CareFusion PleurX 50-7050 Manual Del Usuario página 9

Spontaneous Pleurodesis with the
PleurX™ Catheter
Patients who drain regularly every day or every other
day may achieve pleurodesis. In a multi-center
clinical trial, drainage of the effusion at least once
every other day resulted in approximately half of the
patients achieving spontaneous pleurodesis with a
mean time to catheter removal of 29 days. ¹
Pleurodesis Procedures with the
PleurX™ Catheter
The PleurX™ Catheter is compatible with Talc and
Bleomycin (not included).
Talc Slurry / Bleomycin
Use the Catheter Access Kit (REF 50-7280A)
to access the catheter and instill the pleurodesing
agent. The locking access tip with needleless access
valve should be removed immediately after
completion of the procedure.
Perform the procedure per the pleurodesis agent's
instructions for use and your institution protocol.
Talc Poudrage
The PleurX™ catheter can be used in place of the
chest tube for post-surgical drainage of a talc
poudrage.
Note: The poudrage should not be sprayed through
the PleurX™ catheter. Perform the procedure per the
Talc instructions for use and your institution
protocol.
Subsequent Drainage Procedures
Subsequent drainage procedures are to be
performed using the Lockable Drainage Line,
PleurX™ Vacuum Bottle, or the PleurX™ Drainage
Kits. Each drainage kit contains the necessary
drainage line, vacuum bottle, and other necessary
items to perform the drainage procedure.
It is vital that patients and/or caregivers are
carefully instructed on how to use the kit to
drain the pleural cavity. The person(s)
responsible for drainage must be able to
demonstrate they are capable of performing
the procedure.
If the patient/caregiver is not able or willing
to perform the drainage, a medical
professional should perform the drainage.
It is recommended that the patient is
periodically contacted or seen by a clinician
to evaluate treatment regimen and evaluate
catheter functional status.
Catheter Maintenance
To perform saline flushing or declotting procedure,
use the Catheter Access Kit (REF 50-7280A). If the
catheter valve or tubing is damaged, use the
PleurX™ Valve Kit (REF 50-7270) to cut the tubing
and replace the valve.
Catheter Removal Procedure
It may be appropriate and/or necessary at a later
date to remove the PleurX™ Pleural Catheter. Three
successive attempts to drain fluid that result in less
than 50 ml of fluid removed may indicate one of the
following:
• pleurodesis has been achieved
• the catheter is loculated away from the fluid
• the catheter is occluded
1. Place the patient appropriately to access the
catheter insertion site.
2. Aseptically clean the patient's chest around the
catheter insertion site.
3. Anesthetize the site.
4. Remove any remaining sutures securing the
catheter.
5. Using forceps, dissect around the cuff to free it
from the ingrowth. Ensure that the cuff is
completely free within the tunnel.
6. Grasp the catheter in one hand and pull with a
firm, constant pressure.
7. Cover the site as appropriate.
Contains Phthalates. The benefit of treatment
outweighs the remote possibility of exposure to
phthalates.
Note: Not made with natural rubber latex.
Magnetic Resonance Imaging (MRI)
Safety Information
Non-clinical testing has demonstrated that the
PleurX™ Catheter is MR safe. In non-clinical testing,
the image artifact caused by the device extends
approximately 2 mm from the device when imaged
with a gradient echo pulse sequence and a 3.0 T
MRI system.
1
Putnam JB Jr, Light RW, Rodriguez RM, et al. A
Randomized Comparison of Indwelling Pleural Catheter and
Doxycycline Pleurodesis in the Management of Malignant
Pleural Effusions. Cancer 1999; 86; 1992-1999.
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