Manejo de reservorio subcutáneo venoso por enfermería en pacientes atendidos en el Instituto Oncológico Nacional “Dr. Juan Tanca Marengo” SOLCA-Guayaquil.

Abstract

The reservoir is a central catheter that consists of a portal or chamber of a self-sealing silicone membrane, attached to a tunnelled catheter under the skin that extends to the right atrium. Subcutaneous reservoir management study. Objective: to describe the management of the subcutaneous reservoir. Design: quantitative, descriptive, cross-sectional, prospective. Techniques: survey, direct and indirect observation. Results: population 39. Characteristics: age: 20-30 years, 36%; 31-41 years, 28%; 52-62 years, 21%; 42-52 years, 15%. Nursing graduates, 72%; nursing assistants, 26%. Direct care nurses, 95%; trained, 95%. Knowledge: existence of institutional protocol, 95%; procedures before insertion, 82%; technique, 95%; post insertion care, 79%. Compliance with procedures: before insertion, 62% to 97%; insertion technique, 59% to 85%; post insertion care: insertion area, 100%. Characteristics of the 43 patients: age: 16-25 years, 26%; 36-46 years, 21%; 58-68 years, 19%. Sex: men, 42%; women, 58%. Complications: 34%, thrombophlebitis and bacterial contamination; phlebothrombofletibis, 22%; pneumothorax, 15%; arterial puncture, 19%. Diagnoses: breast cancer, 23%; Hodking lymphoma, 28%; malignant tumors, 21%; leukemia, 23%; Kaposi sarcoma, 12%. Conclusions: there is an acceptable compliance with the management of the subcutaneous reservoir by the nursing staff, considering the complications presented. Greater controls are required.