首页 > 最新文献

Vascular Access最新文献

英文 中文
A new approach for early recognition of peripheral intravenous (PIV) infiltration: a pilot appraisal of a sensor technology in a neonatal population 早期识别外周静脉(PIV)浸润的新方法:新生儿群体中传感器技术的试点评估
Q4 Nursing Pub Date : 2019-11-11 DOI: 10.33235/va.5.2.38-41
M. V. Rens, Kevin Hugill, A. Francia
{"title":"A new approach for early recognition of peripheral intravenous (PIV) infiltration: a pilot appraisal of a sensor technology in a neonatal population","authors":"M. V. Rens, Kevin Hugill, A. Francia","doi":"10.33235/va.5.2.38-41","DOIUrl":"https://doi.org/10.33235/va.5.2.38-41","url":null,"abstract":"","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77318459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Repositioning a peripherally inserted central catheter (PICC) using a high-flow flush technique (HFFT) in an adult patient with non-Hodgkin’s lymphoma 使用高流量冲洗技术(HFFT)在非霍奇金淋巴瘤成人患者中重新定位外周插入中心导管(PICC)
Q4 Nursing Pub Date : 2019-11-11 DOI: 10.33235/va.5.2.49-50
Leanne Leanne
{"title":"Repositioning a peripherally inserted central catheter (PICC) using a high-flow flush technique (HFFT) in an adult patient with non-Hodgkin’s lymphoma","authors":"Leanne Leanne","doi":"10.33235/va.5.2.49-50","DOIUrl":"https://doi.org/10.33235/va.5.2.49-50","url":null,"abstract":"","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87695763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Removal versus retention of vascular access devices (VADs) suspected of infection in the intensive care unit (ICU): a narrative review of the literature 在重症监护病房(ICU)怀疑感染的血管通路装置(vad)的移除与保留:文献的叙述性回顾
Q4 Nursing Pub Date : 2019-11-11 DOI: 10.33235/va.5.2.42-48
India Lye, A. Corley, C. Rickard, N. Marsh
Background: Whether to remove or retain vascular access devices (VADs) when they are suspected of infection is an important clinical question with no certain answer. This review aims to explore current literature related to removal versus retention of central venous catheters (CVCs) and intra-arterial lines (IALs) suspected of infection in the adult intensive care population.Methods: A narrative review of studies describing management of VADs suspected of infection in the intensive care unit (ICU) was undertaken. After a systematic search, two clinical studies were included in the review. The methodological rigour of these studies was assessed per the Mixed Methods Appraisal Tool (MMAT).Results: The two eligible studies consisted of one randomised control trial and one prospective observational study, including a total of 448 patients. Both studies scored highly on the MMAT, but only pertained to CVCs. No studies relating to other VAD types were identified. No significant differences in outcome were identified between patients whose VADs were removed or retained in the adult ICU cohort, apart from a reduction in number of CVC replacements in patients whose VAD was retained after infection was suspected.Conclusions: There is minimal evidence pertaining to removal versus retention of VADs suspected of infection in the adult ICU patient cohort, and there are limited recommendations specific to suspected infection guiding clinical practice. As a result, VADs may be unnecessarily removed. Further research assessing these important patient outcomes are urgently needed to inform clinical practice.
背景:当怀疑血管通路装置(VADs)感染时,是否取出或保留是一个重要的临床问题,没有明确的答案。本综述旨在探讨目前有关在成人重症监护人群中疑似感染的中心静脉导管(CVCs)和动脉内导管(ial)移除与保留的文献。方法:对重症监护病房(ICU)疑似感染的VADs处理的研究进行叙述性回顾。经过系统检索,两项临床研究被纳入综述。这些研究的方法学严谨性根据混合方法评估工具(MMAT)进行评估。结果:两项符合条件的研究包括一项随机对照试验和一项前瞻性观察性研究,共纳入448例患者。两项研究都在MMAT上得分很高,但只与cvc有关。未发现与其他VAD类型相关的研究。在成人ICU队列中,除了怀疑感染后保留VAD的患者CVC置换次数减少外,未发现VAD移除或保留的患者之间的结果有显著差异。结论:在成人ICU患者队列中,关于疑似感染的VADs移除与保留的证据很少,并且针对疑似感染的推荐指导临床实践的建议有限。因此,vad可能会被不必要地移除。迫切需要进一步的研究来评估这些重要的患者结果,以告知临床实践。
{"title":"Removal versus retention of vascular access devices (VADs) suspected of infection in the intensive care unit (ICU): a narrative review of the literature","authors":"India Lye, A. Corley, C. Rickard, N. Marsh","doi":"10.33235/va.5.2.42-48","DOIUrl":"https://doi.org/10.33235/va.5.2.42-48","url":null,"abstract":"Background: Whether to remove or retain vascular access devices (VADs) when they are suspected of infection is an important clinical question with no certain answer. This review aims to explore current literature related to removal versus retention of central venous catheters (CVCs) and intra-arterial lines (IALs) suspected of infection in the adult intensive care population.\u0000Methods: A narrative review of studies describing management of VADs suspected of infection in the intensive care unit (ICU) was undertaken. After a systematic search, two clinical studies were included in the review. The methodological rigour of these studies was assessed per the Mixed Methods Appraisal Tool (MMAT).\u0000Results: The two eligible studies consisted of one randomised control trial and one prospective observational study, including a total of 448 patients. Both studies scored highly on the MMAT, but only pertained to CVCs. No studies relating to other VAD types were identified. No significant differences in outcome were identified between patients whose VADs were removed or retained in the adult ICU cohort, apart from a reduction in number of CVC replacements in patients whose VAD was retained after infection was suspected.\u0000Conclusions: There is minimal evidence pertaining to removal versus retention of VADs suspected of infection in the adult ICU patient cohort, and there are limited recommendations specific to suspected infection guiding clinical practice. As a result, VADs may be unnecessarily removed. Further research assessing these important patient outcomes are urgently needed to inform clinical practice.","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74689682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Message from the President 总统寄语
Q4 Nursing Pub Date : 2019-11-11 DOI: 10.33235/va.5.2.2
M. Sutherland
{"title":"Message from the President","authors":"M. Sutherland","doi":"10.33235/va.5.2.2","DOIUrl":"https://doi.org/10.33235/va.5.2.2","url":null,"abstract":"","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84573455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
“Just in case”. Use of large-bore peripheral intravenous catheters in parturient women: A global study “以防万一”。孕妇使用大口径外周静脉导管:一项全球研究
Q4 Nursing Pub Date : 2019-04-30 DOI: 10.33235/VA.5.1.4-7
J. Webster, G. Ray-Barruel, C. Rickard, N. Marsh, Gabor Mihalia, E. Alexandrou
Objective: The aim of the current study was to map a global picture of the practice of inserting large-bore peripheral intravenous catheters in parturient women.Methods: We analysed a sub-set of data from a prospective, multi-centre, international prevalence study, the One Million Global peripheral intravenous catheter study. The obstetric cohort was drawn from 163 maternity units in 35 countries (1477 women, 1577 catheters) and was collected between 1 June 2014 and 31 July 2015. Clinicians at each of the participating sites collected data using tools that had been previously validated. Results are reported as frequencies and proportions.Results: Overall, 42% of all peripheral intravenous catheters were large bore and of all catheters placed in females in obstetric units, 438 (70%) of these were placed in the hand or wrist. The phlebitis rate was higher in the large-bore group (12%) compared with those with smaller catheters (7%). Only 2% of women received blood products, but it was unclear which catheter was used for this purpose.Conclusion: Large-bore peripheral intravenous catheters are overused for vascular access in parturient women. They are painful and may cause vascular damage. If there is no indication, a catheter should not be placed at all.
目的:目前的研究的目的是绘制一个全球图片的做法插入大口径外周静脉导管在产妇。方法:我们分析了一项前瞻性、多中心、国际流行病学研究的子集数据,即100万全球外周静脉导管研究。产科队列从35个国家的163个产科单位抽取(1477名妇女,1577根导管),收集时间为2014年6月1日至2015年7月31日。每个参与地点的临床医生使用先前已验证的工具收集数据。结果以频率和比例报告。结果:总体而言,42%的外周静脉留置管是大口径的,在产科病房放置的所有女性留置管中,438(70%)放置在手或腕部。大导管组静脉炎发生率(12%)高于小导管组(7%)。只有2%的女性接受了血液制品,但不清楚是哪种导管用于这一目的。结论:大口径外周静脉导管在孕妇血管通路中被过度使用。疼痛,并可能造成血管损伤。如果没有指征,则根本不应放置导管。
{"title":"“Just in case”. Use of large-bore peripheral intravenous catheters in parturient women: A global study","authors":"J. Webster, G. Ray-Barruel, C. Rickard, N. Marsh, Gabor Mihalia, E. Alexandrou","doi":"10.33235/VA.5.1.4-7","DOIUrl":"https://doi.org/10.33235/VA.5.1.4-7","url":null,"abstract":"Objective: The aim of the current study was to map a global picture of the practice of inserting large-bore peripheral intravenous catheters in parturient women.\u0000Methods: We analysed a sub-set of data from a prospective, multi-centre, international prevalence study, the One Million Global peripheral intravenous catheter study. The obstetric cohort was drawn from 163 maternity units in 35 countries (1477 women, 1577 catheters) and was collected between 1 June 2014 and 31 July 2015. Clinicians at each of the participating sites collected data using tools that had been previously validated. Results are reported as frequencies and proportions.\u0000Results: Overall, 42% of all peripheral intravenous catheters were large bore and of all catheters placed in females in obstetric units, 438 (70%) of these were placed in the hand or wrist. The phlebitis rate was higher in the large-bore group (12%) compared with those with smaller catheters (7%). Only 2% of women received blood products, but it was unclear which catheter was used for this purpose.\u0000Conclusion: Large-bore peripheral intravenous catheters are overused for vascular access in parturient women. They are painful and may cause vascular damage. If there is no indication, a catheter should not be placed at all.","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78631014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
President's messageSeeing with new eyes and a fresh perspective 总统致辞用新的眼光和新的视角看世界
Q4 Nursing Pub Date : 2019-04-30 DOI: 10.33235/VA.5.1.3
S. Keogh
{"title":"President's message\u0000Seeing with new eyes and a fresh perspective","authors":"S. Keogh","doi":"10.33235/VA.5.1.3","DOIUrl":"https://doi.org/10.33235/VA.5.1.3","url":null,"abstract":"","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77157435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Message from the President 总统寄语
Q4 Nursing Pub Date : 1900-01-01 DOI: 10.33235/va.7.1.3
M. Sutherland
{"title":"Message from the President","authors":"M. Sutherland","doi":"10.33235/va.7.1.3","DOIUrl":"https://doi.org/10.33235/va.7.1.3","url":null,"abstract":"","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77280629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maximising the opportunity of a self‑administration outpatient parenteral antimicrobial therapy pathway 最大化自我给药的门诊肠外抗菌药物治疗途径的机会
Q4 Nursing Pub Date : 1900-01-01 DOI: 10.5737/cvaa-1511523
Background: The University Hospitals of Leicester NHS Trust outpatient parenteral antimicrobial therapy (OPAT) service has expanded rapidly with more nurse-led direction. Aims: A retrospective study between 1 July 2014 and 31 December 2019 was undertaken to assess the impact of OPAT expansion on beds released for further utilisation, clinical outcomes, adverse vascular access device (VAD) outcome, and self- and family-administered parenteral antimicrobial therapy. Method: Data were extracted from the OPAT Patient Management System and from a patient questionnaire survey. Findings: 1084 completed patient episodes were recorded in 958 patients, rising from 39 episodes in 2014 to 265 in 2019. The number of beds released for further utilisation correspondingly rose from 828 in 2014 to 8462 in 2019. The proportion of patients/family members trained to self-administer rose from 25% to 75%, with clinical cure/improvement of infection remaining high at between 84.6% and 92.8% of patients annually. Serious adverse VAD events remained low throughout. The patient response was generally positive. Conclusion: Nurse empowerment within OPAT can lead to significant improvements and patient benefits, while maintaining clinical outcomes.
背景:莱斯特大学医院NHS信托门诊肠外抗菌治疗(OPAT)服务迅速扩大与更多的护士主导的方向。目的:2014年7月1日至2019年12月31日进行了一项回顾性研究,以评估OPAT扩大对进一步利用的床位、临床结局、不良血管通路装置(VAD)结局以及自我和家庭给药的肠外抗菌药物治疗的影响。方法:数据来自OPAT患者管理系统和患者问卷调查。研究结果:958名患者中记录了1084次完整的患者发作,从2014年的39次增加到2019年的265次。相应的,可供进一步利用的床位数量从2014年的828张增加到2019年的8462张。接受自我用药培训的患者/家庭成员比例从25%上升到75%,感染的临床治愈/改善仍然很高,每年有84.6%至92.8%的患者。严重的VAD不良事件在整个过程中仍然很低。病人的反应总体上是积极的。结论:在维持临床结果的同时,在OPAT中赋予护士权力可以带来显著的改善和患者利益。
{"title":"Maximising the opportunity of a self‑administration outpatient parenteral antimicrobial therapy pathway","authors":"","doi":"10.5737/cvaa-1511523","DOIUrl":"https://doi.org/10.5737/cvaa-1511523","url":null,"abstract":"Background: The University Hospitals of Leicester NHS Trust outpatient parenteral antimicrobial therapy (OPAT) service has expanded rapidly with more nurse-led direction. Aims: A retrospective study between 1 July 2014 and 31 December 2019 was undertaken to assess the impact of OPAT expansion on beds released for further utilisation, clinical outcomes, adverse vascular access device (VAD) outcome, and self- and family-administered parenteral antimicrobial therapy. Method: Data were extracted from the OPAT Patient Management System and from a patient questionnaire survey. Findings: 1084 completed patient episodes were recorded in 958 patients, rising from 39 episodes in 2014 to 265 in 2019. The number of beds released for further utilisation correspondingly rose from 828 in 2014 to 8462 in 2019. The proportion of patients/family members trained to self-administer rose from 25% to 75%, with clinical cure/improvement of infection remaining high at between 84.6% and 92.8% of patients annually. Serious adverse VAD events remained low throughout. The patient response was generally positive. Conclusion: Nurse empowerment within OPAT can lead to significant improvements and patient benefits, while maintaining clinical outcomes.","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90631220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Vascular Access
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1