Effectiveness Of Permanent Implantable Catheter (Polysite) In Children With Cancer

Implantable central catheters like as Polysite are devices with capability of multiple injections andlong term infusion of different material. Due to low infection rate, patients comfort ability, lesschance of extravasation and leak of infused material to subcutaneous area, especiallychemotherapy drugs, these devices is preferred route of intravenous access compare withconventional external peripheral or central access. In this article we present the quality of nursingcare , complications and effectiveness of polysite implantation in 48 children who suffered differenttype of cancer disease. 48 cases of pediatric with different cancer disease ( lymphoma-leukemiasarcomaand wilms’ tumor) were included in this study. In 39 cases polysite were inserted viainternal jugular vein (Right in 34 and left side in 14 cases).Patency, duration of polysite usage andcomplications were recorded by staff nurses. Conventional dressing was removed after 3days ofcatheter implantation. Cleaning and washing of injection sites performed before and after of eachinjections. 2 cases (4.1%) have wound infection in injection site and tissue injury that werecontrolled with start of antibiotics. Catheter disconnection from injection site silicon bobbles in 2cases. Silicon bobbles displacement in 3(6.2%) cases. Catheter and system blocking in 4 cases (8%).Implantable central catheters like as Polysie are effective and safe way of prolong infusion ofdifferent types of material especially chemotherapy drugs in children with low complication rates.Better nursing care is achieved when we use this modality of venous access especially in childrenwith cancer who need prolong therapy course and chemotherapy.