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• W1598658659 abstract "Many children with cystic fibrosis (CF) require repeated courses of intravenous (i.v.) antibiotics. This mode of therapy is being increasingly accepted as an important part of the care offered to all children who are chronically colonized with Pseudomonas aeruginosa. Peripheral venous access is obtained using either a cannula or a so-called ‘longline’. The latter is often preferred because it offers the prospect of uninterrupted venous access for the whole duration of a 14-day course of antibiotics. Cannulae in the region of joints require immobilization and splinting, whereas long-lines do not. In the UK, cannulae and long-lines have traditionally been inserted by junior doctors. Thus, for many years the insertion of long-lines in our centre was performed by medical staff, usually the middle grade staff attached to the CF team. This had some advantages since staff were generally trained in long-line insertion prior to their posting to the unit, and the presence of these staff in the hospital out-of-hours during oncall allowed some flexibility in scheduling line insertion. A disadvantage was that because of other duties medical staff could not always attend at the time agreed with families. Lack of time also made it difficult for junior doctors to use techniques such as distraction and play therapy. We have recently developed an ‘intravenous’ service run by nurses for the insertion of long-lines. This paper describes how the nurse i.v. service was established." @default.
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• W1598658659 date "2002-01-01" @default.
• W1598658659 modified "2023-09-23" @default.
• W1598658659 title "Intravenous long-lines in children with cystic fibrosis: a multidisciplinary approach." @default.
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