Chemotherapy delivery

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I’m trying to find out how I should expect to be given my chemotherapy.

I’ll have radiotherapy for 5 days a week for 5 weeks with Cisplatin on days 1 and 22 followed by brachytherapy and then Carboplatin/Paclitaxel given every 21 days for 4 cycles.

Can anyone let me know if the chemo is normally given via cannula or will I have a PICC line or port cath fitted?

  • Hi EP17

    I had carboplatin and paclitaxel on 4 cycles of 21 days.

    Mine was given via canula into the back of my hand. I did alternate hands each time. I asked specifically to have it via canula and my consultant was happy. During my chemo sessions most people I came across had a canula in the same way. There were a few who had PICC lines. I think it depends on different things, such as the number of chemos, the health of the persons/veins etc. 

    Because they do the cannulas so frequently, I found them relatively painless. If you have a preference there is no harm in asking. For me I wanted everything removed each time after chemo and did not like the thought of having a PICC line. Other people are different. 

    I wish you well with your chemo.

    Jane

           

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

  • Thanks Jane. I wondered about whether the PICC line and Port cath would be for those patients who are getting chemo every day. It makes sense to me for a line to be in for them but I wasn’t sure. That’s why I was going on the assumption that I would have a cannula.

  • Most of the people I came across had cannulas. The ones I saw with the PICC lines/Ports seemed to be the ones that looked more poorly/frail. My consultant said cannula was fine for me as long as veins were ok. They were. The cannula took a little longer to put in on the last session but they have various tricks up their sleeves to help. Heat pack, lowering hand etc. 

           

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

  • I’ve been wondering about this too.  I’m about to start on FOLFIRINOX and from what I’ve read one of the drugs is delivered through a pump over 48 hours.  The others are about 2 hours.  Can anyone advise on PICC, Hickman and portacath in terms of which ones are easier to live with?  Do we have a choice about which ones are easier?

  • I’ve had cannulas as so far my veins have been ok and my chemo is delivered as an outpatient on 1 day. The nurses said they prefer cannulas except where there is a problem getting them in. Saying that I have seen several other patients whose regimen includes going home with a bottle of chemo to infuse for 24-28 hours. Those patients all had a line of some sort in so maybe it’s easier and more hygienic for them.