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Treatment of Central Venous Catheter Occlusions With Ethanol and Hydrochloric Acid
Author(s) -
Werlin Steven L.,
Lausten Thomas,
Jessen Suzanne,
Toy Lisa,
Norton Ann,
Dallman Lori,
Bender Julie,
Sabilan Lillian,
Rutkowski Diane
Publication year - 1995
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607195019005416
Subject(s) - parenteral nutrition , central venous catheter , medicine , enteral administration , catheter , hydrochloric acid , ethanol , surgery , anesthesia , chemistry , biochemistry , organic chemistry
Background: Occluded central venous lines (CVLs) is a major problem in pediatric patients. Methods: To relieve obstructed catheters, infusions of ethanol (up to 3 mL of a 70% solution) for presumed lipid occlusions and hydrochloric acid (HCl, 0.1 N, up to 3 mL) for presumed mineral and drug precipitates were given in an attempt to relieve obstructed catheters. Results: Patency was restored in 34 of 39 occluded catheters over an 18‐month period. Conclusions: Clearing occluded CVLs with ethanol and HCl is not only beneficial to the patient but also offers considerable cost savings compared to CVL replacement. ( Journal of Parenteral and Enteral Nutrition 19: 416–418, 1995)