Peripherally Inserted Central Venous Catheters
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Peripherally Inserted Central Venous Catheters
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Author : Sergio Sandrucci
language : en
Publisher: Springer
Release Date : 2014-07-05
Peripherally Inserted Central Venous Catheters written by Sergio Sandrucci and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-05 with Medical categories.
Indications for central venous cannulation in critically ill patients have increased dramatically, but central venous access has the drawbacks of morbidity and a scarcity of experienced operators. Ultrasound-guided peripheral venous access offers a solution, in that it reduces morbidity and can be performed by a dedicated nursing team. The aim of this book is to teach the fundamentals of this emerging technique. Advice is provided on choice of materials; maneuvers for positioning of peripherally inserted central venous catheters (PICCs), techniques for evaluation of PICC tip placement; prevention, diagnosis, and management of complications; and organization of a dedicated team within a hospital or a supportive care program. Legal and economic issues are also considered. The book will be of interest to a wide range of professionals, including nutritionists, oncologists, anesthesiologists, surgeons, registered nurses, nurse practitioners, physicians, physician assistants, and radiologists.
Peripherally Inserted Central Venous Catheter An Alternative For Improving The Quality Of Nursing Care
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Author :
language : en
Publisher:
Release Date : 2017
Peripherally Inserted Central Venous Catheter An Alternative For Improving The Quality Of Nursing Care written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Introduction: Evidence suggests high rates of complications related to the peripheral venous catheter (PVC). Among causes is the administration of irritant/vesicant medicine, with pH u2264 5 or u2265 9 and osmolarity u2265 900 mOsm/L(1-2) . These risk factors are indications for using peripherally inserted central venous catheters (PICC)(3-4). Therefore, their use may be an alternative for improving the outcome of nursing care. However, safely using PICC requires the acquisition of knowledge based on scientific evidence, because care differs from that usually provided to patients with PVC(4). Objective: Analyze the cumulative incidence of complications in Portuguese patients with PICC or PVC after implementing an educational intervention on care with PICC. Method: A theoretical and practical educational intervention with nurses of a service of medicine of Portugal, on care for patients in the insertion, maintenance and monitoring of the PICC. A cohort pilot study was held during 40 consecutive days, in 2016. Patients included were adults: nine patients with PICC and 36 with PVC. Descriptive statistical analysis was performed. Results: Complication in patients with PICC: obstruction (22.2%); PVC: Phlebitis (22.2%), infiltration (38.8%), obstruction (27.7%), accidental removal of the PVC (47.2%), fluid leakage on insertion (36.1%) and pain at the site of insertion (5.5%). Discussion & Conclusion: Permanent education is essential to improve nurses' knowledge of PICC care, and is a strategy to achieve higher levels of qualification and the transformation of practices (5). PICC showed a lower incidence of complications when compared to the PVC, becoming a favorable alternative to improve the quality of nursing care to patients who have a medical indication for PICC. Ensuring the criteria of selection of a venous catheter is essential in order to reduce complications, improve the results of nursing care and promote the patients' well-being (3-4).
Coding For Chest Medicine 2009
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Author :
language : en
Publisher: Chest Physicians - ACCP
Release Date : 2009
Coding For Chest Medicine 2009 written by and has been published by Chest Physicians - ACCP this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Medical categories.
Central Venous Catheters
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Author : Andy Bodenham
language : en
Publisher: John Wiley & Sons
Release Date : 2008-12-08
Central Venous Catheters written by Andy Bodenham and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-12-08 with Medical categories.
This book addresses all the issues a patient may experience prior to receiving a VAD. Selection of equipment, practical aspects of technique, the pros and cons of the various veins, and modifications of technique for certain circumstances are examined. Covereage also includes the roles played by radiologists, anaesthetists, surgeons, nurses, and other team memebers. Throughout the chapters a reference is made to the IV Therapy Standards published by the Royal College of Nursing IV Therapy Forum in 2003. Each chapter is evidence based and fully referenced.
Infection Control In Home Care
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Author : Emily Rhinehart
language : en
Publisher: Jones & Bartlett Learning
Release Date : 1999
Infection Control In Home Care written by Emily Rhinehart and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medical categories.
Provides information to home care and hospice organizations for the prevention, control, and surveillance of infection. Thirteen chapters cover topics including infection control as a health care discipline; the infectious disease process; patient care practices; infection control in home infusion t
Applying Magic Recommendations In The Indication Of Peripherally Inserted Central Venous Catheters Retrospective Analysis On A Private Hospital In Brazil
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Author :
language : en
Publisher:
Release Date : 2017
Applying Magic Recommendations In The Indication Of Peripherally Inserted Central Venous Catheters Retrospective Analysis On A Private Hospital In Brazil written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Background: Peripherally inserted central venous catheters (PICC) are increasingly being used to provide central venous access and PICC complications lead to increased mortality and cost. The presence and proliferation of vascular access nursing in hospital settings has been identified as a potential contributor to growing demand, and possible overuse, of PICC lines. Objectives: We aim to evaluate if PICC indication is appropriate, based on the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC), in a 300-bed Brazilian Hospital. Methods: We analyzed retrospectively the PICC inserted in intensive care units (ICU) and non-ICU setting from January to July/2017. These catheters were evaluated within each scenario through the mobile app u2013 Michigan MAGIC u2013 and each one were categorized as appropriate, neutral, inappropriate or disagreement. Results: PICC were inserted in 605 patients (49% male and 51% female), with a mean age of 73 years (03 to 113), 53% in non-ICU settings and 47% in ICU. The right arm was chosen in 69% of the cases and the most common vein punctured was basilic (66%), followed by brachial (33%) and cephalic (1%). According to proposed duration of infusion and type of infusate, 95% of all PICC inserted (575) were considered appropriate. There were 14 cases (2,3%) classified as inappropriate (peripherally compatible infusate) and 16 (2,7%) classified as disagreement (difficult venous access and frequent blood draw with duration
The Chemotherapy Source Book
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Author : Michael Clinton Perry
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2008
The Chemotherapy Source Book written by Michael Clinton Perry and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Medical categories.
The Chemotherapy Source Book, Fourth Edition pulls together all the current information on the chemotherapeutic management of cancer patients, including choice of chemotherapeutic agents, use of combinations, and toxicity of individual drugs. Organized by disease site, the book brings together pharmacologic and patient management information in one source that clinicians can consult for any question encountered in the delivery of chemotherapy. This updated Fourth Edition includes new drugs as well as new indications for older drugs. Content has been streamlined to provide essential information more quickly for the busy practitioner. Plus, this edition is softcover for greater portability and convenience.
Central Venous Access Devices Cvads And Peripherally Inserted Central Catheters Piccs For Adult And Pediatric Patients
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Author : Chuong Ho
language : en
Publisher:
Release Date : 2017
Central Venous Access Devices Cvads And Peripherally Inserted Central Catheters Piccs For Adult And Pediatric Patients written by Chuong Ho and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Central venous access devices (CVADs) or central venous catheters (CVCs) are devices that are inserted into the body through a vein to enable the administration of fluids, blood products, medication and other therapies to the bloodstream. CVADs can be inserted into the subclavian or jugular vein (implanted ports, tunneled catheters), or can be inserted into one of the peripheral veins of the upper extremities, called peripherally inserted central catheters (PICCs).1 While generally safe, CVADs can be associated with complications such as catheter occlusion or rupture, venous thrombosis, and bloodstream infection.1 A number of strategies have been used to minimize the occurrence of CVAD- and PICC-associated complications such as antimicrobial-impregnated lines for prevention of infection, or addition of a valve (valved catheters) to prevent occlusion by preventing reflux of blood into the catheter.2 Flushing the catheters with saline or heparin - an agent with anticoagulant activity - have been used to reduce clot formation and occlusion of the catheters. This Rapid Response report is an update of the previous CADTH reports which found no difference in terms of frequency of occlusion in patients who had a valved versus a non-valved PICCs, and similar patency between heparin and saline use for CVCs.3,4 This report aims to review the evidence on the clinical effectiveness of valved versus non-valved PICCs, and saline versus heparin flushing in the maintenance of CVADs patency and reduction of complications.
Image Guided Interventions E Book
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Author : Kenneth R. Thomson
language : en
Publisher: Elsevier Health Sciences
Release Date : 2020-03-13
Image Guided Interventions E Book written by Kenneth R. Thomson and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-03-13 with Medical categories.
Completely revised to reflect recent, rapid changes in the field of interventional radiology (IR), Image-Guided Interventions, 3rd Edition, offers comprehensive, narrative coverage of vascular and nonvascular interventional imaging—ideal for IR subspecialists as well as residents and fellows in IR. This award-winning title provides clear guidance from global experts, helping you formulate effective treatment strategies, communicate with patients, avoid complications, and put today's newest technology to work in your practice. - Offers step-by-step instructions on a comprehensive range of image-guided intervention techniques, including discussions of equipment, contrast agents, pharmacologic agents, antiplatelet agents, and classic signs, as well as detailed protocols, algorithms, and SIR guidelines. - Includes new chapters on Patient Preparation, Prostate Artery Embolization, Management of Acute Aortic Syndrome, Percutaneous Arterial Venous Fistula Creation, Lymphatic Interventions, Spinal and Paraspinal Nerve Blocks, and more. - Employs a newly streamlined format with shorter, more digestible chapters for quicker reference. - Integrates new patient care and communication tips throughout to address recent changes in practice. - Highlights indications and contraindications for interventional procedures, and provides tables listing the materials and instruments required for each. - Features more than 2,300 state-of-the-art images demonstrating IR procedures, full-color illustrations of anatomical structures and landmarks, and video demonstrations online. - 2014 BMA Medical Book Awards Highly Commended in Radiology category!
Practical Guide To Central Venous Cannulation
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Author : Rodolfo Lanocita
language : en
Publisher: Springer Nature
Release Date : 2025-06-26
Practical Guide To Central Venous Cannulation written by Rodolfo Lanocita and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2025-06-26 with Medical categories.
This book provides detailed guidance and tips on using ultrasound and other non-invasive techniques for inserting central venous catheters. It also offers advice on the available equipment, manoeuvres for accessing the venous system, and techniques for evaluating tip placement. Moreover, it provides a complete view of the prevention, diagnosis, and management of catheter-related complications (infection, thrombosis and dislodgment) and instructions on catheter care and maintenance. A hint at emerging technologies and techniques for central venous cannulation is also included. Central venous access devices have become a fundamental tool in daily clinical practice, especially in ICU settings and in the management of oncology patients, where all physicians are expected to know what, when and how to place such devices. In addition, oncology patients need these devices in the early stages of active treatment and in the end phases for palliative measures. As of today, totally implantable venous access devices are considered safe, reliable, and effective for administering chemotherapy and parental treatment, with a low morbidity and complication rate. Primarily focused on illustrating practical and operative instructions, this book will be an invaluable tool for many professionals, including oncologists, anaesthesiologists, radiologists, surgeons, registered nurses, nurse practitioners, nutritionists, physicians and physician assistants.