Relevant bibliographies by topics / Central venous lines

Academic literature on the topic 'Central venous lines'

Author: Grafiati

Published: 10 December 2022

Last updated: 19 February 2023

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Journal articles on the topic "Central venous lines"

Henderson, Nigel. "Central venous lines." Nursing Standard 11, no. 42 (July 7, 1997): 49–56. http://dx.doi.org/10.7748/ns.11.42.49.s50.

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Prabhu, M., and S. Abdy. "Latex-free central venous lines." Anaesthesia 55, no. 7 (July 2000): 723. http://dx.doi.org/10.1046/j.1365-2044.2000.01557-45.x.

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Prabhu, M., and S. Abdy. "Latex-free central venous lines." Anaesthesia 55, no. 7 (July 2000): 723. http://dx.doi.org/10.1046/j.1365-2044.2000.01557-45x./.

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Dickinson, EdwardJ, and P. Y. Gueugniaud. "SPEED AND CENTRAL VENOUS LINES." Lancet 330, no. 8565 (October 1987): 973. http://dx.doi.org/10.1016/s0140-6736(87)91458-9.

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Ljung, R. "Central venous lines in haemophilia." Haemophilia 9 (April 22, 2003): 88–93. http://dx.doi.org/10.1046/j.1365-2516.9.s1.7.x.

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Burdett, Ed, and Monty Mythen. "Putting in central venous lines." British Journal of Hospital Medicine 66, Sup2 (September 2005): M36—M38. http://dx.doi.org/10.12968/hmed.2005.66.sup2.19719.

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Lamperti, M., N. Moureau, L. J. Kelly, R. Dawson, M. Elbarbary, A. J. H. van Boxtel, and M. Pittiruti. "Competence in paediatric central venous lines placement." British Journal of Anaesthesia 112, no. 2 (February 2014): 383. http://dx.doi.org/10.1093/bja/aet557.

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Robinson, D. L., and R. G. W. Stacey. "Maintaining patency of central venous pressure lines." Anaesthesia 53, no. 2 (February 1998): 208–9. http://dx.doi.org/10.1111/j.1365-2044.1998.tb00016.x.

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Pippus, Kenneth G., J. Michael Giacomantonio, D. Alexander Gillis, and Elihu P. Rees. "Thrombotic complications of saphenous central venous lines." Journal of Pediatric Surgery 29, no. 9 (September 1994): 1218–19. http://dx.doi.org/10.1016/0022-3468(94)90805-2.

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Ragavan, M., S. Gazula, D. K. Yadav, Sandeep Agarwala, M. Srinivas, M. Bajpai, V. Bhatnagar, and D. K. Gupta. "Peripherally inserted central venous lines versus central lines in surgical newborns — A comparison." Indian Journal of Pediatrics 77, no. 2 (January 20, 2010): 171–74. http://dx.doi.org/10.1007/s12098-009-0291-y.

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Dissertations / Theses on the topic "Central venous lines"

Maxym, Maya. "Hypnosis for Relief of Pain and Anxiety in Children Receiving Intravenous Lines in the Pediatric Emergency Department." Yale University, 2008. http://ymtdl.med.yale.edu/theses/available/etd-08212007-115631/.

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Intravenous line placement is one of the most common procedures performed on children presenting to the Emergency Department. Anxiety about needles is widespread, and many children experience high levels of fear and/or pain with their IV line placements. Hypnosis is a behavioral intervention that shows significant promise for alleviating procedure-related pain and anxiety in children. Twenty-five developmentally normal, English-speaking children between the ages of five and fifteen who required IV line placement in the Pediatric Emergency Department at Yale-New Haven Childrens Hospital were randomized to receive either the standard of care or standard of care plus a brief hypnotic intervention. The groups were similar with regard to baseline demographic and socioeconomic status, previous experience with medical care, and presence or absence of chronic medical conditions. Childrens pre-procedural anxiety ratings on a 10cm visual analog scale (VAS) and expected procedural pain ratings by 10-point oucher and 10cm VAS were not significantly different between the groups. Children randomized to the hypnosis group reported less anxiety during the procedure (mean 5.0 vs 3.1, median 7.2 vs 2.2, p = 0.28) than children randomized to the standard of care group. Cases also had a decrease in anxiety from expected to actual of 1.6 on a 10cm scale, while those randomized to the control group had an increase from expected to actual anxiety of 1.1 (p=0.01). A smaller trend towards decreased pain in the hypnosis group was also present. As measured by VAS, cases had lower mean pain scores (3.4 vs 4.3) than controls. In a comparison of anticipated and actual pain scores between groups, the hypnosis group had a mean decrease of 0.8 on a 10cm VAS , while the control group had a mean increase of 0.5 (p=0.14). Recruitment of subjects is ongoing, but preliminary results suggest that hypnosis is effective for alleviating needle-related anxiety in children undergoing IV line placement and may be helpful for alleviating the pain of IV line placement as well.

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Whitfield, Alexis Genarrian. "Reducing Central Line-Associated Bloodstream Infections." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7444.

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Central line-associated bloodstream infection (CLABSI) at the local healthcare setting exceeded the benchmark of 0 CLABSI. The Infection Prevention and Control (IPC) department determined that a role as CLABSI nurse champion would address the problem; however, no comprehensive education on CLABSI prevention and maintenance was available at the site. The purpose of this project was to develop a CLABSI prevention and maintenance education module using Knowles's adult learning theory and the chain of infection model. The practice-focused question asked whether a CLABSI educational module would provide the necessary information to educate nurse champions on CLABSI prevention and maintenance. The education module was presented to 9 local experts, composed of the Infection Prevention and Control (IPC) director, doctor of medicine, microbiologist, biomedical technologists, IPC nurses, and 2 staff nurses, who evaluated the CLABSI education module. An 11-question Likert-scale questionnaire that included an option for recommendations for improvement was used by the expert panel to evaluate the module. Of the 11 questions, only 3 were scored as strongly agree or agree, indicating a need to modify the module to raise the education level of the content and to include the clinical standards, objectives, and dressing-change procedures. After modifications, the education module was scored again, and 100% met the criteria and the recommendations of the expert panel. The project has the potential to promote positive social change by increasing the knowledge of the CLABSI nurse champions and by reducing the risk of CLABSI at the site.

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Farley, Doreen Lynn. "Development of Nursing Staff Education for Central Line Maintenance." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7641.

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Patients with cancer who receive bone marrow transplants (BMT) are at increased risk for central line-associated blood stream infections (CLABSI), a serious complication leading to increased costs, length of stay, and even death. Recognition of an increased CLABSI rate at one BMT unit in the southwestern United States prompted development of an evidence-based staff development education program to improve nurses’ knowledge of central line maintenance and CLABSI prevention practices. Guided by Lewin change theory, the program was developed based on a nurse-led analysis and synthesis of the evidence, and a formative evaluation of the educational program conducted by a 3-member expert panel made up of the BMT director, a BMT clinical nurse specialist and vascular access team member. The review confirmed the lack of standardized evidence-based guidelines for central venous catheter care, that any patient who has a central line is at risk for CLABSI, and BMT patients are at particular risk due to frequency of catheter manipulation. Findings reinforced the need for the recommendations to educate nurses in BMT settings on evidence-based central line practices, evaluate knowledge gained, and audit practice techniques post education. The social change implication of this DNP project will be the potential decrease in healthcare costs, length of stay, and mortality associated with central line infections when nursing staff are provided an educational program that aims to improve their knowledge and skills of evidence-based central line care and CLABSI prevention practices.

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Cechinel, Raquel Bauer. "O benefício do bundle do cateter central em pacientes neonatais e pediátricos : uma revisão sistemática da literatura." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2016. http://hdl.handle.net/10183/179822.

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Introdução: As infecções primárias da corrente sanguínea associadas ao cateter venoso central (IPCS) são um grande problema nas unidades de terapia intensiva (UTI) pediátricas e neonatais em todo o mundo. Evidências sugerem que a prevenção das IPCSs é crucial para o atendimento seguro ao paciente. Uma percentagem significativa (65-70%) das IPCSs são evitáveis utilizando as estratégias baseadas em evidências, incluindo os bundles. Estas medidas têm um papel bem estabelecido em pacientes adultos.O objetivo deste estudo foi avaliar, a partir de uma ampla revisão sistemática da literatura, o benefício da implementação do bundle do cateter central na prevenção das IPCSs em pacientes pediátricos e neonatais internados em UTI. Métodos: Foram pesquisadas as bases de dados Cochrane Library, Medline, Latin American and Caribbean Health Science Literature (LILACS), Centre for Reviews and Dissemination (CRD), Embase, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), além de busca manual e literatura cinzenta entre 1 de janeiro de 2005 até 31 de dezembro de 2015. Não houve restrição dos estudos com relação ao idioma, a data ou status de publicação. Para avaliar o benefício do bundle do cateter central, foram selecionados estudos envolvendo pelo menos dois componentes (higiene de mãos, precauções de barreira máxima, antissepsia da pele, seleção adequada do sítio do cateter, revisão diária da necessidade do cateter) como medida preventiva para pacientes com cateter venoso central (CVC). O desfecho foi o número de IPCSs por 1000 cateteres-dias antes e depois da implementação do bundle. Resultados: Foram identificados inicialmente 6369 estudos, após a exclusão dos títulos duplicados e os inelegíveis, 31 estudos preencheram os critérios de elegibilidade. Os estudos foram heterogêneos tanto na composição do bundle quanto na estratégia de implementação. A mediana da densidade de incidência de IPCS foi de 5.9 por 1000 cateteres-dias (2.6-23.1) nas unidades de terapia intensiva pediátricas (UTIP) e 4.9 por 1000 cateteres-dias (2.0-24.1) nas unidades de terapia intensiva neonatais (UTIN). Após a implementação do bundle do cateter central, a densidade de incidência de IPCS variou de 0 a 14.9 por 1000 cateteres-dias (mediana de 2.1) nas UTIPs e 0.3 a 13.9 (mediana de 2.8) nas UTINs. Conclusões: As IPCSs continuam sendo um problema significativo em unidades de terapia intensiva pediátricas e neonatais, mas a implementação do bundle do cateter central pode reduzir significativamente as taxas dessas infecções. Intervenções assistenciais com as melhores práticas baseadas em evidência permitem uma redução substancial das IPCSs pela promoção de grupos ou bundles de procedimentos e tecnologias, e pela utilização de uma estratégia multimodal para a educação, formação, implementação e divulgação.
Background: Central-line-associated bloodstream infections (CLABSIs) are a major problem in neonatal and pediatric intensive care units (ICUs) worldwide. Evidence suggests that CLABSI prevention is crucial for safe patient care. A significant percentage of CLABSIs (65- 70%) are preventable using evidenced-based guidelines. Strategies to prevent these infections have included a myriad of different preventive maneuvers gathered as “bundles”. These measures have a well established role in the adult ICU setting. We aimed to assess the benefit of the implementation of central-line bundles to prevent CLABSIs in neonatal and pediatric ICU patients, populations where their actual efficacy is yet to be proven. Methods: We searched Cochrane Library, Medline, Latin American and Caribbean Health Science Literature (LILACS), Centre for Reviews and Dissemination (CRD), Embase, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), manual search and gray literature to identify studies reporting the implementation of central-line bundles in pediatric ICU (PICU), or neonatal ICU (NICU) patients. We searched for studies published between Jan 1, 2005, and December 21, 2015, without language restriction. To evaluate the benefit of the central line bundle were selected studies involving at least two components (hand hygiene, maximal barrier precautions, skin antisepsis, optimal catheter site selection and daily review of line necessity) as a preventive measure to patients with central venous catheter (CVC). The outcome was the number of CLABSIs per 1000 catheter-days before and after implementation. Results: We initially identified 6369 records, and after excluding duplicates and those ineligible, 31 studies met the eligibility criteria. The studies reviewed were quite heterogeneous both in bundle composition and implementation strategy. Median CLABSIs incidence were 5.9 per 1000 catheter-days (range 2.6–23.1) on PICUs and 4.9 per 1000 catheter-days (range 2.0–24.1) on NICUs. After implementation of central-line bundles the CLABSI incidence ranged from 0 to 14.9 per 1000 catheter-days (median 2.1) on PICUs and 0.3 to 14.9 (median 2.8) on NICUs. Conclusions: CLABSIs remain a significant problem in neonatal and pediatric critical care units, but implementation of catheter care bundles can significantly reduce rates of these infections. Best practice interventions allow substantial CLABSI reduction by promotion of groups or bundles of procedures and technology, and by use of a multimodal strategy for education, training, implementation, and dissemination.

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Toure, Abdoulaye II. "Impact de la nutrition parentérale associée à la chimiothérapie intraveineuse sur l'incidence des infections aux cathéters veineux chez les patients ayant un cancer digestif." Phd thesis, Université Claude Bernard - Lyon I, 2012. http://tel.archives-ouvertes.fr/tel-00976860.

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Les cathéters veineux centraux sont utilisés pour des traitements dont la chimiothérapie, l'hydratation, l'antibiothérapie et la nutrition parentérale chez les patients ayant un cancer. Cependant, ces cathéters sont responsables de graves complications dont les infections. Elles peuvent entraîner la suspension ou l'arrêt des traitements et peuvent engager le pronostic vital des patients. Le taux d'incidence et les facteurs de risque des infections liées aux cathéters veineux centraux (ILCVC) en oncologie restent mal connus. Une étude prospective menée pendant 5 ans à l'hôpital Edouard Herriot et à l'hôpital de la Croix Rousse nous a permis de décrire les ILCVC chez 425 patients ayant un cancer digestif. Nous avons d'abord estimé le taux d'incidence des ILCVC selon la localisation du cancer primitif. Ensuite, nous avons analysé les facteurs de risque. Pour mieux estimer l'impact de la nutrition parentérale sur le risque d'ILCVC, nous avons utilisé le score de propension pour imiter certaines caractéristiques d'un essai randomisé. Enfin, nous avons analysé la mortalité dans les 30 jours qui ont suivi l'ILCVC. Les résultats ont montré que le taux d'incidence des ILCVC était plus élevé chez les patients ayant un cancer pancréas ou un cancer de l'œsophage que ceux qui ont un cancer colorectal. Les facteurs de risque indépendamment associés à une ILCVC étaient le performance status, les journées d'utilisation du cathéter, le cancer du pancréas et la nutrition parentérale. Le risque d'ILCVC était supérieur à 5 chez les patients qui recevaient de la nutrition parentérale associée à la chimiothérapie intraveineuse. Le diabète était un facteur de risque indépendamment associé à la mortalité dans les 30 jours qui suivent la survenue l'ILCVC.

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Silva, Alexsandra Gomes Resende de Souza da. "Análise das notificações das infecções primárias de corrente sanguínea em unidades de terapia intensiva adulto de Goiânia-GO." Universidade Federal de Goiás, 2018. http://repositorio.bc.ufg.br/tede/handle/tede/8971.

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Introduction: Central-line associated bloodstream infections (CLABSIs) are common in Intensive care units (ICUs), leading to longer hospital stays, high hospital costs and death. As such, surveillance, prevention and control are indispensable.Objective: Analyze the epidemiological and microbiological profile of central-line associated bloodstream infections in adult ICUs in the municipality of Goiânia, Brazil. Method: Analytical ecological study conducted using secondary data from reports of all clinical and laboratory central-line associated bloodstream infections in adult ICUs in Goiânia, between 2012 and 2016. SPSS-17.0 and Stata software (version 14.0) were used. Data were expressed as temporal trend, descriptive statistics and percentiles. Data analysis considered a 95% confidence interval and significance level of p<0.05. Results: We analyzed 1988 healthcare-associated infection (HAI) notifications from 42 adult ICUs. The temporal trend of central-line associated bloodstream infections incidence density was stationary. The incidence density of laboratory central-line associated bloodstream infections varied from 3.32 to 4.34 infections per 1000 catheters/day. The rate of central venous catheter use in the period was 55.36%. In relation to percentile, increase was observed in the study period, particularly in 2016 in the 90th percentile. There was no statistical association between the variables analyzed. With respect to the microbiological and antimicrobial susceptibility profile, SCon and S. aureus showed 91.8% and 71.4% resistance to oxacillin, respectively, in 2016. K. pneumoniae and Acinectobacter spp. Were resistant to 3rd and 4th generation cephalosporins and carbapenems. Conclusion: It was concluded that the temporal trend of central-line associated bloodstream infections was stationary, and incidence density and percentiles increased over the years. The primary causative agents were SCon and K. pneumoniae, with broad spectrum antimicrobial resistance. Measures should be implemented to monitor health services and provide continuing education for health workers regarding the prevention and control of these infections.
Introdução: As infecções primárias de corrente sanguínea são frequentes, em Unidade de Terapia Intensiva (UTI) ocasionando prolongamento no tempo de internação, elevados custos hospitalares e óbitos. Mediante essa situação a vigilância, prevenção e controle são imprescindíveis. Objetivo: Analisar o perfil epidemiológico e microbiológico das infecções primárias de corrente sanguínea de UTI adulto do Município de Goiânia. Método: Estudo analítico ecológico, realizado a partir de dados secundários de notificações de infecções primárias de corrente sanguínea clínicas e laboratoriais das UTI adulto no Município de Goiânia-GO, no período de 2012-2016. Utilizou-se os Softwares SPSS-17.0 e Stata, versão 14.0. Os dados foram apresentados por meio da tendência temporal, estatística descritiva e percentis. Considerou-se IC: 95% e p<0,05.de significância de p<0,05. Resultados: Analisou-se 1988 fichas de notificações de IRAS dos referentes a 42 UTI adulto. A tendência temporal da densidade de incidência das infecções primárias de corrente sanguínea foi estacionária. A densidade de incidência das infecções primárias de corrente sanguínea laboratoriais variou de 3,32 a 4,34 infecções por 1000 cateteres-dia. A taxa de utilização de cateter venoso central no período foi de 55,36%. Em relação aos percentis houve elevação no período de estudo com destaque no ano de 2016 no percentil 90. Não houve associação estatística entre as variáveis analisadas. Quanto ao perfil microbiológico e de sensibilidade antimicrobiana identificou-se: SCon e S. aureus resistentes à oxacilina em 91,8% e 71,4% respectivamente em 2016. K. pneumoniae e Acinectobacter spp. resistentes às cefalosporinas de 3ª e 4ª gerações e aos carbapenêmicos. Conclusão: Conclui-se que a tendência temporal das infecções primárias de corrente sanguínea se manteve estacionária; a densidade de incidência e os percentis apresentaram elevação no decorrer dos anos. Os principais patógenos foram os SCon e K. pneumoniae com resistência a antimicrobianos de amplo espectro. Medidas de monitoramento dos serviços de saúde e de educação permanente dos trabalhadores da área da saúde, quanto a prevenção e controle dessas infecções, devem ser instituídas.

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(12552913), Karen L. Henderson. "Critical care nurses' knowledge of the care and use of central venous lines." Thesis, 2002. https://figshare.com/articles/thesis/Critical_care_nurses_knowledge_of_the_care_and_use_of_central_venous_lines/19776259.

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The primary aim of this cross-sectional research project was to evaluate critical care nurses' knowledge of the care and use of central venous lines. A secondary purpose was to determine if their knowledge was related to sociodemographic characteristics.

A true -or -false and multiple-choice questionnaire was developed by the researcher, subjected to review by a panel of experts and pilot -tested. It was examined for reliability, item difficulty and discrimination in order to improve the validity of the instrument prior to the research study. Sociodemographic questions were included to examine the influence of variables such as critical care nursing experience, educational background, job position and location of practice on the nurses' knowledge of the care and use of central venous lines. T -tests and analysis of

variance were used to test hypotheses related to differences in mean scores among sociodemographic subgroups and a predetermined score that indicated sufficient knowledge of the participants in the study.

The final 30 -item questionnaire was mailed to six hundred members of the Australian College of Critical Care Nurses. A total of 250 nurses (42%) completed the questionnaire. The mean knowledge score of all the participants was 23.4 or 78% items correct, with a standard deviation of 3.41. The range of correct scores was 14 to 30. Significantly low mean scores were found in all subgroups except for nurses in managerial or educational positions, nurses working in a large rural area and nurses with a Master's degree or higher level of education. Nurses who completed a hospital -based critical care program had significantly higher scores than those who did not. There was a significant difference in scores according to the years of critical care experience with increasing scores as the years of experience increased.

The results suggest that critical care nurses have a general knowledge deficit of central venous lines. Educational programs, hospital -based critical care programs and the use of preceptors are methods that can be used to improve the knowledge base of nurses working in critical care areas. This study may be replicated on a larger scale to improve the validity and reliability of the questionnaire and to validate its findings.

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Rodrigues, Joana Marisa Gomes. "Impacto económico e clínico da Infeção da Corrente Sanguínea relacionada com o Cateter Venoso Central e da Pneumonia associada à Ventilação em Unidades de Cuidados Intensivos de um Centro Hospitalar Universitário." Master's thesis, 2019. http://hdl.handle.net/10362/93777.

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RESUMO - Introdução: A infeção da corrente sanguínea relacionada com o cateter venoso central (ICSRCVC) e a pneumonia associada à ventilação (PAV) constituem o grupo de infeções mais comuns nas unidades de cuidados intensivos (UCIs). Estas assumem um impacto negativo na saúde de cada doente e um significativo encargo financeiro para o sistema de saúde. O objetivo deste estudo consistiu em estimar o custo e a taxa de mortalidade da ICSRCVC e da PAV nas UCIs de nível III do Centro Hospitalar de Lisboa Central (CHLC). Metodologia: Foi desenvolvido um estudo de coorte retrospetivo. A ICSRCVC e a PAV foram definidas pela classificação internacional de doenças, nona revisão, modificação clínica (ICD-9-CM), através dos códigos 999.32 e 997.31, respetivamente. Todos os doentes com 18 ou mais anos, hospitalizados por mais de zero dias e com alta até 31 de dezembro de 2016 foram incluídos na análise das quatro UCIs de nível III do CHLC. Foi utilizada a Base de Dados de Morbilidade Hospitalar da Administração Central do Sistema de Saúde (ACSS), I.P. de 2016 para a identificação dos episódios e o cálculo da taxa de mortalidade. Os custos de todos os episódios foram calculados utilizando a contabilidade analítica do CHLC. Foi aplicada a análise de regressão logística de forma a selecionar os fatores de risco para o desenvolvimento das infeções e calculada a área sob a curva receiver operating characteristic (ROC) para identificar o poder discriminativo do modelo. Resultados: Dos 725 episódios com cateter venoso central (CVC), 9 desenvolveram ICSRCVC (1,2%) e dos 599 episódios submetidos a ventilação mecânica (VM), 15 tinham PAV (2,5%). Em ambos episódios com ICSRCVC ou PAV, observou-se um aumento significativo da duração internamento hospitalar (54 dias versus 18,5 dias, p=0,012 e 39 dias versus 18 dias, p=0,001, respetivamente), assim como também uma maior duração de internamento nas UCIs (8 dias versus 4 dias, p=0,108 e 16 dias versus 6 dias, p<0,001, respetivamente). Os custos atribuíveis aos casos que desenvolveram ICSRCVC ou PAV são superiores (9.064,92€ versus 6.764,10€, p=0,308 e 30.918,56€ versus 10.575,74€, p<0,001, respetivamente). Não existe diferença estatisticamente significativa entre grupos relativamente à mortalidade em ambas as infeções analisadas. Conclusão: Estas infeções associadas aos cuidados de saúde (IACS) adquiridas nas UCIs estão relacionadas com um aumento da duração do internamento hospitalar e nas UCIs, com consequentes custos para o sistema de saúde. A gestão hospitalar tem um papel imprescindível na implementação de políticas e de medidas para reduzir a incidência destas infeções.
ABSTRACT - Introduction: Central line-associated bloodstream infection (CLABSI) and ventilator- associated pneumonia (VAP) are the most common group of infections in intensive care units (ICUs). These assume a negative impact on each patient's individual health and a significant financial burden for the health system. The aim of this study was to estimate the cost and mortality rate of ICSRCVC and VAP in the Central Lisbon Hospital Center’s (CHLC) four level III ICUs. Methods: A retrospective cohort study was performed. CLABSI and VAP were defined by international classification of diseases, ninth revision, clinical modification (ICD-9- CM), through the codes 999.32 and 997.31, respectively. All patients, with 18 years or older, hospitalized for more than zero days and discharged up to 31 december 2016 were included in the CHLC’s four level III ICUs analyse. We used the hospital morbidity database of the ACSS, I. P., 2016 to identify the episodes and mortality rate. The costs of all episodes were calculated using the CHLC’s analytical accounting. Logistic regression analysis was used to select the risk factors for the development of the infections and the area under the ROC curve was calculated to identify the discriminative power of the model. Results: Of 725 eligible episodes with central venous catheter (CVC), 9 developed CLABSI (1,2%) and of 599 episodes submitted to mechanical ventilation (MV), 15 had VAP (2,5%). In both episodes with ICSRCVC or VAP, there was a significant increase in hospital length of stay (54 days versus 18,5 days, p=0,012 and 39 days versus 18 days, p=0,001, respectively), as well as a longer UCI length of stay (8 days versus 4 days, p=0,108 and 16 days versus 6 days, p<0,001, respectively). The costs attributable to cases that developed CLABSI or VAP are higher (€9,064.92 versus € 6,764.10, p=0,308 and € 30,918.56 versus €10,575.74, p<0,001, respectively). There is no statistically significant difference in mortality among the groups in both infections. Conclusion: These ICU-acquired healthcare-associated infections (HAIs) are related with an increase of hospital and UCI length of stay and consequent costs for health care system. Hospital management plays an essential role in the implementation of control and prevention policies and measures to reduce the incidence of these infections.

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Books on the topic "Central venous lines"

Cassidy, Jim, Donald Bissett, Roy A. J. Spence OBE, Miranda Payne, and Gareth Morris-Stiff. Complications of long-term central venous lines and chemotherapy extravasation. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199689842.003.0037.

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Describes the need for central venous access. The types of devices in common use together with their strengths and weaknesses. Describes, symptoms and signs of complications such as thrombosis or infection of lines. Outlines investigation and therapy strategies. Describes problem of extravasation of chemotherapy drugs into peripheral tissues. Outlines immediate therapy guidelines and describes long term consequences of this side effect

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Parkhomenko, Alexander, Olga S. Gurjeva, and Tetyana Yalynska. Clinical assessment and monitoring of chest radiographs. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0019.

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This chapter reviews the main problems in obtaining portable X-rays in intensive cardiac care unit patients and describes specific features of radiographs taken in the supine anteroposterior position. It also includes a brief review of a systematic, multistep approach of evaluating the quality of radiographic images and describing the chest wall, pulmonary vasculature, the heart and its chambers, the great vessels, and the position of tubes, lines, and devices. This chapter covers the most common conditions for which chest radiographs are useful and provides intensive cardiac care unit physicians, cardiologists, cardiology fellows, and medical students with basic information on water retention, air collection, and lung-related problems. It also focuses on the monitoring of line and device placements (e.g. central venous catheters, tube malposition) and procedure-related abnormalities, which may be apparent on chest X-rays and are helpful for timely diagnoses.

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Parkhomenko, Alexander, Olga S. Gurjeva, and Tetyana Yalynska. Clinical assessment and monitoring of chest radiographs. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199687039.003.0019_update_001.

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Parkhomenko, Alexander, Olga S. Gurjeva, and Tetyana Yalynska. Clinical assessment and monitoring of chest radiographs. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199687039.003.0019_update_002.

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Parkhomenko, Alexander, Olga S. Gurjeva, and Tetyana Yalynska. Clinical assessment and monitoring of chest radiographs. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199687039.003.0019_update_003.

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Ramrakha, Punit, and Jonathan Hill, eds. Practical procedures. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199643219.003.0018.

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Arterial blood sampling 784Arterial line insertion: introduction 786Arterial line insertion: over-the-wire technique 786Arterial line insertion: over-the-needle technique 788Central line insertion 790Internal jugular vein cannulation 792Subclavian vein cannulation 794Ultrasound-guided central venous catheterization (1) 796Ultrasound-guided central venous catheterization (2) ...

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Thomas, James, Tanya Monaghan, and Prarthana Thiagarajan. Practical procedures. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199593972.003.0018_update_001.

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Using this chapterInfiltrating anaesthetic agentsHand hygieneConsentAseptic techniqueSubcutaneous and intramuscular injectionsIntravenous injectionsVenepunctureSampling from a central venous catheterArterial blood gas (ABG) samplingPeripheral venous cannulationFemoral venous catheter insertionCentral venous access: internal jugular veinCentral venous access: subclavian veinCentral venous access: ultrasound guidanceIntravenous infusionsArterial line insertionFine needle aspiration (FNA)Lumbar punctureMale urethral catheterizationFemale urethral catheterizationBasic airway managementOxygen administrationPeak expiratory flow rate (PEFR) measurementInhaler techniqueNon-invasive ventilationPleural fluid aspirationPneumothorax aspirationChest drain insertion (Seldinger)Recording a 12-lead ECGCarotid sinus massageVagal manoeuvresTemporary external pacingDC cardioversionPericardiocentesisNasogastric tube insertionAscitic fluid sampling (ascitic tap)Abdominal paracentesis (drainage)Sengstaken–Blakemore tube insertionBasic interrupted suturingCleaning an open woundApplying a backslabManual handling

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McIntyre, Rebecca. Hemophilia. Edited by Erin S. Williams, Olutoyin A. Olutoye, Catherine P. Seipel, and Titilopemi A. O. Aina. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190678333.003.0034.

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Patients with hemophilia can be safely managed for elective surgery such as adenotonsillectomy as long as adequate planning and consultation with the hematology department occurs. Adequate factor replacement, antifibrinolytics, and careful monitoring are the mainstays of care. The need for frequent venous access can make cannulation of veins difficult, and this can be stressful for the patient and his or her family. Careful planning of any cannulation attempts can alleviate stress, increase success rate, and reduce trauma to veins. If the patient has a long-term central venous line, all precautions to reduce the risk of infection and thrombosis in the line must be adhered to. Development of inhibitory antibodies to factor VIII, or more rarely to factor IX, is currently the most difficult complication to manage in hemophilia patients.

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Kahn, S. Lowell. Branched Stent Graft Placement in the Vena Cava Using the Endologix AFX. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0031.

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Superior vena cava syndrome (SVCS) comprises a constellation of symptoms resulting from stenosis, occlusion, or thrombosis of the SVC of benign and malignant etiologies. The diagnosis is most commonly seen with thoracic malignancies, with primary lung cancer accounting for up to 70% of cases. Up to 4% of lung cancer patients present with SVCS at the time of diagnosis, and many more develop it at a later time. In younger patients with SVCS, lymphoma is commonly responsible. Recently, there has been a rise in benign SVCS secondary to the increased use of central venous catheters and pacemakers. Endovascular stenting of the SVC for SVCS has been described for more than 25 years and is now the first-line treatment of choice for benign and malignant SVCS. This chapter describes the use of the Endologix AFX AAA system for the treatment of SVCS.

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Estrada, Emir. Kids at Work. NYU Press, 2019. http://dx.doi.org/10.18574/nyu/9781479811519.001.0001.

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Kids at Work is the first book to look at the participation of child street vendors in the United States. The children portrayed in this book are the children of undocumented Latinx immigrants who are relegated to street vending because they lack opportunities to work in the formal sector of the economy. On the streets of Los Angeles, California, the children help their parents prepare and sell ethnic food from México and Central America, such as pozole, pupusas, tamales, champurrado, tacos, and tejuino. Shedding light on the experiences of children in this occupation highlights the complexities and nuances of family relations when children become economic co-contributors. This book captures a preindustrial form of family work life in a postindustrial urban setting where a new form of childhood emerges. Child street vendors experience a childhood period and family work relations that lies in the intersection of two polar views of childhood, which embodies a mutually protective and supportive aspect of the economic relationship between parent and child. This book is primarily based on the point of view of street vending children, and it is complemented with parent interviews and rich ethnographic fieldwork that humanizes their experience.

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Book chapters on the topic "Central venous lines"

Stilwell, Barbara. "Central Venous Lines." In Skills Update, 2–3. London: Macmillan Education UK, 1993. http://dx.doi.org/10.1007/978-1-349-13317-8_1.

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Kronfli, Rania, and Martyn E. Flett. "A23 Percutaneous Insertion of Central Venous Lines and Portacaths." In Basic Techniques in Pediatric Surgery, 85–86. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-20641-2_23.

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Kronfli, Rania, and Martyn E. Flett. "A22 Open Insertion of Tunnelled Central Venous Lines and Portacaths." In Basic Techniques in Pediatric Surgery, 82–84. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-20641-2_22.

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Vivanco-Allende, Ana, Corsino Rey, Alberto Medina, and Andres Concha. "Thrombosis, Central Venous Lines, and Parenteral Nutrition in Pediatric Intensive Care." In Diet and Nutrition in Critical Care, 1–13. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4614-8503-2_122-1.

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Vivanco-Allende, Ana, Corsino Rey, Alberto Medina, and Andres Concha. "Thrombosis, Central Venous Lines and Parenteral Nutrition in Pediatric Intensive Care." In Diet and Nutrition in Critical Care, 2089–99. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4614-7836-2_122.

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Caro, Diego. "Hidden music scenes: governmentality and contestation in postcolonial Hong Kong." In Embodying Peripheries, 240–56. Florence: Firenze University Press, 2022. http://dx.doi.org/10.36253/978-88-5518-661-2.11.

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Floor 26 of Ho King Commercial Centre in Yau Ma Tei, the elevator stops. At the end of the corridor, the sound of a heavy metal band, detuned screams buffered by the cracked plywood door of a tiny music studio. Outdated factory buildings in Kwun Tong, industrial architecture gradually surrounded by new commercial and residential complexes; their precarious wait for urban renewal has offered an opportunity for young musicians to establish music studios, classrooms, or improvised bedrooms where music and teenage discoveries mingle with the noise of machinery. A rusty anonymous intercom partially hidden by some plastic ivies. Past the door, a narrow metallic staircase, source of random encounters and only access point to a one-off experience; hundreds of people—local and foreigners—gathered in a tiny dark room, a miscellany of sweat, smoke, voices, and distant music. The hidden networks formed by musicians scattered in unexpected venues around Hong Kong provide a sonic collage that reformulates some of the city’s social peripheries from within. Through emergent sub-cultures, young artists deploy a wide range of tactics to counter the commodification and politicization of creativity, and the speculation over space in order to achieve new opportunities in a “bureaucratic society of controlled consumption.” In his work on everyday life, which focuses on the resistance of (extra)ordinary people to structures of power, Michel de Certeau makes reference to the idea of “silent discoverers of their own paths in the jungle of functionalist rationality.” The main actors of this essay, despite feeding on and actively participating in Hong Kong’s consumerism dynamics by taking references from social media, e-commerce, or shopping malls, produce “wandering lines”—or wandering sounds—with their own (syn)tactics through their artistic practices. Notably, in Hong Kong’s reductionist bureaucratic system, with a strong predominance of statistics and evaluation focused on “classifying, calculating and putting into tables,” these artistic rituals and reinterpretations of the city’s culture often remain overlooked or hidden to the system.

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Taksande, Amar. "Central Venous Lines." In Practical Aspects of Pediatrics and Neonatology for Nurses, 139. Jaypee Brothers Medical Publishers (P) Ltd., 2014. http://dx.doi.org/10.5005/jp/books/12356_17.

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Boulton, Bryon J. "Central Venous Lines." In The Mont Reid Surgical Handbook, 867–75. Elsevier, 2008. http://dx.doi.org/10.1016/b978-1-4160-4895-4.50090-1.

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Oltmann, Sarah C., and David T. Schindel. "CENTRAL VENOUS LINES." In Handbook of Pediatric Surgical Patient Care, 977–90. WORLD SCIENTIFIC, 2013. http://dx.doi.org/10.1142/9789814287890_0086.

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Padmaja, A. "Central Venous Catheters (CVC) and Long Lines." In Pediatric Nursing Procedure Manual, 181. Jaypee Brothers Medical Publishers (P) Ltd., 2014. http://dx.doi.org/10.5005/jp/books/12116_23.

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Conference papers on the topic "Central venous lines"

DRAGHETTI, MARILIA, LISIANE MADALENA TREPTOW, DANIELA DE PAULA GOULART, MARCIO JOSUE TRASEL, and MARI NEI CLOSOSKI DA ROCHA. "CATETER VENOSO CENTRAL : CUIDADOS E COMPLICAÇÕES." In III Congresso Brasileiro de Saúde On-line. Revista Multidisciplinar em Saúde, 2022. http://dx.doi.org/10.51161/iii-conbrasau/11895.

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Rasool, Reza, Dominik Schlosshan, Jonathan Sandoe, and Wazir Baig. "77 Central venous catheter line tip placement ‘are we in too deep?‘." In British Cardiovascular Society Annual Conference ‘High Performing Teams’, 4–6 June 2018, Manchester, UK. BMJ Publishing Group Ltd and British Cardiovascular Society, 2018. http://dx.doi.org/10.1136/heartjnl-2018-bcs.77.

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Silveira, Zenaide Paulo, ZENAIDE PAULO SILVEIRA, ADRIANA MARIA ALEXANDRE HENRIQUES, ELISA JUSTO MARTINS, LISIANE MADALENA TREPTOW, and MARIA MARGARETE PAULO. "INFECÇÃO RELACIONADA AO USO DE CATETER VENOSO CENTRAL E SEUS CUIDADOS." In III Congresso Nacional Multidisciplinar em Enfermagem on-line. Revista Multidisciplinar em Saúde, 2022. http://dx.doi.org/10.51161/iii-conaenf/10746.

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Souza, Victor Calebe de Oliveira, and Lauro Cesar De Oliveira. "ATUAÇÃO DO ENFERMEIRO NO MANEJO DO CATETER VENOSO CENTRAL TOTALMENTE IMPLANTÁVEL." In II Congresso Nacional Multidisciplinar em Enfermagem On-line. Revista Multidisciplinar em Saúde, 2021. http://dx.doi.org/10.51161/rems/2474.

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Introdução: O avanço tecnológico na área médica e, em especial, na terapia via endovenosa, propiciou o uso de materiais como o cateter totalmente implantado. Trata-se de um procedimento invasivo e maior risco de complicações, onde exige-se um Enfermeiro treinado com habilidade técnica-científica para realização da punção do cateter, prática comum em instituições de saúde na especialidade de onco-hematologia. A utilização de cateteres intravasculares para administração de medicamentos, fluidos, derivados sanguíneos, suporte nutricional e monitorização hemodinâmica, constitui-se num dos importantes avanços tecnológicos nos tratamentos de longa duração, porém a implantação e utilização dos mesmos podem acarretar riscos, especialmente os eventos infecciosos graves que elevam os custos hospitalares e colocam em risco a vida dos pacientes. Objetivo: O objetivo desse estudo é descrever as ações do enfermeiro no manejo do cateter venoso central totalmente implantável. Material e método: foi utilizado revisão literária, com busca em referências bibliográficas, artigos científicos, teses e dissertações, de abordagem quantitativa, no qual procurou - se analisar os dados com todo material adquirido. Resultado : A partir da revisão da literatura realizada pode-se concluir que o enfermeiro possui fundamental importância no manejo do Cateter Venoso Central Totalmente Implantado (CVC-TI), visto que todas as medidas são privativas com intuito de evitar contaminação pelo manuseio do cateter ou pela microbiota do paciente, portanto o manejo correto do CVC-TI irá prevenir diretamente a redução de riscos ao pacientes portadores desse dispositivo. Conclusão : Pode-se concluir que o enfermeiro tem como atribuição exclusiva a manutenção do cateter venoso central totalmente implantado, isto é, o emprego da técnica adequada e capacitação, contribuirá para aumento a vida útil do dispositivo promovendo conforto ao paciente, por meio de cuidados específicos, evitando eventos adverso, portanto devendo manter-se atualizado para prestar uma assistência segura para os pacientes onco-hematológicos.

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Tsapenko, Arseniy, Joseph Sweeney, and Gerardo Carino. "DOES LEVEL OF INR ELEVATION RELATE TO THE RISK OF BLEEDING ASSOCIATED WITH CENTRAL VENOUS LINE INSERTION?" In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a4577.

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da Silva Pinheiro, Hellem Cristina, Micaela Vitória Costa Furtado, Kemelly Melissa Azevedo da Costa, Ana Beatriz de Sena Pantoja, Maria Suzane Silva e Silva, and Marina Pereira Queiroz dos Santos. "A IMPORTÂNCIA DO CATETER VENOSO CENTRAL DE INSERÇÃO PERIFÉRICA NA UNIDADE DE TERAPIA INTENSIVA NEONATAL." In II CONGRESSO ON-LINE NACIONAL DE SAÚDE MULTIDISCIPLINAR (II CONASMULTI). Literacia Cientifica Editora & Cursos, 2023. http://dx.doi.org/10.53524/lit.edt.978-65-84528-20-8/20.

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Soth, M., M. Maclennan, M. Griffiths-Turner, A. Greiter, L. Waugh, M. Radford, and Deborah Cook. "Implementation Of Central Venous Catheter (CVC) Insertion Simulation And Real-Time Feedback To Reduce Central Line Associated Blood Stream Infection (CLA-BSI) In A Teaching ICU." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a5583.

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Alves, Ellen Patrícia Fonseca, and Sabrina Ferreira Oliveira. "OS BENEFÍCIOS DO CATÉTER CENTRAL DE INSERÇÃO PERIFÉRICA EM NEONATOS: RELATO DE EXPERIÊNCIA." In I Congresso Brasileiro On-line de Ensino, Pesquisa e Extensão. Revista Multidisciplinar em Saúde, 2022. http://dx.doi.org/10.51161/ensipex/53.

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Introdução: o catéter central de inserção periférica (PICC) é um dispositivo intravenoso maleável e longo cujo comprimento varia de em função do fabricante e de calibre. A inserção é realizada por meio de um vaso periférico e deve ficar posicionado na altura da veia cava superior ou inferior conferindo características de acesso central, entretanto, sem uso de um procedimento cirúrgico, sua função é facilitar na administração de medicamentos e dietas principalmente em neonatos e crianças, pois possuem uma rede venosa mais escassa. Objetivo: relatar a experiência vivenciada pelas acadêmicas quanto aos benefícios e vantagem do PICC em neonatos. Material e métodos: trata-se de um estudo descritivo do tipo relato de experiência vivenciado pelas acadêmicas do curso de graduação em enfermagem durante as práticas realizadas no mês de Outubro de 2021 em unidade de terapia intensiva em hospital escola de uma cidade do Norte de Minas Gerais. Resultados: observou-se a relevância dos conhecimentos e habilidades por parte do enfermeiro quanto a inserção, manutenção e retirada do PICC que apresenta como benefícios e vantagens: inserção menos traumática, permanência prolongada, redução de custos, menos estresse causado por múltiplas punções, menor risco de flebite química e de extravasamento de solução irritante. Conclusão: a experiência vivenciada pelas acadêmicas demonstrou a relevância dos conhecimentos de enfermagem a respeito do PICC e a importância desse para uma internação com redução do estresse e melhora da qualidade dos cuidados prestados. Ainda as motivou ampliar e buscar novos conhecimentos na área da assistência neonatal que agregaram em suas carreiras acadêmicas.

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Costa, Raquel Fernandes, Maria De Lourdes Lima Menezes De Oliveira, and Carla De Oliveira Arcebispo. "AVALIAÇÃO DOS CUIDADOS DE ENFERMAGEM NA MANUTENÇÃO DE CATETER VENOSO CENTRAL EM UMA UNIDADE DE INTERNAÇÃO ADULTA DE UM HOSPITAL DE ALTA COMPLEXIDADE." In II Congresso Nacional Multidisciplinar em Enfermagem On-line. Revista Multidisciplinar em Saúde, 2021. http://dx.doi.org/10.51161/rems/2489.

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Introdução: O Cateter Venoso Central (CVC) é frequentemente utilizado em pacientes para administração de fármacos, hemoderivados, nutrição parenteral, quimioterápicos, e antibióticos. Dentre as infecções relacionadas à assistência à saúde (IRAS) destacam-se as IPCS (infecções primárias da corrente sanguínea) que estão comumente relacionadas ao uso de um CVC. Objetivo: Avaliar os cuidados de enfermagem relacionados aos CVC, em uma unidade de internação adulta e comparar as condutas com os protocolos padronizados na instituição. Metodologia: trata-se de uma auditoria clínica realizada em uma unidade de internação adulta, foram selecionados pacientes com CVC, os dados foram coletados através do preenchimento de instrumento elaborado pela autora, através de observação direta dos cuidados com CVC. Resultados: Para contribuir para a minimização dos riscos de desenvolvimento ICS é de suma importância cuidados adequados na manutenção dos CVC, após a inserção até a sua retirada, a equipe de enfermagem é responsável pela manipulação, devendo ter conhecimentos e capacitação para o adequado manejo dos dispositivos. A higienização das mãos é uma importante intervenção de enfermagem, antes e após o contato com o paciente, essa medida preventiva está associada à redução das taxas de ICS. A desinfecção do hub do cateter com solução antisséptica também é um cuidado importante na prevenção das infecções associadas ao uso do CVC. O Curativo do CVC tem o objetivo de proteger o sítio de inserção, as coberturas utilizadas devem ser estéreis, podendo utilizar gaze com filme estéril ou apenas o filme transparente estéril. As conexões dos cateteres devem ser protegidas com tampinhas estéreis e trocadas a cada manipulação do cateter. Durante a auditoria realizada foi observado falhas nos processos de manutenção dos CVC relacionados a: higiene correta das mãos, antes e após manipulação dos cateteres; realização de desinfecção do hub e troca das tampinhas estéreis; realização de flushing ; data de realização dos curativos do CVC. Conclusão: A auditoria do cuidado de enfermagem na manipulação de CVC identificou falhas no processo de manutenção, destacando a importância dos processos de educação continuada serem realizados de forma contínua, auxilia para realizar uma abordagem efetiva, visando uma manutenção segura e de qualidade dos CVC.

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Simon, Carolina Maria, and CAROLINA SALVI SCOMPARIN. "MEDIDAS DE PROFILAXIA ANTIFÚNGICA PARA CÂNDIDA NO PROGNÓSTICO DE PACIENTE IMUNOSSUPRIMIDO POR DOENÇA INFECTO-CONTAGIOSA: UM RELATO DE CASO." In II Congresso Brasileiro de Imunologia On-line. Revista Multidisciplinar em Saúde, 2022. http://dx.doi.org/10.51161/ii-conbrai/6000.

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Introdução: A candidíase é uma infecção fúngica de espectro bastante extenso, que acomete principalmente pacientes imunodeprimidos e apresenta como agente etiológico leveduras do gênero Candida. Considera-se que a candidíase ocorre, principalmente, em consequência de episódios curtos ou longos de imunodepressão e exposição a terapias invasivas. Objetivo: Relatar o caso de paciente grave, imunossuprimida por hiv, que evoluiu com endocardite por cândida. Discutir se o uso de profilaxia antifúngica mudaria o desfecho da paciente. Relato de caso: P. R. H, feminino, 44 anos, recebeu o diagnóstico de HIV com CD4 35 durante internação para investigação de câncer de colo uterino invasivo, associado à síndrome consumptiva e sangramento intestinal, sendo iniciado profiliaxia para complexo Mycobacterium avium (MAC) com Azitromicina 500mg 3x/semana e profilaxia para pneumocistose com Sulfametaxazol-trimetoprima 800/600mg 1x/dia. Realizado colonoscopia, com presença de úlceras de retossigmoide, e biópsia das lesões, com resultado citomegalovirus positivo. Paciente evoluiu com abdome agudo perfurativo e rebaixamento do nível de consciência durante a internação, sendo realizado abordagem cirúrgica, intubação orotraqueal e passagem de cateter venoso central. Nos dias subsequentes, paciente apresentou picou febris, solicitadas hemocultura,s com crescimento de Candida albicans em 2 sítios diferentes e presença de vegetação em ecocardiograma, iniciado micafungina e anfotericina B, conforme indicação da equipe da infectologia, até estabilidade hemodinâmica para abordagem cirúrgica. Discussão A maioria dos casos de candidemia é adquirida pela translocação de Candida através do trato gastrintestinal, além de infecções hematogênicas por Candida spp., também cateteres vasculares centrais, assim como administração parenteral de soluções contaminadas. Logo, as medidas profiláticas baseiam-se na detecção desses aspectos e na busca do controle das patologias de início, além de reduzir a exposição dos pacientes aos fatores de risco citados. Conclusão: Dessa forma, é recomendável prescrever racionalmente procedimentos médicos invasivos ou terapias medicamentosas, assim como a suspensão desses logo que possível.

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Reports on the topic "Central venous lines"

Singer, Robert, Peter Morone, Michael Dewan, Scott Zuckerman, and Brandon Root. Central Venous Line Insertion. Touch Surgery Simulations, March 2015. http://dx.doi.org/10.18556/touchsurgery/2015.s0042.

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James-Scott, Alisha, Rachel Savoy, Donna Lynch-Smith, and tracy McClinton. Impact of Central Line Bundle Care on Reduction of Central Line Associated-Infections: A Scoping Review. University of Tennessee Health Science Center, November 2021. http://dx.doi.org/10.21007/con.dnp.2021.0014.

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Purpose/Background Central venous catheters (CVC) are typical for critically ill patients in the intensive care unit (ICU). Due to the invasiveness of this procedure, there is a high risk for central line-associated bloodstream infection (CLABSI). These infections have been known to increase mortality and morbidity, medical costs, and reduce hospital reimbursements. Evidenced-based interventions were grouped to assemble a central line bundle to decrease the number of CLABSIs and improve patient outcomes. This scoping review will evaluate the literature and examine the association between reduced CLABSI rates and central line bundle care implementation or current use. Methods A literature review was completed of nine critically appraised articles from the years 2010-2021. The association of the use of central line bundles and CLABSI rates was examined. These relationships were investigated to determine if the adherence to a central line bundle directly reduced the number of CLABSI rates in critically ill adult patients. A summary evaluation table was composed to determine the associations related to the implementation or current central line bundle care use. Results Of the study sample (N=9), all but one demonstrated a significant decrease in CLABSI rates when a central line bundle was in place. A trend towards reducing CLABSI was noted in the remaining article, a randomized controlled study, but the results were not significantly different. In all the other studies, a meta-analysis, randomized controlled trial, control trial, cohort or case-control studies, and quality improvement project, there was a significant improvement in CLABSI rates when utilizing a central line bundle. The extensive use of different levels of evidence provided an excellent synopsis that implementing a central line bundle care would directly affect decreasing CLABSI rates. Implications for Nursing Practice Results provided in this scoping review afforded the authors a diverse level of evidence that using a central line bundle has a direct outcome on reducing CLABSI rates. This practice can be implemented within the hospital setting as suggested by the literature review to prevent or reduce CLABSI rates. Implementing a standard central line bundle care hospital-wide helps avoid this hospital-acquired infection.

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Rousseau, Henri-Paul. Gutenberg, L’université et le défi numérique. CIRANO, December 2022. http://dx.doi.org/10.54932/wodt6646.

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Introduction u cours des deux derniers millénaires, il y a eu plusieurs façons de conserver, transmettre et même créer la connaissance ; la tradition orale, l’écrit manuscrit, l’écrit imprimé et l’écrit numérisé. La tradition orale et le manuscrit ont dominé pendant plus de 1400 ans, et ce, jusqu’à l’apparition du livre imprimé en 1451, résultant de l’invention mécanique de Gutenberg. Il faudra attendre un peu plus de 550 ans, avant que l’invention du support électronique déloge à son tour le livre imprimé, prenant une ampleur sans précédent grâce à la révolution numérique contemporaine, résultat du maillage des technologies de l’informatique, de la robotique et de la science des données. Les premières universités qui sont nées en Occident, au Moyen Âge, ont développé cette tradition orale de la connaissance tout en multipliant l’usage du manuscrit créant ainsi de véritables communautés de maîtres et d’étudiants ; la venue de l’imprimerie permettra la multiplication des universités où l’oral et l’écrit continueront de jouer un rôle déterminant dans la création et la transmission des connaissances même si le « support » a évolué du manuscrit à l’imprimé puis vers le numérique. Au cours de toutes ces années, le modèle de l’université s’est raffiné et perfectionné sur une trajectoire somme toute assez linéaire en élargissant son rôle dans l’éducation à celui-ci de la recherche et de l’innovation, en multipliant les disciplines offertes et les clientèles desservies. L’université de chaque ville universitaire est devenue une institution florissante et indispensable à son rayonnement international, à un point tel que l’on mesure souvent sa contribution par la taille de sa clientèle étudiante, l’empreinte de ses campus, la grandeur de ses bibliothèques spécialisées ; c’est toutefois la renommée de ses chercheurs qui consacre la réputation de chaque université au cours de cette longue trajectoire pendant laquelle a pu s’établir la liberté universitaire. « Les libertés universitaires empruntèrent beaucoup aux libertés ecclésiastiques » : Étudiants et maîtres, qu'ils furent, ou non, hommes d'Église, furent assimilés à des clercs relevant de la seule justice ecclésiastique, réputée plus équitable. Mais ils échappèrent aussi largement à la justice ecclésiastique locale, n'étant justiciables que devant leur propre institution les professeurs et le recteur, chef élu de l’université - ou devant le pape ou ses délégués. Les libertés académiques marquèrent donc l’émergence d'un droit propre, qui ménageait aux maîtres et aux étudiants une place à part dans la société. Ce droit était le même, à travers l'Occident, pour tous ceux qui appartenaient à ces institutions supranationales que furent, par essence, les premières universités. À la fin du Moyen Âge, l'affirmation des États nationaux obligea les libertés académiques à s'inscrire dans ce nouveau cadre politique, comme de simples pratiques dérogatoires au droit commun et toujours sujettes à révision. Vestige vénérable de l’antique indépendance et privilège octroyé par le prince, elles eurent donc désormais un statut ambigu » . La révolution numérique viendra fragiliser ce statut. En effet, la révolution numérique vient bouleverser cette longue trajectoire linéaire de l’université en lui enlevant son quasi monopole dans la conservation et le partage du savoir parce qu’elle rend plus facile et somme toute, moins coûteux l’accès à l’information, au savoir et aux données. Le numérique est révolutionnaire comme l’était l’imprimé et son influence sur l’université, sera tout aussi considérable, car cette révolution impacte radicalement tous les secteurs de l’économie en accélérant la robotisation et la numérisation des processus de création, de fabrication et de distribution des biens et des services. Ces innovations utilisent la radio-identification (RFID) qui permet de mémoriser et de récupérer à distance des données sur les objets et l’Internet des objets qui permet aux objets d’être reliés automatiquement à des réseaux de communications .Ces innovations s’entrecroisent aux technologies de la réalité virtuelle, à celles des algorithmiques intelligentes et de l’intelligence artificielle et viennent littéralement inonder de données les institutions et les organisations qui doivent alors les analyser, les gérer et les protéger. Le monde numérique est né et avec lui, a surgi toute une série de compétences radicalement nouvelles que les étudiants, les enseignants et les chercheurs de nos universités doivent rapidement maîtriser pour évoluer dans ce Nouveau Monde, y travailler et contribuer à la rendre plus humain et plus équitable. En effet, tous les secteurs de l’activité commerciale, économique, culturelle ou sociale exigent déjà clairement des connaissances et des compétences numériques et technologiques de tous les participants au marché du travail. Dans cette nouvelle logique industrielle du monde numérique, les gagnants sont déjà bien identifiés. Ce sont les fameux GAFAM (Google, Apple, Facebook, Amazon et Microsoft) suivis de près par les NATU (Netflix, Airbnb, Tesla et Uber) et par les géants chinois du numérique, les BATX (Baidu, Alibaba, Tenant et Xiaomi). Ces géants sont alimentés par les recherches, les innovations et les applications mobiles (APPs) créées par les partenaires de leurs écosystèmes regroupant, sur différents campus d’entreprises, plusieurs des cerveaux qui sont au cœur de cette révolution numérique. L’université voit donc remise en question sa capacité traditionnelle d’attirer, de retenir et de promouvoir les artisans du monde de demain. Son aptitude à former des esprits critiques et à contribuer à la transmission des valeurs universelles est également ébranlée par ce tsunami de changements. Il faut cependant reconnaître que les facultés de médecine, d’ingénierie et de sciences naturelles aux États-Unis qui ont développé des contacts étroits, abondants et suivis avec les hôpitaux, les grandes entreprises et l’administration publique et cela dès la fin du 19e siècle ont été plus en mesure que bien d’autres, de recruter et retenir les gens de talent. Elle ont énormément contribué à faire avancer les connaissances scientifiques et la scolarisation en sciences appliquées ..La concentration inouïe des Prix Nobel scientifiques aux États-Unis est à cet égard très convaincante . La révolution numérique contemporaine survient également au moment même où de grands bouleversements frappent la planète : l’urgence climatique, le vieillissement des populations, la « déglobalisation », les déplacements des populations, les guerres, les pandémies, la crise des inégalités, de l’éthique et des démocraties. Ces bouleversements interpellent les universitaires et c’est pourquoi leur communauté doit adopter une raison d’être et ainsi renouveler leur mission afin des mieux répondre à ces enjeux de la civilisation. Cette communauté doit non seulement se doter d’une vision et des modes de fonctionnement adaptés aux nouvelles réalités liées aux technologies numériques, mais elle doit aussi tenir compte de ces grands bouleversements. Tout ceci l’oblige à s’intégrer à des écosystèmes où les connaissances sont partagées et où de nouvelles compétences doivent être rapidement acquises. Le but de ce texte est de mieux cerner l’ampleur du défi que pose le monde numérique au milieu universitaire et de proposer quelques idées pouvant alimenter la réflexion des universitaires dans cette démarche d’adaptation au monde numérique. Or, ma conviction la plus profonde c’est que la révolution numérique aura des impacts sur nos sociétés et notre civilisation aussi grands que ceux provoqués par la découverte de l’imprimerie et son industrialisation au 15e siècle. C’est pourquoi la première section de ce document est consacrée à un rappel historique de la révolution de l’imprimerie par Gutenberg alors que la deuxième section illustrera comment les caractéristiques de la révolution numérique viennent soutenir cette conviction si profonde. Une troisième section fournira plus de détails sur le défi d’adaptation que le monde numérique pose aux universités alors que la quatrième section évoquera les contours du changement de paradigme que cette adaptation va imposer. La cinquième section servira à illustrer un scénario de rêves qui permettra de mieux illustrer l’ampleur de la gestion du changement qui guette les universitaires. La conclusion permettra de revenir sur quelques concepts et principes clefs pour guider la démarche vers l’action. L’université ne peut plus « être en haut et seule », elle doit être « au centre et avec » des écosystèmes de partenariats multiples, dans un modèle hybride physique/virtuel. C’est ainsi qu’elle pourra conserver son leadership historique de vigie du savoir et des connaissances d’un monde complexe, continuer d’établir l’authenticité des faits et imposer la nécessaire rigueur de la science et de l’objectivité.

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Academic literature on the topic 'Central venous lines'

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Contents

Journal articles on the topic "Central venous lines"

Dissertations / Theses on the topic "Central venous lines"

Books on the topic "Central venous lines"

Book chapters on the topic "Central venous lines"

Conference papers on the topic "Central venous lines"

Reports on the topic "Central venous lines"