Complications associated with the use of radial arterial catheters in relation to their length: Does size matter?

2021 ◽  
pp. 112972982110349
Author(s):  
Fredy Alejandro Watts ◽  
Andres Ordoñez ◽  
Andres González ◽  
Daniel Carvajal ◽  
Jaime Quintero ◽  
...  

Background: Radial arterial catheters (RAC) are commonly used in emergency services and intensive care units (ICU) for continuous invasive monitoring of blood pressure and arterial blood gas sampling. Complications associated with RAC are rare. Regarding length of RAC catheters and complications, few studies were found in the literature. The present study seeks to provide health care professionals with scientific evidence to select an optimal length of RAC, based on the difference in the incidence of complications between ultrasound-guided catheters of the same diameter but different lengths. Methods: Observational, descriptive, retrospective study. Patients older than 17 years admitted to the emergency department or ICU were included. RAC were placed with diameters of 20 gauge, between 5 and 8 cm (Arrow–Teleflex), and 22 gauge diameters between 4 and 8 cm (Vygon). Univariate analysis was made to determine behavior of the numerical variables. Normality of variables was determined through a Shapiro-Wilk-test. Qualitative variables were expressed in percentages, quantitative variables in means and standard deviation, or with median and quartiles in the case of a non-normal distribution. Chi-square or Fisher method was used for qualitative variables and the t-test for symmetric quantitative variables. Asymmetric distributions were processed with the Mann-Whitney U test. A value p < 0.05 was considered statistically significant. The statistical analysis was performed with Stata 14.1 program. Results: About 793 RAC were placed between 2016 and 2019 were included, median age was 60 (37–73) (RIQ) years, 49% male. Complications were reported in all groups on average 17.5%, the most frequent being dysfunction/occlusion of the catheter. Given complications of the same diameter and different catheter lengths, there were no statistical differences between groups. Conclusion: Selecting one length or another with a catheter of the same diameter does not have statistically significant differences, in terms of the complications this device may cause—meaning that size does not matter.

2017 ◽  
Vol 1 (01) ◽  
pp. 105
Author(s):  
Iken Rahma ◽  
Indah Nuraeni ◽  
Hidayah Dwiyanti

ABSTRACT   This research aims to know the difference between snacking habit and nutritional status of catering and non-catering food consumer in SD-UMP Purwokerto and SDN 2 Dukuhwaluh as well as knowing the corelation between snacking habit and nutritional status in SD UMP Purwokerto and SDN 2 Dukuhwaluh. This research used cross sectional design with thirty eight respondents were collected by Simple Random Sampling method. Snacking habit was obtained by using FFQ. The data were analyzed by using Chi-Square and Mann Whitney analysis. Univariate analysis showed that the snacking habit on catering food consumers was 28.5%, whereas on non-catering food consumers was 76.5%. Bivariate analysis result showed the difference between snacking (p= 0.004) and nutritional status ( p= 0.044) on catering and non-catering food consumers in SD UMP Purwokerto and SDN 2 Dukuhwaluh. There was no corelation between snacking habit and the nutritional status in SD UMP Purwokerto and SDN 2 Dukuhwaluh (p= 0,117) and ( p=0,142). There was difference in snacking habit and nutritional status on students who were catering and non-catering consumers in SD UMP Purwokerto and SDN 2 Dukuhwaluh and there was no corelation between snacking habit and nutritional status in SD UMP Purwokerto and SDN 2 Dukuhwaluh.  Key words: Snacking habit, Nutritional status, catering food, non-catering food.  ABSTRAK Kebiasaan mengonsumsi jajan dapat mempengaruhi status gizi. Penelitian ini bertujuan untuk mengetahui perbedaan kebiasaan jajan dan status gizi anak sekolah pengguna katering dan non-katering serta mengetahui hubungan kebiasaan jajan terhadap status gizi di SD UMP Purwokerto dan SDN 2 Dukuhwaluh. Desain penelitian ini menggunakan cross sectional dengan 38 responden dengan metode Simple Random Sampling. Kebiasaan konsumsi jajan diperoleh menggunakan FFQ. Data di analisis menggunakan uji Chi-Square dan uji Mann Whitney. Hasil uji univariat menunjukkan bahwa pada anak sekolah pengguna katering kebiasaan jajan yaitu sebesar 28,5% sedangkan anak sekolah yang non-katering sebesar 76,5%. Hasil uji bivariat menunjukkan terdapat perbedaan kebiasaan jajan ( p = 0,004) dan status gizi ( p= 0,044) pada anak sekolah pengguna katering dan non-katering di SD UMP Purwokerto dan SDN 2 Dukuhwaluh serta tidak terdapat hubungan antara kebiasaan jajan terhadap status gizi di SD UMP Purwokerto dan SDN 2 Dukuhwaluh (p= 0,117) dan (p= 0,142). Terdapat perbedaan kebiasaan konsumsi jajan dan status gizi pada anak sekolah pengguna katering dan non-katering di SD UMP Purwokerto dan SDN 2 Dukuhwaluh serta tidak terdapat hubungan antara kebiasaan mengonsumsi jajan terhadap status gizi di SD UMP Purwokerto dan di SDN 2 Dukuhwaluh.  Kata Kunci: Kebiasaan jajan, Status Gizi, katering, non-katering.  


Author(s):  
Aslıhan Gürün Kaya ◽  
Miraç Öz ◽  
İREM AKDEMİR KALKAN ◽  
Ezgi Gülten ◽  
güle AYDIN ◽  
...  

Introduction: Guidelines recommend using a pulse oximeter rather than arterial blood gas (ABG) for COVID-19 patients. However, significant differences can be observed between oxygen saturation measured by pulse oximetry (SpO2) and arterial oxygen saturation (SaO2) in some clinical conditions. We aimed to assess the reliability of pulse oximeter in patients with COVID-19 Methods: We retrospectively reviewed ABG analyses and SpO2 levels measured simultaneously with ABG in patients hospitalized in COVID-19 wards. Results: We categorized total 117 patients into two groups; in whom the difference between SpO2 and SaO2 was 4% (acceptable difference) and >4% (large difference). Large difference group exhibited higher neutrophil count, C-reactive protein, ferritin, fibrinogen, D-dimer and lower lymphocyte count. Multivariate analyses revealed that increased fibrinogen, increased ferritin and decreased lymphocyte count were independent risk factors for large difference between SpO2 and SaO2. The total study group demonstrated the negative bias of 4.02% with the limits of agreement of −9.22% to 1.17%. The bias became significantly higher in patients with higher ferritin, fibrinogen levels and lower lymphocyte count. Conclusion: Pulse oximeters may not be sufficient to assess actual oxygen saturation especially in COVID-19 patients with high ferritin and fibrinogen levels and low lymphocyte count low SpO2 measurements.


2020 ◽  
pp. 119-132

INTRODUCTION. The guidelines issued by the World Health Organization (WHO) in 2009 regarding hand hygiene (HH) in health care provided health care professionals with scientific evidence that argued that HH principles should be respected when dealing with patients. Despite the passage of years and strenuous attempts to introduce these recommendations to the Polish health care facilities for the prevention of healthcare-associated infections (HAI), these principles are still not being implemented in an optimal way for the patient’s safety. OBJECTIVE OF WORK. The aim was to examine the views and attitudes of physicians (L) and nurses (P) towards the WHO rules of hand hygiene. MATERIAL AND METHODS. The study was performed by means of a diagnostic survey using a questionnaire of our own design; random sampling was used. The study involved 231 LP: 173 (74.9%) women, 58 (25.1%) men, including 93 (40.3%) doctors and 138 (59.7%) nurses. The study was conducted in a multiprofile hospital in Małopolska in 2017. The difference between what the respondents think (their views) and what they do in reality (what attitudes they display) was examined in relation to WHO principles, such as wearing natural short nails and jewelry on their hands. RESULTS. Negative practice of observing these HH principles in relation to views was detected (R = -0.014, p<0.05, R2 = 0.016). Respondents supported the view that the ring could affect HAI and rarely used it in practice, the practice was positive (R = 0.298, p <0.001, R2 = 0.085). Women strongly emphasized the view that wearing long nails has an impact on HAI spread, but in practice they often declared keeping long nails, practice was negative (R = -0.241, p <0.01, R2 = 0.054). In response to the question about the impact of nail painting on the spread of HAI, this view was poorly represented, in practice some of them wore painted nails, the practice was negative (R = -0.226, p <0.01, R2 = 0.045). CONCLUSION. Despite high support for the principles of hand hygiene, in practice, these principles were not always respected, the impact on the practice was negative in areas such as: general adherence to the HH principles, wearing long and painted nails. The compatibility of views with practice was detected in relation to wearing a wedding ring.


2011 ◽  
Vol 22 ◽  
pp. S7
Author(s):  
Orhan Demir ◽  
Fatih Bulucu ◽  
Kadir Ozturk ◽  
Mustafa Gezer ◽  
Mehmet Apikoglu

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Puspita Hanggit Lestari ◽  
Martini ◽  
Ardiansyah

Latar belakang : pelaksanaan perilaku bersih dan sehat pada tatanan keluarga bertujuan memberdayakan anggota keluarga untuk tahu, mau dan mampu menjalankan perilaku kehidupan yang bersih dan sehat. Perilaku tidak sehat  dapat menjadi  penyebab munculnya  penyakit atau masalah kesehatan seperti diare dan batuk pilek. Tujuan : penelitian ini untuk memperoleh gambaran perilaku hidup bersih dan sehat masyarakat di Desa Wangunjaya pada komponen pengetahuan, sikap dan tindakan pelaksanaan PHBS. Subjek dan metode : populasi penelitian  ini adalah seluruh kepala keluarga di Desa Wangunjaya. Sampel penelitian ini berjumlah 206 orang. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah simple random sampling.  Analisa data dilakukan dengan melakukan analisis unuvariat dengan penyajian data deskriptif analitik dan analisis bivariat dengan Uji Chi Square dengan melihat ukuran OR (Odds Ratio) untuk mengetahui adanya perbedaan proporsi variabel yang diteliti untuk melihat hubungan antara variabel. Hasil : penelitian mendapatkan hasil varibel pengetahuan (58,3%), sikap (51,5%) dan pelaksanaan PHBS (41,7%) dalam kategori kurang. Pengetahuan memiliki hubungan dengan tindakan pelaksanan PHBS (p value =  0,000). Variabel sikap memiliki hubungan dengan tindakan pelaksanan PHBS (p value = 0,006). Kesimpulan : pengetahuan yang baik memiliki peluang 3,569 kali untuk tindakan PHBS yang baik. Sikap yang baik memiliki peluang 2,288 kali untuk tindakan PHBS yang baik. Kata kunci : pengetahuan, PHBS, promosi kesehatan, sikap   Background : the implementation of clean and healthy behavior in the family scope aims to empower family members to know, want and be able to carry out clean and healthy life behaviors. Unhealthy behavior can cause illness or health problems such as diarrhea and cold coughs. The aim of the study : to obtain an overview of the clean and healthy behavior of the community in Wangunjaya Village on the components of knowledge, attitudes and actions in implementing of clean and healthy behavior. Subjects and methods : the population of this study were all heads of families in Wangunjaya Village, Cianjur. The sample of this research is 206 people. The sampling technique used in this study was simple random sampling. Data analysis was carried out by univariate analysis by presenting descriptive analytic data and bivariate analysis with the Chi Square Test by looking at the OR (Odds Ratio) size to determine the difference in the proportion of the variables studied to see the relationship between the variables. Results : the study found that the variable knowledge (58.3%), attitudes (51.5%) and the implementation of PHBS (41.7%) were in the low category. Knowledge has a relationship with the implementation of clean and healthy behavior (p value = 0,000). Attitude variable has a relationship with the action of implementing clean and healthy behavior (p value = 0.006). Conclusion : good knowledge has a 3,569 times chance for good PHBS action. A good attitude has 2,288 times the chance for good PHBS action Keywords: attitude, clean and healthy behavior, health promotion, knowledge


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Puspita Hanggit ◽  
Martini

Latar belakang : pelaksanaan perilaku bersih dan sehat pada tatanan keluarga bertujuan memberdayakan anggota keluarga untuk tahu, mau dan mampu menjalankan perilaku kehidupan yang bersih dan sehat. Perilaku tidak sehat  dapat menjadi  penyebab munculnya  penyakit atau masalah kesehatan seperti diare dan batuk pilek. Tujuan : penelitian ini untuk memperoleh gambaran perilaku hidup bersih dan sehat masyarakat di Desa Wangunjaya pada komponen pengetahuan, sikap dan tindakan pelaksanaan PHBS. Subjek dan metode : populasi penelitian  ini adalah seluruh kepala keluarga di Desa Wangunjaya. Sampel penelitian ini berjumlah 206 orang. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah simple random sampling.  Analisa data dilakukan dengan melakukan analisis unuvariat dengan penyajian data deskriptif analitik dan analisis bivariat dengan Uji Chi Square dengan melihat ukuran OR (Odds Ratio) untuk mengetahui adanya perbedaan proporsi variabel yang diteliti untuk melihat hubungan antara variabel. Hasil : penelitian mendapatkan hasil varibel pengetahuan (58,3%), sikap (51,5%) dan pelaksanaan PHBS (41,7%) dalam kategori kurang. Pengetahuan memiliki hubungan dengan tindakan pelaksanan PHBS (p value =  0,000). Variabel sikap memiliki hubungan dengan tindakan pelaksanan PHBS (p value = 0,006). Kesimpulan : pengetahuan yang baik memiliki peluang 3,569 kali untuk tindakan PHBS yang baik. Sikap yang baik memiliki peluang 2,288 kali untuk tindakan PHBS yang baik. Kata kunci : pengetahuan, PHBS, promosi kesehatan, sikap   Background : the implementation of clean and healthy behavior in the family scope aims to empower family members to know, want and be able to carry out clean and healthy life behaviors. Unhealthy behavior can cause illness or health problems such as diarrhea and cold coughs. The aim of the study : to obtain an overview of the clean and healthy behavior of the community in Wangunjaya Village on the components of knowledge, attitudes and actions in implementing of clean and healthy behavior. Subjects and methods : the population of this study were all heads of families in Wangunjaya Village, Cianjur. The sample of this research is 206 people. The sampling technique used in this study was simple random sampling. Data analysis was carried out by univariate analysis by presenting descriptive analytic data and bivariate analysis with the Chi Square Test by looking at the OR (Odds Ratio) size to determine the difference in the proportion of the variables studied to see the relationship between the variables. Results : the study found that the variable knowledge (58.3%), attitudes (51.5%) and the implementation of PHBS (41.7%) were in the low category. Knowledge has a relationship with the implementation of clean and healthy behavior (p value = 0,000). Attitude variable has a relationship with the action of implementing clean and healthy behavior (p value = 0.006). Conclusion : good knowledge has a 3,569 times chance for good PHBS action. A good attitude has 2,288 times the chance for good PHBS action Keywords: attitude, clean and healthy behavior, health promotion, knowledge


2021 ◽  
Vol 3 (2) ◽  
pp. 194-200
Author(s):  
Ginaya Dinda Putri ◽  
Luvi Dian Afriyani

Various efforts to improve the quality of puskesmas services a priority in the development of the health sector, especially MCH services. Reliability, responsiveness, assurance, empathy and physical evidence of service quality are needed to improve patient satisfaction. Research to find out the Perception of Service Quality with the Satisfaction Level of MCH Patients and is there a correlation between Perceptions of Service Quality and the Satisfaction Level of KIA Patients. Data analysis used the Chi Square Test with an error rate of <0.05 This type of research is quantitative using a cross sectional design. Data collection techniques using accidental sampling using a questionnaire instrument via Whatss App Group and Google Form. The population in this study were 50 respondents. The sample in this study were 35 respondents. The results of the Univariate Analysis of Service Quality Perception of KIA patients showed that 15 were good (42.9%) and 20 were poor (57.1%). In the Reliability Dimension 20 good (57.1 Satisfaction (p = 0.693). The satisfaction felt by patients is the difference in the quality of health services with the expectations of the patient or a group of people or local residents who have got what is expected and needed with the services provided by health workers. Midwives can improve service quality by providing services according to patient needs. ABSTRAK Berbagai upaya dilakukan untuk meningkatkan mutu pelayanan puskesmas menjadi prioritas dalam pembangunan bidang kesehatan, terutama pada pelayanan KIA. Dibutuhkan kehandalan, daya tanggap, jaminan, empati dan bukti fisik dalam mutu pelayanan untuk meningkatkan kepuasan pasien KIA. Tujuan penelitian untuk mengetahui Gambaran Persepsi Mutu Pelayanan dengan Tingkat Kepuasan Pasien KIA dan adakah Hubungan Antara Persepsi Mutu Pelayanan dengan Tingkat Kepuasan Pasien KIA. Analisis data menggunakan Uji Chi Square dengan tingkat kesalahan <0,05. Jenis Penelitian ini adalah kuantitatif dengan menggunakan desain Cross Sectional. Teknik Pengambilan data menggunakan Accidental Sampling dengan menggunakan instrumen kuisoner dengan Google Form. Populasi pada penelitian ini sebanyak 50 responden. Sampel pada penelitian ini sebanyak 35 responden. Hasil Analisis Univariat Persepsi Mutu Pelayanan pasien KIA menunjukkan 15 baik (42,9%) dan 20 kurang (57,1%). Dan hasil Kepuasan Pasien pada Pasien KIA menunjukan baik (57,1%) dan 15 kurang (42,9%). Hasil Analisis Bivariat menunjukkan tidak ada hubungan antara Persepsi Mutu Pelayanan dengan Tingkat Kepuasan Pasien (p=0,693). Kepuasan yang dirasakan pasien merupakan mutu pelayanan kesehatan dengan harapan pasien atau sekelompok masyarakat atau warga setempat yang telah mendapatkan apa yang diharapkan dan dibutuhkan dengan pelayanan yang diberikan oleh tenaga kesehatan. Bidan dapat meningkatkan kualitas pelayanan dengan memberikan layanan sesuai kebutuhan pasien.


2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 234-234
Author(s):  
Claudia Vaz De Melo Sette ◽  
Barbara Bonaparte Ribas de Alcântara ◽  
Felipe Melo Cruz ◽  
Jean Henri Maselli Schoueri ◽  
Daniel de Iracema Gomes Cubero ◽  
...  

234 Background: Fatigue is one side effect of cancer and its treatment, and remains as the most prevalent symptom for those who survived. To date, the search for novel approaches regarding Cancer-Related Fatigue persists. As such, Paullinia cupana – a medicinal plant – has shown promising results for the treatment of chemotherapy-induced fatigue. Methods: We conducted a phase II randomized double-blind clinical trial, in which we compared a standardized dry purified Paullinia cupana extract (PC-18) - in doses of 7.5 mg and 12.5 mg given orally twice a day - to placebo for the treatment of fatigue in women with early breast cancer scheduled to receive their first cycle of adjuvant systemic chemotherapy. Only patients that experienced increase in the score of either BFI, HAD or Chalder fatigue scales following the first cycle of chemotherapy were included. For possible associations between qualitative variables, Chi-square test was used. Poisson regression was used to test for the relationship between the drug used and the outcome regarding the difference assessed in scores aforementioned. The significance level was 5%. The program used was Stata 12.0. This study has been approved by our Institutional Review Board (number: 34327214.1.1001.0082) and participants have all signed informed consent forms. Results: PC-18 on 7.5 mg has not been statistically significant with any improvements on assessed scores when compared to placebo (IRR 0.99 [CI] 0.81 – 1.23, p = 0.958 for BFI; IRR 1.04 [CI] 0.56 – 1.95, p = 0,898 for HAD; IRR 0.95 [CI] 0.75 – 1.19, p = 0.645 for Chalder), while greater dosage (12.5mg) has shown the following outcomes regarding the scores (IRR 0.49 [CI] 0.30 – 0.81, p = 0.005 for BFI; IRR 0.89 [CI] 0.45 – 1.76, p = 0,735 for HAD; IRR 0.99 [CI] 0.80 – 1.23, p = 0.914 for Chalder) in the same comparison. Conclusions: Disregarding preliminary data on previous studies, PC-18 has not shown to be better than placebo. Clinical trial information: 34327214.1.1001.0082.


Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Manoj Mittal ◽  
Raymond Seet ◽  
Zhang Yi ◽  
Alejandro Rabinstein

Background and Objective The Alberta Stroke Program Early CT Score (ASPECTS) is a validated grading system to assess ischemic changes on CT in acute ischemic stroke. Magnetic resonance imaging with diffusion weighted imaging (DWI) sequence is commonly used to identify the final ischemic changes. We examined the difference between the relationship of NIHSS at admission and ASPECT score calculated using CT scan versus MRI DWI sequence. Methods We conducted a retrospective analysis of prospectively collected data from 99 cases of acute ischemic stroke treated with IV rt-PA by time criteria, admitted to Mayo Clinic from March, 2002 through June, 2011. CT head at 24 hours and MRI DWI sequence were used to assign ASPECT score. We dichotomized ASPECTS (categorized as 0 to 7 versus 8 to 10) and favorable patient outcome at 3 month (modified Rankin score less than equal to 2 and more than 2). Univariate analysis including t-test, Chi-square, and Fisher Exact test was used when appropriate. Results Mean age was 70±14 years. Mean admission NIHSS score was 8±4. DWI ASPECTS (p<0.001) and CT ASPECTS (p=0.127) were inversely associated with admission NIHSS. Higher (8-10) CT ASPECTS (p=0.001) or DWI ASPECTS (p=0.002) were associated with good outcome (mRS ≤2) at 3 months. Sensitivity, specificity, positive predictive value and negative predictive value for good outcome identified by CT ASPECTS versus DWI ASPECTS were 81% vs 52%, 54% vs 54%, 83% vs 59% and 50% vs 47% respectively. Conclusion CT and MRI DWI are comparably useful to calculate the ASPECTS for estimation of functional outcome, but CT scan at 24 hours may be more sensitive for the prediction of good recovery.


Author(s):  
Esmaeel Alsayed Mohamed ◽  
Nisha V Parmar ◽  
Amani Al Falasi

Introduction: Vitiligo is an acquired autoimmune disorder of depigmentation with a global prevalence of 1%. Phototherapy with Narrowband Ultraviolet B (NBUVB) light and excimer laser are both FDA approved treatments for vitiligo. Studies comparing the two modalities are few in patients with different skin colors. Aim: To compare the efficacy and safety of NBUVB versus excimer laser in vitiligo in terms of re-pigmentation achieved during treatment and side effects. Materials and Methods: This study was a retrospective chart review of vitiligo patients attending the phototherapy unit from January 2016 to August 2018. Patient profiles including age, gender, site and extent of vitiligo, type of phototherapy treatment (NBUVB vs excimer laser), sessions per week, sessions required for onset of repigmentation, sites of repigmentation, and side effects were noted. Qualitative variables were analysed using Chi-square test. Quantitative variables were analysed using mean and Standard Deviation (SD). A p-value of <0.05 was considered statistically significant. Results: A total of 146 patients aged 4-70 years were included. Ninety-six patients received excimer laser and 50 patients were on NBUVB. Initial repigmentation occurred after a mean±SD of 28.91±16.61 sessions in the NBUVB group and 24.26±17.57 sessions in the excimer laser group. The difference was not statistically significant (p=0.18). Repigmentation occurred faster on the face followed by the trunk in both groups. Side effects were higher with excimer laser compared to NBUVB (90.6% versus 76%) and the difference was statistically significant (p=0.017). Side effects were, however, mild and did not warrant treatment discontinuation. Conclusion: Number of sessions required for onset of repigmentation was similar in both groups. Side effects, although more frequent with excimer laser, were mild and required dose reduction rather than discontinuation of treatment.


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