Pose of port à cath

Definition

Définition PAC (ou CCI)
Le port à cathétérisme est un cas (réservoir ou pièce) établi sous cutané et relié à une centrale à cathéter veineux.
Ce dernier est un tube stérile très fin, biocompatible, de 1 à 2 mm de diamètre et d’une vingtaine de centimètres de longueur.
Il est généralement introduit dans une veine de la base du cou (veiné céphalique, veine sous clavière, veine jugulaire interne)
A chaque utilisation, il est nécessaire de piquer la peau pour atteindre la pièce.
L’aiguille utilisée est appelée aiguille d’Hubert qui reste souvent des places de là à 7 jours.
Ce type de cathéter ne nécessite pas de bandage: les bains et les douches sont autorisés après cicatrisation complète (environ deux semaines)

Indications

Indications

A plantable room is made to support 1500 punctures with a needle of Huber

The port with cath (CAP or catheter with room of plantable injection) allow to manage the drugs of a chemotherapy without making punctures in the arm.

It can be used to carry out taking away of blood or to inject other drug that those of a chemotherapy (biotic anti treatment the long course)

A port with cath can be used for the parenteral nutrition

Indications

  • Chemotherapy

  • Injection of antibiotics or antiviral                                                                             

  • NPT: total parenteral nutrition

Intervention chirurgicale

 Surgical operation

Surgical operation: Pose CAP or CCI

The installation of the catheter is done by a surgeon trained with this technique.

It is held with the surgical unit under conditions of surgical asepsis.

This gesture can be realizes under local anaesthesia among certain patients.

The comfort of the patient remains better under general anaesthesia

The intervention lasts on average 30 minutes

A radiography of control makes it possible to make sure of the good position of the catheter and the immediate absence of complication (pneumothorax)

The patient remains some time in recovery room.

The exit is authorized by the surgeon with the agreement of the doctor anaesthetist.

The son of joining is removed with the consultation of control to J 10

 

Complications

Complications

Complications during the installation of the CAP

  • Bruise or Bruise on the level of the neck and/or on the way under cutaneous of the catheter.

  • Dyspnea breathing difficulty due to the presence of air in pleura with collapse of the lung? Pneumothorax.

  • The evacuation of the pneumothorax by a needle or a drain can necessary.

  • Local infection with fever and shivers.

  • Phlebitis with swelling of the arm or the neck 
  • abundant rinsing before and after each treatment + heparinisation