Occlusions in peripherally inserted central venous catheters in pediatric patients in antineoplastic chemotherapy

Abstract

Objective To analyze the occurrence of occlusions in peripherally inserted central venous catheters in pediatric patients in antineoplastic chemotherapy. Method Retrospective cohort, with 156 medical records of patients aged 0-19 years who underwent outpatient chemotherapy between 2013 and 2017 by this catheter, in a hospital in the city of Rio de Janeiro. Descriptive and inferential statistics were applied. Results 219 catheters were registered. Occlusion occurred in 141 (64.4%) catheters; 63 (44.7%) were removed because of occlusion, either alone or associated with another factor. Total occlusion alone led to the removal of 27 (12.3%) catheters. Occlusion was associated with: catheter dwell time, cyclophosphamide, neuroblastoma, bone metastasis and number of chemotherapy sessions. Conclusion Occlusion is an important complication because it occurred in more than half of the catheters and was one of the main reasons for withdrawal. The identified risk factors may guide the care to prevent this complication.

Analysis of Nursing Effect and Impact of Narrative Nursing Model on Anxiety of Tumor Patients with PICC under Chemotherapy

“…With the development of society, the incidence and mortality rate of cancer are increasing year by year, posing a serious threat to the lives of patients [ 1 ]. Surgery, radiotherapy, and chemotherapy are the three main methods of treatment for cancer patients, with chemotherapy having the unique advantage of emphasising systemic treatment [ 2 ]. However, due to the irritating nature of the drugs used in chemotherapy, an appropriate delivery method should be chosen.…”

Identifying the impact of the Zone Insertion MethodTM (ZIMTM): A randomized controlled trial

“…27,28 However, catheter occlusion was found in over 60 percent of pediatric patients with malignant cancer and those undergoing antineoplastic chemotherapy. 29 Stephens et al 30 also highlighted that thrombotic catheter occlusion accounted for 60% of all catheter occlusions. This is because catheters can also become occluded secondary to a thrombotic process, such as a fibrin sheath around the catheter tip, an intraluminal blood clot, or venous thrombosis, which can occur separately or in combination.…”