Academic literature on the topic 'Repeated cannulation'

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Journal articles on the topic "Repeated cannulation"

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Iscan, Sahin, Habib Cakir, Bortecin Eygi, Ismail Yurekli, Koksal Donmez, Pınar Unde Ayvat, Derya Sarıkaya Pekel, and Mert Kestelli. "Dynamic alterations in cerebral, celiac and renal flows resulting from ascending aorta, subclavian artery and femoral artery cannulations of extracorporeal devices." Perfusion 32, no. 7 (May 18, 2017): 561–67. http://dx.doi.org/10.1177/0267659117706606.

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Introduction: The aim of this study was to assess the relationships among cardiac output, extracorporeal blood flow, cannulation site, right (RCa) and left carotid (LCa), celiac (Ca) and renal artery (Ra) flows during extracorporeal circulation. Methods: A mock circulatory circuit was assembled, based on a compliant anatomical aortic model. The ascending aorta, right subclavian and femoral artery cannulations were created and flow was provided by a centrifugal pump (Cp); cardiac output was provided by a roller pump (Rp). Five volume flow rates were tested. The Rp was set at 4 L/min with no Cp flow (R4-C0) and the basic volume flow rates of the vessels were measured. The flow of the Cp was increased while the Rp flow was decreased for other measurements; R3-C1, R2-C2, R1-C3 and R0-C4. Measurements were repeated for all cannulation sites. Results: The RCa flow rate at R4-C0 was higher compared to the R3-C1, R2-C2, R1-C3 and R0-C4 RCa flows with subclavian cannulation. The RCa flow decreased as the Cp flow increased (p<0.05). The RCa flow with ascending aortic and femoral cannulation was higher compared to subclavian cannulation. Higher flows were obtained with subclavian cannulation in the LCa compared to the others (p<0.05). R4-C0 Ca and Ra flows were higher compared to other Ca and Ra flows with femoral cannulation. Ca and Ra flows decreased as Cp flow increased. Flows of the Ca and Ra with ascending and subclavian cannulations were not lower compared to the R4-C0 flow (p<0.05). Conclusion: This study shows that prolonged extracorporeal circulation may develop flow decrease and ischemia in cerebral and abdominal organs with both subclavian and femoral cannulations.
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Giovannetti, S., A. Bigalli, L. Cioni, M. Della Santa, and P. L. Balestri. "Permanent Vein Cannulation for Repeated Hemodialysis." Acta Medica Scandinavica 173, no. 1 (April 24, 2009): 1–5. http://dx.doi.org/10.1111/j.0954-6820.1963.tb16497.x.

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Narayan, Kumar Shwetanshu, Gaurav Kumar Gupta, Sandeep Nijhawan, Sudhakar Pandey, Bhanwar Singh Dhandhu, Shekhar Puri, Awanish Kumar, and Deepak Sharma. "Is it Worth to Repeat Endoscopic Retrograde Cholangiopancreaticography after Failed Precut? Short Report from a Tertiary Care Hospital in North India." Journal of Digestive Endoscopy 08, no. 03 (July 2017): 129–31. http://dx.doi.org/10.4103/jde.jde_29_17.

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ABSTRACT Aim: The aim of this study is to determine the success rate of biliary cannulation in cases where endoscopic retrograde cholangiopancreatography (ERCP) is repeated after failed precut sphincterotomy. Materials and Methods: In this retrospective study, consecutive ERCPs performed between August 2013 and June 2017 were included. Data was analyzed for indication of ERCP, success rate at initial cannulation attempt, use of precut sphincterotomy, biliary access rate after precut, repeat ERCP rate, and associated complications. Results: A total of 1872 ERCPs were included in the study. Of these, 55% were done for common bile duct stones, 37% for malignant biliary obstruction, and 8% for biliary leak. During the initial ERCP, 84.9% cases had successful biliary cannulation. Nearly 86.8% cases undergoing precut sphincterotomy achieved biliary access. Repeat ERCP was done in 28 cases after a median interval of 3 days and biliary cannulation was achieved in 78.5% cases. Conclusion: Repeat ERCP after 3 days in cases of failed initial precut sphincterotomy should be practiced and recommended as this allows definitive biliary therapy in majority of such patients and prevents morbidity and mortality from other invasive alternative therapies.
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Laidlaw, R. S., and N. Little. "Repeated cannulation of umbilical hernia with Ventriculoperiotoneal shunt catheter." Journal of Surgical Case Reports 2014, no. 6 (June 5, 2014): rju059. http://dx.doi.org/10.1093/jscr/rju059.

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HAYWOOD, R. M., J. M. O’DONOGHUE, and P. J. REGAN. "Delayed Rupture of an Extensor Digitorum Tendon Following Repeated Attempts at Intravenous Cannulation." Journal of Hand Surgery 23, no. 4 (August 1998): 557. http://dx.doi.org/10.1016/s0266-7681(98)80151-4.

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Bala, Narayan, Vinay Pathak, Shilpa Goyal, and Nikhil Kothari. "Popliteal artery cannulation as a saviour during prone positioning." BMJ Case Reports 13, no. 6 (June 2020): e234370. http://dx.doi.org/10.1136/bcr-2020-234370.

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The cannulation of the peripheral artery is a prerequisite for invasive blood pressure monitoring and repeated arterial blood gas sampling. Radial artery is commonly used site for inserting an arterial cannula. Many times, either during the change of posture or during prone ventilation, the arterial cannula gets displaced, and it is challenging to reinsert the arterial cannula in the lateral or prone position. In such circumstances, an alternative site of arterial cannulation needs to be looked into; we report a case in which the popliteal artery was used for arterial cannulation while the patient was in a prone position.
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Kelly, Linda J., Austyn Snowden, Ruth Paterson, and Karen Campbell. "Health professionals' lack of knowledge of central venous access devices: the impact on patients." British Journal of Nursing 28, no. 14 (July 25, 2019): S4—S14. http://dx.doi.org/10.12968/bjon.2019.28.14.s4.

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Background: the literature on the patient experience of living with a central venous access device (CVAD) is growing, but remains sparse. It suggests that patients accept having a CVAD as it should reduce episodes of repeated cannulations. However, a recent doctoral study found the reality did not live up to this hope. Aim: the study objective was to uncover the global, cross-disease experience of patients with CVADs. Method: an online survey was sent to an international sample of people living with CVADs. Findings: 74 people from eight countries responded. Respondents corroborated the PhD findings: painful cannulation attempts continued after CVAD insertion because of a lack of clinical knowledge. Participants lost trust in clinicians and feared complications due to poor practice. Conclusion: clinicians often lack the necessary skills to care and maintain CVADs. This leads to a negative patient experience.
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Yamagami, Yuki, and Tomoko Inoue. "Patient Position Affects Venodilation for Peripheral Intravenous Cannulation." Biological Research For Nursing 22, no. 2 (December 13, 2019): 226–33. http://dx.doi.org/10.1177/1099800419893027.

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Background: Larger veins are associated with a higher rate of success of peripheral intravenous cannulation. Although patient position affects venodilation during central venous cannulation, the association between patient position and vein size for peripheral intravenous cannulation remains unclear. Purpose: We examined the effect of seated versus supine positioning on vein size during peripheral intravenous cannulation before and after tourniquet application. Methods: In the present study, we recruited 81 participants (20–64 years) and included 80 in the analysis. We measured outcomes before and after tourniquet application in the seated and supine positions. The primary outcome was the cross-sectional area of the target forearm vein (ultrasonography by a blinded assessor). Subgroup analysis was used to test the effects of positioning combined with difficult peripheral intravenous cannulation (DPIVC) defined as poor visibility and/or palpability of the target vein. Results: Results of paired t tests demonstrated that the venous cross-sectional area significantly increased in the supine position with tourniquet application compared with the seated position with tourniquet application. Subgroup analysis with two-way repeated measures analysis of variance revealed that the venous cross-sectional area was significantly larger in the supine position than in the seated position despite DPIVC. Conclusion: Vein size during tourniquet application was greater in the supine than in the seated position even in cases of DPIVC. We thus recommend the supine position over the seated position for peripheral intravenous cannulation.
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Zaki, Mohamed, Niamh Hynes, Mahmoud Alawy, Mohamed El Kassaby, Wael Tawfick, and Sherif Sultan. "The First Case Using Synthetic Vein for Jugular to Iliac Vein Bypass to Treat Superior Vena Cava Obstruction: Clinical Dilemma and Literature Review." Journal of the Association for Vascular Access 20, no. 2 (June 1, 2015): 92–96. http://dx.doi.org/10.1016/j.java.2015.01.004.

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Abstract Chronic refractory venous hypertension is a common complication following repeated central venous cannulation performed as a temporary vascular access for dialysis in patients with chronic renal failure. The symptoms of venous hypertension may diverge from being asymptomatic to severe edema, ulceration, headaches, bloating, and blackouts, especially if the patient has a surgical arteriovenous fistula for dialysis in any of his upper limbs. Treatment options for such patients are mainly directed toward endovascular management via balloon angioplasty and possibly stenting of the stenosed vein. Resistant lesions or cases with total venous occlusion coerce surgeons to consider surgical bypass. We present a case of a 43-year-old patient with history of renal impairment and repeated bilateral central venous cannulation for dialysis. The patient experienced superior vena cava syndrome with bilateral total occlusion of the internal jugular veins and both subclavian veins (with an occluded previously inserted stent) along with the superior vena cava. An extra-anatomical bypass was done from the left internal jugular vein to the left external iliac vein using a synthetic silver Dacron ringed graft. The procedure was successful and resulted in relief of the patient's symptoms and a dramatic improvement of the patient's quality of life. Superior vena cava syndrome represents 1 of the most challenging complications for patients with chronic renal impairment and repeated central venous cannulation. The endovascular approach is currently gaining popularity as the first line of treatment for such patients. However, surgical management is sometimes the only available option when the endovascular approach is not technically feasible. Our case, along with others, shows that an extra-anatomical synthetic graft bypass can be a reliable, less invasive option for the management of superior vena cava syndrome once surgical intervention is inevitable.
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Pasrija, Chetan, Daniel A. Bernstein, Maryjoe Rice, Douglas Tran, David Morales, Todd Grintz, Kristopher B. Deatrick, James S. Gammie, Ronson Madathil, and David J. Kaczorowski. "Sutureless Closure of Arterial Cannulation Sites." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 15, no. 2 (February 28, 2020): 138–41. http://dx.doi.org/10.1177/1556984519899940.

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Objective Percutaneous femoral cannulation for venoarterial extracorporeal membrane oxygenation (ECMO) is commonly performed but percutaneous removal of arterial cannulas has not been broadly accepted. We hypothesized that a system that allows endovascular access to ECMO circuits along with the MANTA® large-bore vascular closure device could be used to successfully close arterial ECMO cannulation sites in a large animal model. Methods Yorkshire swine (40 to 60 kg, n = 2) were used for this study. In the first swine, the infrarenal abdominal aorta was exposed. The aorta was cannulated once using a 15 Fr cannula and twice with a 19 Fr arterial cannula. A novel adaptor system that facilitates endovascular access to ECMO circuits was connected, and a 0.035″ Benston wire was placed through the adaptor and guided into the aorta. The cannula was removed over the wire and manual pressure was applied. The MANTA® sheath was inserted over the wire followed by the closure unit and was deployed. The process was repeated at 2 separate sites. A similar experiment was performed in a second swine, but through a median sternotomy to cannulate the ascending aorta. Results Good hemostasis was achieved at all cannulation sites. Angiography demonstrated unobstructed flow across all closure sites with no evidence of extravasation. Conclusions The data presented here support the use of the MANTA® vascular closure device for the closure of arterial cannulation sites following ECMO decannulation and demonstrates utility of a novel adaptor system for establishing endovascular access in this context.
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Dissertations / Theses on the topic "Repeated cannulation"

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Milbourne, Katrina Jane, and n/a. "A randomised controlled trial to investigate the efficacy of heparin and hydrocortisone additive to extend the life of peripheral cannulae in children." University of Canberra. Health Sciences, 2002. http://erl.canberra.edu.au./public/adt-AUC20050530.104945.

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Repeated cannulation of children during the course of treatment is distressing for the child, their family and to their nurses. Some paediatric units endeavour to minimise recannulation by employing strategies to reduce complications such as phlebitis and thrombosis formation. One strategy is to infuse low dose heparin and hydrocortisone (HEPHC). However, its effectiveness in prolonging cannula survival is inconclusive. There is also concern about the potential risks of administering these preparations to children. A randomised, controlled, blinded trial was conducted that examined the effectiveness of continuous infusion of low dose HEPHC in a group of children requiring long term intravenous antibiotics in a general paediatric unit. Comparisons of cannula complications and cannulae survival times were made in children receiving either continuous infusions of clear fluids or low dose HEPHC. The results demonstrated that there was no statistically significant difference (Logrank statistic=l.l, p=0.3) in cannula survival times between the two groups. It was also found that the bacterial and fungal colonisation of cannula for these children was extremely low. Based on these findings it is recommended that routine administration of low dose HEPHC to extend cannula survival time be discontinued. The findings also support current practice of removing cannula in children only when a complication occurs on completion of treatment.
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Book chapters on the topic "Repeated cannulation"

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Eren, Handan. "Difficult Intravenous Access and Its Management." In Outpatient Care [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.96613.

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Difficult intravenous access (DIVA) may occur due to several factors, such as the demographic and clinical characteristics of the patients (age, sex, height, weight, ethnicity, IV drugs history, and medical history), health professional’s experience, device characteristics, site of insertion, and vein characteristics. Difficult intravenous access leads to repeated insertion attempts that might prove to be uncomfortable for the patients, frustrating and challenging for the health professionals, and expensive for the health institutions. The practitioners must develop the awareness of the factors capable of increasing the difficulty of defining the appropriate vein for cannulation through their varied experiences with vein location and vascular access.
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Conference papers on the topic "Repeated cannulation"

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Stathopoulos, P., P. Lerner, P. Astheimer, L. Breitling, A. Mahnken, and U. Denzer. "Difficult Biliary Cannulation in the ERCP: Repeated Ercp After Precut, Percutaneous Or EUS Guided Alternative Procedure? Analysis in a Tertiary Care Center." In ESGE Days 2021. Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1724292.

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