Journal article

Monitoring Central Venous Catheter Resistance to Predict Imminent Occlusion: A Prospective Pilot Study

Joshua Wolf, Li Tang, Jeffrey E Rubnitz, Rachel C Brennan, David R Shook, Dennis C Stokes, Paul Monagle, Nigel Curtis, Leon J Worth, Kim Allison, Yilun Sun, Patricia M Flynn

PLOS ONE | PUBLIC LIBRARY SCIENCE | Published : 2015

Abstract

BACKGROUND: Long-term central venous catheters are essential for the management of chronic medical conditions, including childhood cancer. Catheter occlusion is associated with an increased risk of subsequent complications, including bloodstream infection, venous thrombosis, and catheter fracture. Therefore, predicting and pre-emptively treating occlusions should prevent complications, but no method for predicting such occlusions has been developed. METHODS: We conducted a prospective trial to determine the feasibility, acceptability, and efficacy of catheter-resistance monitoring, a novel approach to predicting central venous catheter occlusion in pediatric patients. Participants who had tu..

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