Caring the patient with Hickman-Broviac catheter: a case study. The authors make a short literature review about the Hickman-Broviac catheter and after they analyse and comment about the nursing staff's knowledge and patient's self care related to this catheter.
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The infraclavicular approach (subclavian approach) to the central vein is most often selected for implantation of a tunnelled Hickman/Broviac catheter because central venous catheter (CVC) insertion into the upper body is optimal considering patient comfort as well as the risk of infection [1] and intravenous thrombosis [2, 3]. However, the actual puncture site for a real-time ultrasound-guided infraclavicular axillary vein approach is at the level of the axillary vein in a much more lateral location than that for the traditional landmark infraclavicular approach to the subclavian vein. This is because an optimal view of the subclavian vein is difficult to obtain with a real-time ultrasound-guided technique, as the ultrasound beam is restricted by the clavicle [4]; the younger the patient, the greater would be its influence because of the width of the ultrasound probe.
View Article and Find Full Text PDFReal-time ultrasound-guided supraclavicular technique as a possible alternative approach for Hickman catheter implantation.
J Pediatr Surg
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Department of Pediatric Anesthesiology, University Hospital Bonn, Bonn, Germany.
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