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Dong L, Guan CY, Zhang Y, Wang AX, Liu MH, Guo C, Hao XL, Zhang Q. Effects of different concentrations of intraluminal sodium chloride solution on intracavitary ECG used for arm infusion port implantation. Sci Rep 2022; 12:13813. [PMID: 35970918 PMCID: PMC9378698 DOI: 10.1038/s41598-022-15156-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2021] [Accepted: 06/20/2022] [Indexed: 12/03/2022] Open
Abstract
At present, there are few clinical studies on the application of high-concentration sodium chloride solutions in intracavitary ECG-guided catheter tip localization during the arm infusion port implantation. This study observed the effects of sodium chloride solutions with different concentrations on intracavitary ECG-guided arm infusion port implantation in the patients with cancer. The 657 patients receiving arm infusion port implantation in our hospital between January 2020 and August 2021 were randomly divided into 0.9% sodium chloride solution conduction group (group A), 5.45% sodium chloride solution conduction group (group B) and 10% sodium chloride solution conduction group (group C). The derived rate of stable intracavitary ECG, the occurrence rate of characteristic P wave, the time used for catheter tip localization and the optimal position rate of catheter tip were compared between the three groups. The derived rate of stable intracavitary ECG was significantly higher in the group B (97.78%) and group C (98.63%) than in the group A (93.90%) (all P < 0.05). The occurrence rate of characteristic P wave was also significantly higher in the group B (96.89%) and group C (97.72%) than in the group A (88.73%) (all P < 0.001). The time used for catheter tip localization was significantly shorter in the group B [(49.73 ± 8.15) s] and group C [(48.27 ± 8.61) s] than in the group A [(69.37 ± 19.99) s] (all P < 0.001). There was no significant difference in the optimal position rate of catheter tip among the three groups (P > 0.05). The 5.45% and 10% sodium chloride solutions are significantly superior comparing with 0.9% sodium chloride solution in the derived rate of stable intracavitary ECG, occurrence rate of characteristic P wave and time used for catheter tip localization, but there were no significant differences between 5.45 and 10% sodium chloride solutions. Moreover, the 5.45% sodium chloride solution is closer to physiological state comparing with 10% sodium chloride solution, so the 5.45% sodium chloride solution may be recommended for the intracavitary ECG-guided arm infusion port implantation.
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Affiliation(s)
- Lei Dong
- Five Ward of Oncology Department, The First Affiliated Hospital of Zhengzhou University, Number One, Constructive East Road, Erqi District, Zhengzhou, 450052, China.
| | - Chen-Yang Guan
- Five Ward of Oncology Department, The First Affiliated Hospital of Zhengzhou University, Number One, Constructive East Road, Erqi District, Zhengzhou, 450052, China
| | - Ying Zhang
- Five Ward of Oncology Department, The First Affiliated Hospital of Zhengzhou University, Number One, Constructive East Road, Erqi District, Zhengzhou, 450052, China
| | - Ai-Xia Wang
- Second Department of Internal Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China
| | - Ming-Hua Liu
- Five Ward of Oncology Department, The First Affiliated Hospital of Zhengzhou University, Number One, Constructive East Road, Erqi District, Zhengzhou, 450052, China
| | - Chen Guo
- Five Ward of Oncology Department, The First Affiliated Hospital of Zhengzhou University, Number One, Constructive East Road, Erqi District, Zhengzhou, 450052, China
| | - Xiao-Li Hao
- Five Ward of Oncology Department, The First Affiliated Hospital of Zhengzhou University, Number One, Constructive East Road, Erqi District, Zhengzhou, 450052, China
| | - Qi Zhang
- Five Ward of Oncology Department, The First Affiliated Hospital of Zhengzhou University, Number One, Constructive East Road, Erqi District, Zhengzhou, 450052, China
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Zhang Y, Zhao R, Jiang N, Shi Y, Wang Q, Sheng Y. A retrospective observational study on maintenance and complications of totally implantable venous access ports in 563 patients: Prolonged versus short flushing intervals. Int J Nurs Sci 2021; 8:252-256. [PMID: 34307772 PMCID: PMC8283705 DOI: 10.1016/j.ijnss.2021.05.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 05/19/2021] [Accepted: 05/21/2021] [Indexed: 02/08/2023] Open
Abstract
Objectives To assess whether the extension of the flushing interval will increase risks of complications associated with totally implantable venous access port (TIVAP) in the off-treatment period. Methods A retrospective single-center observational study was performed. Patients with a TIVAP in the off-treatment period that underwent regular flushing in our clinic were included. Data concerning patients and their TIVAPs were recorded. Patient baseline characteristics and TIVAP-related complications were analyzed. Continuous variables were analyzed by ANOVA or the Kruskal-Wallis H test. To compare the occurrence of TIVAP-related complications, the chi-square test was used; if needed, Fisher’s exact test was used. Results Totally 607 patients were reviewed, and 563 patients were finally included. Thirteen complications were recorded, including 11 cases of catheter occlusion (1.95%), one case of port cannula rotation (0.18%), and one case of catheter tip malposition (0.18%). No device-related infection or venous thrombosis was recorded. Among these patients, the average flushing interval was 35.27 ± 13.09 days. Patients were divided into three groups according to the flushing interval: every 28 days or less (Group 1, n = 133); every 29–44 days (Group 2, n = 350); and every 45 days or more (Group 3, n = 80). No significant difference in catheter-related complications was found among the three groups (P > 0.05). Conclusions In the TIVAP off-treatment period, patients without any history of TIVAP-related complications during approximately one year can attempt to prolong the flushing interval to more than 4 weeks; we further suggest that 5–6 weeks may be an appropriate option for these patients.
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Affiliation(s)
- Yuejiao Zhang
- Nursing Department, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Ruiyi Zhao
- Nursing Department, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Nan Jiang
- Nursing Department, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Yun Shi
- Nursing Department, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Qianmi Wang
- Nursing Department, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Ye Sheng
- Nursing Department, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
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