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Nursing İntervention to Prevent Infection and Thrombosis Associated with Central Venous Catheter in Children

Central venous catheter is usually placed in children in cases where peripheral venous access cannot be achieved or is inadequate in treatment by using a peripheral catheter. Central venous catheter is preferred in patients requiring long-term chemotherapy, parenteral nutrition, blood transfusion as well as intensive and recurrent intravenous intervention. Central venous catheter use is common in pediatric intensive care and hematology/oncology clinics. Central venous catheter allows to shorten the hospitalization process of the child, reduce costs and reduce the frequency of painful invasive procedures. Evidence-based interventions in clinics may lead to life-threatening complications if central venous catheter is not maintained in appropriate conditions. The most common complications are infection and thrombosis. Complications may lead to delay in the treatment process in children and early withdrawal of central venous catheter. In order to prevent central venous catheter complications, the dressing of the catheter region and the washing of the lumen are routinely performed by nurses in the clinic. However, central venous catheter complication rates are still high today. Nurses should be aware of the current evidence-based guidelines about the interventions they implement, and updating their knowledge for reducing the complications. More randomized controlled experimental studies are needed in this population.