Retaining central venous catheters in paediatric parenteral nutrition.
This article aims to discuss problems with central venous catheters (CVCs) and offer strategies to assist in preventing their replacement. The article focuses on the most frequent complications of infection and obstruction. Traditional treatment options are presented and endoluminal brushing is introduced as an innovative treatment for retaining CVCs. The expert opinion that follows focuses on CVCs that are used for parenteral nutrition in paediatrics, but the evidence described can also be applied to larger adult catheters.
Brind
Joanne
J
Great Ormond Street Hospital, London. brindj@gosh.nhs.uk
D000328:Adult; D000768:Anesthesia, General; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001419:Bacteria / Q000302:isolation & purification; D001424:Bacterial Infections / Q000188:drug therapy / Q000453:epidemiology; D018441:Biofilms; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000379:methods*; D002648:Child; D006801:Humans; D010288:Parenteral Nutrition / Q000379:methods*; D010371:Pediatric Nursing
D000900:Anti-Bacterial Agents