Skip to main content

2022 | Pflegepraxis | Buch

Port Care

Hygiene, Dressing Change, Monitoring, Complication Management

herausgegeben von: Dr. med. Roland Hennes, Gisela Müller

Verlag: Springer Berlin Heidelberg


Über dieses Buch

Comprehensive and professional care for people with ports!

This book offers nurses and medical professionals comprehensive knowledge for the care of people with ports. Starting with the selection and indication for port placement, through dressing changes and hygiene guidelines, to everyday handling - here you will find expert knowledge at the highest level! The authors come from different professional groups and show that good interprofessional cooperation is essential for the successful treatment of patients with a port.

This book is a translation of the original German 1st edition Portpflege by Roland Hennes and Gisela Müller, published by Springer-Verlag GmbH Germany, part of Springer Nature in 2020. The translation was done with the help of artificial intelligence (machine translation by the service A subsequent human revision was done primarily in terms of content, so that the book will read stylistically differently from a conventional translation. Springer Nature works continuously to further the development of tools for the production of books and on the related technologies to support the authors.


1. Interdisciplinary Cooperation in Port Care
In the implementation of necessary and appropriate treatment measures, port catheter systems have taken on a central role in modern oncology and nutritional medicine. The responsible and successful treatment of patients with a port catheter system poses particular requirements on nursing staff. First of all, we will explain what makes an implanted port catheter system so special and how this defines the demands for all professional groups and participants.
Roland Hennes, Gisela Müller
2. Indications for a Port Catheter System, Basics of Port Surgery and Dealing with Complications from a Nursing Perspective
Patients who require a port catheter system for their treatment often come from the oncological and nutritional medicine sector. Here, the indications for the administration of chemotherapeutic agents, antibodies as well as nutritional solutions and other additive infusions and preparations are in the foreground. This chapter explains the indications for the insertion of a port catheter system, the possible locations as well as complications that can occur during implantation.
Roland Hennes
3. Hygiene in Port Care
Infection is the most frequent complication of a port system and, in addition to antibiotics and port explantation, can mean intensive care requirements and be life-threatening for the patient. This illustrates the high importance of hygiene in handling the port. Disinfection can only be successful in conjunction with all other appropriate hygiene measures. The basis for hygiene in handling ports is the so-called standard or basic hygiene. This includes hand hygiene, protective equipment, behavior when coughing, sneezing and blowing one’s nose, cleaning/disinfection of the patient environment, correct preparation and safe injection technique.
Vanessa Eichel, Uwe Frank
4. Legal Aspects of Performing Port Puncture by Nurses: Delegation of Medical Activities
There are no specific legal regulations on the performance of port punctures by nurses. The general legal situation regarding the delegation of medical activities to nursing staff is currently unclear and not conclusively regulated. A uniform implementation of the delegation of certain medical activities is currently to be tested by the Heilkunde Transfer Directive (HÜR) within the framework of pilot projects.
Katja Maier
5. Expert Standard Port Care
Since there are no uniform guidelines for the care of patients with central venous port systems in the Federal Republic of Germany to date, the recommendations formulated in the following chapter are based on guidelines of the Robert Koch Institute and on the many years of expertise of Universitätsklinikum Heidelberg (Heidelberg University Hospital). The standardized professional care of implanted port systems after port implantation is the most important measure to ensure permanent, complication-free and safe access for patients. A study conducted at Heidelberg University Hospital in which the reasons for port explantation were investigated in 385 patients clearly showed that port infection was the most frequent complication of implanted port systems and frequently led to explantation of the systems.
Barbara Fantl
6. Wound Care and Dressing Changes
Wound care and dressing—just like the puncture—must be carried out according to hygienic guidelines. The dressing should always be applied under sterile conditions. This chapter explains the principles of wound care and dressing changes.
Barbara Fantl
7. Intraoperative and Postoperative Care of Port Patients
Structured and well-organized management of responsible care is an important component of a successful course of treatment for a port patient. This chapter provides information on the crucial nursing measures.
Birgit Appelhoff, Lisa Moser
8. Special Features of Port Care for Oncological Patients
Oncology is the main field for application of port systems. Due to the severity of their disease, many patients are dependent on a permanently safe vascular access.
Susann Eismann
9. Port Supply in Outpatient Care
Not only in the inpatient setting, but also in the outpatient setting, the port as a vascular access that is available at any time and can often be punctured represents the basis for therapy with hyperosmolar infusions, as embodied by parenteral nutrition and cytostatic infusions. This enables patients to receive or continue their required therapy in their familiar environment. This is often accompanied by a better therapy outcome and a gain in quality of life. In order to make this possible, a well-networked cooperation of the professional groups involved in the care is required. A close-knit information and communication network is indispensable, in which the patient and his relatives are also integrated (Fig. 9.1).
Halka Nehring, Anna Mindrup
10. Care of Special Patient Groups
Handling a port system is a particular challenge for the caregiver, especially for cachectic or obese patients. The resulting difference in tissue thickness between the port chamber and the skin surface requires an adjustment of the port care.
Julia Winkler, Debora Stern, Bianka Walter, Damaris Weeber
11. Port Care for Children
Already in infancy and toddlerhood a port is a safe venous access system. Due to the agility of children, the fixation of the needle is very important. The tube system must also be checked regularly and, if necessary, replaced more frequently. Complications must be recognized in time and eliminated as quickly as possible. Expressions of pain by young patients should always be taken seriously and the causes should be investigated.
Heiko Riemke
12. Documentation, Patient Counseling and Information
Das Deutsche Patienteninformationsgesetz (The German Patient Information Act) of February 2013 obliges the treating physician to explain to the patient “in an understandable manner at the beginning of the treatment and, if necessary, in the course of the treatment, all circumstances essential for the treatment, in particular the diagnosis, the probable health development, the therapy and the measures to be taken during and after the therapy”.
Margit Benz
13. Evidence of Port Care
Evidence-based statements on port care are a rarity; most recommendations are based on empiricism. The most important measure in port care is compliance with hygiene guidelines. Only suitable special cannulas may be used for puncture. To reduce the risk of thrombosis and infection, blood sampling from the central venous line should be avoided. Ports should be flushed before and after fluid infusion or injection. There is no evidence for the type and amount of flushing solution, but usually only sterile saline is recommended for flushing and saline without added heparin may also be recommended for blocking the port.
Reinhart T. Grundmann
Port Care
herausgegeben von
Dr. med. Roland Hennes
Gisela Müller
Springer Berlin Heidelberg
Electronic ISBN
Print ISBN

Passend zum Thema

Antivirale Therapien in der Frühphase einer SARS-CoV-2-Infektion erfolgreich

Die Therapieempfehlungen machen deutlich, dass das Abwenden eines schweren Verlaufs einer COVID-19-Infektion bereits in der Frühphase der Erkrankung stattfinden sollte [1].

Immunisierung in der Langzeitpflege

Zum Schutz von Bewohnerinnen und Bewohnern in Langezeitpflegeeichrichtungen spielt die Immunisierung gegen COVID-19 eine wichtige Rolle. Daten zur Effektivität und Schutzdauer von COVID-19-Impfstoffen zeigen, dass Impfungen in allen Altersgruppen gut vor schweren COVID-19-Verläufen schützen [1].


COVID-19 in der Langzeitpflege

Erfahren Sie mehr darüber, wie Sie als Pflegekraft den Herausforderungen im Arbeitsalltag hinsichtlich Covid-19 begegnen können. Das Angebot bietet praktische Tipps, Hintergrundinformationen und aktuelle Informationen zum Thema.