous access devices like portacaths. This article discusses their care and management by children

Area of Science:

  • Pediatric Nursing
  • Medical Technology
  • Palliative Care

Background:

  • Technological advancements have increased survival rates for children with life-limiting conditions.
  • Many children require long-term intravenous access for treatment to maintain quality of life.
  • Totally implanted central venous access devices, such as portacaths, are commonly used in this population.

Purpose of the Study:

  • To address the care and management of portacaths in children.
  • To highlight the existing variations in practice across the UK.
  • To provide recommendations for standardized and improved clinical practice.

Main Methods:

  • Literature review on the care and management of pediatric portacaths.
  • Analysis of current practices and variations in the UK.
  • Development of evidence-based recommendations for nursing practice.

Main Results:

  • Significant variation exists in the UK regarding the care and management of pediatric portacaths.
  • There is a need for standardized protocols to ensure competent practice.
  • Nurses require specific skills and training for effective portacath management.

Conclusions:

  • Standardized training and clear guidelines are essential for children's nurses managing portacaths.
  • Improved practice in portacath care can enhance the well-being and quality of life for children.
  • Addressing practice variations is crucial for equitable and effective patient care.

Keywords:
central venous catheterschild healthclinical skillsintravenous therapymedicinesmedicines managementnursing care

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