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Securing broviac catheters in children.

G M Alfieris1, C W Wing, G R Hoy

  • 1Department of Surgery, Georgetown University School of Medicine, Washington, DC 20007.

Journal of Pediatric Surgery
|September 1, 1987
PubMed
Summary
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A simple suture technique prevents accidental removal of Broviac or Hickman catheters after insertion. This method enhances the security of long-term venous access devices, especially in pediatric patients.

Area of Science:

  • Medical Devices
  • Pediatric Surgery
  • Vascular Access

Background:

  • Broviac and Hickman catheters are widely used for long-term venous access, particularly in pediatric populations.
  • While effective, these silicone catheters can be subject to inadvertent dislodgement post-insertion.
  • This complication, though rarely reported, necessitates improved management strategies.

Purpose of the Study:

  • To describe a modified insertion technique for Broviac and Hickman catheters.
  • To prevent inadvertent catheter dislodgement immediately after placement.
  • To enhance the safety and reliability of long-term venous access in infants and children.

Main Methods:

  • A single suture is strategically placed during catheter insertion.
  • The technique focuses on securing the catheter at a critical juncture post-placement.

Related Experiment Videos

  • This modification aims to mitigate the risk of early dislodgement.

    • Main Results:

    • The modified technique provides immediate post-insertion security for the catheters.
    • It addresses the issue of inadvertent dislodgement observed in clinical practice.
    • The method is designed to be simple and effective in preventing this complication.

    Conclusions:

    • A modified insertion technique using a single strategic suture significantly reduces the risk of Broviac and Hickman catheter dislodgement.
    • This approach improves the immediate post-insertion stability of these vital long-term venous access devices.
    • The technique offers a practical solution for enhancing patient safety in pediatric and infant care.