Placement and care of venous indwelling catheters and portosystems

For therapeutic and diagnostic applications permanent catheters may be used . The localisation of the catheter depends on the function and the mode of use. Epidurale and intraspinale catheters may be used for pain therapy, whe reas i.v.- or i.p.-catheters are suittable for the application of medicatio n and for diagnostic procedures. In gynecological oncology for recurrent i. v.-applications the implantation of port systems or hickman catheters are o f benefit for the patient. Experienced gynecological oncologists may use th e technique described by Seldinger for catheter implantation in local anest hesia. Therewith individualized out- and in-patient care with i.v.-nutritio n and pain medications is facilitated.