Hepatic Arterial Infusion Pump: Complications and Nursing Management Regarding Use in Patients With Colorectal Cancer

Clinical Journal of Oncology Nursing
Deborah Italiano

Abstract

The hepatic arterial infusion (HAI) pump is a treatment-delivery method based on the principle of targeting the tumor site directly and can be used alone or in combination with systemic chemotherapy. The intent of this article is to serve as a resource for oncology nurses to safely identify and manage HAI pump complications. These complications include seroma, flipped HAI pump, infection, changes in pressure and temperature, challenging access, dry pump, high residual volume, chemical hepatitis, risk of ulcer, and radiologic imaging considerations. The authors performed a literature review to provide a foundation for nurses to be able to manage HAI pump infusions. The literature review revealed minimal nursing resources to manage complications with an HAI pump. Resources to manage complications are crucial for safely administering medications and properly maintaining the function of the pump. Attention to patient education should be incorporated in nursing practice.

References

Dec 1, 1982·The American Journal of Medicine·J GyvesR Wheeler
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May 2, 2002·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Ruth E Martin
Apr 21, 2010·The Cancer Journal·Margaret K Callahan, Nancy E Kemeny
May 23, 2015·Clinical Journal of Oncology Nursing·Lisa Parks, Meghan Routt
Apr 21, 2017·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Bas Groot KoerkampMichael I D'Angelica

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