Infusion Pump Flow Rates In Central Venous Catheters: Thrombus Reflux And Aspiration Clot
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://onco.news/index.php/journal/article/view/16 |
Resumo: | Aggressive infusion pump flow rates can lead to central venous catheter (CVC) occlusion resulting from thrombus reflux into the CVC lumen. Methods: A single-center prospective comparative study was performed, including all consecutive cases of occlusion events in hematology oncology patients using a CVC (Hickman® nº7) since August 2018 to September 2019 (Phase 1), and October 2019 to September 2020 (Phase 2) at the Onco-Hematology Department of the Portuguese Institute of Oncology (Porto). Two phases were described: Phase 1: Observational period using a platinum-based regime (DHAP) undergoing continuous infusion pump rate ≥ 200 mL/hr. Phase 2: Intervention period using a platinum-based regime (DHAP) undergoing continuous infusion pump rate ≤ 200 mL/hr. Results: Overall, 39 DHAP regimens were reported with a total number of 43 occlusions identified in the study period (phase 1, n=28 vs phase 2, n=15). Occlusion risk associated with the infusion pump rates between phases was higher in phase 1 (phase 1, n=11 vs phase 2, n=3, RR 3.313 [1.010 to 13.863], ≤0.05). When aspiration clot (n=5) was identified, CVC always was removed. No aspiration clot was observed in phase 2. Conclusion: Aggressive infusion pump flow rates can increase occlusion risk resulting from thrombus reflux into the CVC lumen and aspiration clot. |
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Infusion Pump Flow Rates In Central Venous Catheters: Thrombus Reflux And Aspiration ClotPerfusão através de infusor em cateteres venosos centrais: refluxo e aspiração de trombosTaxas de perfusãoFlush agressivoTrombos de aspiraçãoOclusãoInfusion pumpAggressive flushingAspiration clotOcclusionAggressive infusion pump flow rates can lead to central venous catheter (CVC) occlusion resulting from thrombus reflux into the CVC lumen. Methods: A single-center prospective comparative study was performed, including all consecutive cases of occlusion events in hematology oncology patients using a CVC (Hickman® nº7) since August 2018 to September 2019 (Phase 1), and October 2019 to September 2020 (Phase 2) at the Onco-Hematology Department of the Portuguese Institute of Oncology (Porto). Two phases were described: Phase 1: Observational period using a platinum-based regime (DHAP) undergoing continuous infusion pump rate ≥ 200 mL/hr. Phase 2: Intervention period using a platinum-based regime (DHAP) undergoing continuous infusion pump rate ≤ 200 mL/hr. Results: Overall, 39 DHAP regimens were reported with a total number of 43 occlusions identified in the study period (phase 1, n=28 vs phase 2, n=15). Occlusion risk associated with the infusion pump rates between phases was higher in phase 1 (phase 1, n=11 vs phase 2, n=3, RR 3.313 [1.010 to 13.863], ≤0.05). When aspiration clot (n=5) was identified, CVC always was removed. No aspiration clot was observed in phase 2. Conclusion: Aggressive infusion pump flow rates can increase occlusion risk resulting from thrombus reflux into the CVC lumen and aspiration clot.As taxas de perfusão contínuas elevadas podem levar a oclusão do cateter venoso central (CVC) através do refluxo e aspiração de trombos. Metodologia: Foi efetuado um estudo comparativo prospetivo, unicêntrico, incluindo todos os casos consecutivos de eventos obstrutivos em doentes hemato-oncológicos que usavam CVC (Hickman® nº7) desde agosto de 2018 a setembro de 2019 (Fase 1) e de outubro de 2019 a setembro de 2020 (Fase 2) no departamento de Onco-Hematologia do Instituto Português de Oncologia do Porto. Descrição das duas fases: Fase 1: Período observacional usando um esquema de QT à base de cisplatino (DHAP), com taxas de perfusão contínua ≥ 200 mL/hr. Fase 2: Período de intervenção usando o esquema de QT à base de cisplatino (DHAP), com taxas de perfusão contínua ≤ 200 mL/hr. Resultados: Ao longo do estudo foram realizados 39 esquemas de QT (DHAP), tendo-se identificado 43 oclusões de CVC (fase 1, n=28 vs fase 2, n=15). O risco de oclusão associado a altos débitos foi maior na primeira fase (fase 1, n=11 vs fase 2, n=3, RR 3.313 [1.010 to 13.863], ≤0.05). Quando foi identificada a aspiração de um trombo (n=5), o CVC foi sempre removido. Nenhum trombo por aspiração foi observado na fase 2. Conclusão: As taxas de perfusão contínuas elevadas podem aumentar o risco de oclusão do cateter venoso central (CVC) através do refluxo e aspiração de trombos.AEOP – Associação de Enfermagem Oncológica Portuguesa2021-06-07info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://onco.news/index.php/journal/article/view/16Onco.news; No. 42 (2021): Onco.News Journal (january-june); 16-20Onco.News; N.º 42 (2021): Revista Onco.News (janeiro-junho); 16-202183-69141646-7868reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://onco.news/index.php/journal/article/view/16https://onco.news/index.php/journal/article/view/16/22Direitos de Autor (c) 2021 Jose Manuel Martinez, Rita Capelainfo:eu-repo/semantics/openAccessMartinez, Jose ManuelCapela, Rita2024-03-16T07:55:09Zoai:oai.onco.news:article/16Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:01:18.681341Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Infusion Pump Flow Rates In Central Venous Catheters: Thrombus Reflux And Aspiration Clot Perfusão através de infusor em cateteres venosos centrais: refluxo e aspiração de trombos |
title |
Infusion Pump Flow Rates In Central Venous Catheters: Thrombus Reflux And Aspiration Clot |
spellingShingle |
Infusion Pump Flow Rates In Central Venous Catheters: Thrombus Reflux And Aspiration Clot Martinez, Jose Manuel Taxas de perfusão Flush agressivo Trombos de aspiração Oclusão Infusion pump Aggressive flushing Aspiration clot Occlusion |
title_short |
Infusion Pump Flow Rates In Central Venous Catheters: Thrombus Reflux And Aspiration Clot |
title_full |
Infusion Pump Flow Rates In Central Venous Catheters: Thrombus Reflux And Aspiration Clot |
title_fullStr |
Infusion Pump Flow Rates In Central Venous Catheters: Thrombus Reflux And Aspiration Clot |
title_full_unstemmed |
Infusion Pump Flow Rates In Central Venous Catheters: Thrombus Reflux And Aspiration Clot |
title_sort |
Infusion Pump Flow Rates In Central Venous Catheters: Thrombus Reflux And Aspiration Clot |
author |
Martinez, Jose Manuel |
author_facet |
Martinez, Jose Manuel Capela, Rita |
author_role |
author |
author2 |
Capela, Rita |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Martinez, Jose Manuel Capela, Rita |
dc.subject.por.fl_str_mv |
Taxas de perfusão Flush agressivo Trombos de aspiração Oclusão Infusion pump Aggressive flushing Aspiration clot Occlusion |
topic |
Taxas de perfusão Flush agressivo Trombos de aspiração Oclusão Infusion pump Aggressive flushing Aspiration clot Occlusion |
description |
Aggressive infusion pump flow rates can lead to central venous catheter (CVC) occlusion resulting from thrombus reflux into the CVC lumen. Methods: A single-center prospective comparative study was performed, including all consecutive cases of occlusion events in hematology oncology patients using a CVC (Hickman® nº7) since August 2018 to September 2019 (Phase 1), and October 2019 to September 2020 (Phase 2) at the Onco-Hematology Department of the Portuguese Institute of Oncology (Porto). Two phases were described: Phase 1: Observational period using a platinum-based regime (DHAP) undergoing continuous infusion pump rate ≥ 200 mL/hr. Phase 2: Intervention period using a platinum-based regime (DHAP) undergoing continuous infusion pump rate ≤ 200 mL/hr. Results: Overall, 39 DHAP regimens were reported with a total number of 43 occlusions identified in the study period (phase 1, n=28 vs phase 2, n=15). Occlusion risk associated with the infusion pump rates between phases was higher in phase 1 (phase 1, n=11 vs phase 2, n=3, RR 3.313 [1.010 to 13.863], ≤0.05). When aspiration clot (n=5) was identified, CVC always was removed. No aspiration clot was observed in phase 2. Conclusion: Aggressive infusion pump flow rates can increase occlusion risk resulting from thrombus reflux into the CVC lumen and aspiration clot. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-07 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://onco.news/index.php/journal/article/view/16 |
url |
https://onco.news/index.php/journal/article/view/16 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://onco.news/index.php/journal/article/view/16 https://onco.news/index.php/journal/article/view/16/22 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2021 Jose Manuel Martinez, Rita Capela info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2021 Jose Manuel Martinez, Rita Capela |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
AEOP – Associação de Enfermagem Oncológica Portuguesa |
publisher.none.fl_str_mv |
AEOP – Associação de Enfermagem Oncológica Portuguesa |
dc.source.none.fl_str_mv |
Onco.news; No. 42 (2021): Onco.News Journal (january-june); 16-20 Onco.News; N.º 42 (2021): Revista Onco.News (janeiro-junho); 16-20 2183-6914 1646-7868 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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