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Central line and Chemo Port Use in Bhubaneswar

Central line and chemo port use

Central line and Chemo Port Use in Bhubaneswar

Central lines and chemo ports are devices implanted in the body to deliver Chemotherapy accurately.

Central lines: A long plastic tube is placed into the bloodstream. As they end up in a central blood vessel in the chest, which is close to the heart, they are termed central lines.

Types of Central lines:

  • Acute central line: It goes through the vein in the neck and is used for short-term treatments. 

  • Skin-tunnelled central line: This central line runs through the chest into a large vein. The line hangs out of a small hole in the chest.

Chemo port: A Chemo port is an implantable device that goes under the skin and a silicone tube that connects the device to a blood vessel. The chemo port contains a port, septum, and catheter.

Types of Chemo ports:

  • Single-lumen port: A single-lumen port is a common type of chemo port that has one access point.

  • Double lumen port: This has two access points in which the needles can be placed in each one.

Consult our medical oncologists to know more about central line and chemo port use in Bhubaneswar.

Explore advanced central line and chemo port treatments in Bhubaneswar at Manipal Hospitals. Expert care for seamless procedures.

FAQ's

A chemo port is used to deliver medications as well as draw blood. The needle is inserted into the skin through the port's septum, from where the fluids or medication can be easily delivered.

Chemo port placement is done by surgery. A minimum duration of one hour is required to complete this process. The patient can be discharged the same day. The process begins with the following steps:

  • The area is anaesthetised, and a small cut is made in the neck to access the major veins. 

  • A small opening is made in the vein for the catheter.

  • A pouch is made under the skin, and the chemo port is placed in the pouch.

  • The catheter from the chemo port is connected to the vein.

  • The incisions are then closed with stitches. 

  • The procedure is guided throughout with the help of fluoroscopy (a type of X-ray imaging). A chest X-ray is also taken to ensure the chemoport’s accurate placement.

A chemo port has the following benefits:

  • Improved comfort: There might be little or no pain when the needle is inserted into the chemo port by the healthcare provider.

  • Tissue damage reduction: The fluids are directly delivered into the large vein through the chemo port, which reduces the risk of medication leakage into the surrounding tissues.

  • Less chance of infection: As the chemo port gets covered by the skin, the chances of getting infections due to exposure are almost nil.

The placement of the chemotherapy port is done surgically, and hence the chances of risks due to surgery can be expected. These are:

  • There can be blocks in the catheter of the chemo port.

  • The chances of displacement can be high due to excessive movements.

  • If the catheter gets displaced, the working of the chemo port can be hindered.

  • Chances of scar formation in the area of incisions.

  • About two percent of cases can be prone to the risk of infection along with pain and fever.

Soon after the placement of the chemo port, there can be mild soreness or pain in the areas of cuts or incisions that last for a day or two. One can resume their daily activities immediately, but activities involving strenuous exercises can be done only after informing the respective health care provider.

The duration for which the chemo port stays in the body differs from individual to individual, depending on their medical condition. It can stay inside the body for several years until the physician decides on its removal.

  • A small cut or incision is made over the chemo port, the port is relieved free of the surrounding tissues, and the entire device is removed. Once it is removed, the incision is again closed by suturing.

  • There might be slight bruising, swelling, pain, or discomfort after the chemo port removal, and the side effects subside with time.

One can continue with a shower after 48 hours of the placement of the chemo port procedure. The surgical site is covered with a plastic wrap to prevent it from getting wet. After a day or two of placing the chemo port, the healing is complete, and one can take a shower normally.
 

A central line is used for the following procedures: 

  • Chemotherapy

  • Delivering antibiotics

  • Administering Intravenous (IV) fluids

  • Delivering liquid food to individuals who cannot consume food orally

  • Local anaesthesia, or general anaesthesia, is used to place a central line surgically. 

  • An ultrasound machine is used to detect the vein in the neck. 

  • A small cut is made in the neck, termed an insertion site. 

  • The tip of the central line is gently made to pass into the large vein, which passes towards the heart. 

  • The other end of the central line is tunnelled under the skin and contains the body, which is referred to as an exit site.  

  • An X-ray is taken to evaluate the correct placement of the central line.

  • After the placement of central lines, a few dressings are given to cover the exit and insertion sites.

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