• Observation

  • Monitor for haemorrhage, hematoma, pneumothorax, infection

  • Document adverse reactions, allergies, etc.

  • Monitor vitals, ECG, Oximetry, access site

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• Medications​

  • Management of co-morbidities  (allergy, blood glucose, blood pressure, nausea, etc)

  • Painkillers if needed (eg. Paracetamol)

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• Instructions​​

  • Clinical and imaging follow-up to ensure longterm patency of the Port

    • Remove the portacath:

      • When not required

      • Infection/sepsis

    • Exchange portacath when is malfunctioning due to:

      • Occlusion/thrombosis

      • Fracture/rupture

      • Fibrin sheath:

        • Infuse TPA into the port for 30’ and then aspirate it

        • Try stripping of the fibrin sheath

        • Consider balloon inflation at the level of portacath’s tip

  • Contact Interventional Radiology for any clinical concern