Does anyone have experience with an infusion port placed in the neck? We have an obese patient that presented today with her port chamber in her neck. The op report states it was a difficult placement due to the amount of adipose tissue overlying the chest. Catheter tip appropriately in the lover SVC.
Jayne Wixon, RN CRNI
Forum topic
Wed, 11/02/2016 - 13:59
#1
Port implanted in the neck
I have never seen that site for the port body. Arm, abdomen, lower extremiety for an arterial port but never seen the neck. I would suspect this one to be difficult to access as there would not be a rigid bony structure to stablize the port body. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Wow! I've never heard of that placement before. Would be interesting to know if it was placed by an intervenional radiologist or surgeon. I'm betting on surgeon.
Darilyn Cole, RN, CRNI, VA-BC
PICC Team Mercy General Hospital Sacramento, CA
Several questions: 1) Surgery placed or radiology? 2) What is the diagnosis for which the pt needs an implanted port? and 3) Jugular or subclavian vein access? IMHO, implanted ports in very obese patient are not the best vascular access devices for them. For oncology patients, I would prefer a PICC or Groshong in these patients. Nurses frequently have difficulty accessing when there is too much adipose between the port and the skin surface. Multiple attempts tend to cause anxiety in patients.