scholarly journals Central venous catheterization in cancer patients with severe thrombocytopenia: Ultrasound‑guide improves safety avoiding prophylactic platelet transfusion

2020 ◽  
Author(s):  
Luigi Cavanna ◽  
Chiara Citterio ◽  
Camilla Di Nunzio ◽  
Elena Orlandi ◽  
Ilaria Toscani ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Platelet Transfusion ◽  
Central Venous Catheterization ◽  
Severe Thrombocytopenia ◽  
Central Venous ◽  
Ultrasound Guide ◽  
Venous Catheterization

scholarly journals The practice of platelet transfusion prior to central venous catheterization in presence of coagulopathy: a national survey among clinicians

Vox Sanguinis ◽  
2017 ◽  
Vol 112 (4) ◽  
pp. 343-351 ◽  
Author(s):  
E. K. van de Weerdt ◽  
A. L. Peters ◽  
E. J. Goudswaard ◽  
J. M. Binnekade ◽  
K. P. van Lienden ◽  
...  
Keyword(s):  
National Survey ◽  
Platelet Transfusion ◽  
Central Venous Catheterization ◽  
Central Venous ◽  
Venous Catheterization

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.

Comparison of central venous catheterization with and without ultrasound guide

2004 ◽  
Vol 31 (3) ◽  
pp. 199-202 ◽  
Author(s):  
Massimo Cajozzo ◽  
Gerlando Quintini ◽  
Gerlando Cocchiera ◽  
Geo Greco ◽  
Roberto Vaglica ◽  
...  
Keyword(s):  
Central Venous Catheterization ◽  
Central Venous ◽  
Ultrasound Guide ◽  
Venous Catheterization

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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