Assessment of effectiveness and safety of maintaining central venous catheter (CVC) in paediatric patients outside an intensive care unit.

Aim
Assessment of the effectiveness and safety of CVC maintenance in pediatric patients with nervous system disorders outside the ICU in a pediatric hospital

Material and methods
Medical documentation analysis has been used for the purposes of this research. Documentation of 100 CVC patients has been analysed for the period from 2016 to 2018 in the paediatric patient group.

Results
The main indications for CVC implantation are difficult peripheral veins and prolonged drug therapy. Multiple peripheral venous cannulations are both painful and stressful. The main reason for the hospitalization of the study group was central nervous system disorders requiring surgery. An indication for CVC - difficult peripheral veins. The most common complication was redness at the insertion site. There was a correlation between the patient's age and difficult veins, and between the disease and the inability to cannulate peripheral veins. The duration of CVC was not related to the length of hospitalization.

Conclusions
Strict control and monitoring of CVC allows to maintain it safely in paediatric patients requiring lengthy pharmacotherapy outside an intensive care unit. Due to everyday assessment of the site of central line implantation it is possible to avoid dangerous infectious complications related to a venous catheter, which prolong hospitalisation. Indications for CVC to remain in place should be precise and the central line should be removed as soon as there are no longer any indications for its use.