Complications associated with implantation and use of totally implantable venous access port in pediatric and adult patients

Petra Klanjsek, Katarina Grm, Jasmina Nerat, Leona Cilar
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Abstract

Introduction: The use of totally implantable venous access port systems (TIVAPS) is crucial for long-term intravenous treatment in children and adults patients. The purpose of this article is to examine the extent of existing research on complications related to implantation and management of TIVAPS. Methods: A scoping review was performed from September to December in 2019. The MEDLINE, CINAHL and PubMed databases were used to review and analyze the literature using various combinations of keywords and their English-language synonyms. Quantitative clinical research published from 2010 to December 2019 were included in the analysis. The PRISMA-ScR recommendations were followed. Results: Out of the 219 search results, 26 studies were included in the final analysis. To identify complications associated with the implantation and handling of TIVAPS, free codes were identified by thematic analysis leading to the development of 17 primary grade descriptive subthemes. For the development of the thematic framework, all secondary level sub-topics were synthesized into three main themes: time-bound complications, infection-related complications, and TIVAPS removal complications. Discussion: Nurses who use TIVAPS on children and adult patients should be aware of the possible complications associated with TIVAPS. Refinement of surgical techniques and improving care process may improve the longevity of the line. Proper and careful management with TIVADs and more frequent observation by nurses are likely to have positive consequences for patients and positive cost implications for the hospital.
在儿童和成人患者中植入和使用完全植入式静脉通道的并发症
使用完全植入式静脉通道系统(TIVAPS)对于儿童和成人患者的长期静脉治疗至关重要。本文的目的是检查与TIVAPS植入和处理相关的并发症的现有研究程度。方法:于2019年9月至12月进行范围综述。使用MEDLINE, CINAHL和PubMed数据库使用各种关键词及其英语同义词组合来回顾和分析文献。2010年至2019年12月发表的定量临床研究纳入分析。遵循了prism - scr的建议。结果:在219个检索结果中,有26个研究被纳入最终分析。为了确定与植入和处理TIVAPS相关的并发症,通过主题分析确定了自由代码,从而形成了17个初级级描述性子主题。为了制定主题框架,将所有二级子主题综合为三个主要主题:时限性并发症、感染相关并发症和TIVAPS移除并发症。讨论:对儿童和成人患者使用TIVAPS的护士应了解与TIVAPS相关的可能并发症。手术技术的改进和护理过程的改进可能会延长这条线的寿命。对tivad进行适当和仔细的管理,并由护士进行更频繁的观察,可能对患者产生积极的影响,并对医院产生积极的成本影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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