Treatment of central venous catheter occlusions with ethanol and hydrochloric acid. JPEN J Parenter Enteral Nutr 1995;19(5):416-8
Date
09/01/1995Pubmed ID
8577023DOI
10.1177/0148607195019005416Scopus ID
2-s2.0-0029083071 (requires institutional sign-in at Scopus site) 83 CitationsAbstract
BACKGROUND: Occluded central venous lines (CVLs) is a major problem in pediatric patients.
METHODS: To relieve obstructed catheters, infusions of ethanol (up to 3 mL of a 70% solution) for presumed lipid occlusions and hydrochloric acid (HCl, 0.1 N, up to 3 mL) for presumed mineral and drug precipitates were given in an attempt to relieve obstructed catheters.
RESULTS: Patency was restored in 34 of 39 occluded catheters over an 18-month period.
CONCLUSIONS: Clearing occluded CVLs with ethanol and HCl is not only beneficial to the patient but also offers considerable cost savings compared to CVL replacement.
Author List
Werlin SL, Lausten T, Jessen S, Toy L, Norton A, Dallman L, Bender J, Sabilan L, Rutkowski DAuthor
Steven L. Werlin MD Emeritus Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Catheterization, Central VenousChild
Equipment Failure
Ethanol
Humans
Hydrochloric Acid
Parenteral Nutrition, Total
Urokinase-Type Plasminogen Activator
