A dedicated protocol and environment for central venous catheter removal in pediatric patients affected by oncohematological diseases

Alessandro Crocoli, Cristina Martucci, Eleonora Leopardi, Mariangela Padua, Annalisa Serra, Antonella Cacchione, Valentina Coletti, Giuseppe Palumbo, Marta Luisa Ciofi Degli Atti, Lucilla Ravà, Alessandro Inserra

Research output: Contribution to journalArticle

Abstract

Purpose: The removal of long-term central venous catheters (CVCs) is not performed according to evidence-based guidelines, thus conveying the message that it is a procedure of secondary importance. Our study aims at comparing the experience at Bambino Gesù Pediatric Hospital before and after the implementation of a dedicated protocol and the identification of a specific area to perform such a procedure under the so-called nonoperating room anesthesia (NORA). Methods: Starting on January 1, 2010, an appropriate protocol regarding long-term CVC removal was applied. Then, data from all patients who underwent CVC removal under NORA regimen were compared with patients who have undergone the same procedure before the beginning of such protocol in terms of complication rate, duration of procedure, and costs. Results: Between January 2010 and December 2012, 266 patients were evaluated for long-term CVC removal under a NORA regimen. Of these, 194 underwent the procedure. In the period from January 2007 to December 2009, 60 out of 82 patients scheduled for elective removal of long-term CVC in the operating theatre were eligible for this study. Median procedure time was 7 min for removal in NORA and 10 min for the operating theatre (p=0.016); no complications occurred. Conclusion: Long-term CVC removal is an often-neglected procedure, carrying a small, but definite rate of complications. Our study shows that CVC removal performed in NORA regimen is safe and feasible, also allowing multiple procedures in the same session with prompt management of possible complications and reduction of the anxiety and pain associated with the procedure.

Original languageEnglish
Pages (from-to)486-491
Number of pages6
JournalJournal of Vascular Access
Volume15
Issue number6
DOIs
Publication statusPublished - 2014

Fingerprint

Central Venous Catheters
Pediatrics
Anesthesia
Pediatric Hospitals
Anxiety
Guidelines
Costs and Cost Analysis
Pain

Keywords

  • Central venous catheter
  • Procedure room
  • Removal

ASJC Scopus subject areas

  • Surgery
  • Nephrology
  • Medicine(all)

Cite this

A dedicated protocol and environment for central venous catheter removal in pediatric patients affected by oncohematological diseases. / Crocoli, Alessandro; Martucci, Cristina; Leopardi, Eleonora; Padua, Mariangela; Serra, Annalisa; Cacchione, Antonella; Coletti, Valentina; Palumbo, Giuseppe; Atti, Marta Luisa Ciofi Degli; Ravà, Lucilla; Inserra, Alessandro.

In: Journal of Vascular Access, Vol. 15, No. 6, 2014, p. 486-491.

Research output: Contribution to journalArticle

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AU - Serra, Annalisa

AU - Cacchione, Antonella

AU - Coletti, Valentina

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