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Related Experiment Videos

Experience with double lumen right atrial catheters.

J E Sanders, R O Hickman, S Aker

    JPEN. Journal of Parenteral and Enteral Nutrition
    |March 1, 1982
    PubMed
    Summary

    Double lumen right atrial catheters in marrow transplant patients showed a higher incidence of septicemia compared to single lumen catheters. However, they offered superior hyperalimentation delivery during complex fluid management.

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    Area of Science:

    • Medical devices
    • Hematology
    • Infectious disease

    Background:

    • Right atrial catheters are crucial for fluid and medication delivery in immunocompromised patients.
    • Allogeneic marrow transplant recipients are at high risk for infections and require intensive supportive care.

    Purpose of the Study:

    • To compare the safety and efficacy of double lumen right atrial catheters versus single lumen catheters in allogeneic marrow transplant recipients.
    • To evaluate the impact on septicemia rates and hyperalimentation delivery.

    Main Methods:

    • A comparative study involving 57 patients with double lumen catheters and 63 patients with single lumen catheters.
    • Monitoring for septicemia during neutropenia (granulocyte counts < 100/cm³).
    • Assessing the effectiveness of hyperalimentation infusion.

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    Main Results:

    • Ten patients with double lumen catheters developed septicemia, with three requiring catheter removal.
    • Seventeen patients with single lumen catheters developed septicemia, with one requiring catheter removal.
    • Double lumen catheters facilitated more effective hyperalimentation delivery concurrently with other infusions.

    Conclusions:

    • Double lumen right atrial catheters may be associated with a higher risk of septicemia in neutropenic transplant patients.
    • Despite infection risk, double lumen catheters offer advantages in managing complex fluid and nutritional support.