Reply To: Omaya resevoir

  • Deborah Lafond

    Member
    October 28, 2014 at 5:47 pm

    We ususally flush with extra CSF, if patient condition can tolerate removal of CSF, and if not then we do flush with preservative free saline.  There is not much literature out there to show the evidence one way or another.  This article is the only quick reference could locate that supported using the patient’s own CSF, if able to maintain aseptic technique, and if not then use preservative free saline.  I have not done an extensive literature search, but this would make a great EBP project to find out what the literature actually supports!!  What do the APHON Chemotherapy and Biotherapy gudielines say? 

    Management of Adult Patients Receiving Intraventricular Chemotherapy for the Treatment of Leptomeningeal Metastasis.
    Clinical Journal of Oncology Nursing. 12(3):429-435, June 2008.
    AN: 00063185-200806000-00016.

    Thanks, Debbie

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    Deborah Lafond
    Children’s National Medical Center
    Saint Leonard, MD
    United States
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    Original Message:
    Sent: 10-28-2014 04:56 PM
    From: Patricia Vrooman
    Subject: Omaya resevoir

    Just wondering if people are flushing Omaya resevoirs with preservative free saline after administering chemo. 
    Thanks
    Patricia Vrooman

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    Patricia Vrooman
    Legacy Emanuel Children’s Hospital
    Portland, OR
    United States
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