Comparative thrombosis risk of vascular access devices among critically ill medical patients

2018 ◽  
Vol 172 ◽  
pp. 54-60 ◽  
Author(s):  
Darren White ◽  
Scott C. Woller ◽  
Scott M. Stevens ◽  
Dave S. Collingridge ◽  
Vineet Chopra ◽  
...  
Keyword(s):  
Critically Ill ◽  
Vascular Access ◽  
Medical Patients ◽  
Vascular Access Devices ◽  
Thrombosis Risk

In-hospital transfer of the critically ill

2016 ◽  
Author(s):  
Lorna Eyre ◽  
Simon Whiteley
Keyword(s):  
Adverse Events ◽  
Critically Ill ◽  
Vascular Access ◽  
Critically Ill Patients ◽  
Morbidity And Mortality ◽  
Critically Ill Patient ◽  
Vascular Access Devices ◽  
Endotracheal Tubes ◽  
High Incidence ◽  
Hospital Transfer

While focus has traditionally been on the planning, logistics, and outcome of inter-hospital transfers of the critically-ill patient, attention is turning to in-hospital transfers. Numerically, more in-hospital transfers occur and there is growing evidence that these are associated with a high incidence of adverse events, and increased morbidity and mortality. Appropriate planning, communication, and preparation are essential. Patients should be resuscitated and stabilized (optimized) prior to transfer, to prevent deterioration or instability during transfer. Endotracheal tubes and vascular access devices should be secure. The minimum recommended standards of monitoring should be applied. All drugs and equipment likely to be required during the transfer should be checked and available. Critically-ill patients should be accompanied by personnel with the appropriate knowledge skills and experience to carry out the transfer safely and to deal with any complications or incidents that arise.

Arterial and venous cannulation in the ICU

2016 ◽  
Author(s):  
Ronan O’Leary ◽  
Andrew R. Bodenham
Keyword(s):  
Critical Illness ◽  
Critically Ill ◽  
Vascular Access ◽  
Recovery Phase ◽  
Iatrogenic Injury ◽  
Fluid Administration ◽  
Venous Cannulation ◽  
Consensus Guidelines ◽  
Vascular Access Devices ◽  
Procedural Complications

Despite being almost ubiquitous within the critically- ill population, vascular access remains a frequent cause of iatrogenic injury, manifested as both procedural complications and later events, such as infection and thrombosis. Untoward events are minimized by expert tuition and meticulous practical technique. Consensus guidelines on training in vascular access are discussed. Vascular access, particularly central catheterization, should not be undertaken lightly. Can a patient be managed without vascular access or can the number of vascular access devices be rationalized? Other routes for drug and fluid administration exist, particularly enterally during the recovery phase. This chapter covers vascular access during critical illness and discusses the development of more advanced techniques.

A scoping review of Clinical Studies, Hospital Group Reports and National Strategic Documents on vascular access devices in cancer patients

2021 ◽  
pp. 112972982110414
Author(s):  
Jennifer Clesham ◽  
Helen Reynolds ◽  
Peter J Carr
Keyword(s):  
Cancer Patients ◽  
Vascular Access ◽  
Scoping Review ◽  
Future Research ◽  
Infection Rates ◽  
Vascular Access Devices ◽  
Access Device ◽  
Catheter Related Infection ◽  
Scoping Reviews ◽  
Study Designs

Introduction: The extent of vascular/venous access device (VAD) research output from the Island of Ireland is unknown. The identification of the papers available is important to create a future research agenda. Objectives: The main objective of this study is to answer three questions: What is the number and descriptive quality of reported Vascular Access Device literature from the Island of Ireland? Is the reporting of Catheter Related Infection rates for cancer patients common in Irish Hospital Groups, National Cancer Reports and Publication Outputs? What are the implications for future research in this area? Methods: We used a scoping review and searched selected databases, grey literature and hospital regulatory bodies websites following the Joanna Briggs Institute Guidelines 2017. A data charting form was developed based on a template from the Joanna Briggs Institute and this was used to extract data from the included reports. Results: A total of 660 reports were screened. Sixty-one full text articles were reviewed from which 20 reports were included for data extraction. Of the reports included the following designs were used: nine retrospective study designs, four guidelines, two prospective study designs, two literature reviews and one of the following; survey, case study and cross sectional analysis designs. We did not identify any randomised controlled trials, systematic reviews, meta-analysis, meta-synthesis and scoping reviews. Five studies included catheter related infection rates. Gaps in the research include the collection of data sets and the need to establish a VAD registry; develop core outcomes for VADs; assessment and evaluation of VAD care bundles among cancer patients; and, the inclusion of public and patient involvement in future VAD research. Conclusion: The reporting of VAD outcomes in published literature regarding cancer patients receiving treatment in Ireland is inconsistent and varied with no interventional studies addressing vascular access complications in cancer care.

scholarly journals Skin complications associated with vascular access devices: A secondary analysis of 13 studies involving 10,859 devices

2019 ◽  
Vol 91 ◽  
pp. 6-13 ◽  
Author(s):  
Amanda J. Ullman ◽  
Gabor Mihala ◽  
Kate O’Leary ◽  
Nicole Marsh ◽  
Christine Woods ◽  
...  
Keyword(s):  
Vascular Access ◽  
Secondary Analysis ◽  
Vascular Access Devices

scholarly journals Vascular access: the impact of ultrasonography

2016 ◽  
Vol 14 (4) ◽  
pp. 561-566 ◽  
Author(s):  
Carlos Eduardo Saldanha de Almeida ◽  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critically Ill ◽  
Vascular Access ◽  
Critically Ill Patients ◽  
Albert Einstein ◽  
Sao Paulo ◽  
Future Studies ◽  
The Impact ◽  
Puncture Technique

ABSTRACT Vascular punctures are often necessary in critically ill patients. They are secure, but not free of complications. Ultrasonography enhances safety of the procedure by decreasing puncture attempts, complications and costs. This study reviews important publications and the puncture technique using ultrasound, bringing part of the experience of the intensive care unit of the Hospital Israelita Albert Einstein, São Paulo (SP), Brazil, and discussing issues that should be considered in future studies.

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