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Saline solution in peripheral venous: a literature review.  [cached]
Lolita Dopico,Francimar Tinoco de Oliveira
Online Brazilian Journal of Nursing , 2006,
Abstract: One is about a research of bibliographical revision that objectified to analyze the scientific article summaries on the event of the practical one of the salinization in peripheral venous catheters in adult patients indexed in the data base National Library of Medicine (MedLine) in the period of 1995 the 2005, LILACS and the electronic database secondary OVID in this was used exactly time. The sample was constituted of five summaries and analyzed how much to the country and periodic of publication where the study it occurred, its delineation, conclusive size of the sample, and results or not how much to the effect of the salinization in the maintenance of the vascular patência. The results show two studies that confirm the salinization as efficient method in the maintenance of the permeability of the catheter, others two deny the effectiveness and one is inconclusive. One concluded that the thematic one presents modest production that does not contribute to congregate evidences concerning the effectiveness of the salinization in peripheral catheters in adults demanding new research for validation of the method. Key words: Nurse, saline solution, peripheral catheter
A Fatal Complication of A Peripheral Venous Catheter  [PDF]
Lenneke E.M. Haas, Bart C. Kortlandt, Steven F.T. Thijsen, Jan-Willem Fijen, Sanjay U.C. Sankatsing
International Journal of Clinical Medicine (IJCM) , 2012, DOI: 10.4236/ijcm.2012.35081
Abstract: Peripheral venous catheters (PVC) are widely used in the hospital and seem to be innocent. However, complications can be devastating. We present a case of a fatal septic shock due to vertebral osteomyelitis after PVC-related Staphylococcus aureus bacteremia (SAB). Staphylococcus aureus is a leading cause of bacteraemia in both the community and the hospital with a significantly increased incidence over the last several decades. Intravascular catheters are the most common cause of SAB. Morbidity and mortality are high, even with appropriate therapy. Although complications are known and common, they may be difficult to recognize. Vertebral osteomyelitis is one of these known severe complications.
Risk factors of peripheral venous catheterization thrombophlebitis  [PDF]
Wilkinson Yoong Jian Tan,Jo Wearn Yeap,Sharifah Sulaiha Syed Aznal
International e-Journal of Science, Medicine & Education , 2012,
Abstract: Background: Peripheral venous catheterisationis indispensable in modern practise of medicine.The indications of venous access should be weighedagainst the risk of complications, the commonest beingthrombophlebitis. Thrombophlebitis causes patientdiscomfort and the need for new catheter insertion andrisk of developing further widespread infections.Methodology: This observational study was conductedon adult patients admitted to the surgical and medicalward of a tertiary hospital in Negeri Sembilan Malaysiain 2011. Four researchers visited patients daily andexamined for signs of thrombophlebitis; warmth,erythema, swelling, tenderness or a palpable venouscord. Risks factors that were studied in this researchwere patient/s age and gender, duration of catheterization,use of catheter for infusion, size of catheter, site ofcatheter insertion and types of infusate. Thrombophlebitiswas graded using a scale adapted from Bhandari et al.(1979).Results: In total, 428 patients were recruited withan incidence rate of thrombophlebitis of 35.2%.Among those who developed thrombophlebitis, 65%had mild thrombophlebitis, 19% moderate and 8%severe thrombophlebitis. Results showed that femalepatients had a significant increased risk of developingthrombophlebitis. Also risk increased significantly withincreased duration of catheterization and usage of thecatheter for infusion. The age of a patient, types ofinfusate use, size of catheter and site of catheter insertiondid not significantly influence the development ofthrombophlebitis.Conclusion: The study showed that risk of developingthrombophlebitis is significantly increased amongfemale patients, and also with increased duration ofcatheterization and use of the peripheral venous catheterfor infusion. We recommended elective replacementof catheter every 72 hours and daily examination ofcatheters for signs of thrombophlebitis by a healthcarepersonnel.
Infusions failures in the use of peripheral venous catheters in children: integrative review  [cached]
Tathiana Silva de Souza Martins,Zenith Rosa Silvino
Online Brazilian Journal of Nursing , 2009,
Abstract: During the time of maintenance of the therapy in peripheral vein, many problems, called as imperfections of the infusion, hinder that the therapy has continuity in a venous vase. Looking for to contribute and to add efforts for the improvement of the assistance of given nursing the child in use of intravenous therapy, considered it present inquiry with the objective to identify the available evidences in literature on the main infusionais imperfections related to the use of peripheral the venous catheter in pediatrics and to consider strategies for the reduction of the same ones. In the present research, she selected herself as method one of the resources of the practical one based in you evidence, that is, the integrative revision of the literature, which makes possible the synthesis it analyzes and it of the produced scientific knowledge already on the investigated subject. She proved herself that the main infusional imperfection is the flebit. In what it concerns to the time of permanence of the peripheral venous catheter in the venous access the average time is of 72 hours. Front the results pointed in the enclosed material in this integrative revision, is understood to be necessary to intensify efforts for the development of research with delineation that produces evidences relative forts to the investigated subject, mainly in the reality of the practical one of the Brazilian pediatric nursing.
Phlebitis due to the insertion of peripheral venous catheters: issues relevant to nursing care
Paula Elaine Diniz dos Reis, Emilia Campos de Carvalho
Revista de Enfermagem UFPE On Line , 2011,
Abstract: Objective: to contribute to the reflection on the mechanisms leading to phlebitis as a complication of intravenous therapy. Methodology: this is about an update paper, which presents the epidemiology, predisposing factors, preventive measures and evaluation methods of phlebitis due to insertion of peripheral venous catheter, in order to subsidize the nursing plan. Results: the phenomenon of phlebitis is quite prevalent in hospitalized patients, related to multiple factors such as hyperosmolarity and pH of the solution infused, type of device used venous and nursing care with regard to the procedure of venipuncture and venous access. It is important for nurses to learn the tools to diagnose phlebitis, identifying signs and symptoms of inflammation, thus being able to intervene according to the degree shown, preventing the occurrence of phlebosclerosis. Conclusion: knowing the types of phlebitis and, consequently, their risk factors helps the nurse to have a better basis for decision making regarding the construction of specific protocols aimed at preventing this complication.
Venous Graft-Derived Cells Participate in Peripheral Nerve Regeneration  [PDF]
Mitra Lavasani, Sebastian Gehrmann, Burhan Gharaibeh, Katherine A. Clark, Robert A. Kaufmann, Bruno Péault, Robert J. Goitz, Johnny Huard
PLOS ONE , 2011, DOI: 10.1371/journal.pone.0024801
Abstract: Background Based on growing evidence that some adult multipotent cells necessary for tissue regeneration reside in the walls of blood vessels and the clinical success of vein wrapping for functional repair of nerve damage, we hypothesized that the repair of nerves via vein wrapping is mediated by cells migrating from the implanted venous grafts into the nerve bundle. Methodology/Principal Findings To test the hypothesis, severed femoral nerves of rats were grafted with venous grafts from animals of the opposite sex. Nerve regeneration was impaired when decellularized or irradiated venous grafts were used in comparison to untreated grafts, supporting the involvement of venous graft-derived cells in peripheral nerve repair. Donor cells bearing Y chromosomes integrated into the area of the host injured nerve and participated in remyelination and nerve regeneration. The regenerated nerve exhibited proper axonal myelination, and expressed neuronal and glial cell markers. Conclusions/Significance These novel findings identify the mechanism by which vein wrapping promotes nerve regeneration.
Insights on Central and Peripheral Venous Catheterization; Biology, Anatomy, Surgical Aspects and Nursing Management (Our Experience)
C. Lo Piccolo,L. Lipari,G. Cocorullo,V. Valenza,F. Carini
Research Journal of Biological Sciences , 2012,
Abstract: After a review of the main anatomical districts of relevance to central and peripheral venous catheterization, we analyze the primary guidelines for the management of cannulation of central and peripheral venous catheters; a background study relative to this subject is then carried out. The aim of the present study is to review the main central and peripheral catheterization methods and to share the experience with particular emphasis on analyzing common complications.
Insights on Central and Peripheral Venous Catheterization; Biology,Anatomy, Surgical Aspects and Nursing Management: Our Experience
C. Lo. Piccolo,L. Lipari,G. Cocorullo,V. Valenza,F. Carini
Research Journal of Biological Sciences , 2012, DOI: 10.3923/rjbsci.2010.20.32
Abstract: After a review of the main anatomical districts of relevance to central and peripheral venous catheterization, the researchers analyze the primary guidelines for the management of cannulation of central and peripheral venous catheters; a background study relative to this subject is then carried out. The aim of the present study is to review the main central and peripheral catheterization methods and to share the experience with particular emphasis on analyzing common complications.
The influence of hand hygiene prior to insertion of peripheral venous catheters on the incidence of complications
Wewalka, Günther
GMS Krankenhaushygiene Interdisziplin?r , 2007,
Abstract: Using two studies of a simple design it has been possible to furnish proof of the influence of hand hygiene prior to insertion of peripheral venous catheters on the incidence of complications. In the first study detailed data were collected anonymously for each patient on the procedure used for catheter insertion or on any complications. Data were collected for around 64% of patients in one hospital. Evaluation of the questionnaires revealed that there was a significant increase in the incidence of complications in line with an increasing duration of the indwelling period of between 24 and 96 hours. The unexpected finding of this evaluation study was that in the case of catheters with an indwelling period of more than two days there were highly significantly lower complication rates in those cases in which hand disinfection was carried out or gloves donned before catheter placement. The second study, based on the former, documented the cases giving rise to complications. The proportion of peripheral venous catheters implicated in complications was 24%. Here, too, there was a sharp rise in the risk of complications in line with the duration of the indwelling period. Catheters placed in the OR during the patient’s hospital stay showed a significantly lower risk of complications than those inserted on wards, or even in the outpatient department. Conductance of hygienic hand disinfection or the wearing of disposable gloves resulted in significantly lower complication rates compared to normal handwashing or omission of a hand hygiene measure. The most plausible explanation for this positive effect exerted by the wearing of disposable gloves or conductance of hygienic hand disinfection prior to catheter placement is that there was no recontamination during repalpation, as often seen, of the prepared venepuncture site.
Overlooked particle of a peripheral venous cannula presenting as a foreign body in the subcutaneous tissue
OA Elhardello,John A,Khamis K
Journal of Emergency Medicine, Trauma and Acute Care , 2012, DOI: 10.5339/jemtac.2012.23
Abstract: Accidental loss of a part of a peripheral intravenous cannula is an uncommon event. We report a case of an accidentally missed particle of a peripheral venous cannula presenting as a foreign body in the subcutaneous tissue, three months after the event that dislodged it. We explore this in terms of its diagnosis and management.
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