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•
Then add the priming volume for the particualr port configuration as follows:
MODEL
Titanium Mini Profile CT Port
Titanium Low Profile CT Port
Titanium Mid-Sized CT Port
Calculation
Catheter
Example:
Length (cm)
•
For future reference it will be helpful to record this information on the
patient's chart and/or patient ID card.
Recommended Flushing Volumes:
Equipment
•
Non-coring needle
•
10ml syringe filled with sterile saline
•
10ml syringe filled with 5ml heparinized saline (100 U/ml).
Note: Other concentrations of heparinized saline (10 to 1000 U/ml) have been
found to be effective. Determination of proper concentration and volume should be
based on patient's medical condition, laboratory tests, and prior experience.
Procedure:
1.
Explain procedure to patient and prepare injection site.
2.
Attach a 10ml syringe filled with sterile normal saline to needle.
3.
Aseptically locate and access port.
4.
Flush the system, then repeat with 5ml of 100 U/ml heparinized saline.
5.
After therapy completion, flush port per institutional protocol. Alcohol should
not be used to soak or declot polyurethane catheters because alcohol is
known to degrade the polyurethane catheters over time with repeated and
prolonged exposure.
POWER INJECTION PROCEDURE:
Before proceeding follow institutional protocol to verify correct catheter tip
position via radiographic image prior to power injection.
1.
Access the port with an appropriate non-coring needle. Make certain that
needle tip is inserted fully within the port.
Warning: The Power Injectable Implantable Infusion Port is only power
injectable when accessed with a power injectable needle.
2.
Attach a syringe filled with sterile normal saline.
3.
Instruct the patient to assume the position they will be in during the power
injection procedure, before checking for patency. If possible, the patient
should receive power injection with his or her arm vertically above the
shoulder with the palm of the hand on the face of the gantry during injection.
This allows for uninterrupted passage of injected contrast through the axillary
and subclavian veins at the thora
4.
Aspirate for adequate blood return and vigorously flush the port with at least
10ml of sterile normal saline.
Warning: Failure to ensure patency of the catheter prior to power injection
studies may result in port system failure.
5.
Detach syringe.
6.
Warm contrast media to body temperature.
7.
Attach the power injection device to the needle ensuring connection is secure.
Check indicated flow rate and confirm CT settings.
Non-Coring Needle Gauge Size
Maximum Recommended Flow Rate Setting
PORT PRIMING VOLUMES
Catheter
X
Volume per cm
FLUSHING VOLUMES
PROCEDURES
When port not in use
After each infusion of
medication or TPN
After blood withdrawal
After power injection of
contrast media
VOLUME (mL)
0.43 mL
0.43 mL
0.47 mL
Port Volume
+
(mL)
VOLUME (100 U/ml)
5ml heparinized saline every 4 weeks
10ml sterile normal saline then 5ml
heparinized saline
20ml sterile normal saline then 5ml
heparinized saline
10ml sterile normal saline then 5ml
heparinized saline
19 Ga.
5ml/s
-9-
System Total
=
Volume (mL)
20 Ga.
22 Ga.
5ml/s
2ml/s
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