Eighteen pediatric oncology inpatients had 21 Hickman right atrial catheters placed for total venous access; 16 patients received parenteral nutrition. Mean duration of catheterization was 43 ± 29 (SD) days. Four catheters had to be removed for infection or clotting. The catheter-related sepsis rate was 10%. Serious catheter-related complications were no more frequent in this population than in patients receiving only parenteral nutrition via Broviac or pediatric Broviac catheters.
Get full access to this article
View all access options for this article.
References
1.
Hickman RO, Buckner CD, Clift RA, et al: A modified right atrial catheter for access to the venous system in marrow transplant recipients. Surg Gynecol Obstet148:871-875, 1979
2.
Thomas M.: The use of the Hickman catheter in the management of patients with leukemia and other malignancies. Br J Surg66: 673-674, 1979
3.
Byrne WJ, Ament ME, Burke M., et al: Home parenteral nutrition. Surg Gynecol Obstet149:593-599, 1979
4.
Copeland EM, Daly JM, Dudrick SJ: Nutrition as an adjunct to cancer treatment in the adult. Cancer Res37:2451-2456, 1977
5.
Issell BF, Valdivieso M., Zaren HA, et al: Protection against chemotherapy toxicity by IV hyperalimentation . Cancer Treat Rep62: 1139-1143, 1978
6.
Copeland EW, MacFadyen BV, McGown C., et al: The use of hyperalimentation in patients with potential sepsis . Surg Gynecol Obstet138:377-380, 1974
