Thank you for participating in the session today and making it so interesting. We saw a video clip of a 12-year-old boy with Acute Lymphatic Leukaemia on treatment. He had the normal side effects of chemotherapy and a central venous access and get across to me with a peg.

The venous access devices and Peg gastrostomy are not commonly seen in overseas centres and hospitals and it was interesting to discuss them in detail and also go over the indications. We discussed the complications and what questions to ask if faced with such a video.

Learning points:

• Look up venous access in children in different clinical conditions.
• Commonest cause of loss or hair / bald – in children is Chemotherapy for malignancy.
• Febrile neurtopenia is a common complication and needs urgent management.
• Check the warning signs of infection with central lines.
• Intraosseous access in resuscitation scenarios – do not forget.

Add anything I may have missed or add your comments and suggestions.

Comment / Observation
Anil Garg