title: The use of central venous lines in the treatment of chronically ill children.
abstract: Treatment of chronic diseases in children is a special medical problem. Maintaining constant access to the central vascular system is necessary for long-term hemato-oncological and nephrological therapies as well as parenteral nutrition. Providing such access enables chemotherapic treatment, complete parenteral nutrition, long-term antibiotic therapy, hemodialysis, treatment of intensive care unit patients, monitoring blood pressure in the pulmonary artery and stimulation of heart rate in emergency situations as well as treatment of patients suffering from complications, especially when chances of access into peripheral veins are exhausted. Continuous access to the central vascular system is desirable in the treatment of chronically ill children. Insertion of a central venous catheter line eliminates the unnecessary pain and stress to a child patient accompanying injection into peripheral vessels. In order to gain long-term and secure access to the central venous system, respecting the guidelines of the Center for Disease Control and Prevention contained in the updated 'Guidelines for the Prevention of Intravascular Catheter-Related Infections' is necessary.
authors.affiliation: Department of Pediatric Nursing, L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland.
authors.forename: Ewa
authors.initials: E
authors.lastname: Barczykowska
authors.affiliation: Clinical Training Specialist, Becton Dickinson Polska Sp. z o.o.
authors.forename: Marzena
authors.initials: M
authors.lastname: Szwed-Kolińska
authors.affiliation: Department of Pediatric Nursing, L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Wróbel-Bania
authors.affiliation: Department of Neurological and Neurosurgical Nursing, L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland.
authors.forename: Robert
authors.initials: R
authors.lastname: Ślusarz
mesh_terms: D061605:Administration, Intravenous; D000367:Age Factors; D000970:Antineoplastic Agents / Q000008:administration & dosage; D055499:Catheter-Related Infections / Q000382:microbiology / Q000517:prevention & control; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation*; D002408:Catheters, Indwelling / Q000009:adverse effects; D062905:Central Venous Catheters / Q000009:adverse effects; D002648:Child; D002908:Chronic Disease / Q000628:therapy*; D003029:Coagulants / Q000008:administration & dosage; D004867:Equipment Design; D006801:Humans; D008134:Long-Term Care; D010288:Parenteral Nutrition / Q000295:instrumentation; D006435:Renal Dialysis / Q000295:instrumentation; D016896:Treatment Outcome
chemical_list: D000970:Antineoplastic Agents; D003029:Coagulants