Use of the arm as long permanence central venous cateter insertion site in children: experience of the pediatric surgery department at Instituto Nacional de Câncer - Rio de Janeiro

Detalhes bibliográficos
Autor(a) principal: Gonçalves, Alberto Ribeiro
Data de Publicação: 2005
Outros Autores: Mariño, Carlos Humberto Vicuña, Carvalho, Ricardo Vianna de, van Wilpe, Renato, Coelho, Simone de Oliveira, Gutierrez, Francisca Norma Albuquerque, Finóquio, Rosângela, Schimer, Marcelo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/1922
Resumo: Objective: To report our experience with insertion and use of LTCVC in the arm. Pacients and Methods: It is a retrospective study. We analyzed 586 LTCVC inserted on children with cancer, from January 1995 to December 1999. Results: From a total of 586 inserted LTCVC; 536 (91,5%) were in the arm, 45 in the thorax and 5 were inserted in other sites. The vein of choice for the arm was the brachial vein, on its proximal third. All LTCVC were inserted at operating rooms, under general anesthesia. The tip of the catheter was localized on superior cava vein under fluoroscopy. Our experience with the site of insertion on the arm had demonstrated that this site is safe, comfortable, esthetically better, and that it allows more mobility to the patients when it is activated. The results regarding infection rates for arm insertionare similar to those found on the literature for LTCVC thorax inserted. Conclusion: We indicate the arm (brachial vein) as the site of choice for inserting LTCVC for children with cancer. Clinical Implication: The insertion of LTCVC in the arm is a safe and efficient option for inserting LTCVC in children with cancer.
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spelling Use of the arm as long permanence central venous cateter insertion site in children: experience of the pediatric surgery department at Instituto Nacional de Câncer - Rio de JaneiroEscolha do braço como sítio de implantação do cateter venoso central de longa permanência em crianças: experiência do Serviço de Cirurgia Pediátrica do Hospital do Câncer Hospital do Câncer I - INCA - Rio de JaneiroCateter venoso centralCateter de longa permanênciaCriançaOncologia PediátricaCentral venous catheterLong permanence catheterChildPediatric OncologyObjective: To report our experience with insertion and use of LTCVC in the arm. Pacients and Methods: It is a retrospective study. We analyzed 586 LTCVC inserted on children with cancer, from January 1995 to December 1999. Results: From a total of 586 inserted LTCVC; 536 (91,5%) were in the arm, 45 in the thorax and 5 were inserted in other sites. The vein of choice for the arm was the brachial vein, on its proximal third. All LTCVC were inserted at operating rooms, under general anesthesia. The tip of the catheter was localized on superior cava vein under fluoroscopy. Our experience with the site of insertion on the arm had demonstrated that this site is safe, comfortable, esthetically better, and that it allows more mobility to the patients when it is activated. The results regarding infection rates for arm insertionare similar to those found on the literature for LTCVC thorax inserted. Conclusion: We indicate the arm (brachial vein) as the site of choice for inserting LTCVC for children with cancer. Clinical Implication: The insertion of LTCVC in the arm is a safe and efficient option for inserting LTCVC in children with cancer.Objetivo: relatar nossa experiência com a colocação e o uso do cateter venoso central de longa permanência (CVCLP), implantado através das veias do braço. Pacientes e Métodos: trata-se de um trabalho retrospectivo em que foram analisados 586 cateteres implantados em crianças com câncer, de janeiro de 1995 a dezembro de 1999, no HC I - INCA. Resultados: dos 586 CVCLP implantados em crianças com câncer, 91,5% foram inseridos através das veias do braço (536), 45 (8%) implantados no tórax e 5 (1%) em outros sítios. As veias de escolha para o implante do cateter no braço foram as braquiais. Os resultados em relação às complicações (infecção, obstrução, exteriorização do anel fixador, ruptura do cateter, migração, entre outras), foram similares àqueles da literatura quando implantados no tórax. Conclusão: recomendamos a colocação do cateter no braço como primeira opção para colocação de cateteres venosos centrais de longa permanência para crianças com câncer, uma vez que mostrouse mais seguro, confortável, esteticamente mais tolerável e permitiu maior mobilidade aos pacientes, quando em uso do cateter do que os implantados no tórax. Implicação clínica: propomos a opção da colocação do CVCLP no braço como a primeira escolha por acharmos ser mais segura, mais confortável e eficiente, do que os implantados no tórax, para as crianças com câncer, que necessitem de um acesso venoso por tempo prolongado.INCA2005-12-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/192210.32635/2176-9745.RBC.2005v51n4.1922Revista Brasileira de Cancerologia; Vol. 51 No. 4 (2005): Oct./Nov./Dec.; 305-311Revista Brasileira de Cancerologia; Vol. 51 Núm. 4 (2005): oct./nov./dic.; 305-311Revista Brasileira de Cancerologia; v. 51 n. 4 (2005): out./nov./dez.; 305-3112176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/1922/1168Gonçalves, Alberto RibeiroMariño, Carlos Humberto Vicuña Carvalho, Ricardo Vianna de van Wilpe, RenatoCoelho, Simone de Oliveira Gutierrez, Francisca Norma Albuquerque Finóquio, Rosângela Schimer, Marcelo info:eu-repo/semantics/openAccess2021-11-29T20:29:26Zoai:rbc.inca.gov.br:article/1922Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:29:26Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Use of the arm as long permanence central venous cateter insertion site in children: experience of the pediatric surgery department at Instituto Nacional de Câncer - Rio de Janeiro
Escolha do braço como sítio de implantação do cateter venoso central de longa permanência em crianças: experiência do Serviço de Cirurgia Pediátrica do Hospital do Câncer Hospital do Câncer I - INCA - Rio de Janeiro
title Use of the arm as long permanence central venous cateter insertion site in children: experience of the pediatric surgery department at Instituto Nacional de Câncer - Rio de Janeiro
spellingShingle Use of the arm as long permanence central venous cateter insertion site in children: experience of the pediatric surgery department at Instituto Nacional de Câncer - Rio de Janeiro
Gonçalves, Alberto Ribeiro
Cateter venoso central
Cateter de longa permanência
Criança
Oncologia Pediátrica
Central venous catheter
Long permanence catheter
Child
Pediatric Oncology
title_short Use of the arm as long permanence central venous cateter insertion site in children: experience of the pediatric surgery department at Instituto Nacional de Câncer - Rio de Janeiro
title_full Use of the arm as long permanence central venous cateter insertion site in children: experience of the pediatric surgery department at Instituto Nacional de Câncer - Rio de Janeiro
title_fullStr Use of the arm as long permanence central venous cateter insertion site in children: experience of the pediatric surgery department at Instituto Nacional de Câncer - Rio de Janeiro
title_full_unstemmed Use of the arm as long permanence central venous cateter insertion site in children: experience of the pediatric surgery department at Instituto Nacional de Câncer - Rio de Janeiro
title_sort Use of the arm as long permanence central venous cateter insertion site in children: experience of the pediatric surgery department at Instituto Nacional de Câncer - Rio de Janeiro
author Gonçalves, Alberto Ribeiro
author_facet Gonçalves, Alberto Ribeiro
Mariño, Carlos Humberto Vicuña
Carvalho, Ricardo Vianna de
van Wilpe, Renato
Coelho, Simone de Oliveira
Gutierrez, Francisca Norma Albuquerque
Finóquio, Rosângela
Schimer, Marcelo
author_role author
author2 Mariño, Carlos Humberto Vicuña
Carvalho, Ricardo Vianna de
van Wilpe, Renato
Coelho, Simone de Oliveira
Gutierrez, Francisca Norma Albuquerque
Finóquio, Rosângela
Schimer, Marcelo
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Gonçalves, Alberto Ribeiro
Mariño, Carlos Humberto Vicuña
Carvalho, Ricardo Vianna de
van Wilpe, Renato
Coelho, Simone de Oliveira
Gutierrez, Francisca Norma Albuquerque
Finóquio, Rosângela
Schimer, Marcelo
dc.subject.por.fl_str_mv Cateter venoso central
Cateter de longa permanência
Criança
Oncologia Pediátrica
Central venous catheter
Long permanence catheter
Child
Pediatric Oncology
topic Cateter venoso central
Cateter de longa permanência
Criança
Oncologia Pediátrica
Central venous catheter
Long permanence catheter
Child
Pediatric Oncology
description Objective: To report our experience with insertion and use of LTCVC in the arm. Pacients and Methods: It is a retrospective study. We analyzed 586 LTCVC inserted on children with cancer, from January 1995 to December 1999. Results: From a total of 586 inserted LTCVC; 536 (91,5%) were in the arm, 45 in the thorax and 5 were inserted in other sites. The vein of choice for the arm was the brachial vein, on its proximal third. All LTCVC were inserted at operating rooms, under general anesthesia. The tip of the catheter was localized on superior cava vein under fluoroscopy. Our experience with the site of insertion on the arm had demonstrated that this site is safe, comfortable, esthetically better, and that it allows more mobility to the patients when it is activated. The results regarding infection rates for arm insertionare similar to those found on the literature for LTCVC thorax inserted. Conclusion: We indicate the arm (brachial vein) as the site of choice for inserting LTCVC for children with cancer. Clinical Implication: The insertion of LTCVC in the arm is a safe and efficient option for inserting LTCVC in children with cancer.
publishDate 2005
dc.date.none.fl_str_mv 2005-12-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1922
10.32635/2176-9745.RBC.2005v51n4.1922
url https://rbc.inca.gov.br/index.php/revista/article/view/1922
identifier_str_mv 10.32635/2176-9745.RBC.2005v51n4.1922
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1922/1168
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 51 No. 4 (2005): Oct./Nov./Dec.; 305-311
Revista Brasileira de Cancerologia; Vol. 51 Núm. 4 (2005): oct./nov./dic.; 305-311
Revista Brasileira de Cancerologia; v. 51 n. 4 (2005): out./nov./dez.; 305-311
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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