Application of Central Venous Access and Intravenous Hyperalimentation to the Management of Patients with Hematological Malignancy

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  • OHTAKE Shigeki
    Kanazawa University Bone Marrow Transplantation Team, Third Department of Internal Medicine, Kanazawa University
  • YAMAMURA Mayumi
    Kanazawa University Bone Marrow Transplantation Team, Third Department of Internal Medicine, Kanazawa University
  • ODAKA Kazuaki
    Kanazawa University Bone Marrow Transplantation Team, Third Department of Internal Medicine, Kanazawa University
  • TESHIMA Hirofumi
    Kanazawa University Bone Marrow Transplantation Team, Third Department of Internal Medicine, Kanazawa University
  • SHIOBARA Shintaro
    Kanazawa University Bone Marrow Transplantation Team, Third Department of Internal Medicine, Kanazawa University
  • KOBAYASHI Saburo
    Kanazawa University Bone Marrow Transplantation Team, Third Department of Internal Medicine, Kanazawa University
  • MATSUE Kosei
    Kanazawa University Bone Marrow Transplantation Team, Third Department of Internal Medicine, Kanazawa University
  • ISHINO Chizuko
    Kanazawa University Bone Marrow Transplantation Team, Third Department of Internal Medicine, Kanazawa University
  • YOSHIDA Takashi
    Kanazawa University Bone Marrow Transplantation Team, Third Department of Internal Medicine, Kanazawa University
  • FUNADA Hisashi
    Kanazawa University Bone Marrow Transplantation Team, Third Department of Internal Medicine, Kanazawa University
  • HARADA Mine
    Kanazawa University Bone Marrow Transplantation Team, Blood Transfusion Section, Kanazawa University School of Medicine
  • NAKAMURA Shinobu
    Kanazawa University Bone Marrow Transplantation Team, Third Department of Internal Medicine, Kanazawa University
  • HATTORI Ken-ichi
    Kanazawa University Bone Marrow Transplantation Team, Third Department of Internal Medicine, Kanazawa University

Bibliographic Information

Other Title
  • 血液悪性疾患の患者管理における中心静脈カテーテルおよび高カロリー輸液の応用
  • ケツエキ アクセイ シッカン ノ カンジャ カンリ ニ オケル チュウシン ジ

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Abstract

To evaluate the safety and usefullness of central venous access (CVA) and intravenous hyperalimentation (IVH) for the efficient management of patients with hematological malignancy, 33 central venous catheters were inserted into 26 patients with hematological disease. A median count of platelets on the day of insertion was 5.3×104/cmm (range: 0.8-25.4×104), and in two cases exit site bleeding was experienced but easily stopped by pressure. The catheters were in place for a median of 26 days (range 3-78), and used for not only the administration of fluids, blood components and intravenous drugs, but also collecting blood samples.<br>As far as side effects of CVA are concerned, no exit site infection was seen in spite of severe granulocytopenic state and frequency of septicemia (15.2%) seen in patients with CVA was of no significant differece from that in control patients not receiving CVA. In the cases receiving IVH, nutritional parameters remained stable in spite of poor oral intake.<br>These observations suggest that CVA and IVH facilitate patient care, minmizing discomforts of patients and thus, at times elongate patient's survival.

Journal

  • Rinsho Ketsueki

    Rinsho Ketsueki 22 (11), 1720-1728, 1981

    The Japanese Society of Hematology

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