Vascular Access in Children With Blood Disorders or Cancer.

Abstract

* Abbreviations: CVAD — : central venous access device miniMAGIC — : Michigan Appropriateness Guide for Intravenous Catheters in Pediatrics PICC — : peripherally inserted central catheter Children with disorders of blood and cancer frequently require long-term central venous access devices (CVADs) for recurrent blood draws, blood transfusions, and infusion of caustic medications, such as chemotherapy, immunotherapy, and biological agents. Their diagnosis puts them at increased risk for other comorbidities, such as systemic infection from neutropenia, along with thrombosis secondary to malignancy, immobility, chemotherapeutic agents (eg, steroids and asparaginase), or the underlying thrombogenic state of sickle cell disease.1–3 Therefore, careful consideration is needed when choosing a CVAD that is best for these patients. The guidelines/recommendations in this article are not American Academy of Pediatrics policy, and publication herein does not imply … Address correspondence to Julie Jaffray, MD, Division of Hematology, Oncology, and Bone Marrow Transplant, Department of Pediatrics, Children’s Hospital Los Angeles, 4650 Sunset Blvd, Mailstop #54, Los Angeles, CA 90027. E-mail: jjaffray{at}chla.usc.edu