Re: [Pediatric_sedation] Port catheters

["Stormorken, Anne" <Anne.Stormorken@UHhospitals.org>]

thanksfullyy, we have not shared this experience.
Anne Stormorken
PSU, RBC, Clevleand OHIO

________________________________

From: pediatric_sedation-bounces@listserve.com on behalf of John Taylor, DO
Sent: Mon 6/22/2009 5:29 PM
To: pediatric_sedation@listserve.com
Subject: [Pediatric_sedation] Port catheters



Another "lurker" asking a question.

 This is not specifically a sedation question but would appreciate
anyone's experience related to Port catheters.  My group of three PICU
docs provide deep sedation for the interventional radiologists to place
ports primarily for peds onc patients but also peds neuro patients who
need frequent IV access.  We have had issues with 3-4 catheters becoming
seemingly brittle and requiring additional care with removal.  E.g. one
sent to the OR and one breaking apart with asymptomatic pulmonary
embolization.  The catheters are fine during use and the interventional
radiologist are using wires and snares to assure safe and complete
removal.  The manufacturer and the FDA are involved and no recall has
been issued.  I would be interested to know if anyone has had a similar
experience.  We are unsure if the catheter issues are related to age
(greater than 2 yrs of use), exposure to particular chemo agents, a bad
lot, etc.  Without good data we are guessing as to best patient care
with either pre-emptive removal/replacement (which is when the issues
occur) vs. watchful waiting.  The manufacturer and FDA are not able to
share their data until investigation is complete. The radiologist do not
have a similar listserve to share experience thus the use or misuse of
this listserve.  We would appreciate any thoughts.

John Taylor DO
St. Vincent Hospital-PICU
835 S Van Buren
Green Bay, WI 54301
(920)-433-8035
_______________________________________________
Pediatric_sedation mailing list
http://mailman.listserve.com/listmanager/listinfo/pediatric_sedation

to post a message to the listserv send to: pediatric_sedation@listserve.com


for archives  http://mailman.listserve.com/listmanager/private/pediatric_sedation/




Visit us at www.UHhospitals.org.

The enclosed information is STRICTLY CONFIDENTIAL and is intended for the use of the addressee only. University Hospitals and its affiliates disclaim any responsibility for unauthorized disclosure of this information to anyone other than the addressee.

Federal and Ohio law protect patient medical information, including psychiatric_disorders, (H.I.V) test results, A.I.Ds-related conditions, alcohol, and/or drug_dependence or abuse disclosed in this email. Federal regulation (42 CFR Part 2) and Ohio Revised Code section 5122.31 and 3701.243 prohibit disclosure of this information without the specific written consent of the person to whom it pertains, or as otherwise permitted by law.