ESPN 50th Annual Meeting

ESPN 2017


 
Baby Port: why not?
PATRIZIA DI MATTEO 1 UGO GRAZIANO 2 LUCIA CALISE 2 ANNA CORCIONE 2 SALVATORE FERRAIUOLO 2 SIMONA FECAROTTA 3 GIOVANNI SEVERINO 2 MARIA IMMACOLATA SPAGNUOLO 3 SIMONA SPADARELLA 3 CARMINE PECORARO 1

1- UNIT OF NEPHROLOGY AND DIALYSIS, CHILDREN HOSPITAL “SANTOBONO-PAUSILIPON” – NAPLES
2- UNIT OF SURGERY, CHILDREN HOSPITAL “SANTOBONO-PAUSILIPON” – NAPLES
3- DEPARTMENT OF PEDIATRICS, UNIVERSITY "FEDERICO II" – NAPLES
 
Introduction:

 Port is a totally implantable system which allows a reliable long-term vascular access. It respects the body integrity and causes fewer local and/or systemic complications in respect of  tunneled venous catheters. Port implantation procedure requires a special practice for obtaining insertion techniques skill, specific know-how to manage medical staff, and  care-givers compliance. Despite of this advantages, the insertion of Baby Port devices is not yet not a widespread procedure.Baby Ports and VADs small-sized availability prompts the authors to investigate  prcaticalutilization of these devices, verifying their performance in chronic patients requiring venous accesses for treatment.

Material and methods:

 In a period of 18 monthseight male children aged between 4 months and 8 yearswere enrolled. The youngest one was affected by Congenital Nephrotic Syndrome finnish type (CNS) Six requiredi.v. discontinuous substitutive therapy; two required daily Total Parenteral Nutrition (TPN).

Results:

 Baby Ports implant was successfully performed in all. In the child with CNS, Baby Port, used for the daily albumin i.v. infusion, had a permanence lasting 13 months without serious adverse events.Primary complications were not observed . Secondary complications were more frequent during the period of care givers training and reduced after completing  learning period.The complications rate was 1.5 sepsis/ 1000 catheters day,and 2.0 reversible clotting occlusion / 1000 catheters day ; this rate was as high as the number of care givers/units involved.

Conclusions:

 Baby Port is a real reliable device that can be used also for pt who need daily therapies. Important to highlight its use is possible only with an appropriate training of care-givers.