scholarly journals Estratégias de prevenção da obstrução em cateteres centrais totalmente implantados em pacientes oncológicos

2020 ◽  
Vol 19 (4) ◽  
pp. 483-524
Author(s):  
Ilanna Moreira Caponi ◽  
Patrícia Quintans Cudines Pacheco ◽  
Leila Rangel Da Silva ◽  
Sônia Regina De Souza
Keyword(s):  
Literature Review ◽  
Cancer Patients ◽  
Saline Solution ◽  
Central Venous Catheterization ◽  
Central Venous Catheters ◽  
Time Interval ◽  
Central Venous ◽  
Venous Catheterization ◽  
Catheter Obstruction

Objetivo: Analizar las producciones científicas que abordan las estrategias de prevención y atención en la obstrucción de los catéteres venosos centrales totalmente implantados en pacientes con cáncer.Material y método: Esta es una revisión bibliográfica integradora, que se realizó en las bases de datos MEDLINE, LILACS, CINAHL y EMBASE, del 20 de julio de 2019 al 31 de julio de 2019, utilizando los siguientes descriptores: Cateterización venosa central; Obstrucción del catéter y oncología, más el uso de términos libres: catéter completamente implantado y neoplasia.Resultados: En total, se seleccionaron e incluyeron 10 estudios. Después del análisis, surgieron las siguientes categorías de análisis: Estrategias para prevenir la obstrucción en CVC-TI y Atención establecidas en el despacho de CVC-TI; teniendo como principales temas abordados: la comparación entre la eficacia en el uso de heparina y solución salina para el mantenimiento y el intervalo de tiempo entre ellos; métodos de despacho y evaluación de permeabilidad CVC-IT.Conclusión: A pesar de la aparición de nuevas formas posibles de prevención de obstrucciones y estrategias de atención en la eliminación de CVC-IT, la literatura no presenta consenso sobre el uso de soluciones con o sin heparina y el intervalo de tiempo entre el mantenimiento para la efectividad de permeabilidad de estos dispositivos en pacientes con cáncer. Objective: To analyze scientific productions that address prevention and care strategies in the obstruction of central venous catheters that are fully implanted in cancer patients.Material and Method: This is an integrative literature review, which took place on the MEDLINE, LILACS, CINAHL and EMBASE databases, from 20 July 2019 to 31 July 2019, using as descriptors: Central venous catheterization; Catheter obstruction and Oncology, in addition to the use of free terms: Catheter fully implanted and Neoplasia.Results: In total, 10 studies were selected and included. After the analysis, the following analysis categories emerged: Strategies for preventing obstruction in CVC-TI and Care established in clearing the CVC-TI; having as main subjects approached: the comparison between the effectiveness in the use of heparin and saline solution for maintenance and time interval between them; unblocking methods and permeability assessment of CVC-TI.Conclusion: Despite the emergence of new possible ways of preventing obstruction and care strategies for clearing CVC-TI, the literature does not have a consensus on the use of solutions with or without heparin and the time interval between maintenance for the effectiveness of the permeability of these devices in cancer patients. Objetivo: Analisar produções científicas que abordem a prevenção e estratégias de cuidado na obstrução de cateteres venosos centrais totalmente implantados em pacientes oncológicos.Material e Método: Trata-se de uma revisão integrativa da literatura, que ocorreu nas bases de dados MEDLINE, LILACS, CINAHL e EMBASE, no período 20 de Julho de 2019 a 31 de Julho de 2019, utilizando-se como descritores: Cateterismo venoso central; Obstrução de cateter e Oncologia, além do uso dos termos livres: Cateter totalmente implantado e Neoplasia.Resultados: Ao total, 10 estudos foram selecionados e incluídos. Após a análise, emergiram as seguintes categorias de análise: Estratégias de prevenção da obstrução em CVC-TI e Cuidados estabelecidos na desobstrução do CVC-TI; tendo então como principais assuntos abordados: a comparação entre a eficácia no uso da heparina e solução salina para manutenções e tempo de intervalo entre as mesmas; métodos de desobstrução e avaliação de permeabilidade dos CVC-TI.Conclusão: Apesar do surgimento de novas formas possíveis de prevenção de obstrução e estratégias de cuidado na desobstrução dos CVC-TI, a literatura não apresenta consenso sobre o uso de soluções com ou sem heparina e o tempo de intervalo entre as manutenções para a efetividade da permeabilidade desses dispositivos em pacientes oncológicos.

scholarly journals Unusual complications of the central venous catheterization in trauma patients

2021 ◽  
Vol 6 (1) ◽  
pp. 32-35
Author(s):  
Yoonjung Heo ◽  
Dong Hun Kim
Keyword(s):  
Subclavian Artery ◽  
Central Venous Catheterization ◽  
Air Embolism ◽  
Central Venous Catheters ◽  
Trauma Patients ◽  
Central Venous ◽  
Cerebral Air Embolism ◽  
Venous Catheterization

Central venous catheters (CVCs) are commonly used in patients with trauma. The placement and removal of the CVCs can result in various complications regardless of the skill of the professionals. Herein, two cases of rare complications are presented— an inadvertent subclavian artery catheterization and a cerebral air embolism after a CVC removal. Moreover, practical solutions for each complication are provided in detail.

scholarly journals Membranoproliferative Glomerulonephritis in Patients with Chronic Venous Catheters: A Case Report and Literature Review

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
John Sy ◽  
Cynthia C. Nast ◽  
Phuong-Thu T. Pham ◽  
Phuong-Chi T. Pham
Keyword(s):  
Literature Review ◽  
Membranoproliferative Glomerulonephritis ◽  
Central Venous Catheterization ◽  
Clinical Manifestations ◽  
Supporting Evidence ◽  
Central Venous ◽  
Indwelling Catheters ◽  
Short Gut Syndrome ◽  
Venous Catheterization ◽  
Catheter Infections

Chronic indwelling catheters have been reported to be associated with membranoproliferative glomerulonephritis (MPGN)viathe activation of the classical complement pathway in association with bacterial infections such as coagulase negative staphylococcus. We herein provide supporting evidence for the direct causal relationship between chronic catheter infections and MPGNviaa case of recurrent MPGN associated with recurrent catheter infections used for total parenteral nutrition (TPN) in a man with short gut syndrome. We also present a literature review of similar cases and identify common clinical manifestations that may serve to aid clinicians in the early identification of MPGN associated with infected central venous catheterization orvice versa. The importance of routine monitoring of kidney function and urinalysis among patients with chronic central venous catheterization is highlighted as kidney injury mayheraldor coincide with overtly infected chronic indwelling central venous catheters.

Cardiac Tamponade from Central Venous Catheterization: Two Cases in Premature Infants with Survival

PEDIATRICS ◽  
1982 ◽  
Vol 70 (1) ◽  
pp. 139-140
Author(s):  
James C. Opitz ◽  
William Toyama
Keyword(s):  
Central Venous Catheter ◽  
Cardiac Tamponade ◽  
Premature Infants ◽  
Very Low Birth Weight ◽  
Central Venous Catheterization ◽  
Venous Catheter ◽  
Pericardial Tamponade ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Venous Catheterization

Cardiac tamponade is a well-recognized complication of cardiac catheterization. It is also a known complication of central venous catheters that have been inserted for nutritional as well as other purposes.1-8 Dudrick et al9 first documented the clinical application of total parenteral nutrition and, since that description, hyperalimentation has been used with increasing frequency. This paper describes two infants of very low birth weight who survived after developing pericardial tamponade caused by perforation by a central venous catheter. To our knowledge, only two premature infants are reported to have survived this complication. When rapid deterioration is noted in any infant with a central venous catheter in place, this perforation must be rapidly considered in the differential diagnosis.

scholarly journals Objective Assessment Metrics for Central Line Simulators: An Exploration of Causal Factors

2020 ◽  
Vol 64 (1) ◽  
pp. 2008-2012
Author(s):  
Jessica M. Gonzalez-Vargas ◽  
Dailen C. Brown ◽  
Jason Z. Moore ◽  
David C. Han ◽  
Elizabeth H. Sinz ◽  
...  
Keyword(s):  
Central Venous Catheterization ◽  
Objective Assessment ◽  
Central Line ◽  
Expert Interviews ◽  
Central Venous ◽  
Patient Case ◽  
Causal Factors ◽  
Venous Catheterization ◽  
Assessment Metrics ◽  
Automated Feedback

The Dynamic Haptic Robotic Trainer (DHRT) was developed to minimize the up to 39% of adverse effects experienced by patients during Central Venous Catheterization (CVC) by standardizing CVC training, and provide automated assessments of performance. Specifically, this system was developed to replace manikin trainers that only simulate one patient anatomy and require a trained preceptor to evaluate the trainees’ performance. While the DHRT system provides automated feedback, the utility of this system with real-world scenarios and expertise has yet to be thoroughly investigated. Thus, the current study was developed to determine the validity of the current objective assessment metrics incorporated in the DHRT system through expert interviews. The main findings from this study are that experts do agree on perceptions of patient case difficulty, and that characterizations of patient case difficulty is based on anatomical characteristics, multiple needle insertions, and prior catheterization.

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