A Retrospective Study of the Use of Antibiotic Lock Therapy and Cluster Nursing Management in Infections in Children with Short Bowel Syndrome or Solid Abdominal Tumours Treated with Totally Implantable Venous Access Ports

Xiao, Xiuli; Yang, Qian-Xue; Niu, Hui-Zhong; Li, Lijing; Xie, Zhen-Jing

doi:10.2147/jmdh.s397737

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“…It can effectively prevent the damage of irritating drugs to the vein and reduce the complications such as drug extravasation and tissue necrosis, and can be used for infusion of various drugs, blood transfusion and blood sample collection, etc. 4 The configuration of TIVADs, with their pump body and catheter, embodies principles of fluid mechanics crucial for optimal drug delivery. By facilitating rapid dilution and dispersion of drugs within the bloodstream, these devices mitigate the risks associated with vein damage and drug extravasation.…”

Section: Introductionmentioning

confidence: 99%

A Study on the Effect of Lidocaine-Assisted Non-Coring Needle Placement Using Painless Encircling Puncture in Children with Totally Implantable Venous Access Device

Xiao,

Yang,

Niu

et al. 2024

JMDH

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Purpose This study aimed to investigate the maintenance effect of two puncture methods using non-coring needles in children with totally implantable venous access device (TIVAD). Methods The 110 children who received TIVAD implantation for short bowel syndrome and solid tumors in our department from 2021.12 to 2022.12 were selected as the study subjects. Blinded method was used and divided into experimental group and control group according to random number table The experimental group underwent painless surround puncture method to place the needles and compound lidocaine ointment for topical anesthesia, while the control group underwent traditional puncture method to complete this operation. The effects of the two puncture methods on pain, catheter seal fluid volume, and catheter occlusion rate were evaluated using the Facial Pain Scale Revised, Behavioral Assessment Scale, and in vitro digital subtraction angiography test. Results In the control group, the degree of puncture pain was mild in 5 patients, moderate in 19 patients, and severe in 28 patients; the amount of catheter sealing solution was 9.32 ± 1.32 mL, and the catheter occlusion rate was 25.00%. In the experimental group, the degree of puncture pain was mild in 16 patients, moderate in 22 patients, and severe in 16 patients; the amount of sealing solution was 7.66 ± 1.08 mL, and the blocking rate was 9.26%. The total pain score in the experimental group was lower than that in the control group (5.23±6.17 VS 7.89±2.38). The difference between the two groups had statistical significance (P < 0.05). Conclusion The use of the painless surround puncture method can effectively reduce the pain experienced by children during puncture, decrease the volume of catheter sealing fluid, reduce the rate of catheter blockage, provide a valuable basis for enhancing the maintenance effect of TIVAD in clinical practice for children.

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Section: Introductionmentioning

confidence: 99%