scholarly journals Practice Guidelines for Central Venous Access 2020

2020 ◽  
Vol 132 (1) ◽  
pp. 8-43 ◽  
Keyword(s):  
Practice Guidelines ◽  
Task Force ◽  
Central Venous Access ◽  
Healthcare Providers ◽  
Venous Access ◽  
Central Venous Catheters ◽  
Digital Content ◽  
Central Venous ◽  
American Society ◽  
American Society Of Anesthesiologists

These practice guidelines update the Practice Guidelines for Central Venous Access: A Report by the American Society of Anesthesiologists Task Force on Central Venous Access, adopted by the American Society of Anesthesiologists in 2011 and published in 2012. These updated guidelines are intended for use by anesthesiologists and individuals under the supervision of an anesthesiologist and may also serve as a resource for other physicians, nurses, or healthcare providers who manage patients with central venous catheters. Supplemental Digital Content is available in the text.

Practice Guidelines for the Prevention, Detection, and Management of Respiratory Depression Associated with Neuraxial Opioid Administration

2016 ◽  
Vol 124 (3) ◽  
pp. 535-552 ◽  
Keyword(s):  
Respiratory Depression ◽  
Regional Anesthesia ◽  
Practice Guidelines ◽  
Task Force ◽  
Digital Content ◽  
Pain Medicine ◽  
Practice Parameters ◽  
Opioid Administration ◽  
American Society ◽  
American Society Of Anesthesiologists

Abstract The American Society of Anesthesiologists Committee on Standards and Practice Parameters and the Task Force on Neuraxial Opioids and the American Society of Regional Anesthesia and Pain Medicine present an updated report of the Practice Guidelines for the Prevention, Detection, and Management of Respiratory Depression Associated with Neuraxial Opioid Administration. Supplemental Digital Content is available in the text.

Practice Guidelines for Obstetric Anesthesia

2016 ◽  
Vol 124 (2) ◽  
pp. 270-300 ◽  
Keyword(s):  
Practice Guidelines ◽  
Task Force ◽  
Obstetric Anesthesia ◽  
Supplemental Digital Content ◽  
Digital Content ◽  
Practice Parameters ◽  
American Society ◽  
American Society Of Anesthesiologists

Abstract The American Society of Anesthesiologists Committee on Standards and Practice Parameters and the Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology present an updated report of the Practice Guidelines for Obstetric Anesthesia. Supplemental Digital Content is available in the text.

Practice Guidelines for the Perioperative Management of Patients with Obstructive Sleep Apnea

2014 ◽  
Vol 120 (2) ◽  
pp. 268-286 ◽  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Practice Guidelines ◽  
Perioperative Management ◽  
Task Force ◽  
Digital Content ◽  
Practice Parameters ◽  
Obstructive Sleep ◽  
American Society ◽  
American Society Of Anesthesiologists

Abstract The American Society of Anesthesiologists Committee on Standards and Practice Parameters and the Task Force on Perioperative Management of Obstructive Sleep Apnea presents an updated report of the Practice Guidelines for the Perioperative Management of Patients with Obstructive Sleep Apnea. Supplemental Digital Content is available in the text.

Practice Guidelines for Perioperative Blood Management

2015 ◽  
Vol 122 (2) ◽  
pp. 241-275 ◽  
Keyword(s):  
Practice Guidelines ◽  
Task Force ◽  
Supplemental Digital Content ◽  
Digital Content ◽  
Blood Management ◽  
Practice Parameters ◽  
American Society ◽  
American Society Of Anesthesiologists

Abstract The American Society of Anesthesiologists Committee on Standards and Practice Parameters and the Task Force on Perioperative Blood Management presents an updated report of the Practice Guidelines for Perioperative Blood Management. Supplemental Digital Content is available in the text.

Practice Advisory on Anesthetic Care for Magnetic Resonance Imaging

2015 ◽  
Vol 122 (3) ◽  
pp. 495-520 ◽  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Task Force ◽  
Digital Content ◽  
Resonance Imaging ◽  
Anesthetic Care ◽  
Practice Parameters ◽  
Practice Advisory ◽  
American Society ◽  
American Society Of Anesthesiologists

Abstract The American Society of Anesthesiologists Committee on Standards and Practice Parameters and the Task Force on Anesthetic Care for Magnetic Resonance Imaging presents an updated report of the Practice Advisory on Anesthetic Care for Magnetic Resonance Imaging. Supplemental Digital Content is available in the text.

Cardiovascular monitoring

2011 ◽  
Author(s):  
Carl Waldmann ◽  
Neil Soni ◽  
Andrew Rhodes
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Artery Catheter ◽  
Central Venous Access ◽  
Venous Access ◽  
Central Venous Catheters ◽  
Ecg Monitoring ◽  
Cardiovascular Monitoring ◽  
Pressure Monitoring ◽  
Central Venous ◽  
Common Problems

ECG monitoring 98Arterial pressure monitoring 102Insertion of central venous catheters 104Common problems with central venous access 106Pulmonary artery catheter: indications and use 108Pulmonary artery catheter: insertion 110Echocardiography 112Clinical application of echocardiography in the ICU 116Doppler 118Pulse pressure algorithms ...

Incidence of venous thromboembolism in patients with hematologic malignancies related to upper extremity peripherally inserted central venous catheters.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 6586-6586
Author(s):  
Thomas A. Giever ◽  
Emily L. Richter ◽  
Kristine M. Broge ◽  
Patrick C. Foy ◽  
Linda S. Blust ◽  
...  
Keyword(s):  
Acute Leukemia ◽  
Plasma Cell ◽  
Central Venous Access ◽  
Hematologic Malignancies ◽  
Venous Access ◽  
Central Venous Catheters ◽  
Lymphoproliferative Disorders ◽  
Central Venous ◽  
Increased Risk ◽  
Plasma Cell Dyscrasias

6586 Background: Central venous catheters (CVCs) are an integral part of management in patients with hematological malignancies (HMs). CVCs are not without risk however, including DVT which adds significant morbidity. Peripherally inserted central venous catheters (PICCs) via the brachiocephalic veins were the most common CVCs utilized at the Medical College of Wisconsin for patients with HMs. Recent evidence has indicated an increased risk of DVT in patients with PICCs. Methods: We retrospectively reviewed patients admitted to our institution from 2009-2011 with a HM and a CVC placed based upon CPT codes. A chart review was performed and those with a radiologic-confirmed DVT were identified. Results: From 2009-2011, 487 patients with HMs had 1091 CVCs placed. Diagnoses included lymphoproliferative disorders (35.8%), acute leukemia excluding APL (23.8%), APL (1.6%), plasma cell dyscrasias (34.6%), MDS (1.7%), CML (1.6%), and other diagnoses (0.7%). Of the CVCs placed 51% were in patients undergoing stem cell transplantation (HCT) and 49% were placed in non-HCT patients. A total of 91 DVTs were documented and confirmed. DVTs occurred in 85 of 728 PICCs (11.7%), 3 of 104 implanted ports (2.9%), 3 of 249 tunneled CVCs (1.2%), and 0 of 10 other CVCs. DVT rates were similar between HCT (47 of 556, 8.4%) and non-HCT (44 of 535, 8.2%) patients. The highest number of DVTs were associated with plasma cell dyscrasias (29 of 378, 7.7%) followed by lymphoproliferative disorders (28 of 391, 7.2%), acute leukemia (26 of 260, 10%), APL (3 of 18, 16.6%), MDS (3 of 19, 15.8%), and CML (2 of 17, 11.7%). Two DVTs occurred in the setting of warfarin therapy, 5 while on prophylactic and 9 while on therapeutic LMWH. The mean duration from line placement to DVT was 21 days (range 1-169). Using standard chi-squared evaluation, PICC lines were significantly more likely to be associated with DVTs than tunneled or implanted CVCs (p<0.0001). Conclusions: Brachiocephalic PICC-lines are associated with a high incidence of DVT in patients with HMs compared to other CVCs. We have currently changed our practice to utilizing a tunneled internal jugular PICCs for central venous access.

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