scholarly journals Cateter central de inserção periférica: contribuições para a enfermagem oncológica

2019 ◽  
Vol 13 (3) ◽  
pp. 715
Author(s):  
Dandara Costa Alcântara ◽  
Cristiano Bertolossi Marta ◽  
Antonio Augusto Freitas Peregrino ◽  
Ana Paula Siqueira ◽  
Priscilla Oliveira Silva ◽  
...  
Keyword(s):  
Patient Comfort ◽  
Oncology Nursing ◽  
Complication Rates ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Central Venous ◽  
Study Type ◽  
Care Nursing ◽  
Nursing Professional ◽  
Selection Of

RESUMOObjetivo: analisar as evidências acerca dos cuidados para o correto uso do cateter central de inserção periférica pelo enfermeiro ao paciente portador de câncer. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa. Realizou-se a busca de artigos científicos nas bases de dados LILACS, BDENF e a MEDLINE, publicados entre os anos de 2010 a 2016. Apresentam-se os resultados em forma de tabela e figuras. Resultados: encontraram-se 422 artigos, analisaram-se 175 e, destes, 15 foram selecionados. Elencaram-se duas categorias para discussão: a importância do conhecimento do profissional de Enfermagem para o uso do PICC/CCIP e a segurança do paciente por meio da prática segura. Conclusão: concluiu-se que, devido à autonomia do enfermeiro, respaldada pela lei, às indicações de uso, ao conforto proporcionado aos pacientes, aos benefícios para os profissionais, ao custo-efetividade e às baixas taxas de complicações, a seleção do PICC/CCIP no tratamento de pacientes oncológicos é uma opção muito inteligente e confiável, porém, o enfermeiro deve estar atento ao aperfeiçoamento do conhecimento de toda a equipe de Enfermagem. Descritores: Oncologia; Enfermagem Oncológica; Cateteres Venosos Centrais; Cuidados de Enfermagem; Enfermagem; Cateteres.                             ABSTRACT Objective: to analyze the evidence about the care for the correct use of the Peripherally inserted central catheter by the nurse to the patient with cancer. Method: this is a bibliographical study, type integrative review. Scientific articles were searched in the databases LILACS, BDENF and MEDLINE, published between the years 2010 and 2016. The results are presented in table and figure form. Results: 422 articles were found, 175 were analyzed and, of these, 15 were selected. Two categories were listed for discussion: the importance of nursing professional knowledge for the use of PICC and patient safety through safe practice. Conclusion: it was concluded that due to the autonomy of the nurse, supported by the law, the indications of use, patient comfort, benefits for professionals, cost-effectiveness and low complication rates, selection of PICC in the treatment of cancer patients is a very intelligent and reliable option, however, the nurse must be attentive to the improvement of the knowledge of the entire nursing team. Descriptors: Oncology; Nursing Oncology; Central Venous Catheters; Nursing care; Nursing; Catheters.                         RESUMEN Objetivo: analizar las evidencias acerca de los cuidados para el correcto uso del catéter central de inserción periférica por el enfermero al paciente portador de cáncer. Método: se trata de un estudio bibliográfico, tipo revisión integrativa. Se realizó la búsqueda de artículos científicos en las bases de datos LILACS, BDENF y MEDLINE, publicados entre los años 2010 a 2016. Se presentan los resultados en forma de tabla y figuras. Resultados: se encontraron 422 artículos, se analizaron 175 y, de éstos, 15 fueron seleccionados. Se establecieron dos categorías para discusión: la importancia del conocimiento del profesional de Enfermería para el uso del PICC / CCIP y la seguridad del paciente por medio de la práctica segura. Conclusión: se concluyó que, debido a la autonomía del enfermero, respaldada por la ley, a las indicaciones de uso, al bienestar proporcionado a los pacientes, a los beneficios para los profesionales, al costo-efectividad y a las bajas tasas de complicaciones, la selección del PICC / CCIP en el tratamiento de pacientes oncológicos es una opción muy inteligente y confiable, sin embargo, el enfermero debe estar atento al perfeccionamiento del conocimiento de todo el equipo de Enfermería. Descriptores: Oncología Médica, Enfermería Oncológica, Catéteres Venosos Centrales, Atención de Enfermería; Enfermería; Catéteres.             

Inadvertent Catheterization of the Ascending Lumbar Vein

2009 ◽  
Vol 28 (3) ◽  
pp. 179-183 ◽  
Author(s):  
Carol Trotter
Keyword(s):  
Contrast Material ◽  
Spinal Column ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Contrast Injection ◽  
Venous Plexus ◽  
Central Venous ◽  
X Ray ◽  
Lumbar Vein ◽  
Ascending Lumbar Vein

A NUMBER OF SERIOUS COMPLICATIONS can arise from malpositioned central venous catheters (CVCs), including cardiac tamponade and perforation, pleural effusions, and infusion into the vertebral venous system anywhere along the spinal column. Figure 1 is an x-ray of a premature infant taken after insertion of a 2.0 Silastic peripherally inserted central catheter (PICC), demonstrating the catheter entering the left ascending lumbar vein (ALV). Routine contrast injection of 0.3 mL of iothalamate meglumine 60 percent (Conray, Covidien Imaging Solutions, Hazelwood, Missouri) at the time of the PICC-placement film demonstrated that the contrast material extended into the vertebral venous plexus. The catheter was immediately withdrawn before intravenous fluid was administered, and the infant experienced no complications.

Severe cutaneous necrotizing vasculitis with postinfectious glomerulonephritis secondary to peripherally inserted central catheter bloodstream infection

2020 ◽  
pp. 112972982097078
Author(s):  
Francesco Londrino ◽  
Antonio Granata ◽  
Slave Boiceff ◽  
Massimo Guadagni ◽  
Sara Dominijanni ◽  
...  
Keyword(s):  
Term Therapy ◽  
Peripherally Inserted Central Catheter ◽  
Necrotizing Vasculitis ◽  
Central Catheter ◽  
Central Venous ◽  
Safe Alternative ◽  
Postinfectious Glomerulonephritis ◽  
Long Term Therapy ◽  
Central Catheters

Peripherally Inserted Central Catheters (PICCs) are widely used for hospitalized patients particularly in the oncological and hematological field. PICCs are a safe alternative to central venous catheters, mainly for medium- and long-term therapy

Peripherally inserted central catheter placement in a multidisciplinary intensive care unit: A preliminary study demonstrating safety and procedural time in critically ill subjects

2020 ◽  
pp. 112972982092861
Author(s):  
Ryan J Smith ◽  
Rodrigo Cartin-Ceba ◽  
Julie A Colquist ◽  
Amy M Muir ◽  
Jeanine M Moorhead ◽  
...  
Keyword(s):  
Critically Ill ◽  
Vascular Access ◽  
Critically Ill Patients ◽  
Catheter Placement ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Central Venous ◽  
Peripherally Inserted Central Catheters ◽  
Time Required ◽  
Central Catheters

Objective: Peripherally inserted central catheters are a popular means of obtaining central venous access in critically ill patients. However, there is limited data regarding the rapidity of the peripherally inserted central catheter procedure in the presence of acute illness or obesity, both of which may impede central venous catheter placement. We aimed to determine the feasibility, safety, and duration of peripherally inserted central catheter placement in critically ill patients, including obese patients and patients in shock. Methods: This retrospective cohort study was performed using data on 55 peripherally inserted central catheters placed in a 30-bed multidisciplinary intensive care unit in Mayo Clinic Hospital, Phoenix, Arizona. Information on the time required to complete each step of the peripherally inserted central catheter procedure, associated complications, and patient characteristics was obtained from a prospectively assembled internal quality assurance database created through random convenience sampling. Results: The Median Procedure Time, beginning with the first needle puncture and ending when the procedure is complete, was 14 (interquartile range: 9–20) min. Neither critical illness nor obesity resulted in a statistically significant increase in the time required to complete the peripherally inserted central catheter procedure. Three (5.5%) minor complications were observed. Conclusion: Critical illness and obesity do not delay the acquisition of vascular access when placing a peripherally inserted central catheter. Concerns of delayed vascular access in critically ill patients should not deter a physician from selecting a peripherally inserted central catheter to provide vascular access when it would otherwise be appropriate.

Impact of number of lumens in central-venous catheters on central-line bloodstream infection (CLABSI) and venous thromboembolism (VTE) risk in patients with acute leukemia

2021 ◽  
pp. 1-3
Author(s):  
Alina Varabyeva ◽  
Christabel Pui-See Lo ◽  
Adamo Brancaccio ◽  
Anthony J. Perissinotti ◽  
Twisha Patel ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Venous Thromboembolism ◽  
Acute Leukemia ◽  
Bloodstream Infections ◽  
Central Line ◽  
Central Venous Catheters ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Central Venous ◽  
Double Lumen

Abstract This retrospective study was conducted to determine whether the number of peripherally inserted central-catheter lumens affected the rate of central-line associated bloodstream infections (CLABSIs) in adult patients with acute leukemia. The results show that CLABSI rates were not significantly different between patients with triple-lumen or double-lumen PICCs (22.1% vs 23.4%; P = .827).

scholarly journals Preventive risk analysis in the maintenance of patency of the peripherally inserted central catheter

2019 ◽  
Vol 53 ◽  
Author(s):  
Antônio Fernandes Costa Lima ◽  
Amanda Saba ◽  
Simone Berger ◽  
Silvia Sauaia Bianchini ◽  
Fernando Tobal Berssaneti
Keyword(s):  
Risk Analysis ◽  
Failure Mode ◽  
Failure Modes ◽  
Saline Solution ◽  
Hospital Costs ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Risk Priority Number ◽  
Effect Analysis ◽  
Nursing Professional

ABSTRACT This theoretical and reflexive study analyzed the risks related to the maintenance of patency of the Peripherally Inserted Central Catheter with the use of saline solution in comparison with saline-filled syringes, through the application of the Healthcare Failure Mode and Effect Analysis - HFMEA. The process was mapped, detailing the failure modes of each step. For the calculation of the Risk Priority Number, the severity and probability of the failure modes were analyzed. This analysis gave rise to the severity and probability matrix. Finally, actions to reduce the failure modes in the maintenance of patency were proposed, considering the use of saline-filled syringes in comparison to the use of saline ampoules. It was verified that the use of saline ampoules is associated with a greater risk, since it requires four stages more than saline-filled syringe does not, increasing the risk of contamination and the level of three different risks, which would result in additional hospital costs. The use of the saline-filled syringe would avoid risks that could negatively affect the patient’s health, the nursing professional and the health institution.

Transthoracic echocardiography as bedside technique to verify tip location of central venous catheters in patients with atrial arrhythmia

2020 ◽  
Vol 21 (6) ◽  
pp. 861-867 ◽  
Author(s):  
Emanuele Iacobone ◽  
Daniele Elisei ◽  
Diego Gattari ◽  
Luigi Carbone ◽  
Giuseppe Capozzoli
Keyword(s):  
Central Venous Catheter ◽  
Transthoracic Echocardiography ◽  
Venous Catheter ◽  
Atrial Arrhythmia ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Central Venous ◽  
Peripherally Inserted Central Catheters ◽  
Bubble Test ◽  
Central Catheters

Introduction: Transthoracic echocardiography with bubble test is an accurate, reproducible, and safe technique to verify the location of the tip of the central venous catheter. The aim of this study is to confirm the effectiveness of this method for tip location in patients with atrial arrhythmia. Methods: Transthoracic echocardiography with bubble test was adopted as a method of tip location in patients with atrial arrhythmia requiring central venous catheter. If bubbles were evident in the right atrium in less than 2 s after simple saline injection, tip placement was assumed as correct. In cases of uncertain visualization of the bubble effect, the test was repeated injecting a saline–air mixture. Tip location was also assessed by post-procedural chest X-ray. Results: In 42 patients with no evident P-wave at the electrocardiography, we placed 34 centrally inserted central catheters and 8 peripherally inserted central catheters. Transthoracic echocardiography with bubble test detected two centrally inserted central catheter malpositions. In four patients with peripherally inserted central catheter, transthoracic echocardiography with bubble test was positive only when repeated with the saline–air mixture. When the transthoracic echocardiography was positive, the mean (±standard deviation) time for onset of the bubble effect was 0.89 ± 0.33 s in patients with centrally inserted central catheter and 1.1 ± 0.20 s in those with peripherally inserted central catheter; such time difference was not statistically significant (p > 0.05). Conclusion: Tip location of central venous catheter by transthoracic echocardiography with bubble test is feasible, safe, and accurate in patients with atrial arrhythmia. This method can also be applied in peripherally inserted central catheters; however, further studies may be needed to confirm its use in this type of catheters.

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