Reply To: Blina and central line

  • Kim Ross Webb

    November 9, 2021 at 10:42 pm
    We do 7 day bags after the first week. Our patients receive their medication through the infusaport. If the patient gets an LP that day, the needle is changed while the patient is sedated. If not, we don’t use EMLA for the most part. If we use it we deaccess the needle and put the EMLA on  while we are checking the Blina and getting the new port set up ready to reassess. 

    Kim Webb
    St Mary’s Medical Center

    Original Message:
    Sent: 11/9/2021 1:31:00 PM
    From: Jennifer Vega
    Subject: Blina and central line

    We allow our patients to go home during blinatumomab infusions and they return every 3 or 4 days (depending on bag size) for a bag change.  Our patients have mediports so the needle must be changed with the bag change every 7 days.  

    Currently at our institution we do not allow for anesthetic (Emla) with mediport deaccess and then reaccess to minimize the time of interruption of the blina infusion.   We want to make this less traumatic for our patients so would appreciate any input on practices being used!

    Thank you,

    Jennifer Vega, APRN
    Pediatric Hematology/Oncology
    Golisano Children’s Hospital of SWFL<o:p></o:p>

    Jennifer Vega, CPON,FNP-C,RN
    Punta Gorda, FL