PLEASE NOTE: The information in this section is meant as a general guide to help parents and caregivers with common issues and is not intended to replace the care provided by your child’s healthcare team.
Discuss your child’s unique needs with your healthcare team, including WHO and WHEN to contact when problems arise.
Redness, heat, swelling, tenderness or pain at the catheter entry site
Extended redness or itching of the skin under dressing
Cord-like sensation of the vein where the catheter is inserted (may be hard, red or tender to touch)
One or more of these symptoms: burning or pain at the entrance site of the catheter, cold skin around the entrance site of the catheter, swelling of the arm (PICC line), swelling around the catheter catheter site, leakage at catheter entry site, change in skin color (whiteness or redness) around the catheter entry site
Child with an implantable chamber catheter (eg, Port-a-Cath®): pain or swelling at the site of insertion of the reservoir during the administration of the solution or irrigation
Blood leaking at catheter insertion site
Protective dressing is wet or damp due to leakage of blood, pus or other discharge
Dressing is falling off, loose, punctured or torn
Presence of blood in catheter tubing
Medication administration time longer than usual
Leakage of the elastomeric infusion pump or bursting of the balloon
Presence of air bubbles or particles in the bag, cassette reservoir or elastomeric infusion pump
Ambulatory infusion pump alarms
Resistance or inability to irrigate (flush) the catheter
Inadvertent disconnection of the needleless connector or the pump tubing
Broken (leaking) catheter or malfunctioning equipment
External displacement of the catheter (part of the catheter outside the vein shorter or longer than usual or catheter completely removed from the vein) with or without: pain in the ear, neck or shoulder on the side of the catheter, swelling in the neck, unusual sound heard by your child on the catheter side during flushing of the catheter or administration of the medication
Unusual sound heard by your child on the catheter side during irrigation with or without: pain in the ear, throat pain
Particular odor or a strange taste reported by your child during irrigation
One or more of these symptoms: swelling of the hand, arm or side where the catheter is located, underarm pain in the arm where the catheter is located, swelling of the neck and face
Fever with or without other symptoms: ≥ 38⁰C rectal or ≥ 37.5⁰C buccal or ≥ 37.5⁰C armpit
For specific advice on your child or any other questions, do not hesitate to contact your child’s healthcare team.