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[Experiences with a completely implantable intravenous system in children]
Tijdschrift Voor Kindergeneeskunde
|June 1, 1986
Summary
Totally implantable venous access systems are safe and effective for children needing long-term intravenous therapy. Using wide catheters in the superior vena cava/right atrium minimizes complications and reduces patient stress.
Area of Science:
- Pediatric Surgery
- Vascular Access Devices
- Chronic Disease Management
Context:
- Children with chronic diseases often require prolonged intravenous (IV) therapy.
- Repeated IV access can lead to complications and patient distress.
- Totally implantable venous access systems offer a solution for long-term IV access.
Purpose:
- To evaluate the safety and efficacy of totally implantable venous access systems in pediatric patients.
- To identify factors influencing complication rates and patient acceptance.
Summary:
- A totally implantable venous access system was implanted in 65 children requiring long-term IV therapy.
- The use of wide catheters (≥0.76 mm internal diameter) positioned in the superior vena cava/right atrium was associated with rare complications and low sepsis incidence.
- Children demonstrated good acceptance of the system, experiencing decreased emotional stress due to easy venous access.
Impact:
- Demonstrates the clinical utility of totally implantable venous access systems in pediatric chronic disease management.
- Highlights optimal catheter selection and placement for minimizing complications.
- Improves quality of life for children undergoing intensive, long-term therapy by reducing physical and emotional burdens.