Abstract

LOPEZ RANGEL, Rocío  and  CARDENAS FANDINO, Marcela. CENTRAL CATHETER OF PERIPHERAL ACCESS IN PEDIATRIC PATIENT WITH CANCER: A CASE STUDY. Rev Cuid [online]. 2015, vol.6, n.1, pp.982-990. ISSN 2216-0973.  https://doi.org/10.15649/cuidarte.v6i1.131.

Introduction : To explore the use of central catheter of peripheral access for mixed use (inpatient - outpatient) and its effect on adherence and well-being in pediatric patients with cancer treated with chemotherapy in the INC when they are candidates for insertion of implantable catheter. Materials and Methods : Qualitative study of case study type. Hospital insertion of central catheter of peripheral access was performed by nurse and hospital management was given. For the discharge of the patient, training was provided to him or her and the family caregiver in the management of catheter and monitoring for signs of alarm. Also nosocomial cures were made every 72 hours. Semi-structured interviews were also made to the patient and family caregiver, which were analyzed qualitatively giving rise to categories. Also, further information from medical records and home monitoring diary kept by the family caregiver was obtained. Results: The following categories emerged: less pain and anxiety, greater commitment, active participation, sharing responsibilities. It was observed that the combined use of the catheter reached 100 days without the appearance of signs of local infection nor systemic. No treatment discontinuation was reported. Discussion: Catheter duration 100 days, remaining intact and permeable is comparable with the literature, which has reported stable between 72 and 113 days. Conclusions: The mixed use of central catheter of peripheral accesss showed its usefulness in intravenous management in pediatric patients with cancer, promoting adherence to treatment and welfare.

Keywords : Catheters; Neoplasms; Pediatrics; Caregivers; Oncology Nursing.

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