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PortPPortPortEnglishOtherChild (0-12 years);Teen (13-18 years)NACardiovascular systemProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZBairbre Connolly, MB, BCH, BAO, FRCP(C);Barbara Bruinse, RN, BSc, BScN;Lisa Honeyford, RN, MN, CPON7.0000000000000070.00000000000002045.00000000000Health (A-Z) - ProcedureHealth A-Z<p>A port provides a comfortable, convenient way to receive medications such as chemotherapy, IV nutrition and fluids, and from which to have blood samples taken. Learn about this procedure.</p><h2>What is a port?</h2><p>A port is a special intravenous (IV) line that is placed completely inside the body. It is used in some children who need IV therapy for a long time.</p><p>A port consists of two parts:</p><ul><li>The port itself is a small chamber made of metal with a soft silicone top. It lies just under your child's skin. Your child will receive IV therapy by having a needle inserted through the skin into the port.</li><li>The second part is a long, soft, thin, flexible tube, called the catheter. One end of the catheter is attached to the port and the other end is inserted into one of the large veins leading to the heart. The port and catheter allow medicine to be delivered into the bloodstream.</li></ul> <figure class="asset-c-80"><span class="asset-image-title">Port</span><img src="https://assets.aboutkidshealth.ca/akhassets/Port_MED_ILL_EN.jpg" alt="" /><figcaption class="asset-image-caption">A port is a special intravenous (IV) line that is placed under the skin. It provides a more comfortable and convenient way to receive medications such as chemotherapy and IV nutrition.</figcaption> </figure> <p>Some medicines cannot be given through regular IV lines, and some medicines require frequent, painful needle insertions. A port will provide a more comfortable and convenient way to receive medicines such as chemotherapy, IV nutrition and fluids. It is also a more comfortable way to have blood samples taken.</p><h2>Key points</h2> <ul> <li>A port is a special intravenous (IV) line placed inside the body. The tip of the catheter is inserted into a vein in the neck and placed in the large vein just above the heart. </li> <li>A port provides a more comfortable way to receive medicines and from which to have blood samples taken. </li> <li>Your child will receive a general anaesthetic so they will not hear or feel anything during the procedure. </li> <li>When your child has healed from the procedure, there is no special care for the port at home. </li> </ul><h2>What to look out for after the port insertion</h2> <p>Contact your Community Care Nurse, the Vascular Access Service at the hospital, or your doctor or clinic nurse if you see any of the following: </p> <ul> <li>your child has fever or chills</li> <li>your child has bleeding, redness, or swelling around the port or neck</li> <li>your child has leaking or drainage at the port site</li> <li>your child's port is hard to flush or won't flush at all</li> <li>your child has pain when the port is being used</li> </ul> <p>Each child's situation is different, so you should also ask your doctor if there are any specific instructions for your child. Write them here: </p> <p> </p> <h2>Things you should know about your child's port</h2> <p>It is important that you know a few facts about your child's port. If you have a problem and have to call the Community Care Nurse or Vascular Access Service, it will be helpful to give them the following information about your child's port as well as information about the problem. Complete the following information. </p> <h3>Date of insertion:</h3> <h3>Port type (circle the one that applies):</h3> <ul> <li>single lumen </li> <li>double lumen </li> </ul> <h3>Port used for (circle all that apply):</h3> <ul> <li>blood products </li> <li>chemotherapy </li> <li>TPN </li> <li>medicines </li> <li>other: </li> </ul> <h3>Notes about the port:</h3> <p> </p><h2>How a port is inserted</h2> <p>An interventional radiologist or surgeon will insert your child's port in the Image Guided Therapy (IGT) department or in the Operating Room (OR). IGT uses special equipment to perform procedures that may have required traditional surgery in the past. </p> <p>During the procedure, the tip of the catheter is inserted into a vein in the neck and positioned in the large vein just above the heart, where the blood flow is fast. This placement allows for better mixing of medicines or IV fluids. </p> <p>The other end of the catheter is tunneled under the skin a short distance to where a small incision (cut) is made to create a space, called the pocket. The pocket is where the port sits, under the skin. The tissue and skin are then stitched closed. </p> <p>Equipment such as ultrasound and fluoroscopy, a special kind of X-ray, may be used during the procedure. A chest X-ray may be taken after the procedure to ensure the port is in the correct position. </p> <p>It will take about one to 1.5 hours to insert the port.</p> <p>During the procedure, you will be asked to wait in the waiting area. When the procedure is over and your child starts to wake up, you can see your child. Once the port is inserted, the doctor or nurse will come out and talk with you about the procedure. </p> <h2>Pain relief during and after the procedure</h2> <p>Your child will receive a general anaesthetic, so they will not hear or feel anything during the procedure.</p> <p>After the procedure, some children may feel mild pain or discomfort in the neck or chest area for the first day or two. If this happens, ask your nurse or doctor if your child can have something to relieve the pain. </p> <p>Children often feel like they have a stiff neck because of the neck bandage. It is good and safe for your child to move their neck as usual. </p> <p>Once your child has fully healed, they should not have any pain or discomfort from the port.</p><h2>What to expect after the procedure</h2> <p>You will notice two bandages on your child, one small one on the neck and one large one over the chest area. These bandages are sterile, which means they are put on in a special way to keep the site as germ-free as possible. </p> <p>The neck bandage is cloth-like and can be removed within a few hours. There will be a bandage over the port and where the incision is. It is normal to see a small amount of blood under this dressing. There will also be small, thin, white band-aid strips on both the neck and chest incision areas. Do not take off these strips. They will fall off on their own within two weeks. </p> <p>Keep the incision clean, dry and covered with a bandage for five to seven days or until well healed. Once the incisions have healed, there is no need to place any type of dressing or covering on the port when it is not being used, because it is all kept safely under the skin.</p> <h2>How the port is used</h2> <p>When your child needs medicine, a needle is inserted through the skin and into the port. This is called accessing the port. An anaesthetic cream can be used to help numb the skin above the port where the needle is being inserted. Many children feel that this cream helps to reduce the pain of the needle. Ask your doctor to order the cream if you would like to use it. </p> <p>The nurse will clean your child's skin and poke the needle through the skin and into the port. The needle will be covered by a bandage to keep it clean and to keep the needle in place. The nurse can then give the medicines through the needle and into the port. </p> <p>When your child has finished the medicine, the port will be flushed with a medicine called heparin. Heparin helps to prevent the port from becoming blocked so that it will work well every time you come to the hospital. </p> <h2>The port cannot fall out</h2> <p>The port cannot fall out or be pulled out. However, if the port is accessed with a needle, the needle can be pulled out accidentally. If the needle is pulled part-way or all the way out, it may cause the port to become blocked. This could also cause some skin irritation if medicines leak from the port onto the skin around it. To prevent this, it is very important to make sure that the port needle is covered with a bandage and that the needle tubing is taped to your child's body. </p><h2>Before the procedure</h2> <p>Before the procedure, the doctor inserting the port will meet with you to explain the procedure, answer your questions, and get your consent. </p> <p>Your child will be receiving a special "sleep medicine" called a general anaesthetic. So you will also meet with the anaesthetist, the doctor that will give your child the sleep medicine. </p> <h3>Talk about the procedure</h3> <p>Before any procedure, it is important to talk to your child about what will happen in a way that they will understand. Children feel less anxious when they know what to expect. It is important to be honest. Tell your child that they will not wake up during the procedure but will wake up afterward. If you are not sure how to answer your child's questions, ask the Child Life Specialist on your unit for help. </p> <h3>Blood tests</h3> <p>Your child may need blood tests before the procedure. This is for your child's safety. Your child's doctor will arrange this.</p> <h3>Food and fluids</h3> <p>Your child's stomach must be empty during and after the anaesthetic. This means your child is less likely to throw up or choke.</p> <h3>What your child can eat and drink before the sleep medicine (sedation or general anaesthetic)</h3> <table class="akh-table"> <thead> <tr><th>Time before procedure</th><th>What you need to know</th></tr> </thead> <tbody> <tr> <td>Midnight before the procedure</td> <td><p>No more solid food. This also means no gum or candy.</p> <p>Your child can still drink liquids such as milk, orange juice and clear liquids. Clear liquids are anything you can see through, such as apple juice, ginger ale or water. </p> <p>Your child can also eat Jell-O or popsicles.</p></td> </tr> <tr> <td>6 hours</td> <td>No more milk, formula or liquids you cannot see through, such as milk, orange juice and cola.</td> </tr> <tr> <td>4 hours</td> <td>Stop breastfeeding your baby.</td> </tr> <tr> <td>2 hours</td> <td>No more clear liquids. This means no more apple juice, water, ginger ale, Jell-O or popsicles.</td> </tr> <tr> <td colspan="2"><p>If you were given more instructions about eating and drinking, write them down here:</p> <p> </p> </td> </tr> </tbody> </table>
المنفذاالمنفذPortArabicOtherChild (0-12 years);Teen (13-18 years)NACardiovascular systemProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZBairbre Connolly, MB, BCH, BAO, FRCP(C);Barbara Bruinse, RN, BSc, BScN;Lisa Honeyford, RN, MN, CPON7.0000000000000070.00000000000002045.00000000000Flat ContentHealth A-Z<p>يوفر المنفذ طريقة مريحة ومناسبة للحصول على الادوية مثل ادوية العلاج الكيميائي، والتغذية الوريدية، والسوائل وتؤخذ منه عينات من الدم. تعلم عن هذا الاجراء.</p>
端口端口PortChineseSimplifiedOtherChild (0-12 years);Teen (13-18 years)NACardiovascular systemProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZBairbre Connolly, MB, BCH, BAO, FRCP(C)Barbara Bruinse, RN, BSc, BScNLisa Honeyford, RN, MN, CPON70.00000000000007.000000000000002045.00000000000Flat ContentHealth A-Z端口提供了一个舒适方便获得药物的方式,如化疗、静脉营养和液体、抽取血液样本。了解这个程序。<br>
輸液座輸液座PortChineseTraditionalOtherChild (0-12 years);Teen (13-18 years)NACardiovascular systemProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZBairbre Connolly, MB, BCH, BAO, FRCP(C)Barbara Bruinse, RN, BSc, BScNLisa Honeyford, RN, MN, CPON70.00000000000007.000000000000002045.00000000000Flat ContentHealth A-Z輸液座提供了舒適的藥物輸送方法,如化療、IV營養和液體,以及進行血液采樣。瞭解此過程。
Cathéter à chambre implantable ou Port-a-cath®CCathéter à chambre implantable ou Port-a-cath®PortFrenchOtherChild (0-12 years);Teen (13-18 years)NACardiovascular systemProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZBairbre Connolly, MB, BCH, BAO, FRCP(C);Barbara Bruinse, RN, BSc, BScN;Lisa Honeyford, RN, MN, CPON7.0000000000000070.00000000000002045.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Un Portacath est un moyen confortable et pratique d'administrer des médicaments comme la chimiothérapie, l'alimentation IV et des liquides IV.</p><h2>Qu'est-ce qu'un Port-a-Cath® (cathéter à chambre implantable)?</h2><p>Un Port-a-Cath® est un cathéter intraveineux (IV) spécial placé complètement à l'intérieur du corps. On s'en sert pour les enfants qui ont besoin d'une thérapie IV pendant longtemps.</p><p>Un Port-a-Cath® est composé de deux parties :</p><ul><li>Le Port-a-Cath® lui-même est un petit tube de métal avec un bouchon en silicone. Il est placé sous la peau de votre enfant, qui recevra sa thérapie IV par une aiguille insérée dans le Port-a-Cath® à travers la peau.</li><li>La deuxième partie est un long tube souple et mince appelé cathéter. Un bout est attaché au Port-a-Cath® et l'autre insérée dans une des grosses veines qui mènemt au cœur. Le Port-a-Cath® et le cathéter permettent d'administrer le médicament dans le sang. </li></ul> <figure class="asset-c-80"><span class="asset-image-title">Port-a-Cath®</span><img src="https://assets.aboutkidshealth.ca/akhassets/Port_MED_ILL_FR.jpg" alt="" /><figcaption class="asset-image-caption">Un Port-a-Cath® est une intraveineuse spéciale qui est placée sous la peau. C'est une façon plus confortable et pratique de recevoir des médicaments, comme la chimiothérapie, et la nourriture lorsqu'ils sont fournis par intraveineuse.</figcaption> </figure> <p>Certains médicaments ne peuvent être administrés au moyen de cathéters IV classiques, et certains autres nécessitent de nombreuses injections douloureuses. Un Port-a-Cath® est un moyen plus confortable et pratique d'administrer des médicaments comme de la chimiothérapie, une alimentation IV et des liquides. C'est aussi un moyen plus confortable pour le prélèvement d'échantillons de sang.</p><h2>À retenir</h2> <ul> <li>Un Port-a-Cath® est un cathéter intraveineux (IV) spécial installé dans le corps. L'extrémité du cathéter est inséré dans une veine du cou, le cathéter se prolonge dans la grosse veine au-dessus du cœur.</li> <li>Le Port-a-Cath® est un moyen plus confortable d'administrer des médicaments et de faire des prélèvements.</li> <li>Votre enfant recevra un anesthésique général; il n'entendra ni ne sentira rien pendant l'intervention.</li> <li>Quand votre enfant sera rétabli, aucun soin spécial à domicile n'est nécessaire. </li></ul><h2>Choses à signaler après l'insertion du Port-a-Cath®</h2> <p>Communiquez avec l'infirmière des soins communautaires, le service d'accès vasculaire de l'hôpital ou votre médecin ou infirmière si vous constatez l'un ou l'autre des signes suivants :</p> <ul> <li>votre enfant a de la fièvre ou des frissons;</li> <li>vous remarquez des saignements, une rougeur ou de l'enflure près du Port-a-Cath® ou du cou; </li> <li>des écoulements au site du Port-a-Cath®;</li> <li>le Port-a-Cath® de votre enfant est difficile ou impossible à rincer;</li> <li>l'utilisation du Port-a-Cath® est douloureuse. </li></ul> <p>La situation de chaque enfant est différente; vous devez donc demander à votre médecin s'il y a des directives précises pour votre enfant. Écrivez-les ici : </p> <p> </p> <h2>Choses que vous devez savoir au sujet du Port-a-Cath® de votre enfant </h2> <p>Il y a certaines choses que vous devez savoir au sujet du Port-a-Cath® de votre enfant. Si vous avez un problème et devez appeler l'infirmière en santé communautaire ou le service d'accès vasculaire. Les renseignements qui suivent au sujet du Port-a-Cath® de l'enfant leur sont très précieux, ainsi que les détails sur le problème. Remplir la fiche d'information suivante.</p> <h3>Date de l'insertion :</h3> <h3>Type d'embase (encercler ce qui s'applique) :</h3> <ul> <li>cathéter monolumière;</li> <li>cathéter à double lumière.</li></ul> <h3>Le Port-a-Cath® (encercler ce qui s'applique) :</h3> <ul> <li>à administrer des produits sanguins;</li> <li>à la chimiothérapie;</li> <li>à l'NPT;</li> <li>à l'administration de médicaments;</li> <li>autres : </li></ul> <h3>Remarques au sujet du Port-a-Cath®</h3> <p> </p><h2>Comment on installe un Port-a-Cath®</h2> <p>Un radiologue interventionnel ou un chirurgien insèrera le Port-a-Cath® de votre enfant au département de thérapie guidée par l'image (TGI) ou dans la salle d'opération. Dans la TGI, on utilise un équipement spécial pour des interventions qui autrefois aurait nécessité une opération traditionnelle.</p> <p>Pendant l'intervention, le bout du cathéter est inséré dans une veine du cou et placé dans la grosse veine située au­-dessus du cœur, où le sang circule rapidement. Cet emplacement permet un mielleur mélange des médicaments ou des liquides IV.</p> <p>L'autre bout du cathéter circule sous la peau et s'arrête juste avant l'endroit où l'on pratique une petite incision (coupure) afin de créer un espace appelé pochette. C'est dans la pochette que l'on installe le Port-a-Cath®, sous la peau. Les tissus et la peau sont ensuite refermés au moyen de points de suture.</p> <p>Un l'équipement comme une échographie ou la fluoroscopie, un appareil spécial pour radiographie peuvent être utilisé pendant l'intervention. On pourrait aussi faire une radiographie du thorax après l'intervention pour vérifier si le Port-a-Cath® est placé au bon endroit.</p> <p>L'insertion du Port-a-Cath® prend une heure à une heure et demie.</p> <p>Pendant l'intervention, on vous demandera de rester dans la salle d'attente, Quand l'intervention sera terminée et que votre enfant commencera à se réveiller, vous pourrez le voir. Une fois le Port-a-Cath® installé, le médecin ou l'infirmière viendra vous parler.</p> <h2>Soulagement de la douleur pendant et après l'intervention</h2> <p>Votre enfant recevra un anesthésique général; il n'entendra ni ne sentira rien pendant l'intervention.</p> <p>Après l'intervention, certains enfants ressentent de la douleur ou de l'inconfort léger dans le cou ou la poitrine pendant un jour ou deux. Si c'est le cas de votre enfant, demandez à votre infirmière ou médecin si votre enfant peut avoir quelque chose pour soulager la douleur. </p> <p>Les enfants ont souvent l'impression d'avoir le cou raide à cause du pansement. Il n'y a aucun danger à ce que votre enfant bouge son cou comme d'habitude.</p> <p>Une fois que votre enfant sera complètement guéri, le Port-a-Cath® ne devrait pas être douloureux ou inconfortable.</p><h2>À quoi s'attendre après l'opération</h2> <p>Vous remarquerez deux pansements : un petit dans le cou et un grand sur la poitrine. Ces pansements sont stériles, c'est-à-dire qu'ils ont été posés de manière à ce que le site soit exempt de germes, dans la mesure du possible. </p> <p>Le pansement dans le cou a l'apparence d'un tissu et peut être retiré après quelques heures. Il y aura aussi un pansement sur le Port-a-Cath® et l'endroit où se trouve l'incision. C'est normal de voir une petite quantité de sang sous ce pansement. Il y aura aussi de petites languettes adhésives blanches près des incisions dans le cou et sur la poitrine. Ne retirez pas ces bandelettes; elles tomberont d'elles-mêmes après deux semaines.</p> <p>Gardez l'incision propre, sèche et couverte d'un pansement les premiers cinq à sept jours ou jusqu'à ce que le tout soit bien guéri. Une fois les incisions guéries, nul besoin de placer un pansement sur le Port-a-Cath® ou de le couvrir quand on ne s'en sert pas, car il est bien protégé sous la peau. </p> <h2>Comment on utilise le Port-a-Cath®</h2> <p>Quand votre enfant aura besoin de médicament, on insèrera une aiguille dans le Port-a-Cath® à travers la peau. C'est ce que l'on appelle accéder au Port-a-Cath®. Une crème anesthésiante peut être appliquée pour engourdir la peau au dessus du Port-a-Cath® à l'endroit où on insère l'aiguille. De nombreux enfants trouvent que cette crème aide à réduire la douleur de l'aiguille. Demandez à votre médecin de commander la crème si vous voulez l'utiliser. </p> <p>L'infirmière nettoiera la peau de votre enfant et percera la peau avec l'aiguille pour accéder au Port-a-Cath®. L'aiguille sera couverte d'un pansement qui la gardera propre et en place. L'infirmière administrera ensuite les médicaments au moyen de l'aiguille dans le Port-a-Cath®.</p> <p>Quand tout le médicament aura été administré, le Port-a-Cath® sera rincé avec un médicament appelé héparine. L'héparine aide à empêcher le Port-a-Cath® de s'obstruer, pour qu'elle fonctionne bien chaque fois que vous irez à l'hôpital.</p> <h2>Le Port-a-Cath® ne peut pas tomber</h2> <p>Le Port-a-Cath® ne peut pas tomber ou être arraché. Cependant, si l'on accède au Port-a-Cath® au moyen d'une aiguille, l'aiguille, elle, peut être arrachée accidentellement. Si l'aiguille sort partiellement ou entièrement, le Port-a-Cath® pourrait se boucher, et la peau pourrait être irritée par les médicaments qui couleraient du Port-a-Cath® sur la peau qui l'entoure. Pour empêcher cela, il est très important de vérifier que l'aiguille est couverte d'un pansement et que l'aiguille et le tube sont fixés au corps de votre enfant.</p><h2>Avant l'intervention</h2> <p>Avant l'intervention, le médecin qui insèrera le Port-a-Cath® vous rencontrera pour vous expliquer l'intervention, répondre à vos questions et obtenir votre consentement.</p> <p>Votre enfant recevra un médicament spécial pour dormir, appelé anesthésique général. Vous rencontrerez donc aussi l'anesthésiste, le médecin qui donnera ce médicament à votre enfant.</p> <h3>Parler de l'intervention.</h3> <p>Avant toute intervention, il est important de parler à votre enfant de ce qui se passera, en utilisant des mots qu'il peut comprendre. Les enfants se sentent en effet moins anxieux quand ils savent à quoi s'attendre. C'est important d'être honnête. Dites à votre enfant qu'il ne se réveillera pas pendant l'intervention, mais qu'il se réveillera après. Si vous ne savez pas comment répondre aux questions de votre enfant, l'éducateur en milieu pédiatrique de votre unité.</p> <h3>Analyses sanguins</h3> <p>Votre enfant pourrait devoir subir des analyses sanguins avant la procédure, pour sa sécurité. Le médecin de votre enfant prendra les mesures nécessaires.</p> <h3>Aliments et liquides</h3> <p>L'estomac de votre enfant doit être vide pendant et après l'administration de l'anesthésique, ce qui réduit les chances que votre enfant vomisse ou s'étouffe.</p> <h3>Ce que votre enfant peut manger et boire avant le sédatif (sédation ou anesthésique général)</h3> <table class="akh-table"> <thead> <tr><th>Nombre d'heures avant l'intervention</th><th>Ce que vous devez savoir</th></tr> </thead> <tbody> <tr> <td>Minuit avant l'intervention</td> <td><p>Plus aucune nourriture solide. Cela signifie également aucune gomme à mâcher ou aucun bonbon.</p> <p>Votre enfant peut encore boire des liquides comme du lait, du jus d'orange et des liquides clairs. Les liquides clairs sont ceux qui sont translucides (on peut voir à travers) comme le jus de pomme, le soda au gingembre (comme du Canada Dry®) ou l'eau.</p> <p>Votre enfant peut aussi manger du Jell-o ou des jus glacées (popsicles).</p></td> </tr> <tr> <td>6 heures</td> <td>Plus de lait, de lait en poudre pour bébé, ou de liquides qui ne sont pas translucides comme le lait, le jus d'orange et les boissons gazeuses.</td> </tr> <tr> <td>4 heures</td> <td>Cessez d'allaiter votre bébé.</td> </tr> <tr> <td>2 heures</td> <td>Aucun liquide clair. Cela signifie plus de jus de pomme, d'eau, de soda au gingembre, de Jell-O ou de jus glacées (popsicles).</td> </tr> <tr> <td colspan="2"><p>Si vous avez reçu d'autres indications sur ce que votre enfant peut manger ou boire, écrivez-les ici :</p> <p> </p> </td> </tr> </tbody> </table>
PuertoPPuertoPortSpanishNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2008-11-10T05:00:00ZBairbre Connolly, MB, BCH, BAO, FRCP(C) Barbara Bruinse, RN, BSc, BScN Lisa Honeyford, RN, MN, CPON70.00000000000007.000000000000002045.00000000000Flat ContentHealth A-Z<p>Un puerto permite administrar medicamentos tales como quimioterapia, fluidos y nutrición intravenosa con mayor comodidad y conveniencia.</p>
போர்ட்போர்ட்PortTamilNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2010-09-07T04:00:00Z70.00000000000007.000000000000000Flat ContentHealth A-Z<p>கீமோத்தெரபி, IV ஊட்டத்சத்து மருந்துகள், மற்றும் திரவங்கள் போன்ற மருந்துகளை உட்புகுத்த, போர்ட் கருவி மேலும் சௌகரியமாகவும், வசதியாகவும் இருக்கிறது. </p>
پورٹپپورٹPortUrduNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2009-11-10T05:00:00ZBairbre Connolly, MB, BCH, BAO, FRCP(C)Barbara Bruinse, RN, BSc, BScNLisa Honeyford, RN, MN, CPON70.00000000000007.000000000000002045.00000000000Flat ContentHealth A-Zپورٹ آرام دہ ، با سہولت طریق سے ادویات کے حصول کو بہم پہنچاتا ہے جیسے کہ کیمو تھراپی، آئی وی غذائیت اور مشروبات اور جس سے خون کے نمونے لئے جاتے ہیں۔ اس طریق عمل کے باے میں جانیں۔

 

 

Port1014.00000000000PortPortPEnglishOtherChild (0-12 years);Teen (13-18 years)NACardiovascular systemProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZBairbre Connolly, MB, BCH, BAO, FRCP(C);Barbara Bruinse, RN, BSc, BScN;Lisa Honeyford, RN, MN, CPON7.0000000000000070.00000000000002045.00000000000Health (A-Z) - ProcedureHealth A-Z<p>A port provides a comfortable, convenient way to receive medications such as chemotherapy, IV nutrition and fluids, and from which to have blood samples taken. Learn about this procedure.</p><h2>What is a port?</h2><p>A port is a special intravenous (IV) line that is placed completely inside the body. It is used in some children who need IV therapy for a long time.</p><p>A port consists of two parts:</p><ul><li>The port itself is a small chamber made of metal with a soft silicone top. It lies just under your child's skin. Your child will receive IV therapy by having a needle inserted through the skin into the port.</li><li>The second part is a long, soft, thin, flexible tube, called the catheter. One end of the catheter is attached to the port and the other end is inserted into one of the large veins leading to the heart. The port and catheter allow medicine to be delivered into the bloodstream.</li></ul> <figure class="asset-c-80"><span class="asset-image-title">Port</span><img src="https://assets.aboutkidshealth.ca/akhassets/Port_MED_ILL_EN.jpg" alt="" /><figcaption class="asset-image-caption">A port is a special intravenous (IV) line that is placed under the skin. It provides a more comfortable and convenient way to receive medications such as chemotherapy and IV nutrition.</figcaption> </figure> <p>Some medicines cannot be given through regular IV lines, and some medicines require frequent, painful needle insertions. A port will provide a more comfortable and convenient way to receive medicines such as chemotherapy, IV nutrition and fluids. It is also a more comfortable way to have blood samples taken.</p><h2>Key points</h2> <ul> <li>A port is a special intravenous (IV) line placed inside the body. The tip of the catheter is inserted into a vein in the neck and placed in the large vein just above the heart. </li> <li>A port provides a more comfortable way to receive medicines and from which to have blood samples taken. </li> <li>Your child will receive a general anaesthetic so they will not hear or feel anything during the procedure. </li> <li>When your child has healed from the procedure, there is no special care for the port at home. </li> </ul><h2>Caring for the port</h2> <p>When your child has healed from the initial insertion, there will be no special care for your child's port at home. If there is no needle in place, there is no need to cover the port site with a bandage. If your child does not need medicine through the port for a long time, the port will need to be accessed with the needle and flushed with new heparin every four to six weeks. This prevents the port from becoming blocked. This can sometimes be done at home or it can be done at the hospital in clinic. This will be arranged by your doctor or nurse. </p> <h3>Activities</h3> <p>After the port is inserted, your child will be able to go back to most activities. This includes going to day care or school and playing some sports and games such as bike riding or tennis. Your child should not play rough sports that could result in a hit to the port area, as this may damage the port. </p> <p>When the incisions have healed, your child can swim or do other water activities if there is no needle in place. When a needle is in place, your child should not go swimming and the bandage should be kept dry. If the port needle gets wet, your child is more likely to get an infection. </p><h2>What to look out for after the port insertion</h2> <p>Contact your Community Care Nurse, the Vascular Access Service at the hospital, or your doctor or clinic nurse if you see any of the following: </p> <ul> <li>your child has fever or chills</li> <li>your child has bleeding, redness, or swelling around the port or neck</li> <li>your child has leaking or drainage at the port site</li> <li>your child's port is hard to flush or won't flush at all</li> <li>your child has pain when the port is being used</li> </ul> <p>Each child's situation is different, so you should also ask your doctor if there are any specific instructions for your child. Write them here: </p> <p> </p> <h2>Things you should know about your child's port</h2> <p>It is important that you know a few facts about your child's port. If you have a problem and have to call the Community Care Nurse or Vascular Access Service, it will be helpful to give them the following information about your child's port as well as information about the problem. Complete the following information. </p> <h3>Date of insertion:</h3> <h3>Port type (circle the one that applies):</h3> <ul> <li>single lumen </li> <li>double lumen </li> </ul> <h3>Port used for (circle all that apply):</h3> <ul> <li>blood products </li> <li>chemotherapy </li> <li>TPN </li> <li>medicines </li> <li>other: </li> </ul> <h3>Notes about the port:</h3> <p> </p><h2>How long the port can stay in</h2> <p>A port can stay in for months or years.</p> <h3>Removing the port</h3> <p>Once your medical team is confident that the port is no longer needed, they will make arrangements to have it removed. Ports are removed under general anaesthetic. This procedure takes about one hour. Eating and drinking restrictions and blood work preparations on the day of the procedure are similar to when the port was inserted. </p> <h2>Questions or concerns</h2> <p>If you have any questions or concerns about your child's port, you can call one of the following people. Write the numbers here: </p> <p>Community Care Nurse:</p> <p>Vascular Access Service:</p> <p>Your child's doctor or nurse:</p> <p>Other:</p><h2>How a port is inserted</h2> <p>An interventional radiologist or surgeon will insert your child's port in the Image Guided Therapy (IGT) department or in the Operating Room (OR). IGT uses special equipment to perform procedures that may have required traditional surgery in the past. </p> <p>During the procedure, the tip of the catheter is inserted into a vein in the neck and positioned in the large vein just above the heart, where the blood flow is fast. This placement allows for better mixing of medicines or IV fluids. </p> <p>The other end of the catheter is tunneled under the skin a short distance to where a small incision (cut) is made to create a space, called the pocket. The pocket is where the port sits, under the skin. The tissue and skin are then stitched closed. </p> <p>Equipment such as ultrasound and fluoroscopy, a special kind of X-ray, may be used during the procedure. A chest X-ray may be taken after the procedure to ensure the port is in the correct position. </p> <p>It will take about one to 1.5 hours to insert the port.</p> <p>During the procedure, you will be asked to wait in the waiting area. When the procedure is over and your child starts to wake up, you can see your child. Once the port is inserted, the doctor or nurse will come out and talk with you about the procedure. </p> <h2>Pain relief during and after the procedure</h2> <p>Your child will receive a general anaesthetic, so they will not hear or feel anything during the procedure.</p> <p>After the procedure, some children may feel mild pain or discomfort in the neck or chest area for the first day or two. If this happens, ask your nurse or doctor if your child can have something to relieve the pain. </p> <p>Children often feel like they have a stiff neck because of the neck bandage. It is good and safe for your child to move their neck as usual. </p> <p>Once your child has fully healed, they should not have any pain or discomfort from the port.</p><h2>What to expect after the procedure</h2> <p>You will notice two bandages on your child, one small one on the neck and one large one over the chest area. These bandages are sterile, which means they are put on in a special way to keep the site as germ-free as possible. </p> <p>The neck bandage is cloth-like and can be removed within a few hours. There will be a bandage over the port and where the incision is. It is normal to see a small amount of blood under this dressing. There will also be small, thin, white band-aid strips on both the neck and chest incision areas. Do not take off these strips. They will fall off on their own within two weeks. </p> <p>Keep the incision clean, dry and covered with a bandage for five to seven days or until well healed. Once the incisions have healed, there is no need to place any type of dressing or covering on the port when it is not being used, because it is all kept safely under the skin.</p> <h2>How the port is used</h2> <p>When your child needs medicine, a needle is inserted through the skin and into the port. This is called accessing the port. An anaesthetic cream can be used to help numb the skin above the port where the needle is being inserted. Many children feel that this cream helps to reduce the pain of the needle. Ask your doctor to order the cream if you would like to use it. </p> <p>The nurse will clean your child's skin and poke the needle through the skin and into the port. The needle will be covered by a bandage to keep it clean and to keep the needle in place. The nurse can then give the medicines through the needle and into the port. </p> <p>When your child has finished the medicine, the port will be flushed with a medicine called heparin. Heparin helps to prevent the port from becoming blocked so that it will work well every time you come to the hospital. </p> <h2>The port cannot fall out</h2> <p>The port cannot fall out or be pulled out. However, if the port is accessed with a needle, the needle can be pulled out accidentally. If the needle is pulled part-way or all the way out, it may cause the port to become blocked. This could also cause some skin irritation if medicines leak from the port onto the skin around it. To prevent this, it is very important to make sure that the port needle is covered with a bandage and that the needle tubing is taped to your child's body. </p><h2>Before the procedure</h2> <p>Before the procedure, the doctor inserting the port will meet with you to explain the procedure, answer your questions, and get your consent. </p> <p>Your child will be receiving a special "sleep medicine" called a general anaesthetic. So you will also meet with the anaesthetist, the doctor that will give your child the sleep medicine. </p> <h3>Talk about the procedure</h3> <p>Before any procedure, it is important to talk to your child about what will happen in a way that they will understand. Children feel less anxious when they know what to expect. It is important to be honest. Tell your child that they will not wake up during the procedure but will wake up afterward. If you are not sure how to answer your child's questions, ask the Child Life Specialist on your unit for help. </p> <h3>Blood tests</h3> <p>Your child may need blood tests before the procedure. This is for your child's safety. Your child's doctor will arrange this.</p> <h3>Food and fluids</h3> <p>Your child's stomach must be empty during and after the anaesthetic. This means your child is less likely to throw up or choke.</p> <h3>What your child can eat and drink before the sleep medicine (sedation or general anaesthetic)</h3> <table class="akh-table"> <thead> <tr><th>Time before procedure</th><th>What you need to know</th></tr> </thead> <tbody> <tr> <td>Midnight before the procedure</td> <td><p>No more solid food. This also means no gum or candy.</p> <p>Your child can still drink liquids such as milk, orange juice and clear liquids. Clear liquids are anything you can see through, such as apple juice, ginger ale or water. </p> <p>Your child can also eat Jell-O or popsicles.</p></td> </tr> <tr> <td>6 hours</td> <td>No more milk, formula or liquids you cannot see through, such as milk, orange juice and cola.</td> </tr> <tr> <td>4 hours</td> <td>Stop breastfeeding your baby.</td> </tr> <tr> <td>2 hours</td> <td>No more clear liquids. This means no more apple juice, water, ginger ale, Jell-O or popsicles.</td> </tr> <tr> <td colspan="2"><p>If you were given more instructions about eating and drinking, write them down here:</p> <p> </p> </td> </tr> </tbody> </table><h2>Risks of inserting a port</h2> <p>Any procedure carries some risk. Every procedure is judged by weighing the benefit for your child against the risk it may pose. Procedures vary from low risk to high risk, up to and including death. </p> <p>A port insertion is usually considered low risk. The risks of the procedure will vary depending on the condition of your child, the age and size of your child, and any other problems they may have. </p> <p>The risks of a port insertion can include:</p> <ul> <li>failure to find an open vein that will accept the port catheter</li> <li>bleeding or bruising</li> <li>infection</li> <li>clotting</li> <li>air in the lungs or veins</li> <li>rupture (breakage) of a blood vessel</li> <li>abnormal heart rhythm</li> <li>death (very, very rare)</li> </ul>https://assets.aboutkidshealth.ca/akhassets/Port_MED_ILL_EN.jpgPort

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