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Nursing Times Research
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An exploration of the possible causes of occlusion problems in skin-tunnelled catheters used in paediatric oncology

Kim Gordon, BA(Hons), MSc, RGN, RSCN, OncCert

John Radcliffe Hospital, Oxford

Andrew Lloyd, BSc (Hons), DPhil

Oxford Centre for Health Care, Research and Development, Oxford Brookes University

Occlusion in children's skin-tunnelled catheters throughout the course of treatment for malignant disease can lead to increased physical and psychological stress. A two-phase study at a paediatric oncology centre aimed to identify the factors associated with occlusion in children's skin-tunnelled catheters.

The statistical findings show that occlusion problems were significantly more likely to occur in two groups of patients: those receiving dexamethasone as part of their treatment protocol, and children whose parents did not flush the line at home. In addition, the survey indicated that occlusion in skin-tunnelled catheters is a far more frequent problem than had been previously recognised. Further work is needed both to verify which factors are important and to guide future care of children with these catheters.

Key Words: Hickman lines • Skin-tunnelled catheter • Occlusion • Dexamethasone • Persistent withdrawal occlusion

Nursing Times Research, Vol. 8, No. 5, 380-387 (2003)
DOI: 10.1177/136140960300800507
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