Reply To: Apheresis catheters in infants or less then 10kg

  • Teresa Munson

    Member
    November 7, 2022 at 11:24 am

    Karen on our less than 10 to 15 KG kids with such as you describe, we have found we can use their double lumen Broviac to collect their stem cells. We put Cathflo/alteplase in the lumens before we start and because the volume is so low and the flow rates are slower we are able to complete the procedure. We also will use a heparin bolus 50u times their kg wt then divide the dose in half and give in each lumen prior to starting. This just helps to keep the line from clotting off since we have such low flow rates. We use the Spectra Optia machine for our Apheresis collections. If you have any other questions please feel free to reach out.

     

    Teresa Munson, BSN RN CPHON

    Nurse Manager

    Norton Children’s Infusion Center

    Norton Children’s Cancer Institute

    502-629-8437 office

    502-216-7004 cell

     

    ——————————————-
    Original Message:
    Sent: 11/4/2022 5:48:00 PM
    From: Karen Wolownik
    Subject: Apheresis catheters in infants or less then 10kg

    Good evening, 
    Can you please share information re: apheresis catheter insertion/placement in infants or children less than roughly 10kg?
    1- In these small patients, do you insert apheresis catheters upfront in HR patients like Stg4 NBL or CNS tumors when you know that peripheral stem cell collection is indicated?
            If yes, do you know what brand/type/size are used?
    2-Do you insert standard catheters upfront than insert temporary pheresis catheters closer to time of collection and if so, preferred location and brand /type /size?
    Thank you in advance for your input!

    Karen

    ——————————
    Karen Wolownik, MSN, CPNP-PC, CPHON
    Peds Onc/SCT Nurse Practitioner
    Maria Fareri Children’s Hospital
    Valhalla, NY
    ——————————