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FORHIM
Broviac Repairs

We've been seeing an increased need in Bard Broviac repairs due to twisting and pulling of the fine tubing leading to weakened line strength, separation of the inner tubing causing bubbling, or through and through holes.  These patients often (but not always) come into the ER as outpatients with a short gut on home TPN who had less than stellar line dressing securement to protect that fragile tubing.  Has anyone had any luck with a more sturdy line to switch to considering the long term need and potential harm from, blood loss, air embolism, and infection?  Has anyone heard any plans Bard may have for improving the line's durability?  Also any tried and true 1) methods of prevention 2) rules of thumb for numbers of repairs permitted etc

lynncrni
By using the trade name

By using the trade name "Broviac", do you mean the pediatric sized tunneled cuffed catheter? Is the child the one doing this pulling and twisting? Tunneling to the upper back is a very successful method to keep this away from curious hands. I would start by contacting the manufacturer in their clinical department to ask for information. They would be the best resource for any changes that are being made. See the INS SOP Catheter Damage. There are no standards for the number of repairs that can be done, but each repair has to be done with a brand-specific repair kit following the manufacturer instructions closely. Each repair will not be as strong as the original catheter, but that is true for all brands. 

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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