Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
Add more filters










Database
Language
Publication year range
1.
J Vasc Access ; 22(1): 101-106, 2021 Jan.
Article in English | MEDLINE | ID: mdl-32515261

ABSTRACT

OBJECTIVE: Peripherally inserted central catheters are a popular means of obtaining central venous access in critically ill patients. However, there is limited data regarding the rapidity of the peripherally inserted central catheter procedure in the presence of acute illness or obesity, both of which may impede central venous catheter placement. We aimed to determine the feasibility, safety, and duration of peripherally inserted central catheter placement in critically ill patients, including obese patients and patients in shock. METHODS: This retrospective cohort study was performed using data on 55 peripherally inserted central catheters placed in a 30-bed multidisciplinary intensive care unit in Mayo Clinic Hospital, Phoenix, Arizona. Information on the time required to complete each step of the peripherally inserted central catheter procedure, associated complications, and patient characteristics was obtained from a prospectively assembled internal quality assurance database created through random convenience sampling. RESULTS: The Median Procedure Time, beginning with the first needle puncture and ending when the procedure is complete, was 14 (interquartile range: 9-20) min. Neither critical illness nor obesity resulted in a statistically significant increase in the time required to complete the peripherally inserted central catheter procedure. Three (5.5%) minor complications were observed. CONCLUSION: Critical illness and obesity do not delay the acquisition of vascular access when placing a peripherally inserted central catheter. Concerns of delayed vascular access in critically ill patients should not deter a physician from selecting a peripherally inserted central catheter to provide vascular access when it would otherwise be appropriate.


Subject(s)
Catheterization, Central Venous , Catheterization, Peripheral , Intensive Care Units , Shock/therapy , Aged , Catheterization, Central Venous/adverse effects , Catheterization, Peripheral/adverse effects , Critical Illness , Databases, Factual , Feasibility Studies , Female , Humans , Male , Middle Aged , Obesity/complications , Retrospective Studies , Risk Assessment , Risk Factors , Shock/complications , Shock/diagnosis , Time Factors
2.
J Interprof Care ; 30(2): 254-6, 2016.
Article in English | MEDLINE | ID: mdl-26930557

ABSTRACT

We describe a novel, interprofessional educational intervention pilot used to orient new health profession employees through the simulation laboratory. Health profession employees were recruited to engage in a simulation training session that focused on communication, collaboration, and healthcare roles and responsibilities. Learners (N = 11) were divided into two groups with representation from various health disciplines. Each group participated in a simulated patient scenario while the other group actively observed in another classroom. At the end of both sessions, the group reconvened for a debriefing session. Participants were given a survey before and after the training session, to evaluate the content, experience, and value to their practice. The pre- and post-evaluation survey analysis showed improvement in all objectives with a mean (SD) pre-evaluation score of 4.10 (0.40-1.01) and mean (SD) post-evaluation score of 4.73 (0.30-0.81). Results were favourable, and plans to expand this project are under way.


Subject(s)
Attitude of Health Personnel , Health Personnel/education , Interprofessional Relations , Simulation Training/organization & administration , Communication , Cooperative Behavior , Humans , Pilot Projects , Professional Role
SELECTION OF CITATIONS
SEARCH DETAIL
...