Augmented Reality-Based Visual Cue for Guiding Central Catheter Insertion in Pediatric Oncologic Patients

2022 ◽  
Author(s):  
Joong Kee Youn ◽  
Dongheon Lee ◽  
Dayoung Ko ◽  
Inhwa Yeom ◽  
Hyun-Jin Joo ◽  
...  
Keyword(s):  
Augmented Reality ◽  
Catheter Insertion ◽  
Central Catheter ◽  
Visual Cue ◽  
Oncologic Patients

scholarly journals Effect of Chahuang ointment on prevention of phlebitis from peripherally inserted central catheter: randomized clinical trial

2021 ◽  
Vol 55 ◽  
Author(s):  
Xian Wang ◽  
Xiang Lv ◽  
Jie Zhang ◽  
Yan Wang
Keyword(s):  
Controlled Trial ◽  
Color Doppler ◽  
Catheter Insertion ◽  
Control Group ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Color Doppler Flow Imaging ◽  
Effective Prevention ◽  
Tissue Edema ◽  
Multicenter Randomized Controlled Trial

ABSTRACT Objective: To assess the effect of Chahuang ointment, a Chinese herbal ointment, on the prevention of phlebitis in patients with peripherally inserted central catheters. Method: This was a multicenter randomized controlled trial, with 171 eligible patients randomly assigned into one of three groups: the Chahuang ointment group, the Mucopolysaccharide Polysulfate cream group, and the control group. The degrees of vein injuries at 72 hours after peripherally inserted central catheter insertion were the primary outcome. Secondary outcomes were the vascular wall thickness, tissue edema and microthrombus evaluated by Color Doppler Flow Imaging, the vascular endothelial growth factor, and endothelin-1 (ET-1) expression in vivo. Results: Compared with the control group, the Chahuang ointment group showed significantly lower incidence of postoperative phlebitis, tissue edema, and microthrombus at 72 hours after peripherally inserted central catheter insertion (all P<0.01). The VEGF and ET-1 expression were significantly inhibited in the Chahuang ointment group after 3 days of treatment (both P<0.01). There were no statistical differences in the degree of vein injuries, microthrombus, or tissue edema between the Chahuang ointment and mucopolysaccharide polysulfate groups (all P>0.05). Conclusion: Chahuang ointment was shown to provide effective prevention and protection against phlebitis after peripherally inserted central catheter insertion.

scholarly journals Central catheter insertion protocol: accession of the multidisciplinary team / Protocolo de inserção de cateter central: adesão da equipe multiprofissional / Protocolo de inserción de cateter central..

2020 ◽  
Vol 9 (1) ◽  
pp. 52
Author(s):  
Aline Maiane Silva dos Santos ◽  
Sônia Maria de Araújo Campelo ◽  
Wenysson Noleto dos Santos ◽  
Delmo de Carvalho Alencar ◽  
Ítalo Arão Pereira Ribeiro
Keyword(s):  
Multidisciplinary Team ◽  
Catheter Insertion ◽  
Central Catheter ◽  
Terapia Intensiva

Objetivo: identificar e descrever a taxa de adesão da equipe de saúde composta por médico, enfermeiro e técnico de enfermagem ao protocolo de inserção de cateter central na Unidade de Terapia Intensiva. Metodologia: estudo observacional-sistemático, com abordagem quantitativa, realizado com 28 profissionais da equipe multiprofissional de um Hospital Público de Teresina, por meio de formulário estruturado, que possibilitou a coleta e análise dos dados em relação a adesão ou não da equipe, ao protocolo de inserção de cateter central, analisados estatisticamente e apresentados por meio de tabela. Utilizou-se a análise univariada que permite a análise de cada variável separadamente com intervalo de confiança de 95% e margem de erro de 5%. Resultados: demonstraram que a adesão às medidas chegou a 100% com relação a algumas medidas de barreira, porém apresentou taxas baixas com relação a técnica de curativo estéril, 31.2%. Conclusão: as ações preconizadas pelo protocolo alcançaram em sua maioria, boas taxas de adesão da equipe, porém com relação ao uso de curativo estéril para o cateter, faz-se necessário um reforço nas ações de educação e incentivo à equipe, em especial de enfermagem.Descritores: Protocolos. Unidades de Terapia Intensiva. Equipe de Assistência ao Paciente.

Peripherally inserted central catheter–related thrombosis rate in modern vascular access era—when insertion technique matters: A systematic review and meta-analysis

2019 ◽  
Vol 21 (1) ◽  
pp. 45-54 ◽  
Author(s):  
Paolo Balsorano ◽  
Gianni Virgili ◽  
Gianluca Villa ◽  
Mauro Pittiruti ◽  
Stefano Romagnoli ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Confidence Interval ◽  
Meta Analysis ◽  
Catheter Insertion ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Vein Thrombosis ◽  
The Moment ◽  
Deep Vein ◽  
Thrombosis Rate

Background: Technical factors at the moment of catheter insertion might have a role in peripherally inserted central catheter–related thrombotic risk. We performed a systematic review and meta-analysis to define the actual rate of peripherally inserted central catheter–related symptomatic deep vein thrombosis in patients in whom catheter insertion was performed according to ultrasound guidance, appropriate catheter size choice, and proper verification of tip location. Methods: We searched Medline, Embase, and Cochrane Library. Only prospective observational studies published in peer-reviewed journals after 2010 up to November 2018 reporting peripherally inserted central catheter–related deep vein thrombosis rate were included. All studies were of adult patients who underwent peripherally inserted central catheter insertion. Results were restricted to those studies which included in their methods ultrasound guidance for venipuncture, catheter tip location, and a catheter size selection strategy. Random-effect meta-analyses and arcsine transformation for binomial data were performed to pool deep vein thrombosis weighted frequencies. Results: Of the 1441 studies identified, 15 studies involving 5420 patients and 5914 peripherally inserted central catheters fulfilled our inclusion criteria. The weighted frequency of peripherally inserted central catheter–related deep vein thrombosis was 2.4% (95% confidence interval = 1.5–3.3) and remained low in oncologic patients (2.2%, 95% confidence interval = 0.6–3.9). Thrombotic rate was higher in onco-hematologic patients (5.9%, 95% confidence interval = 1.2–10). Considerable heterogeneity (I2 = 74.9) was observed and all studies were considered at high risk of attrition bias. Conclusions: A proper technique is crucial at the moment of peripherally inserted central catheter insertion. Peripherally inserted central catheter–related deep vein thrombosis rate appears to be low when evidence-based technical factors are taken into consideration during the insertion procedure.

Peripherally inserted central catheter malposition to a persistent left superior vena cava: A successful case to leave the catheter till the end of chemotherapy

2020 ◽  
pp. 112972982093820
Author(s):  
Qi Li ◽  
Yuxiu Liu ◽  
Min Wang ◽  
Zhongjie Yu ◽  
Yufang Gao
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Catheter Insertion ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Catheter Tip ◽  
Tip Position

Persistent left superior vena cava is rare and asymptomatic and is usually discovered incidentally during or after insertion of a central venous catheter. There is uncertainty as to whether or not the catheter should be removed after its malposition resulting in persistent left superior vena cava. We reported an unusual case of a breast cancer patient with a persistent left superior vena cava detected after a peripherally inserted central catheter insertion. The patient had undergone a modified radical mastectomy and needed to insert a peripherally inserted central catheter for chemotherapy. After the peripherally inserted central catheter insertion, the chest X-ray and computed tomography showed that the catheter was located in the persistent left superior vena cava. After an assessment of the persistent left superior vena cava and the catheter tip position, the peripherally inserted central catheter remained in the persistent left superior vena cava for further therapy. To ensure the integrity of the catheter, special follow-ups and tip position observations were carried out. The peripherally inserted central catheter was safe until the end of chemotherapy with no complications. Although the peripherally inserted central catheter tip was located in persistent left superior vena cava, given that the persistent left superior vena cava coexisted with a right superior vena cava with the similar lumen, the peripherally inserted central catheter could be used normally under strict attention.

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