Central Line Care
Due to the nature of Charlie's condition we know he will rely on his Central Line long term, therefore it is highly important we take extra care in protecting it.
He is high risks for an infection, a blood clot in the line, a blockage or tare/break in the line. Should any of these happen we have protocols in place and are advised to seek medical attention straight away.
When we are not using Charlie's central line there is a small risk of it becoming blocked therefore to stop this from happening we flush the line and lock it with 2.5ml of Tarolock, we do this daily post his TPN feed.To also reduce the risk of infection he has a green bung placed on the end which is changed daily to reduce the risks.
To protect the site Charlie has a bath every other day where we change all of his dressings in a sterile environment.
To also reduce the risk of an infection we use a Biopatch around his Central Line, is a polyurethane foam disc infused with chlorhexidine gluconate (CHG). The Biopatch is effective against a variety of gram positive and gram negative bacteria (Bhende and Spanglar, 2004).
The device provides a steady release of CHG around the insertion site over a 7 day period The sponge nature provided by the foam disc keeps the site clean and dry whilst still releasing CHG. According to Timsett a Biopatch has been shown to reduce the rate of central line infections up to 69% (Timsett et al, 2009).