scholarly journals Parental Narratives of Quality of Life in Children with Leukemia as Associated with the Placement of a Central Venous Catheter

2005 ◽  
Vol 30 (6) ◽  
pp. 544-552 ◽  
Author(s):  
Marta Tremolada ◽  
Vanna Axia ◽  
Marta Pillon ◽  
Sara Scrimin ◽  
Fabia Capello ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Central Venous

scholarly journals Central venous catheter based closed thoracic drainage in the treatment of tuberculous pleuritis

2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Ling Song ◽  
Yueling Zhang ◽  
Qiong Jia
Keyword(s):  
Quality Of Life ◽  
Treatment Group ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Control Group ◽  
Central Venous ◽  
Thoracic Drainage ◽  
Significant Difference ◽  
Tuberculous Pleurisy

Objective: To explore the clinical effect of central venous catheter closed thoracic drainage in the treatment of tuberculous pleurisy. Methods: One hundred and four patients with tuberculous pleurisy who were admitted to Binzhou People’s Hospital from August 2016 to August 2017 were divided into a control group and a treatment group according to random number table method, 52 each. The control group was treated with conventional pleural puncture and drainage, while the treatment group was treated with closed central venous catheter based thoracic drainage. The clinical efficacy, improvement time of clinical symptoms, total volume of drainage, pleural thickness, and improvement of quality of life and occurrence of adverse reactions were compared between the two groups. Results: Pleural effusion, fever and chest tightness of the treatment group disappeared earlier (P<0.05); the hospitalization time in the treatment group was less than that in the control group (P<0.05); the total amount of drainage in the treatment group was lower than that in the control group (P<0.05); the pleural thickness of the treatment group was higher than that in the control group (P<0.05); the quality of life score in the treatment group was significantly higher than that in the control group (P<0.05). The total effective rates of the treatment group and the control group were 93.5% and 85%, respectively, with a significant difference (P<0.05). The incidence of adverse reactions in the treatment group was significantly lower than that in the control group, with a significant difference (P<0.05). Conclusion: Central venous catheter based closed thoracic drainage is more effective than conventional thoracic puncture and drainage in the treatment of tuberculous pleurisy. It can accelerate the improvement of clinical symptoms, improve the quality of life of patients, and reduce the incidence of complications. It is worth popularizing and applying. doi: https://doi.org/10.12669/pjms.35.4.63 How to cite this:Song L, Zhang Y, Jia Q. Central venous catheter based closed thoracic drainage in the treatment of tuberculous pleuritis. Pak J Med Sci. 2019;35(4):---------. doi: https://doi.org/10.12669/pjms.35.4.63 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Advantages of Totally Implanted Port over Impromptu Short-Term Central Venous Catheter in Oncological Pain Therapy

2003 ◽  
Vol 4 (2) ◽  
pp. 50-55 ◽  
Author(s):  
C. Reale ◽  
E. Vernaglione ◽  
C.A. Reale ◽  
A. Mancini ◽  
M. Prologo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Central Venous Catheter ◽  
Pain Therapy ◽  
Venous Catheter ◽  
Brief Pain Inventory ◽  
Venous Access ◽  
Central Venous ◽  
Short Term ◽  
Randomised Study

The aim of this paper is to determine if patient controlled analgesia (PCA) by means of programmable pumps improves patients' autonomy and to verify if the short-term central venous catheter - implanted when pain is first evident - makes the quality of life worse in comparison with an early implanted port. Forty non-terminally ill patients affected by urinary malignant pathologies with visceral and bone metastases were enrolled in a prospective and randomised study at the Urology Department of “La Sapienza” University in Rome, Italy. Intensity of pain and tolerability of venous access were assessed for the first 7 days, and weekly for 3 months. Such data were used to adjust drug therapy. In this study we hypothesized that a delayed central venous catheter implant, when the pain is at first considerably evident, can interfere negatively with drug treatment. The visual analogue scale (VAS) and the brief pain inventory (BPI) were administered to the patients, and these showed good levels of analgesia in both groups and a greater comfort to the patients with the previously implanted port in comparison with a short-term central venous catheter. In conclusion, PCA achieves a constant level of drugs and enables the patient to voluntary control the pain by means of supplemental boluses. Both central devices seem to provide similar technical benefits, but the port is much more easily tolerated and the quality of life is increased if it is already available when pain is first evident.

Home Intermittent Amrinone Infusions in Terminal Congestive Heart Failure

DICP ◽  
1989 ◽  
Vol 23 (1) ◽  
pp. 59-62 ◽  
Author(s):  
Richard J. Baptista ◽  
Francis P. Mitrano ◽  
Joanne Perri-Lafrancesca
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Congestive Heart Failure ◽  
Central Venous Catheter ◽  
Infusion Pump ◽  
Venous Catheter ◽  
Pilot Program ◽  
Central Venous ◽  
At Home

The prevalence of congestive heart failure (CHF) and its progressive degenerative course continue to generate pressure for alternative, more effective means of treatment. A confluence of factors, including the number of Americans with CHF, the spiraling costs of hospital care, and increasing interest in cost-effective home care, contribute to the current efforts to develop an effective, nontoxic therapy that effectively increases myocardial contractility and output and can be administered within the confines of the home. Given that preliminary clinical trials in the hospital setting with amrinone have produced positive results, the transition of this therapy to the home, when administered intermittently via central venous catheter and infusion pump, was undertaken. In order to prolong and increase quality of life in terminal CHF patients, intermittent amrinone infusions were provided at home to four patients as part of our pilot program. All four patients met the criteria for New York Heart Association (NYHA) functional class IV heart failure, and none had responded to conventional therapy suitable for outpatient maintenance. The patients also shared strong family support and an intense desire to improve the quality of remaining life. All four patients and designated family members were trained in the specifics of aseptic technique, medication dose preparation, central venous catheter care, and operation of an infusion pump. An ambulatory pump was used in three of the four patients. Subsequent to the initiation of intermittent home amrinone infusions, all four patients had greater tolerance to limited exercise and/or ambulation secondary to increased cardiac output and diuresis. Patients survived 8, 10, 47, and 56 weeks. This pilot program suggests that intravenous amrinone, administered intermittently at home, appears reasonably safe and might promote an improved quality of life. More research is necessary prior to substantiating any firm conclusions.

A checklist to improve the quality of central venous catheter tip positioning

Anaesthesia ◽  
2019 ◽  
Vol 74 (7) ◽  
pp. 896-903 ◽  
Author(s):  
A. D. Hade ◽  
L. A. Beckmann ◽  
B. K. Basappa
Keyword(s):  
Central Venous Catheter ◽  
Venous Catheter ◽  
Central Venous ◽  
Catheter Tip

Oral ganciclovir: a new option for patients with CMV retinitis

1996 ◽  
Vol 7 (1) ◽  
pp. 1-2
Author(s):  
Martin Fisher ◽  
Simon Barton
Keyword(s):  
Quality Of Life ◽  
Conventional Treatment ◽  
Treatment Approach ◽  
Venous Catheter ◽  
Oral Formulation ◽  
Informed Decision Making ◽  
Central Venous ◽  
Intravenous Ganciclovir ◽  
Cmv Retinitis

Cytomegalovirus retinitis is a major cause of morbidity in patients with AIDS. The conventional treatment approach has involved insertion of a central venous catheter and intravenous administration of ganciclovir and/or foscarnet. This has been associated with systemic toxicity, line-related sepsis, and implications for patient quality-of-life. An oral formulation of ganciclovir has now been licensed for use as maintenance therapy in CMV retinitis. Multicentred trials comparing oral and intravenous ganciclovir have suggested that although the efficacy may be marginally reduced with the oral formulation, the associated toxicity is significantly lower. With careful and informed decision-making by both clinician and patient, the opportunity exists to enhance the quality of life in this patient group.

scholarly journals PERIPHERAL VENIPUNCTURE: COMPREHENSION AND EVALUATION OF NURSING PRACTICES

2019 ◽  
Vol 28 ◽  
Author(s):  
Luciene Muniz Braga ◽  
Anabela de Sousa Salgueiro-Oliveira ◽  
Maria Adriana Pereira Henriques ◽  
Cristina Arreguy-Sena ◽  
Virginia Mirian Pianetti Albergaria ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Insertion Site ◽  
Venous Catheter ◽  
Well Being ◽  
Study Cohort ◽  
Central Venous ◽  
Catheter Obstruction ◽  
Level Of Knowledge

ABSTRACT Objective: to understand the nursing practices related to peripheral venipuncture and to analyze the incidence of complications in patients with venous catheters. Method: mixed design, involving: case study, sectional study, cohort study and focus group. The sample consisted of nurses and patients from a medical clinic in Portugal. Thematic analysis and descriptive statistics were performed. Results: stressors capable of influencing nursing practices were identified, including: the decisions of the medical team, the age and characteristics of the venous network of the patient, the availability of other catheters in the institution, the low level of knowledge of nurses regarding the care of patients in the insertion, maintenance and removal of the peripherally inserted central venous catheter. The following complications and their respective incidences were documented in patients with peripheral venous catheters: phlebitis (22.2%), obstruction (27.7%), fluid exiting through insertion site (36.1%), infiltration (38.8%) and accidental catheter removal (47.2%). Catheter obstruction with an incidence of 22.2% was only observed in those who used the peripherally inserted central venous catheter. The following benefits were observed with the use of the peripherally inserted central venous catheter: safe administration of drugs; pain reduction, number of venous punctures and complications. Conclusions: the peripherally inserted central venous catheter is presented as a valid and viable alternative that can improve the quality of nursing care and the safety and well-being of patients.

scholarly journals INFECTION RELATED TO CENTRAL VENOUS CATHETER: INDICATOR OF QUALITY OF CARE IN ONCOLOGY

2013 ◽  
Vol 5 (3) ◽  
pp. 373-385
Author(s):  
Valéria Pedro de Souza Menezes ◽  
Ailse Rodrigues Bittencourt ◽  
Maria de Fátima Batalha De Menezes
Keyword(s):  
Quality Of Care ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Central Venous

Objetivo: Fundamentar “infecção relacionada a cateter venoso central de longa-permanência” como indicador de qualidade da assistência de enfermagem em oncologia e identificar indicadores de processo correlacionados. Métodos: Levantamento exploratório em uma unidade de internação clínica oncológica, sendo investigadas variáveis clínicas, terapêuticas e relativas aos cateteres e cuidados de enfermagem. Através do cálculo da razão de prevalências foram analisados elementos intervenientes no desempenho do indicador de resultado avaliado. Resultados: Processos associados ao risco de infecção foram: periodicidade da renovação de curativos, manutenção da permeabilidade do cateter, manutenção do sistema de infusão fechado e atenção a sinais flogísticos. Conclusão: Ações de prevenção de infecção estiveram contidas no espectro de ações do enfermeiro, corroborando-se o uso do indicador infecção relacionada a cateter venoso central de longa-permanência, como importante medida a ser gerenciada em unidades de internação oncológica. Descritores: Indicadores de Qualidade em Assistência a Saúde, Enfermagem Oncológica, Cateterismo Venoso Central, Infecção.

scholarly journals Comfort and safety for the oncological client with indication of central venous catheter use: The intentionality of nurses

2021 ◽  
Vol 10 (4) ◽  
pp. e56310414437
Author(s):  
Maria Amália de Lima Cury Cunha ◽  
Ann Mary Machado Tinoco Feitosa Rosas ◽  
Benedita Maria Rêgo Deusdará Rodrigues ◽  
Cláudia Regina Gomes de Araujo ◽  
Suely Lopes de Azevedo ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Venous Catheter ◽  
Treatment Method ◽  
Structured Interviews ◽  
Central Venous ◽  
The Family ◽  
Interdisciplinary Knowledge ◽  
Hospital Institution ◽  
The City

Objective: To understand the expectations of the educational actions of 41 nurses in the nursing consultation for oncologic clients when they indicate a central venous catheter (CVC) for treatment. Method: Phenomenological qualitative research with 41 nurses indicating the use of CVC for treatment in oncologic clients of two units of a federal public hospital institution located in the city of Rio de Janeiro and specialized in oncology. Semi-structured interviews were used and the data were analyzed according to Alfred Schütz's conceptions. Results: It was possible to identify the following categories: promoting comfort and safety for both the client and the professional; demystifying the use of the central venous catheter for the client; obtaining the client's collaboration. Conclusion: The findings of the study revealed that the nurses aim to promote comfort and safety for the oncologic client throughout the treatment to prevent complications, even in cases where there is no prospect of cure.  These professionals aim to sensitize the client to a possible change in behavior and that should be shared among the professionals of the multidisciplinary team of an interdisciplinary knowledge, the client, the family member in the search for the quality of appropriate and unique treatment.

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