The 2050 Blood Recovery System is indicated for use as a water-seal chest drainage system to collect blood from the mediastinal or pleural cavity; when collected, this blood may be reinfused during surgery or immediately thereafter for palliation. In this case, autotransfusion was used to ease the patient's breathing. The reinfusion of high volumes of pleural fluid must be further evaluated in symptom management.
Strides made in the past several decades have greatly enhanced patients' quality of life particularly that of cancer patients, who often have to receive continuous infusion therapy. Research efforts that resulted in the development and use of the long-line central indwelling silicone elastomeric catheter, new methods for problem management, and the design and use of portable infusion pumps for administration of investigational and other chemotherapeutic agents have made it possible to deliver safe care to these patients on an ambulatory basis. These new programs made it imperative that patients who received such care would have audio, not just verbal and written information to assist them in carrying out procedures for these programs. Patient education programs, and particularly the ones at M. D. Anderson Cancer Center have produced many teaching and information aids. These programs are a credit to the pioneering spirit and trust of patients who came to M. D. Anderson in those early days. I can remember well when all of us were trying and working together on these programs. This spirit continues today.
Enterocutaneous fistulas are dreaded complications that result in a delayed recovery and longer hospitalization. The nursing and medical management can indeed be a challenge. Nursing has the responsibility to plan and implement care that will protect skin integrity, control odor, contain drainage, and provide emotional support.
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