[Simple process of management of central venous catheter].
In our institution, central venous catheterization is a routine procedure in terms of keeping the veins in terminal cancer patients and postoperative patients, as well as on purpose to perform high calorie transfusion. Here we describe our efforts to simplify the process. The process is characterized by the intermittent transfusion with filling up of 100-fold diluted heparin; no use of filter at the usage; but free side infusion from a trigonal active plug, which is also used for blood transfusion. These patients are permitted to bathe and stay out. During a recent 2 years, a total of 111 patients was managed with this process. Duration of catheterization ranged from the shortest of 5 days to longest of 96, with a mean of 27.5 and total days of 3058. Catheter-induced fever as a complication was observed in only 3 cases (2.7%). This procedure has a considerably simplified process, which can be said to depart from the conventional ones in terms of keeping clean, however, in actual clinical routine, it is extremely safe and valuable.
Yasunaga
T
T
Department of Surgery, Kokura Memorial Hospital, Kitakyushu, Japan.
Kanai
M
M
Fukuyama
N
N
Yamanouchi
A
A
D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods* / Q000451:nursing; D006801:Humans; D009369:Neoplasms / Q000451:nursing; D010288:Parenteral Nutrition; D013727:Terminal Care