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Temporary Catheter Applications And Complications In Hemodialysis Patients
Atahan, E.,Yas?m, A.,Cantimur, A. C.
Erciyes Medical Journal , 2006,
Abstract: Objective: Temporary hemodialysis catheters are widely used in patients with renal failure for urgent hemodialysis. In this article, we aimed to reflect our experiences in temporary catheters. Patients and Methods: In our clinic, 50 cases in which temporary hemodialysis catheter had been applied were evaluated prospectively from October 2003 to June 2004. Results: Temporary hemodialysis catheters were inserted 78 times in 50 patients. The most frequent localization of insertion was internal jugular vein (n= 56). Complications occurred in early phase in 10 cases and in late phase in 13 cases. The most frequently seen complication was catheter dysfunction. Conclusion: Temporary hemodialysis catheters are directly proportional with higher rate of complications. Hence, applying permanent vascular access is an urgent necessisty in patients requiring hemodialysis.
Multicenter study in monitoring central venous catheters complications in hematologic patiennts
Carmen García Gabás,Bego?a Hinojo Marín,Ana Castillo Ayala,Ma ángeles Muriel Abajo
NURE Investigación , 2013,
Abstract: Most hematological patients suffer a significant venous damage related to different administrated intravenous therapy, being necessary to place central venous catheters (CVC). CVC is associated with various complications. The most common catheter-related complications are occlusion and infection. To avoid such of them, the development of protocols for insertion and care are needed, as well as recording and following up complications. To this end, we propose a cross-sectional carried out during 13 months whose main goal is to know the incidence of CVC- related complications (mainly occlusion and infection) in hematological patients.Population included all the =14 ages patients admitted to different hematological units at Ramon y Cajal and Gregorio Mara ón hospitals in Madrid and who signed informed consent. Socio-demographic, clinical characteristics and complications were entered into a log which included a pursuit of care protocol.
Infec??es em cateteres venosos centrais de longa permanência: revis?o da literatura
Neves Junior, Milton Alves das;Melo, Rafael Couto;Goes Junior, Adenauer Marinho de Oliveira;Protta, Tatiana Rocha;Almeida, Catarina Coelho de;Fernandes, Allison Roxo;Petnys, Alexandre;Raboni, Edgar;
Jornal Vascular Brasileiro , 2010, DOI: 10.1590/S1677-54492010000100008
Abstract: long-term venous catheters are widely used in patients with needs of venous access for prolonged periods. the infection related to these catheters remains a challenge in clinical practice. we reviewed the literature about infection epidemiology and treatment related to catheters. staphylococcus aureus is the most common isolated bacteria. tunneled catheters present higher infection rates than implanted ports. treatment may consist in the use of locks, systemic antibiotics, and even catheter removal, depending on the kind of infection, the isolated microorganism, and the patient's clinical conditions. catheter salvation should be tried whenever possible.
Retirada percutanea de corpo estranho intracardíaco com técnica original
Martins, Estêv?o Carvalho de Campos;Faria, Guilherme Brenande Alves;
Arquivos Brasileiros de Cardiologia , 2007, DOI: 10.1590/S0066-782X2007000600011
Abstract: we report on the case of a patient with a long term vascular catheter embolized into the right ventricle. this case had unique characteristics since both ends of the catheter were inaccessible for snare, which made it difficult to capture them using conventional techniques. we describe a new method to retrieve the foreign body through its mid-point portion, using a single catheter with two independent snare and hook systems.
Acceso vascular para hemodiálisis con prótesis de politetrafluoroetileno. Reporte de un caso
Otero Reyes,Manuel; Duménigo Arias,Oscar; Gil Hernández,Ailette; Gordis Aguilera,María Victoria;
Revista Archivo M??dico de Camag??ey , 2008,
Abstract: a case of a patient of the nephrology service is presented that is integrated to the hemodialysis program since five years ago by presenting an irreversible chronic renal failure, not able for transplant, with multiple conventional vascular accesses carried out (direct and prosthetic) that have failed by progressive and generalized decay of the vascular system (arterial and venous), due to the effect of the associated pain to the renal disease and the triggering ones by the therapeutic intervention. because of that was surgically intervened and a vascular access at the level of the right inguinal region was performed with the objective to connect the venous system with the arterial one by means of an artificial prosthesis of polytetrafluoroethylene that was implanted in the form of a loop and in superficial planes to facilitate the access to the same one. the use of prosthetic implants of polytetrafluoroethylene in the surgery of vascular access for hemodialysis is a first election alternative when the conventional methods fail.
Importancia da assistência de enfermagem no manejo de complica??o relacionada ao cateter totalmente implantável
Bruzi, Luciana Mendes;Mendes, Danielle Cabral;
Revista da Escola de Enfermagem da USP , 2011, DOI: 10.1590/S0080-62342011000200031
Abstract: this is an experience report of a thirty-year-old female patient, diagnosed with recurrence of acute myeloid leukemia, submitted to catheter implantation and presenting surgical wound necrosis. the following were used with success: collagenase, calcium alginate and oil lotion with essential fatty acids. it was found that the complications related to catheters are a great challenge in oncology nursing besides implying a delay in the oncological treatment. making a correct decision as soon as possible is extremely important and avoids removing the catheter too soon.
Repercusión del acceso vascular sobre la calidad de vida de los pacientes en tratamiento con hemodiálisis
Pelayo Alonso,Raquel; Cobo Sánchez,José Luis; Reyero López,Marta; Sáenz de Buruaga Perea,Araceli; Tovar Rincón,Alicia; Alonso Nates,Rosa; Begines Ramírez,Ana; Sola García,Ma Teresa; Cano Gil,Alexandra;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011, DOI: 10.4321/S1139-13752011000400006
Abstract: in all patients diagnosed with chronic renal failure is essential to facilitate an adequate treatment and to prevent complications. when this premise is resolved, the attention is directed to assist these patients to live as well as possible with their disease, improving their quality of life ultimately. objective: to determine the extent vascular access influences the health related quality of life related of hemodialysis patients. methodology: cross-sectional study in a population of 38 hemodialysis patients. euroqol 5d visual analogue scale was used to evaluate their perceived health status. patients were asked about their health status at present time, and without the inconvenience and discomfort which gives them their vascular access. results: visual analogue scale mean score of patient with an arteriovenous fistula was 58.75 ± 20.31points vs60.56 ± 17.39 points of patients with central venous catheter (no statistically significant). conclusions: according our study, there is no significant influence of the vascular access on the patient's perceived quality of life. the major inconveniences and discomfort associated with vascular access occur in patients with a central venous catheter, who are treated with hemodialysis more than 1 year.
Aspectos clínicos relacionados con los catéteres centro venosos temporales y permanentes para hemodiálisis
Báez López,Yusnelky; Lugo López,Félix Eduardo; Rodríguez Ramos,Nadienka; Báez López,Juan Miguel; Alfonso Pérez,Rosa ángela;
Revista Cubana de Medicina Militar , 2011,
Abstract: introduction: the use of catheters has been increased, taking into account that hemodialysis requires of permanent or temporal vascular access. objective: to describe the clinical features related to the use of central venous, temporary and indwelling catheters for hemodialysis. methods: a retrospective, descriptive and observational study was conducted in the service of nephrology of the "abel santamaría cuadrado" teaching general hospital. medical records were reviewed to register the following elements: site of catheter placement, type, route of access used, immediate and late complications after its placement and related reasons. an analysis of frequency distribution was made for qualitative variables. survival mean of catheters (useful life) was estimated. results: a total of 90 catheters were inserted most of them of temporal type (97.8 %) and indwelling only a 2.2 %. the more used was the right jugular approach route (38.9 %). the more frequent and immediate complication was the multiple puncture in the 15.8 % and within the late ones, the catheter's dysfunction in the 36.8 % of patients, related to infections the more predominant was that of device outlet site (23.7 %). the cause leading to placement of catheter in the 26.7 % of patients was a terminal chronic renal insufficiency without previous access. conclusions: the temporal catheter placed in the right jugular vein remains the election route in patients came lately to nephrologists and to emergence service with a great risk of multi-punctures and infection in the outlet orifice among its complications.
Bacteriemia por Ochrobactrum anthropi en paciente en hemodiálisis por catéter tunelizado permanente: Caso clínico
Obando M,Nicolás; Badilla S,Marta;
Revista médica de Chile , 2011, DOI: 10.4067/S0034-98872011001000015
Abstract: ochrobactrum anthropi is a rare pathogen in humans that is usually related to infections in inmunocompromised patients or people with indwelling medical devices. there are very few reported cases of o. anthropi bacteremia in patients on hemodialysis. we report a 19-year-old female on hemodialysis through a jugular catheter, with fever and malaise lasting one month. the catheter was withdrawn and ochrobactrum anthropi was isolated from it and from blood cultures. the patient was successfully treated with levofloxacin.
Application of regional intraarterial perfusion chemotherapy in treatment of unresectable gastrointestinal cancer
Li-guo DONG,Jing-quan LI,Gang LV
Medical Journal of Chinese People's Liberation Army , 2011,
Abstract: Objective To evaluate the effect of postoperative regional intraarterial infusion of chemotherapeutic drugs for treatment of unresectable gastrointestinal cancers.Methods Catheters were inserted into nutritional arteries of the tumors during operation in 78 patients with unresectable gastrointestinal cancer.Among them,45 patients were with gastric cancer,18 with rectal cancer,and 15 with colonic cancer.The chemotherapeutic medicine was infused through the catheter with a pump after operation and the therapeutic effect was observed.Results Not a single patient showed complete remission(CR),partial remission(PR) was found in 65 cases,among them 9 patients underwent secondary radical tumorectomy and no change in the disease was observed in 13 cases;the effective rate was 83.3%(65/78).One,two and three year’s survival rate was 80.8%,23.1% and 3.8%,respectively.The average survival period was 19.8 months.Conclusion Regional intraarterial chemotherapy is an effective therapy in treatment of the unresectable gastrointestinal cancer,which can markedly prolong the survival period of patients.
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