Clinical Procedure
Aliases:
Topic aliases are alternate phrasings for a particular topic.
Broviac removal
Broviac lines that have been in for more than a week usually require gentle dissection around the tissue cuff to allow for their removal.
Local or general anaesthesia is usually required for this.
Local or general anaesthesia is usually required for this.
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Jan 16, 2013
You want to avoid the abrupt "snapping" of the line as the last attachment of the tissue cuff is blunt dissected away under tension.
This increases the risk that the line may break, particularly at its insertion at the central vein.
For the part of the blunt dissection where the last part of the cuff is being separated consider reducing the tension on the line
This increases the risk that the line may break, particularly at its insertion at the central vein.
For the part of the blunt dissection where the last part of the cuff is being separated consider reducing the tension on the line
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Jan 19, 2013
Discuss :
- Risk of site infection
- Risk of breakage of the line (usually only a risk in lines 4.2 or smaller )
- Possibility of a suture or just steristrips to appose the small hole.
- Padded dressing that can come off in 2 days
- Parent should let somebody know if the padded dressing becomes soaked with blood.
- Call if the site looks infected at any time.
- Risk of site infection
- Risk of breakage of the line (usually only a risk in lines 4.2 or smaller )
- Possibility of a suture or just steristrips to appose the small hole.
- Padded dressing that can come off in 2 days
- Parent should let somebody know if the padded dressing becomes soaked with blood.
- Call if the site looks infected at any time.
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Jan 19, 2013
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Can be performed under local or general anaesthesia.
Local anaesthesia is usually appropriate for adults and ocassionally for infants.
General anaesthesia is usually appropriate in children.
Local anaesthesia is usually appropriate for adults and ocassionally for infants.
General anaesthesia is usually appropriate in children.
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Jan 16, 2013
Infiltrating with local anaesthetic with adrenaline (eg marcaine with 1:200,000 adrenaline ) will help minimise bleeding during the blunt dissection around the tissue cuff.
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