Sir.—We read with interest the article by Shulman et al1 in the August issue of AJDC and herein report our experience with 45 patients with cystic fibrosis in whom a total of 66 catheters were placed. Patients with cystic fibrosis are similar to patients in the study by Shulman and colleagues in that they also frequently require long-term intravenous therapy.2-7 Our use of a peripherally inserted central catheter for administering antibiotics and supplemental alimentation intravenously has certain advantages.
Patients and Methods.—The patients' ages ranged from 7 to 45 years and their weights ranged from 22 to 65 kg. Our experience began with 23 patients in whom 38 catheters were placed.2 The polyvinylchloride catheters were placed in the basilic or cephalic vein for a mean duration of 15.4 days (range, 5 to 49 days). An 86% success rate was obtained. No major complications such as sepsis, catheter
SUSSMANE JB. Prolonged Intravenous Infusions. Am J Dis Child. 1989;143(5):520–521. doi:10.1001/archpedi.1989.02150170014006
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