Reply To: CVL Dressing Help Required

  • Chris Donaghey

    Member
    July 9, 2019 at 9:01 am

    I would consider using a bordered foam dressing (occlusive but cannot visualize site), or a basic gauze/tape setup. They would only last you 24-48 hours at most, but it could be beneficial. Or what our burn unit does: sterile 2×2 over site, sterile 4×4 over that, then kerlex wrap over the entirety of that, wrapped around torso.

    Again, options that may not be ideal for your kid, especially if site isn’t well healed, but things that our wound team have collaborated with us to fix before.

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    Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON
    Clinical Nurse Specialist – Riley Cancer Center
    Riley Hospital for Children at IU Health
    Indianapolis, IN
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    Original Message:
    Sent: 07-09-2019 08:38 AM
    From: Lisa Honeyford
    Subject: CVL Dressing Help Required

    Morning!
    We have a 22 month old post BMT patient who develops contact with every dressing we have tried. The patient has had three central lines “fall out” in the last month because we have been unable to secure them.

    Dressings we have tried and have failed for the following reasons include:

    Contact Dermatitis

    Tagaderm 

    IV 3000 

    Duoderm 

    IV Clear 

     

    Peels off the patient within 24 hours and therefore doesn’t secure the line safely

    Mepilex Clear 

    Mepilex border 

    Hypafix

    Any ideas out there?? Thanks in advance.

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    Lisa Honeyford, CPHON,RN
    Pickering, ON
    Canada
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