Should paediatric central lines be aspirated before use?

Coulthard, Malcolm; Skinner, Roderick

doi:10.1136/adc.2006.100073

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…Though local policies may vary, and past evidence has argued that there is benefit to aspirating all CVADs before use to reduce the risk of pulmonary emboli (Coulthard and Skinner, 2007), the GAIN (2014) guidance does not advocate the routine aspiration of standard paediatric CVADs before each use. It is necessary, however, to aspirate and discard a small volume of blood prior to taking a blood sample to ensure the accuracy of the blood sample.…”

Section: Aspirating Cvads In Childrenmentioning

confidence: 99%

A guide to central venous access devices in children

Rosengarten

Camara

2020

Br J Nurs

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Central venous access devices (CVADs) are commonly used in the care of children both in the short term and long term. Health professionals providing care for children who have CVADs in place are required to have a clear understanding of the benefits and risks associated with their use. This article introduces the different types of CVADs commonly used in paediatrics and provides step-by-step guidance on the use and care of these devices.

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Section: Aspirating Cvads In Childrenmentioning

confidence: 99%

A guide to central venous access devices in children

Rosengarten

Camara

2020

Br J Nurs

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“…The anesthesiologist should be aware, however, that ports or catheters can be colonized with micro‐organisms, and flushing these lines can lead to an immediate bacteremia or septicemia with fever and hypotension (94). Furthermore, central venous lines in children should be aspirated prior to use to withdraw any potential clot or heparin lock (95). In children presenting to the operating room without central venous lines, obtaining venous access can be problematic (59).…”

Section: Preoperative Testing and Evaluationmentioning

confidence: 99%

Anesthetic considerations for the pediatric oncology patient - Part 3: pain, cognitive dysfunction, and preoperative evaluation

Latham

Greenberg

2010

Pediatric Anesthesia

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In part three of this three-part review, we continue with discussion of the effects of tumor and its therapy as they impact neurocognitive functioning, psychosocial issues of the patient and family, and the mechanisms and experience of pain in the child with cancer. A discussion of preanesthetic testing and evaluation in this patient population is next presented for the reader, focusing on the factors which pose the commonest and greatest risks to the child undergoing surgery. Lastly, an algorithmic approach to evaluating and managing key components of the medical history of pediatric patients is presented.

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