Utilization of lateral exit sites for femorally inserted central catheters in pediatric patients: A case report and review of the literature.

Q3 Medicine JAVA - Journal of the Association for Vascular Access Pub Date : 2024-01-01 Epub Date: 2022-05-27 DOI:10.1177/11297298221099138
Mark D Weber, Adam S Himebauch, Thomas Conlon
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Abstract

Tunneled femorally inserted central catheters (FICCs) are frequently required for central access in children when upper extremity vessels cannot or should not be cannulated. A recently published decision tool for tunneled FICCs identifies the medial thigh as the preferred exit site. In pediatric patients, this medial exit site may remain at risk of contamination from stool due to anatomic size, and there are no tools developed for FICC exit site decisions specific to children. We present our approach for the placement of the exit site in the far lateral region of the thigh and review previous FICC literature relevant to the pediatric population. In select patients, a lateral approach has the potential to decrease the risk of exit site contamination to prolong catheter viability and reduce patient harm.

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儿科患者股骨置入中心导管外侧出口部位的使用:病例报告和文献综述。
当儿童上肢血管无法或不宜插管时,经常需要使用隧道式股骨置入中心导管(FICC)进行中心通路。最近发布的隧道式股动脉置入中心导管决策工具将大腿内侧作为首选出口部位。在儿童患者中,由于解剖尺寸的原因,这个内侧出口部位仍有被粪便污染的风险,而且目前还没有专门针对儿童的 FICC 出口部位决策工具。我们介绍了将出口部位置于大腿远外侧区域的方法,并回顾了以前与儿童相关的 FICC 文献。在特定患者中,外侧方法有可能降低出口部位污染的风险,从而延长导管存活时间并减少对患者的伤害。
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来源期刊
JAVA - Journal of the Association for Vascular Access
JAVA - Journal of the Association for Vascular Access Medicine-Medicine (miscellaneous)
CiteScore
1.10
自引率
0.00%
发文量
22
期刊介绍: The Association for Vascular Access (AVA) is an association of healthcare professionals founded in 1985 to promote the emerging vascular access specialty. Today, its multidisciplinary membership advances research, professional and public education to shape practice and enhance patient outcomes, and partners with the device manufacturing community to bring about evidence-based innovations in vascular access.
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