Strategies to Aid Identification of Apheresis PowerFlow Ports: A Case Report.

Date

2021-01

Journal Title

Journal ISSN

Volume Title

Repository Usage Stats

9
views
13
downloads

Citation Stats

Attention Stats

Abstract

Introduction

The PowerFlow implantable apheresis intravenous port is a venous access device for therapeutic apheresis procedures. In this case review article, we identify key similarities and differences between apheresis PowerFlow ports and traditional ports. We also list strategies that emergency departments can implement to aid in correct port identification.

Methods

Using a case review format, we describe the clinical presentation of a 33-year-old female with neuromyelitis optica who was evaluated in the emergency department for an acute exacerbation. She had a history of outpatient apheresis procedures that made use of bilateral PowerFlow ports. Mistaken for a conventional port, the right PowerFlow port was accessed with a Huber needle rather than the appropriate catheter-over-needle device. On infusion of intravenous fluids, the patient experienced pain and swelling. Ultimately, the port malfunctioned and was eventually replaced.

Results

A subsequent root cause analysis identified opportunities for education and aids to improve port identification. To this end, strategies were implemented to appropriately identify the PowerFlow port using at least 2 of the following methods: (1) look in the patient's chart for record of an implantable apheresis intravenous port; (2) check the port identification card, bracelet, or keychain issued at insertion; (3) palpate the port to look for the rounded top and hollow concave entry point; and (4) use x-ray or fluoroscopy to identify radiopaque port markers.

Conclusion

When a patient with a history of apheresis procedures presents with an implanted port, steps should be taken to ensure correct identification and access.

Department

Description

Provenance

Citation

Published Version (Please cite this version)

10.1016/j.jen.2020.10.004

Publication Info

Gill, Janique C, Darlene J Oakley and Oluwatoyosi A Onwuemene (2021). Strategies to Aid Identification of Apheresis PowerFlow Ports: A Case Report. Journal of emergency nursing, 47(1). pp. 21–27. 10.1016/j.jen.2020.10.004 Retrieved from https://hdl.handle.net/10161/27014.

This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.

Scholars@Duke

Onwuemene

Oluwatoyosi Adefunke Onwuemene

Associate Professor of Medicine

Unless otherwise indicated, scholarly articles published by Duke faculty members are made available here with a CC-BY-NC (Creative Commons Attribution Non-Commercial) license, as enabled by the Duke Open Access Policy. If you wish to use the materials in ways not already permitted under CC-BY-NC, please consult the copyright owner. Other materials are made available here through the author’s grant of a non-exclusive license to make their work openly accessible.