BACKGROUND Implanted intravenous infusion port(IVAP)is indicated for patients undergoing chemotherapy,total parenteral nutrition and long-term antibiotic treatment.Among their complications,the rupture and migration o...BACKGROUND Implanted intravenous infusion port(IVAP)is indicated for patients undergoing chemotherapy,total parenteral nutrition and long-term antibiotic treatment.Among their complications,the rupture and migration of the catheter of an IVAP via internal jugular vein represents a very rare but potentially severe condition.CASE SUMMARY A 43-year-old woman was identified with a spontaneous fracture and migration of catheter of an IVAP via right internal jugular vein after adjuvant chemotherapy for left breast cancer.A computed tomography showed the fractured catheter of the IVAP in the pulmonary artery.Therefore,we conducted an emergency procedure to remove the catheter fragment by a pigtail catheter combined with a gooseneck trap.CONCLUSION When the fractured catheter of an IVAP was detected,the special shape of the pigtail catheter in combination with the gooseneck trap successfully facilitated the removal of the dislodged catheter.展开更多
BACKGROUND Drug extravasation is a complication of totally implantable access port(TIAP)use and could cause tissue injury and sustained organ dysfunction.Therefore,the clinical management of children with TIAP is chal...BACKGROUND Drug extravasation is a complication of totally implantable access port(TIAP)use and could cause tissue injury and sustained organ dysfunction.Therefore,the clinical management of children with TIAP is challenging.CASE SUMMARY This was a case of extravasation of a chemotherapeutic drug(paclitaxel)from an implantable infusion port in a 23-mo old child.After fully evaluating the skin at the site of extravasation,the nurse continued to use the infusion port to complete the follow-up chemotherapeutic course.The skin around the infusion port was red,and showed no ulceration,swelling,or induration at discharge.CONCLUSION Since children are more active and often noncompliant,it is necessary to appropriately train pediatric nurses caring for individuals with TIAPs,and any abnormal situation should be timely addressed.展开更多
BACKGROUND Implanted intravenous infusion port(TIAP)is mainly used for patients who need central venous infusion and poor peripheral vascular conditions.With the advantages of easy to carry,long maintenance cycle,few ...BACKGROUND Implanted intravenous infusion port(TIAP)is mainly used for patients who need central venous infusion and poor peripheral vascular conditions.With the advantages of easy to carry,long maintenance cycle,few complications and excellent quality of life,it has been widely used in the fields of malignant tumor chemotherapy,parenteral nutrition support and repeated blood collection.Implanted intravenous infusion port(IVAP)dislocation can have significant complications if not recognised and reinstated immediately.CASE SUMMARY A 24-year-old man was treated with adjuvant chemotherapy for osteosarcoma.Severe displacement of IVAP catheter was found by chest X-ray examination.The IVAP cannot be used normally.Therefore,we conducted an emergency procedure to reset the catheter through double pigtail catheters,the operation was successful and the infusion port was restored.CONCLUSION When IVAP catheter displacement cannot be reset by conventional techniques,two pigtail catheters can be successfully used instead.展开更多
Intravenous infusion for breast cancer patients with large dose, strong drug irritation, it is easy to cause damage to the patient's vein. Infusion port catheterization helps to relieve venous pressure, facilitate...Intravenous infusion for breast cancer patients with large dose, strong drug irritation, it is easy to cause damage to the patient's vein. Infusion port catheterization helps to relieve venous pressure, facilitates infusion and medication, and effectively protects the patient's skin and vein. However, phlebothrombosis, Infusion port rejection, skin rupture, infection, catheter rupture, fibrin sheath formation and other related complications may also be caused after infusion port catheterization. The application of infusion port catheterization for patients can be strengthened through health education for patients, patients can be protected more scientifically and reasonably in infusion port and prevent the occurrence of related complications. At the same time, in the process of placement and the application of the infusion port in the later period, the corresponding operation procedures should be strictly followed and the operation should be standardized. In the course of nursing, once the occurrence of related complications is found, it should be reported to the physician in time, and effective measures should be taken for treatment to avoid the further development of related complications.展开更多
Objective: to explore the application effect of continuous nursing system in the nursing of discharged patients in intravenous infusion port. Methods: from February 2019 to January 2021, 82 patients with implantable i...Objective: to explore the application effect of continuous nursing system in the nursing of discharged patients in intravenous infusion port. Methods: from February 2019 to January 2021, 82 patients with implantable intravenous infusion port were treated in our hospital. According to the parity of admission number, 41 odd cases entered the control group for routine discharge follow-up nursing;An even number of 41 patients entered the experimental group and adopted the continuous nursing system. The maintenance compliance, self-care ability and quality of life of infusion port were compared. Results: the excellent and good rate of maintenance compliance of infusion port in the experimental group was higher than that in the control group (97.56% vs 82.93%);After the intervention, the scores of ESCA and QOL in the experimental group were significantly higher than those in the control group. The test results showed that there was significant difference (P < 0.05). Conclusion: the continuous nursing system for discharged patients in intravenous infusion port can not only improve the maintenance compliance of infusion port, but also improve their self-care ability and quality of life, so it is worth popularizing.展开更多
文摘BACKGROUND Implanted intravenous infusion port(IVAP)is indicated for patients undergoing chemotherapy,total parenteral nutrition and long-term antibiotic treatment.Among their complications,the rupture and migration of the catheter of an IVAP via internal jugular vein represents a very rare but potentially severe condition.CASE SUMMARY A 43-year-old woman was identified with a spontaneous fracture and migration of catheter of an IVAP via right internal jugular vein after adjuvant chemotherapy for left breast cancer.A computed tomography showed the fractured catheter of the IVAP in the pulmonary artery.Therefore,we conducted an emergency procedure to remove the catheter fragment by a pigtail catheter combined with a gooseneck trap.CONCLUSION When the fractured catheter of an IVAP was detected,the special shape of the pigtail catheter in combination with the gooseneck trap successfully facilitated the removal of the dislodged catheter.
基金Supported by Department of Education of Zhejiang Province,China,No.Y201941241.
文摘BACKGROUND Drug extravasation is a complication of totally implantable access port(TIAP)use and could cause tissue injury and sustained organ dysfunction.Therefore,the clinical management of children with TIAP is challenging.CASE SUMMARY This was a case of extravasation of a chemotherapeutic drug(paclitaxel)from an implantable infusion port in a 23-mo old child.After fully evaluating the skin at the site of extravasation,the nurse continued to use the infusion port to complete the follow-up chemotherapeutic course.The skin around the infusion port was red,and showed no ulceration,swelling,or induration at discharge.CONCLUSION Since children are more active and often noncompliant,it is necessary to appropriately train pediatric nurses caring for individuals with TIAPs,and any abnormal situation should be timely addressed.
基金Supported by Shenzhen Key Medical Discipline Construction Fund,No.SZXK052。
文摘BACKGROUND Implanted intravenous infusion port(TIAP)is mainly used for patients who need central venous infusion and poor peripheral vascular conditions.With the advantages of easy to carry,long maintenance cycle,few complications and excellent quality of life,it has been widely used in the fields of malignant tumor chemotherapy,parenteral nutrition support and repeated blood collection.Implanted intravenous infusion port(IVAP)dislocation can have significant complications if not recognised and reinstated immediately.CASE SUMMARY A 24-year-old man was treated with adjuvant chemotherapy for osteosarcoma.Severe displacement of IVAP catheter was found by chest X-ray examination.The IVAP cannot be used normally.Therefore,we conducted an emergency procedure to reset the catheter through double pigtail catheters,the operation was successful and the infusion port was restored.CONCLUSION When IVAP catheter displacement cannot be reset by conventional techniques,two pigtail catheters can be successfully used instead.
文摘Intravenous infusion for breast cancer patients with large dose, strong drug irritation, it is easy to cause damage to the patient's vein. Infusion port catheterization helps to relieve venous pressure, facilitates infusion and medication, and effectively protects the patient's skin and vein. However, phlebothrombosis, Infusion port rejection, skin rupture, infection, catheter rupture, fibrin sheath formation and other related complications may also be caused after infusion port catheterization. The application of infusion port catheterization for patients can be strengthened through health education for patients, patients can be protected more scientifically and reasonably in infusion port and prevent the occurrence of related complications. At the same time, in the process of placement and the application of the infusion port in the later period, the corresponding operation procedures should be strictly followed and the operation should be standardized. In the course of nursing, once the occurrence of related complications is found, it should be reported to the physician in time, and effective measures should be taken for treatment to avoid the further development of related complications.
文摘Objective: to explore the application effect of continuous nursing system in the nursing of discharged patients in intravenous infusion port. Methods: from February 2019 to January 2021, 82 patients with implantable intravenous infusion port were treated in our hospital. According to the parity of admission number, 41 odd cases entered the control group for routine discharge follow-up nursing;An even number of 41 patients entered the experimental group and adopted the continuous nursing system. The maintenance compliance, self-care ability and quality of life of infusion port were compared. Results: the excellent and good rate of maintenance compliance of infusion port in the experimental group was higher than that in the control group (97.56% vs 82.93%);After the intervention, the scores of ESCA and QOL in the experimental group were significantly higher than those in the control group. The test results showed that there was significant difference (P < 0.05). Conclusion: the continuous nursing system for discharged patients in intravenous infusion port can not only improve the maintenance compliance of infusion port, but also improve their self-care ability and quality of life, so it is worth popularizing.
