Skip to main content

2024 | OriginalPaper | Buchkapitel

12. Implantierbare Katheter-Systeme und Pumpen

verfasst von : Anita Margulies, Madeleine Ritter-Herschbach

Erschienen in: Onkologische Krankenpflege

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Seit ihrer Einführung in den1980er-Jahren werden vollständig implantierbare zentralvenöse Zugänge bei Krebspatienten sehr häufig verwendet. Diese Systeme können bei langfristiger Chemotherapie und anderen Verfahren die Verabreichung erleichtern und den Patienten einige Unannehmlichkeiten ersparen. Obwohl erhebliche Unterschiede im Umgang mit diesen Ports bestehen, gibt es allgemein anerkannte Empfehlungen, die in der klinischen Praxis berücksichtigt werden sollten.
Literatur
Zurück zum Zitat Bertoglio S et al (2012) Efficacy of normal saline versus heparinized saline solution for locking catheters of totally implantable long-term central vascular access devices in adult cancer patients. Cancer Nurs 35(4):35–42CrossRef Bertoglio S et al (2012) Efficacy of normal saline versus heparinized saline solution for locking catheters of totally implantable long-term central vascular access devices in adult cancer patients. Cancer Nurs 35(4):35–42CrossRef
Zurück zum Zitat Camp-Sorrell D (Hrsg) (2011) Access device guidelines: Recommendations for nursing practice and education, 3. Aufl. Oncology Nursing Society, Pittsburgh, Camp-Sorrell D (Hrsg) (2011) Access device guidelines: Recommendations for nursing practice and education, 3. Aufl. Oncology Nursing Society, Pittsburgh,
Zurück zum Zitat Chaukiyal P et al (2008) Thromboprophylaxis in cancer patients with central venous catheters. Thromb Haemost 99(1):38–43CrossRefPubMed Chaukiyal P et al (2008) Thromboprophylaxis in cancer patients with central venous catheters. Thromb Haemost 99(1):38–43CrossRefPubMed
Zurück zum Zitat Duwadi S, Zhao Q, Budal BS (2018) Peripherally inserted central catheters in critically ill patients – complications and its prevention: a review. Int J Nurs Sci 6(1):99–105PubMedPubMedCentral Duwadi S, Zhao Q, Budal BS (2018) Peripherally inserted central catheters in critically ill patients – complications and its prevention: a review. Int J Nurs Sci 6(1):99–105PubMedPubMedCentral
Zurück zum Zitat Egnatios D et al (2021) Implanted port patency comparing heparin and normal saline. Clin J Oncol Nurs 25(2):169–173CrossRefPubMed Egnatios D et al (2021) Implanted port patency comparing heparin and normal saline. Clin J Oncol Nurs 25(2):169–173CrossRefPubMed
Zurück zum Zitat Fernández-de-Maya J et al (2013) Variability in management of implantable ports in oncology outpatients. Eur J Oncol Nurs 17(6):835–840CrossRefPubMed Fernández-de-Maya J et al (2013) Variability in management of implantable ports in oncology outpatients. Eur J Oncol Nurs 17(6):835–840CrossRefPubMed
Zurück zum Zitat Goossens GA et al (2013) Comparing normal saline versus diluted heparin to lock non-valved totally implantable venous access devices in cancer patients: a randomised, non-inferiority, open trial. Ann Oncol 24(7):1892–1899CrossRefPubMed Goossens GA et al (2013) Comparing normal saline versus diluted heparin to lock non-valved totally implantable venous access devices in cancer patients: a randomised, non-inferiority, open trial. Ann Oncol 24(7):1892–1899CrossRefPubMed
Zurück zum Zitat Ignatov A et al (2010) Interval between port catheter flushing can be extended to four months. Gynecol Obstet Invest 70(2):91–94CrossRefPubMed Ignatov A et al (2010) Interval between port catheter flushing can be extended to four months. Gynecol Obstet Invest 70(2):91–94CrossRefPubMed
Zurück zum Zitat Jordan K et al (2008) Venous access ports: frequency and management of complications in oncology patients. Onkologie 31(7):404–410CrossRefPubMed Jordan K et al (2008) Venous access ports: frequency and management of complications in oncology patients. Onkologie 31(7):404–410CrossRefPubMed
Zurück zum Zitat Mielke D, Wittig A, Teichgräber U (2020) Peripherally inserted central venous catheter (PICC) in outpatient and inpatient oncological treatment. Support Care Cancer 28(10):4753–4760CrossRefPubMedPubMedCentral Mielke D, Wittig A, Teichgräber U (2020) Peripherally inserted central venous catheter (PICC) in outpatient and inpatient oncological treatment. Support Care Cancer 28(10):4753–4760CrossRefPubMedPubMedCentral
Zurück zum Zitat Italiano D (2018) Hepatic arterial infusion pump: complications and nursing management regarding use in patients with colorectal cancer. Clin J Oncol Nurs 22(3):340–346CrossRefPubMedPubMedCentral Italiano D (2018) Hepatic arterial infusion pump: complications and nursing management regarding use in patients with colorectal cancer. Clin J Oncol Nurs 22(3):340–346CrossRefPubMedPubMedCentral
Zurück zum Zitat Lebeaux D et al (2014) Management of infections related to totally implantable venous-access ports: challenges and perspectives. Lancet Infect Dis 14(2):146–159CrossRefPubMed Lebeaux D et al (2014) Management of infections related to totally implantable venous-access ports: challenges and perspectives. Lancet Infect Dis 14(2):146–159CrossRefPubMed
Zurück zum Zitat López-Briz E, Ruiz Garcia V, Cabello JB, Bort-Martí S, Carbonell Sanchis R, Burls A (2018) Heparin versus 0.9% sodium chloride locking for prevention of occlusion in central venous catheters in adults. Cochrane Database Syst Rev 7(7) López-Briz E, Ruiz Garcia V, Cabello JB, Bort-Martí S, Carbonell Sanchis R, Burls A (2018) Heparin versus 0.9% sodium chloride locking for prevention of occlusion in central venous catheters in adults. Cochrane Database Syst Rev 7(7)
Zurück zum Zitat Narducci F et al (2011) Totally implantable venous access port systems and risk factors for complications: a one-year prospective study in a cancer centre. Eur J Surg Oncol 37(10):913–918CrossRefPubMed Narducci F et al (2011) Totally implantable venous access port systems and risk factors for complications: a one-year prospective study in a cancer centre. Eur J Surg Oncol 37(10):913–918CrossRefPubMed
Zurück zum Zitat Pan M, Meng A, Yin R, Zhi X, Du S, Shi R, Zhu P, Cheng F, Sun M, Li C, Fang H (2019) Nursing interventions to reduce peripherally inserted central catheter occlusion for cancer patients: a systematic review of literature. Cancer Nurs 42(6):E49–E58CrossRefPubMed Pan M, Meng A, Yin R, Zhi X, Du S, Shi R, Zhu P, Cheng F, Sun M, Li C, Fang H (2019) Nursing interventions to reduce peripherally inserted central catheter occlusion for cancer patients: a systematic review of literature. Cancer Nurs 42(6):E49–E58CrossRefPubMed
Zurück zum Zitat Pittiruti M et al (2016) Evidence-based criteria for the choice and the clinical use of the most appropriate lock solutions for central venous catheters (excluding dialysis catheters): a GAVeCeLT consensus. J Vasc Access 17(6):453–464CrossRefPubMed Pittiruti M et al (2016) Evidence-based criteria for the choice and the clinical use of the most appropriate lock solutions for central venous catheters (excluding dialysis catheters): a GAVeCeLT consensus. J Vasc Access 17(6):453–464CrossRefPubMed
Zurück zum Zitat Schiffer CA, Mangu PB, Wade JC, Camp-Sorrell D, Cope DG, El-Rayes BF et al (2013) Central venous catheter care for the patient with cancer: American Society of Clinical Oncology Clinical Practice Guideline. J Clin Oncol 31(10):1357–1370CrossRefPubMed Schiffer CA, Mangu PB, Wade JC, Camp-Sorrell D, Cope DG, El-Rayes BF et al (2013) Central venous catheter care for the patient with cancer: American Society of Clinical Oncology Clinical Practice Guideline. J Clin Oncol 31(10):1357–1370CrossRefPubMed
Zurück zum Zitat Sun BJ et al (2022) Review of regional therapies for gastric cancer with peritoneal metastases. Cancers (Basel) 14(3):570CrossRefPubMed Sun BJ et al (2022) Review of regional therapies for gastric cancer with peritoneal metastases. Cancers (Basel) 14(3):570CrossRefPubMed
Zurück zum Zitat Teichgräber UK et al (2011) Portsysteme als integraler Bestandteil von Chemotherapien. Deutsches Ärzteblatt 109(9):147–153 Teichgräber UK et al (2011) Portsysteme als integraler Bestandteil von Chemotherapien. Deutsches Ärzteblatt 109(9):147–153
Zurück zum Zitat Wu X, Chen L, Liu G et al (2021) Heparin versus 0.9% saline solution to maintain patency of totally implanted venous access ports in cancer patients: a systematic review and meta-analysis. Int J Nurs Pract 27(2):e12913CrossRefPubMed Wu X, Chen L, Liu G et al (2021) Heparin versus 0.9% saline solution to maintain patency of totally implanted venous access ports in cancer patients: a systematic review and meta-analysis. Int J Nurs Pract 27(2):e12913CrossRefPubMed
Zurück zum Zitat Zaghal A et al (2012) Update on totally implantable venous access devices. Surg Oncol 21(3):207–215CrossRefPubMed Zaghal A et al (2012) Update on totally implantable venous access devices. Surg Oncol 21(3):207–215CrossRefPubMed
Zurück zum Zitat Camp-Sorrell D (2007) Clinical dilemmas: vascular access devices. Semin Oncol Nurs 23(3):232–239CrossRefPubMed Camp-Sorrell D (2007) Clinical dilemmas: vascular access devices. Semin Oncol Nurs 23(3):232–239CrossRefPubMed
Zurück zum Zitat Camp-Sorrell D (2010) State of the science of oncology vascular access devices. Semin Oncol Nurs 26(2):80–87CrossRefPubMed Camp-Sorrell D (2010) State of the science of oncology vascular access devices. Semin Oncol Nurs 26(2):80–87CrossRefPubMed
Zurück zum Zitat Chernecky C (2010) The care and maintenance of vascular access devices. Semin Oncol Nurs 26(2):79 Chernecky C (2010) The care and maintenance of vascular access devices. Semin Oncol Nurs 26(2):79
Zurück zum Zitat Sharp R, Carr P, Childs J et al (2021) Catheter to vein ratio and risk of peripherally inserted central catheter (PICC)-associated thrombosis according to diagnostic group: a retrospective cohort study. BMJ Open 11:e045895CrossRefPubMedPubMedCentral Sharp R, Carr P, Childs J et al (2021) Catheter to vein ratio and risk of peripherally inserted central catheter (PICC)-associated thrombosis according to diagnostic group: a retrospective cohort study. BMJ Open 11:e045895CrossRefPubMedPubMedCentral
Zurück zum Zitat Taxbro K et al (2019) Clinical impact of peripherally inserted central catheters vs implanted port catheters in patients with cancer: an open-label, randomised, two-centre trial. Br J Anaesth 122(6):734–741CrossRefPubMed Taxbro K et al (2019) Clinical impact of peripherally inserted central catheters vs implanted port catheters in patients with cancer: an open-label, randomised, two-centre trial. Br J Anaesth 122(6):734–741CrossRefPubMed
Zurück zum Zitat Xuying Li et al (2015) Multifactor analysis of malposition of peripherally inserted central catheters in patients with cancer. Clin J Oncol Nurs 19(4):E70–E73 Xuying Li et al (2015) Multifactor analysis of malposition of peripherally inserted central catheters in patients with cancer. Clin J Oncol Nurs 19(4):E70–E73
Metadaten
Titel
Implantierbare Katheter-Systeme und Pumpen
verfasst von
Anita Margulies
Madeleine Ritter-Herschbach
Copyright-Jahr
2024
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-67417-8_12