Trends of scientific literature on the nursing care in the use of central venous catheter insertion of peripheral

2011 ◽  
Vol 5 (3) ◽  
pp. 806
Author(s):  
Gilvânya Magna Dantas Peixoto ◽  
Ana Elza Oliveira de Mendonça ◽  
Rodrigo Assis Neves Dantas ◽  
Daniele Vieira Dantas ◽  
Gilson De Vasconcelos Torres

ABSTRACTObjective: to characterize the scientific literature on nursing care in the insertion/use of venous catheter peripherally inserted central (PICC). Method: this is about a bibliographic research, exploratory, descriptive and documentary study, performed with the keywords "nursing" and “catheterization, peripheral”. It were found six items, two in the LILACS, SciELO one, one and two in PUBMED in ISI Web of Knowledge. Results: most of the studies was located in LILACS (33.3%) and ISI (33.3%) in 2008 (33.3%), produced by graduate teachers (50.0%) and nurses care (50.0%), using the descriptive study (33.3%) and literature review (33.3%) with a quantitative approach (66.7%). 50.0% of the studies were about the care in the maintenance of PICC and 33.3% over the catheter insertion. 66.7% of studies were published in international journals. Conclusion: the interest for PICC continues to increase due to lower incidence of complications (compared to other venous access), ease of insertion by nursing staff, longer duration of the procedure and possible use in home care. Descriptors: catheterization, peripheral; nursing; publications; review; education, nursing, continuing.RESUMOObjetivo: caracterizar a produção científica sobre cuidado de enfermagem na inserção/utilização do cateter venoso central de inserção periférica (PICC). Método: pesquisa do tipo bibliográfica, de cunho exploratório-descritiva e documental, realizada com os descritores “enfermagem” e “cateterismo venoso periférico”. Foram encontrados seis artigos, sendo dois na LILACS, um na SCIELO, um na PUBMED e dois na ISI Web of Knowledge. Resultados: a maioria dos estudos estava localizada na LILACS (33,3%) e ISI (33,3%), em 2008 (33,3%), produzidos por docentes de pós-graduação (50,0%) e por enfermeiros assistenciais (50,0%), utilizando-se do estudo descritivo (33,3%) e revisão de literatura (33,3%), com abordagem quantitativa (66,7%). 50,0% dos estudos foram sobre os cuidados na manutenção do PICC e 33,3% sobre a inserção do cateter. 66,7% dos estudos foram publicados em revistas internacionais. Conclusão: o interesse pelo PICC continua a aumentar devido sua menor incidência de complicações (comparado a outros acessos venosos), facilidade de inserção pela equipe de enfermagem, maior duração do procedimento e possibilidade de utilização no atendimento domiciliar. Descritores: cateterismo venoso periférico; enfermagem; publicações; revisão; educação continuada em enfermagem.RESUMENObjetivo: caracterizar la literatura científica sobre los cuidados de enfermería en la inserción / uso de catéter venoso central de inserción periférica (PICC). Método: es un estúdio de investigación bibliográfica, de carácter exploratorio, descriptivo y documental, realizado con las palabras clave "enfermería" y "cateterismo venoso periférico". Se han encontrado 6 artículos, dois en el LILACS, SciELO un, un y dois en PUBMED en el ISI Web of Knowledge. Resultados: la mayoría de los estudios se encuentra en LILACS (33,3%) y el ISI (33,3%) en 2008 (33,3%), producida por profesores titulados (50,0%) y enfermeros atención (50,0%), utilizando el estudio descriptivo (33,3%) y revisión de la literatura (33,3%) con un enfoque cuantitativo (66,7%). 50,0% de los estudios eran sobre el cuidado en el mantenimiento de PICC y el 33,3% más de la inserción del catéter. 66,7% de los estudios fueron publicados en revistas internacionales. Conclusión: el interés por el PICC sigue aumentando debido a la menor incidencia de complicaciones (comparado con el acceso venoso otros), facilidad de inserción de personal de enfermería, una larga duración del procedimiento y su posible uso en la atención domiciliaria. Descriptores: cateterismo venoso periférico; enfermería; publicaciones; revisión; educación continua en enfermería.

2019 ◽  
Vol 81 (19) ◽  
Author(s):  
Thamires Assumpção Cruz Duarte ◽  
Tâmara Dias de Alencar ◽  
Natália Custódio

Objetiva-se observar como as práticas de inserção e manipulação do cateter venoso central são realizadas em umserviço de Hemodiálise de um Hospital Federal do Rio de Janeiro. Estudo observacional de caráter descritivo denatureza quantitativa. Foram observados os procedimentos de inserção, manipulação e manutenção do catetervenoso central realizados por profi ssionais de saúde. Os resultados totalizaram 135 observações, das quais 16 foramde inserção e 119 de manipulação nos momentos pré e pós hemodiálise. No que tange à manipulação dos cateteresvenosos centrais, 62 foram observados nos momentos pré e 57 nos momentos pós-hemodiálise. Entre as observações,61% no período pré foram de conformidades e para os momentos pós, obteve-se 72% de conformidades. Conclui-seque as observações de não conformidades relacionadas às práticas de inserção e manipulação de cateter venosocentral em hemodiálise podem ter apresentado este resultado por serem realizadas de forma não sistemática, o quepode colaborar com desfechos negativos relativos à diálise.Palavras-chave: Infecções Relacionadas à Cateter; Cuidados de Enfermagem; Diálise Renal; Cateteres VenososCentrais. ABsTRAcTThe aim is to observe how the insertion and manipulation practices of the central venous catheter are performedin a hemodialysis service of a Federal Hospital in Rio de Janeiro. This observational and descriptive study of aquantitative nature. All the professionals that manipulate the catheter anyway where observed. 135 observationsregarding the insertion and manipulation of the central venous catheter where made, of witch: 16 where aboutinsertion, 135 about manipulation before hemodialysis and 119 from manipulation after hemodialysis. Theresults demonstrate that 61% practices in conformity and 39% of practices before hemodialysis non-conformities.About the practices after hemodialysis 72% where in conformity and 28% noncompliance. It concludes that thisresearch allowed to apprehend that due to the practices of insertion and manipulation of central venous catheterin hemodialysis haven’t systematically performed., nonconformities are likely to occur, with outcome to dialysisevents.Keywords: Catheter-Related Infections; Nursing Care; Renal Dialysis; Central Venous Catheters.


1991 ◽  
Vol 8 (01) ◽  
pp. 78-81 ◽  
Author(s):  
Charitha Fernando ◽  
Louis Juravsky ◽  
Joseph Yedlicka ◽  
David Hunter ◽  
Wilfrido Castañeda-Zúñiga ◽  
...  

2020 ◽  
pp. 112972982098318
Author(s):  
Nikolaos Ptohis ◽  
Panagiotis G Theodoridis ◽  
Ioannis Raftopoulos

Obstruction or occlusion of the central veins (Central venous disease, CVD) represents a major complication in hemodialysis patients (HD) limiting central venous access available for a central venous catheter placement. Endovascular treatment with percutaneous transluminal angioplasty (PTA) is the first therapeutic option to restore patency and gain access. This case presents our initial experience of a HD patient with CVD treated with a combination therapy of a balloon PTA to the left brachiocephalic trunk, through the right hepatic vein and standard catheter placement technique to the previously occluded junction of the left internal jugular vein to the left subclavian vein.


2020 ◽  
pp. 112972982094406
Author(s):  
Lucio Brugioni ◽  
Elisabetta Bertellini ◽  
Mirco Ravazzini ◽  
Marco Barchetti ◽  
Andrea Borsatti ◽  
...  

Background: Achieving a reliable venous access in a particular subset of patients and/or in emergency settings can be challenging and time-consuming. Furthermore, many hospitalized patients do not meet the criteria for central venous catheter positioning, unless an upgrade of the treatment is further needed. The mini-midline catheter has already showed to be reliable and safe as a stand-alone device, since it is easily and rapidly inserted and can indwell up to 1 month. Methods: In this further case series, we retrospectively evaluated data from 63 patients where a previously inserted mini-midline catheter was upgraded to a central venous catheter (the devices inserted in the arm replaced by peripherally inserted central catheter and others inserted “off-label” in the internal jugular replaced by single lumen centrally inserted central catheter), being used as introducer for the Seldinger guidewire. Results: The guidewire replacement was been made even early (after 1 day) or late (more than 10 days), usually following a need for an upgrade in treatment. No early or late complications were reported. Conclusion: According to the preliminary data we collected, this converting procedure seems to be feasible and risk-free, since neither infectious nor thrombotic complications were reported.


2015 ◽  
Vol 13 (3) ◽  
pp. 364-369 ◽  
Author(s):  
José Henrique Silvah ◽  
Cristiane Maria Mártires de Lima ◽  
Maria do Rosário Del Lama de Unamuno ◽  
Marco Antônio Alves Schetino ◽  
Luana Pereira Leite Schetino ◽  
...  

Objective To evaluate if body surface temperature close to the central venous catheter insertion area is different when patients develop catheter-related bloodstream infections.Methods Observational cross-sectional study. Using a non-contact infrared thermometer, 3 consecutive measurements of body surface temperature were collected from 39 patients with central venous catheter on the following sites: nearby the catheter insertion area or totally implantable catheter reservoir, the equivalent contralateral region (without catheter), and forehead of the same subject.Results A total of 323 observations were collected. Respectively, both in male and female patients, disregarding the occurrence of infection, the mean temperature on the catheter area minus that on the contralateral region (mean ± standard deviation: -0.3±0.6°C versus-0.2±0.5ºC; p=0.36), and the mean temperature on the catheter area minus that on the forehead (mean ± standard deviation: -0.2±0.5°C versus-0.1±0.5ºC; p=0.3) resulted in negative values. Moreover, in infected patients, higher values were obtained on the catheter area (95%CI: 36.6-37.5ºC versus 36.3-36.5ºC; p<0.01) and by temperature subtractions: catheter area minus contralateral region (95%CI: -0.17 - +0.33ºC versus -0.33 - -0.20ºC; p=0.02) and catheter area minus forehead (95%CI: -0.02 - +0.55ºC versus-0.22 - -0.10ºC; p<0.01).Conclusion Using a non-contact infrared thermometer, patients with catheter-related bloodstream infections had higher temperature values both around catheter insertion area and in the subtraction of the temperatures on the contralateral and forehead regions from those on the catheter area.


CHEST Journal ◽  
2013 ◽  
Vol 144 (4) ◽  
pp. 299A
Author(s):  
Rakesh Vadde ◽  
Meenakshi Ghosh ◽  
Saurav Pokharel ◽  
Setu Patolia ◽  
Dharani Narendra ◽  
...  

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