Abstract:

Objective

To explore the feasibility and safety of mobile internal jugular vein cannulation for breast cancer patients.

Methods

From October 2007 to January 2008,122 breast cancer patients with complete data of using mobile internal jugular vein cannulation were collected.Their local status of cannulation,temperature,blood routine,and the results of the catheter tip bacteria and blood bacteria that were immediately cultured and assessed after removal of the catheter were analyzed.

Results

The time from cannulation to removal of the catheter in the 122 breast cancer patients was 5-122 days(mean 46 days).During the catheter indwelling the temperature and lencocyte count of the patients were normal,and no symptoms of cold and fever occurred.Flare,pain and induration of 0.2-0.5 cm at the cannulation site after removal of the catheter occurred in 5cases.In 19 cases the catheter tip baterial culture was positive,with the positive rate of 15.60%(19/122),in 12 cases the blood bacteria culture was positive,with the positive rate of 9.80%(12/122).Pathogenic bacteria were mainly staphylococcus epidermidis,pseudomonad,eumycete(budding fungus),proteusmirabilis,human staphylococci,etc.

Conclusion

Although there are infection risks in mobile internal jugular vein cannualtion for breast cancer patients,the 3-month follow-up of our patients showed the patients'status was good after treatment,and no bad consequences occurred.So mobile internal jugular vein cannualtion for breast cancer patients is feasible,but cannulation-related infection should be given much attention in order to avoid bad events.

Key words: Breast neoplasms, Internal jugular vein cannulation, Safety, Bacteria culture