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[Expert consensus on safety management of vascular access devices for patients with digestive system cancer (2024)]
Abstract:
The rational selection and standardized management of vascular access devices is an urgent issue in the treatment of digestive system cancer. The purpose of this consensus is to develop solutions for the safe management of intravenous vascular access devices for patients with digestive system cancer and to provide evidence for clinical decision-making. This consensus is developed by a group of experts from multiple-disciplines in China International Exchange and Promotive Association for Medical and Health Care Clinical Nutrition Health Branch, Clinical Nutrition Branch of Chinese Nutrition Society, Chinese Society for Parenteral and Enteral Nutrition. It is based on the best current evidence and combined with Chinese clinical practice experience. The recommendations were discussed and on the following topics: how to choose vascular access devices for patients with digestive system cancer; optimal selection of puncture sites and positioning of the tip for peripherally inserted central catheters; prevention and management of complications post-central venous catheterization; strategies for prevention and treatment of central venous catheter occlusion; criteria for central venous catheter removal; indications for the use of venous port access and criteria for peripheral venous catheter in patients with digestive system cancer.
Insights
This consensus provides guidelines for selecting and managing vascular access devices in digestive cancer patients. It aims to ensure safe intravenous therapy and support clinical decisions for better patient outcomes.
Area of Science:
- Oncology
- Medical Devices
- Clinical Practice
Context:
- Digestive system cancers necessitate effective vascular access for treatment.
- Standardized management of vascular access devices is crucial for patient safety and therapeutic efficacy.
- Existing practices require evidence-based recommendations tailored to this patient population.
Purpose:
- To establish expert consensus on the rational selection and standardized management of vascular access devices.
- To provide evidence-based solutions for the safe use of intravenous devices in digestive cancer patients.
- To guide clinical decision-making in the management of vascular access.
Summary:
- Recommendations cover device selection, peripherally inserted central catheter (PICC) site selection and tip positioning.
- Guidance includes prevention and management of central venous catheter (CVC) complications and occlusion.
- Criteria for CVC removal, venous port access, and peripheral venous catheter use are detailed.
Impact:
- Aims to improve the safety and effectiveness of vascular access device management in digestive cancer care.
- Facilitates evidence-based clinical decision-making for healthcare professionals.
- Contributes to standardized, high-quality patient care in oncology settings.
