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Treatment of central venous catheter occlusions with ethanol and hydrochloric acid.
BACKGROUND: Occluded central venous lines (CVLs) is a major problem in pediatric patients.
METHODS: To relieve obstructed catheters, infusions of ethanol (up to 3 mL of a 70% solution) for presumed lipid occlusions and hydrochloric acid (HCl, 0.1 N, up to 3 mL) for presumed mineral and drug precipitates were given in an attempt to relieve obstructed catheters.
RESULTS: Patency was restored in 34 of 39 occluded catheters over an 18-month period.
CONCLUSIONS: Clearing occluded CVLs with ethanol and HCl is not only beneficial to the patient but also offers considerable cost savings compared to CVL replacement.
METHODS: To relieve obstructed catheters, infusions of ethanol (up to 3 mL of a 70% solution) for presumed lipid occlusions and hydrochloric acid (HCl, 0.1 N, up to 3 mL) for presumed mineral and drug precipitates were given in an attempt to relieve obstructed catheters.
RESULTS: Patency was restored in 34 of 39 occluded catheters over an 18-month period.
CONCLUSIONS: Clearing occluded CVLs with ethanol and HCl is not only beneficial to the patient but also offers considerable cost savings compared to CVL replacement.
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