Characteristics of arterial catheter use and related complications in dogs and cats in an intensive care unit

2021 ◽  
Author(s):  
Matthew J. Hagley ◽  
Kate Hopper ◽  
Steven E. Epstein
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Arterial Catheter

Arterial catheter-related bloodstream infections: Results of an 8-year survey in a surgical intensive care unit*

2011 ◽  
Vol 39 (6) ◽  
pp. 1372-1376 ◽  
Author(s):  
Romain Pirracchio ◽  
Matthieu Legrand ◽  
Mathieu Resche Rigon ◽  
Joaquim Mateo ◽  
Anne Claire Lukaszewicz ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Bloodstream Infections ◽  
Arterial Catheter ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care

The effect of two concentrations of heparin on arterial catheter patency

1990 ◽  
Vol 10 (5) ◽  
pp. 47-57 ◽  
Author(s):  
CS Bolgiano ◽  
PT Subramaniam ◽  
JM Montanari ◽  
L Minick
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Hemodynamic Monitoring ◽  
Arterial Catheter ◽  
Arterial Line ◽  
Routine Procedure ◽  
Icu Patients ◽  
Catheter Patency

The use of invasive lines with heparinized fluid for hemodynamic monitoring is a routine procedure in critical care areas. The main objective of this study was to compare the duration of patency of indwelling arterial catheter lines and patient coagulation values when the recommended dilution of 1.0 U heparin/mL was used versus the use of only 0.25 U heparin/mL. One hundred four intensive care unit (ICU) patients were studied. There were no significant differences between the two groups in patency or coagulation values. The results of the study demonstrated that 0.25 U heparin/mL was sufficient to maintain arterial line patency for patients with lines in place for up to 3 days.

Early Mobilization of Infants Intubated for Acute Respiratory Failure

2019 ◽  
Vol 39 (6) ◽  
pp. 47-52
Author(s):  
Laura Ortmann ◽  
Anne Dey
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Failure ◽  
Adverse Events ◽  
Intervention Group ◽  
Vital Signs ◽  
Arterial Catheter ◽  
Young Infants ◽  
Unplanned Extubations ◽  
Historical Controls

Background Early mobility in the intensive care unit is being promoted as a way to improve outcomes but has not been studied in young infants. Objective To determine the safety of a holding intervention for infants intubated for respiratory failure. Methods Infants less than 6 months of age intubated for respiratory failure underwent a holding intervention in which a caretaker held the infant at least twice a day once the infant was medically stabilized. Rates of adverse events were compared with historical controls matched by age and Pediatric Index of Mortality 2 score. Vital signs before and during holding were recorded to assess for physiologic tolerance. Results Twenty-four infants with a total of 158 holding interventions were studied. Mean holding duration was 99 minutes. Twenty holding interventions were terminated early, most commonly because of agitation. The 24 historical controls had 1 unplanned extubation and 2 arterial catheter removals. The intervention group had no unplanned extubations, inadvertent central catheter removals, or urinary catheter removals and had 1 arterial catheter removal that was not associated with holding. Vital signs before and during holding were similar. There were no differences between the control and intervention groups in duration of intubation (7.3 vs 6.0 days, P = .98), length of intensive care unit stay (9.1 vs 9.0 days, P = .52), or length of hospital stay (11.5 vs 12.5 days, P = .28). Conclusions Holding intubated infants in the intensive care unit was well tolerated, without an increase in adverse events.

Low incidence of arterial catheter infections in a Swedish intensive care unit: risk factors for colonisation and infection

2010 ◽  
Vol 76 (2) ◽  
pp. 130-134 ◽  
Author(s):  
F. Hammarskjöld ◽  
S. Berg ◽  
H. Hanberger ◽  
B.-E. Malmvall
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Arterial Catheter ◽  
Unit Risk ◽  
Low Incidence ◽  
Catheter Infections

Prospective, randomized trial of two antiseptic solutions for prevention of central venous or arterial catheter colonization and infection in intensive care unit patients

1996 ◽  
Vol 24 (11) ◽  
pp. 1818-1823 ◽  
Author(s):  
Olivier Mimoz ◽  
Laurence Pieroni ◽  
Christine Lawrence ◽  
Alain Edouard ◽  
Yannick Costa ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Randomized Trial ◽  
Prospective Randomized Trial ◽  
Arterial Catheter ◽  
Catheter Colonization ◽  
Central Venous ◽  
Antiseptic Solutions

Incidence of arterial catheter complications: a retrospective study of 35 cats (2010–2014)

2018 ◽  
Vol 21 (2) ◽  
pp. 173-177 ◽  
Author(s):  
Shaina Mooshian ◽  
Sarah J Deitschel ◽  
Jamie M Haggerty ◽  
Christine L Guenther
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Medical Records ◽  
Arterial Catheter ◽  
Arterial Catheterization ◽  
High Incidence ◽  
Catheter Complications ◽  
Low Incidence ◽  
Veterinary Hospital

Objectives The aim of this study was to investigate the incidence of complications associated with arterial catheterization in cats in a veterinary hospital, and to document which factors may increase the incidence of complications. Methods Medical records at a referral veterinary hospital were retrospectively reviewed to identify cats that had an arterial catheter placed between January 2010 and October 2014. Results Thirty-five cats having 38 arterial catheters were included in the study. There was a relatively high incidence of minor complications (23.7%), with the most common being catheter occlusion. The incidence of major arterial catheter complications was low (2.63%). Duration of catheter use was positively correlated to the incidence of complications. There was also a significant correlation between catheters used for intensive care unit monitoring and incidence of complications. All cats with catheter complications survived to discharge. Conclusions and relevance The low incidence of major arterial catheter complications in this population of cats illustrates that arterial catheterization is a safe monitoring and diagnostic tool. The duration of catheter placement is significantly associated with the incidence of catheter complications.

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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