Implanted Port Insertion

Implanted port insertion is a procedure to put in a port and catheter. The port is a device with an injectable disk that can be accessed by your health care provider. The port is connected to a vein in the chest or neck by a small flexible tube (catheter). There are different types of ports. The implanted port may be used as a long -term IV access for:

  • Medicines, such as chemotherapy.
  • Fluids.
  • Liquid nutrition, such as total parenteral nutrition (TPN).
  • Blood samples.

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Having a port means that your health care provider will not need to use the veins in your arms for these procedures.

Tell a health care provider about:

  • Any allergies you have.
  • All medicines you are taking , especially blood thinners, as well as any vitamins, herbs, eye drops, creams, over-the-counter medicines, and steroids.
  • Any problems you or family members have had with anesthetic medicines.
  • Any blood disorders you have.
  • Any surgeries you have had.
  • Any medical conditions you have, including diabetes or kidney problems.
  • Whether you are pregnant or may be pregnant.

What are the risks?

Generally, this is a safe procedure. However, problems may occur, including :

  • Allergic reactions to medicines or dyes.
  • Damage to other structures or org ans.
  • Infection.
  • Damage to the blood vessel, bruising , or bleeding at the puncture site.
  • Blood clot.
  • Breakdown of the skin over the port.
  • A collection of air in the chest that can cause one of the lung s to collapse (pneumothorax). This is rare.

What happens before the procedure?

Staying hydrated

Follow instructions from your health care provider about hydration, which may include:

  • Up to 2 hours before the procedure – you may continue to drink clear liquids, such as water, clear fruit juice, black coffee, and plain tea.

Eating and drinking restrictions

Follow instructions from your health care provider about eating and drinking , which may include:

  • 8 hours before the procedure – stop eating heavy meals or foods such as meat, fried foods, or fatty foods.
  • 6 hours before the procedure – stop eating lig ht meals or foods, such as toast or cereal.
  • 6 hours before the procedure – stop drinking milk or drinks that contain milk.
  • 2 hours before the procedure – stop drinking clear liquids.

Medicines

Ask your health care provider about:

  • Changing or stopping your regular medicines. This is especially important if you are taking diabetes medicines or blood thinners.
  • Taking medicines such as aspirin and ibuprofen. These medicines can thin your blood.Do not take these medicines before your procedure if your health care provider instructs you not to.

You may be given antibiotic medicine to help prevent infection.

General instructions

  • Plan to have someone take you home from the hospital or clinic.
  • If you will be going home rig ht after the procedure, plan to have someone with you for 24 hours.
  • You may have blood tests.
  • You may be asked to shower with a germ-killing soap.

What happens during the procedure?

  • To lower your risk of infection:
  • Your health care team will wash or sanitize their hands.
  • Your skin will be washed with soap.
  • Hair may be removed from the surgical area

An IV tube will be inserted into one of your veins.

You will be given one or more of the following :

  • A medicine to help you relax (sedative).
  • A medicine to numb the area (local anesthetic).

Two small cuts (incisions) will be made to insert the port.

  • One incision will be made in your neck to g et access to the vein where the catheter will lie.
  • The other incision will be made in the upper chest. This is where the port will lie.

The procedure may be done using continuous X-ray (fluoroscopy) or other imag ing tools for g uidance.

The port and catheter will be placed. There may be a small, raised area where the port is.

The port will be flushed with a salt solution (saline), and blood will be drawn to make sure that it is working correctly.

The incisions will be closed.

Bandages (dressings) may be placed over the incisions.

The procedure may vary among health care providers and hospitals.

What happens after the procedure?

  • Your blood pressure, heart rate, breathing rate, and blood oxygen level will be monitored until the medicines you were given have worn off.
  • Do not drive for 24 hours if you were given a sedative.
  • You will be given a manufacturer’s information card for the type of port that you have.
  • Keep this with you.
  • Your port will need to be flushed and checked as told by your health care provider, usually every few weeks.
  • A chest X-ray will be done to:

            Check the placement of the port.

            Make sure there is no injury to your lung .

 

Summary

  • Implanted port insertion is a procedure to put in a port and catheter.
  • The implanted port is used as a long -term IV access.
  • The port will need to be flushed and checked as told by your health care provider, usually every few weeks.

 

Keep your manufacturer’s information card with you at all times.