Peripheral Venous Cannulation Technique in Cancer Patients

Abstract

Cancer pathology interferes physiologic intercellular communication which causes new vascular-structure formation strength defect, distortion and fragile. Such disorder brings about the leakage of plasma, blood corpuscles and fluids into surrounding tissues which causes edema and hypoxemia. Continuous venous chemotherapy treatment on schedule and different kinds of drugs directly affect patients’ blood vessels particularly the perivascular leakage. Therefore, the appropriateness of venous cannulation technique is necessary. Favor location for peripheral venous cannulation is antecubital fossa namely median cubital, cephalic and basilica veins as they are clear to be identified and less adjacent nerves. Moreover, aseptic technique is carried out through procedure. It is important for the operator to take care and pay high attention for the patients after venous cannulation. After the procedure, operators should observe the venipuncture site closely and take precaution of changing the location every 72 hours as well as using the Phlebitis Scale to assess the possibility of phlebitis. In case of problem, the personnel shall make an incidence report, stop all maneuvers and treat affected site with cool or warm sponge. Analgesia becomes the cornerstone of the venipuncture success by probable using local or inhaled anesthetics under pragmatic approach to patients with good relationships.