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26 Dec 2019, 07:47:26 (2 months ago)
Depending on the specific chemotherapy regimen used, several myeloma
patients may find that they are planned to undergo an autologous stem cell transplant (stem cells taken from the patient and returned to
the same patient - no second parties are involved.
) The Arkansas Treatment any such regimen that combines chemotherapy with an autologous stem cell hair transplant.
To collect stem cells from one's blood stream, a central venous catheter usually
needs to be inserted in the jugular vein at the base of the throat.
This article describes the details of this method from a patient's point of view.
One may expect that to collect particular
bloodstream cells, they would take blood away from one arm through
an IV plus return it to the other supply through another IV.
That, nevertheless , is not usually the case. The process is usually accomplished by inserting a main venous catheter at the base of the neck into
the jugular vein. This might sound much less reasonable or pleasant,
however it turns out to be a relatively simple procedure.
Central venous catheters have a plastic base (at their center), with a number of plastic tubes coming out the
top from the base which end with lumens to which IV lines can easily be linked.
From the bottom of the base, a single larger straight plastic tube extends
about 6 to 8 inches to a clean tapered tip.
Close inspection shows a hole at the tip and one or two holes around the area of the tube about
an inch back of the tip. The pit at the tip is connected to one
or more lumens and the circumferential holes are connected to one or
more other lumens. A typical catheter inserted into a patient's neck of
the guitar commonly has three lumens : two large and one
The design of the catheter allows one lumen to be used to draw blood
out from the vein, another lumen to return blood to the vein, and a third continues to be
free to administer medications if required.
Insertion of the catheter calls for the tapered tube to be inserted through the skin at the base
of the neck of the guitar and into the jugular vein.
The particular tube then travels down (inside) the vein so the tip lies in the large vein right above the entrance to the heart.
The particular insertion is performed by a physician in an operating suite at
The typical process proceeds as follows: After arriving at the
collection room, the patient lies down in the bed and the bed is wheeled to the
operating room where the patient slideshow off the bed and
onto the particular operating table. Then, the nursing staff begins preparations for
the treatment. The physician who will be inserting the catheter will question the patient to make sure
both of them are at the right location and that he is performing the proper process.
The operating suite will usually become equipped with several computer
monitors over head so the physician can see, as he inserts the
catheter, that he has situated its business end
at the appropriate location at the entrance
to the cardiovascular. The patient will usually be given a nasal
cannula with oxygen for breathing and a blood pressure cuff will soon be fastened to their arm to allow
measurement of blood pressure during the procedure. Then the patient will be covered with sheets
- the only exposed area would be the area immediately surrounding the
point where the catheter will be inserted.
When all preparations are ready, medications are
usually administered to make the patient relaxed (and usually sleepy).
A local anesthetic is used to numb the insertion site.
One nurse will be assigned to keep a detailed eye on the patient while
others assist the physician. The whole insertion procedure only takes a
Before you know it, they will be asking whether or not the you remained awake through the entire
procedure, and would you please slide back onto your bed. Another quick ride through the hallways will return the patient to the stem cell collection room where the newly inserted catheter
will be connected to the collection machine and immediately put to use.
There are two major differences between a central venous catheter
and a PICC line (a peripherally inserted central catheter.
) PICC lines are usually anchored in place within the patient's arm by a bracket attached to the skin with
a strong adhesive. Central venous catheters are usually anchored in place with several
stitches. This may not be obvious to the patient until a good nurse, who wants to remove the catheter, affirms she
needs to first remove the appears that are anchoring it in place.
The other difference is that the tubes of a main venous catheter have
larger inside of diameters than those in a PICC line. This allows greater volumes of our blood to flow easily from the sufferer to the
collection machine, and back again.
The stem cell collection device is an instrument based on a continuous centrifuge.
Since stem cells are small and light, when spun in a centrifuge, they will float to
the top where they can easily be separated and even collected.
The remainder of the blood can be returned almost immediately to the patient.
A central venous catheter is recognized as a "temporary" device - it could remain in place for at
most 5 various days. After that, it has to be removed and even stem cell collection must quit.
In most cases, sufficient numbers of stem cellular material will
be collected within the five days authorized.
In some cases, one day of collection except for.
When collection is complete, typically the central venous catheter can be removed.
The removal procedure simply requires the anchoring stitches
to be removed along with the catheter to be pulled out.
No anesthetic is required. Once the catheter is out, strain will be applied
to the entry web sites for about 10 minutes. After that, the problematic vein and the skin should be sufficiently made that a bandage can be applied as well as patient can be sent on their
Although one might become stressed about having a catheter
inserted in the jugular vein at the base on the neck, this procedure is a common one that is simply not painful nor should it be feared.
A lot of patients find that they were anxious regarding no good reason. The insertion method goes
quickly and the day put in collecting stem cells is usually a longer,
slow, lazy, relaxed day. Doing nothing, reading, sleeping, working on the computer,
enjoying the radio, eating and drinking, etc ., are all helped.
The only restriction is that as long as this tubes
are connected from the catheter to the collection machine, the patient have
to remain in the bed. Collection ends generally around 3 P.
M. at which time the patient will be released from your collection machine and the bed.
When it comes time to remove the catheter, once again, this
may sound worse than it really is. It is an easy procedure that can be performed by a transplant nurse
at the cancer clinic.
The key recommendation for others who need to have this particular catheter
inserted, and eventually removed, would be to
not fret about it. The methods go quickly and they
are relatively painless. The initial shot of anesthetic around the neck may feel like a bee sting, but only for an instant until
the anesthetic kicks in. After that, the top inconvenience is that the dangling lumens happen to be awkwardly positioned
at the base of the neck. Usually, the catheter will not be painful and it is hardly
noticeable. If it is positioned properly, the only way for
the affected person to even see it is to the correct a mirror.
In the big picture of items, the central venous catheter is often a handy device to use to perform often the stem cell collection procedure.
Hindsight suggests it is not worth getting anxious or excited about.
Other aspects of chemotherapy remedies can be nastier
than the day(s) used collecting stem cells.
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