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Prevention and treatment of intraluminal catheter thrombosis in children hospitalised in a paediatric intensive care unit
Author(s) -
LorenzoPinto Ana,
SánchezGalindo Amelia C,
ManriqueRodríguez Silvia,
FernándezLlamazares Cecilia M,
FernándezLafever Sarah Nicole,
SanPrudencio Miriam García,
Cortejoso Lucía,
SanjurjoSáez María
Publication year - 2014
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.12404
Subject(s) - medicine , thrombosis , catheter , intensive care unit , medline , intensive care medicine , venous thrombosis , protocol (science) , central venous catheter , medical prescription , randomized controlled trial , intensive care , emergency medicine , surgery , nursing , pathology , alternative medicine , political science , law
Aim The aim of the study was to develop and implement a protocol for the prevention and treatment of catheter related intraluminal thrombosis in a paediatric intensive care unit Methods A computerised search was carried out on MEDLINE , through P ub M ed, using the medical subject heading ‘central venous catheter’, ‘central venous access device’, ‘central venous line’ associated with ‘occlusion’, ‘obstruction’, ‘catheter‐related thrombosis’, ‘critically ill patients’ and ‘thrombolytic therapy’. References of reviewed articles were also searched for relevant titles as well as non‐randomised controlled trials and series of cases when no information of higher level of evidence was available. Results With the information gathered, a protocol for the prevention and treatment of catheter related intraluminal thrombosis was elaborated and those recommendations that best suit our environment were included. They were agreed upon by a broad panel of professionals working in the P ediatric I ntensive C are U nit and the P harmacy D epartment. Conclusions Due to the variety of options available for the pharmacotherapeutic management of intraluminal catheter thrombosis, one measure to improve the quality of the therapy and to diminish the variability in the prescription could be the implementation of a protocol as described in this paper.