Vascular Access Patients – Mastectomy
Vascular Access for a patient who had a Mastectomy requires the Clinician to evaluate additional facts and data. This page describes important factors for the Vascular Access Clinician to consider.
Mastectomy is the surgery to remove all breast tissue from one or both breasts and is typically done as an option to address breast cancer such as to treat breast cancer or to prevent breast cancer. In addition to typical surgical side effects of infection and the build up of blood or fluid in the wound, swelling in the arms and arm pit area can occur when lymph nodes are removed. This is referred to as Lymphedema and it can strike after the removal of lymph nodes either immediately after the mastectomy or many years later. Lymphedema can lead to serious bacterial infections and any injury to a patient’s arm or leg can create the opportunity for an infection to infiltrate.
Mastectomy Breast Cancer Lymph Node Dissection
Small Bore Internal Jugular Line avoids Lymphedema and Infection risk in the affected Arm or Arm Pit Area
Vascular Access – Mastectomy Patient
Vascular Access for a Mastectomy patient requires additional skill, care, and consideration. Following the Infusion Nurse Society and Association for Vascular Access guidelines, Vascular Access clinicians should not create Vascular Access in, at or near the affected arm or arm pit area in patients that have suffered breast cancer and lymph node dissection (ie, the removal of the lymph nodes), as this can cause Lymphedema and infection. As such, Vascular Access should not be done by the PICC and Midline procedure. Small Bore Internal Jugular Central Venous Catheter Line is the solution, with a Small Bore Femoral Central Venous Line as an additional alternative. These central catheter lines avoid the arm and arm pit, mitigating the risk of Lymphedema and infection. Small Bore Axillary Central Venous Line is not an option as the chest wall has been removed or manipulated, and this procedure is too close to the chest, upper arm and arm pit area. When Vascular Access has been mismanaged, Lymphedema has been known to strike more than 10 years after a mastectomy.
Small Bore Internal Femoral Line avoids Lymphedema and Infection risk in the affected Arm or Arm Pit Area
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Vascular Wellnesssm provides vascular access clinical nursing services at the bedside across the southeast to a diverse client base including hospitals, long term acute care centers, surgical and outpatient centers, skilled nursing facilities, and at-home care.
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