Placement of a midline catheter in a patient at the end of life

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After a failed attempt to place a central venous catheter (CVC) and another placement of a peripherally inserted central catheter (PICC), the patient exhibited high anxiety regarding a midline catheter” Ibañez Del Prado et al (2019).

Abstract:

OBJECTIVE: The case of a non-oncological patient at the end of his life, admitted to a Palliative Care Unit (PCU), is presented. After a failed attempt to place a central venous catheter (CVC) and another placement of a peripherally inserted central catheter (PICC), the patient exhibited high anxiety regarding a midline catheter (MC) and refused its placement, even though this was necessary for the administration of intravenous drugs to control dyspnea and other complex symptoms that he presented.

METHOD: An intervention through clinical hypnosis for successful MC placement and symptom control is described.

RESULT: Through clinical hypnosis and interdisciplinary teamwork, it was possible to place a MC, necessary for symptomatic control of a complex patient.

SIGNIFICANCE OF RESULT: This case exemplifies hypnosis as a simple procedure that is easy to apply, accepted by the patient, and effective in the implementation of invasive procedures and symptom control in PCUs.

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Reference:

Ibañez Del Prado, C., Cruzado, J.A., González Ordi, H. and Capilla Ramírez, P. (2019) Use of hypnosis for the placement of a midline catheter in a patient at the end of life. Palliative & Supportive Care. August 23rd. doi: 10.1017/S1478951519000579. .

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