- 作者：S. Bui ; F. Babre ; S. Hauchecorne ; N. Christoflour ; F. Ceccato ; V. Boisserie-Lacroix ; H. Clouzeau ; M. Fayon
- 关键词：Catheterization ; Central venous ; Cystic fibrosis ; Anti-bacterial agents ; Child ; Quality of life
- 刊名：Journal of Cystic Fibrosis
- 出版年：2009
- 出版时间：September 2009
- 年：2009
- 卷：8
- 期：5
- 页码：326-331
- 全文大小：128 K
lass=""h4"">le value=""smcaps"">BackgroundWe aimed to evaluate the use of central catheters introduced by a peripheral vein (PICC) in children with CF.lass=""h4"">Methods
A descriptive study in patients in whom a PICC (Beckton Dickinson) was inserted.
lass=""h4"">Results
24 children aged (median (range) 10.2 years (0.3–17.3) undergoing 44 procedures were included. PICC was successfully inserted in 93.2 % (41/44) of cases. Total procedure duration was (median (range)) 32.5 (10–105) minutes. The operators encountered few difficulties, median (range) 2 (1–10) (1 (absence) to 10 (maximal)); median (range) 1 (1 to 5) attempt per child). No major side effects or infections were observed. PICC obstruction in 5 (12 % ) cases was successfully unblocked in 4 cases (urokinase). The catheter was functional throughout the antibiotic course in 40/41 cases. A final Doppler scan (30 cases) showed total permeability of the central veins in all cases. Satisfaction index of the operators and the patients were high: median (range) 9.5 (1–10) and 8.0 (6–10) (scale: 1 (worse) to 10 (best)), respectively.
lass=""h4"">Conclusion
PICCs are simple to use, and may be safely inserted in the ward. Such catheters are well tolerated, may increase the well-being of children with CF and prove an effective means by which to deliver IV therapy in this population.
lass=""h4"">Methods
A descriptive study in patients in whom a PICC (Beckton Dickinson) was inserted.
lass=""h4"">Results
24 children aged (median (range) 10.2 years (0.3–17.3) undergoing 44 procedures were included. PICC was successfully inserted in 93.2 % (41/44) of cases. Total procedure duration was (median (range)) 32.5 (10–105) minutes. The operators encountered few difficulties, median (range) 2 (1–10) (1 (absence) to 10 (maximal)); median (range) 1 (1 to 5) attempt per child). No major side effects or infections were observed. PICC obstruction in 5 (12 % ) cases was successfully unblocked in 4 cases (urokinase). The catheter was functional throughout the antibiotic course in 40/41 cases. A final Doppler scan (30 cases) showed total permeability of the central veins in all cases. Satisfaction index of the operators and the patients were high: median (range) 9.5 (1–10) and 8.0 (6–10) (scale: 1 (worse) to 10 (best)), respectively.
lass=""h4"">Conclusion
PICCs are simple to use, and may be safely inserted in the ward. Such catheters are well tolerated, may increase the well-being of children with CF and prove an effective means by which to deliver IV therapy in this population.