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Foreword September 25-26, 2021, co-sponsored by the Pediatric Oncology Committee of the Guangdong Anti-Cancer Association and the Pediatric Oncology Committee of the Chinese Anti-Cancer Association, and organized by the Department of Pediatric Oncology, Sun Yat-sen University Cancer Center The meeting will be held in Guangzhou by a combination of online and offline
.
Many experts and scholars in the field of oncology gathered to discuss the treatment and development of childhood tumors
.
During the conference, Yimaitong specially invited Cai Ruiqing, head nurse of the Children's Oncology Department of Sun Yat-sen University Cancer Center to share the application of the infusion port in the treatment of children's tumors
.
Expert profile Cai Ruiqing, deputy chief nurse, has been engaged in the clinical nursing of cancer patients with chemotherapy for 20 years.
Member of the Guangzhou Anti-Cancer Association Cancer Nursing Professional Committee Member of the National Pediatric Oncology Nurse Trainer, Guangdong Anti-Cancer Association Pediatric Oncology Professional Committee Leader of Nursing Group China Member of the Nursing Group of the Pediatric Oncology Committee of the Research Hospital Association published many papers in the core journals, and participated in the chapters of "Children’s Lymphoma Diagnosis and Treatment" and "Oncology Care Details Questions and Answers".
Yimaitong: Could you please introduce? What are the common cardiovascular access devices in clinical practice? And what are the advantages of the infusion port over other devices? Chief nurse Cai Ruiqing: Clinically, the common cardiovascular access devices for childhood tumors include peripherally inserted central catheter (PICC) and intravenous infusion port
.
From the perspective of economics and clinical use, intravenous infusion ports have the following advantages over PICC: the treatment cycle of children with tumors is longer, generally not less than half a year, compared with PICC, the maintenance time of infusion ports is 4 weeks
.
Therefore, the compliance of children and their families is better
.
From the perspective of safety, studies have shown that the incidence of common clinical complications (infection, tube blockage, and thrombosis) in PICC is higher than that of the infusion port, and the incidence of infection is about 4 times that of the infusion port.
The rate is about 3 times, and the incidence of thrombosis is about 2 times
.
From the perspective of the comfort of infusion, the intravenous infusion port is completely implanted under the skin (no exposed catheter), so the privacy and comfort of the child are better guaranteed
.
Yimaitong: Could you please talk about the current status of the application of infusion ports in the treatment of childhood tumors? And who are the main suitable people for the infusion port? Chief nurse Cai Ruiqing: Since 2013, we have vigorously promoted the application of infusion ports in the treatment of children's tumors.
Children with tumor patients and their families have gradually learned and familiarized themselves with the advantages of infusion ports through various popular science promotion channels (for example, the use of infusion ports is more convenient and does not affect Daily life, fewer complications, higher comfort of the child), higher acceptance of the infusion port, and better compliance
.
Among them, children with tumors who use the infusion port need only one injection from the diagnosis of the tumor to the long-term rehydration to the end of the treatment, thereby protecting the children's blood vessels
.
Except for patients who are allergic to the material of the infusion port, are intolerant to anesthesia, have thin subcutaneous fat (the infusion port cannot be implanted subcutaneously), or suffer from sepsis/anemia when the infusion port is implanted, the infusion port is not suitable for most patients with confirmed tumors Both children and children who require long-term intravenous infusion of drugs can use the infusion port
.
Yimaitong: In clinical practice, what do you think are the main common problems in children's infusion ports? And how to break through these problems in the future? Nurse Cai Ruiqing: Although the children's infusion port has many advantages, it is still difficult to promote in many hospitals
.
First of all, many children are unable to complete the implantation of the infusion port under local anesthesia like adults, and therefore require general anesthesia
.
General anesthesia requires the cooperation of a professional pediatric anesthesiologist and an infusion port implant doctor
.
However, some hospitals have not yet carried out infusion port implantation under general anesthesia
.
Second, after the implantation of the infusion port, all treatments for pediatric tumor patients can be completed through the infusion port, including anti-inflammatory or blood transfusion treatment during the myelosuppression period, but because the hospitals in rural or remote areas of the county do not have the conditions or conditions to carry out the infusion port There is a lack of professional nurses to maintain the infusion port, and children who are implanted in the infusion port cannot continue to use the infusion port after returning to their place of residence.
Therefore, such patients usually do not choose an infusion port
.
Based on the above difficulties, first of all, our center trains doctors and nurses in counterpart hospitals on implantation and maintenance of infusion ports through online meetings, video remote guidance and offline short-term training classes
.
Secondly, our center has also carried out the implantation of the arm port, and the nurse can complete the implantation of the arm port independently
.
In addition, our center promotes popular science knowledge related to the infusion port through the official account and different platforms, which will help improve the acceptance of the infusion port by the families of patients
.
It is expected that the infusion port will become more popular in the future and will gradually solve the clinical difficulties
.
Recommended reading: Professor Zhang Yu: Key Points and Progress of Pathological Diagnosis of Children's Solid Tumors , The combination of offline methods successfully held October Breast Cancer Prevention Month Free Clinic Lecture Scan the QR code below, add the assistant WeChat, you can participate in the on-site interaction of breast cancer lectures, and you will have the opportunity to receive a copy of the exquisite boutique!
.
Many experts and scholars in the field of oncology gathered to discuss the treatment and development of childhood tumors
.
During the conference, Yimaitong specially invited Cai Ruiqing, head nurse of the Children's Oncology Department of Sun Yat-sen University Cancer Center to share the application of the infusion port in the treatment of children's tumors
.
Expert profile Cai Ruiqing, deputy chief nurse, has been engaged in the clinical nursing of cancer patients with chemotherapy for 20 years.
Member of the Guangzhou Anti-Cancer Association Cancer Nursing Professional Committee Member of the National Pediatric Oncology Nurse Trainer, Guangdong Anti-Cancer Association Pediatric Oncology Professional Committee Leader of Nursing Group China Member of the Nursing Group of the Pediatric Oncology Committee of the Research Hospital Association published many papers in the core journals, and participated in the chapters of "Children’s Lymphoma Diagnosis and Treatment" and "Oncology Care Details Questions and Answers".
Yimaitong: Could you please introduce? What are the common cardiovascular access devices in clinical practice? And what are the advantages of the infusion port over other devices? Chief nurse Cai Ruiqing: Clinically, the common cardiovascular access devices for childhood tumors include peripherally inserted central catheter (PICC) and intravenous infusion port
.
From the perspective of economics and clinical use, intravenous infusion ports have the following advantages over PICC: the treatment cycle of children with tumors is longer, generally not less than half a year, compared with PICC, the maintenance time of infusion ports is 4 weeks
.
Therefore, the compliance of children and their families is better
.
From the perspective of safety, studies have shown that the incidence of common clinical complications (infection, tube blockage, and thrombosis) in PICC is higher than that of the infusion port, and the incidence of infection is about 4 times that of the infusion port.
The rate is about 3 times, and the incidence of thrombosis is about 2 times
.
From the perspective of the comfort of infusion, the intravenous infusion port is completely implanted under the skin (no exposed catheter), so the privacy and comfort of the child are better guaranteed
.
Yimaitong: Could you please talk about the current status of the application of infusion ports in the treatment of childhood tumors? And who are the main suitable people for the infusion port? Chief nurse Cai Ruiqing: Since 2013, we have vigorously promoted the application of infusion ports in the treatment of children's tumors.
Children with tumor patients and their families have gradually learned and familiarized themselves with the advantages of infusion ports through various popular science promotion channels (for example, the use of infusion ports is more convenient and does not affect Daily life, fewer complications, higher comfort of the child), higher acceptance of the infusion port, and better compliance
.
Among them, children with tumors who use the infusion port need only one injection from the diagnosis of the tumor to the long-term rehydration to the end of the treatment, thereby protecting the children's blood vessels
.
Except for patients who are allergic to the material of the infusion port, are intolerant to anesthesia, have thin subcutaneous fat (the infusion port cannot be implanted subcutaneously), or suffer from sepsis/anemia when the infusion port is implanted, the infusion port is not suitable for most patients with confirmed tumors Both children and children who require long-term intravenous infusion of drugs can use the infusion port
.
Yimaitong: In clinical practice, what do you think are the main common problems in children's infusion ports? And how to break through these problems in the future? Nurse Cai Ruiqing: Although the children's infusion port has many advantages, it is still difficult to promote in many hospitals
.
First of all, many children are unable to complete the implantation of the infusion port under local anesthesia like adults, and therefore require general anesthesia
.
General anesthesia requires the cooperation of a professional pediatric anesthesiologist and an infusion port implant doctor
.
However, some hospitals have not yet carried out infusion port implantation under general anesthesia
.
Second, after the implantation of the infusion port, all treatments for pediatric tumor patients can be completed through the infusion port, including anti-inflammatory or blood transfusion treatment during the myelosuppression period, but because the hospitals in rural or remote areas of the county do not have the conditions or conditions to carry out the infusion port There is a lack of professional nurses to maintain the infusion port, and children who are implanted in the infusion port cannot continue to use the infusion port after returning to their place of residence.
Therefore, such patients usually do not choose an infusion port
.
Based on the above difficulties, first of all, our center trains doctors and nurses in counterpart hospitals on implantation and maintenance of infusion ports through online meetings, video remote guidance and offline short-term training classes
.
Secondly, our center has also carried out the implantation of the arm port, and the nurse can complete the implantation of the arm port independently
.
In addition, our center promotes popular science knowledge related to the infusion port through the official account and different platforms, which will help improve the acceptance of the infusion port by the families of patients
.
It is expected that the infusion port will become more popular in the future and will gradually solve the clinical difficulties
.
Recommended reading: Professor Zhang Yu: Key Points and Progress of Pathological Diagnosis of Children's Solid Tumors , The combination of offline methods successfully held October Breast Cancer Prevention Month Free Clinic Lecture Scan the QR code below, add the assistant WeChat, you can participate in the on-site interaction of breast cancer lectures, and you will have the opportunity to receive a copy of the exquisite boutique!
