THE QUITE REVOLUTION IN SURGICAL NUTRITION

Long term central verwus (LTCVL)lines are silicone catheters placedfor various indications in children who need repeated vascular access for a long time. In two years period 20 Hickman lines were placed in children. The indications included chemotherapy, parenteral nutrition, immurwtherapy and haemodialysis for chronic· renal failure. One line was removed after 6 weeks with a primary sepsis. One line got broken by the improper handling. One line was removed after 6 months with a true line sepsis. Most of the long central lines were successful in achieving the goal of their placement and were removed after the completion of therapy. incision. The catheter tip was cut short to be placed at the distal level of superior vena cava just above the right atrium. The catheter position was confirmed by the image intensifier at the distal end of the superior vena cava. Standard three dose antibiotic prophylaxis was ensured in all the children. Line was available for use after the surgery and patients were allowed home on next day in most cases.

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