RESUMO
An initial postmarket study of the SecurAcath used with 5 Fr peripherally inserted central catheters (PICCs) was conducted with 68 adult patients at 3 different institutions in the United States. PICCs were placed in both outpatients and inpatients, with patients in critical care and medical/surgical units, home care, and extended care facilities. Sixty-two (91.2%) of the patients completed therapy without a securement-related device malfunction or device-related adverse event associated with the securement system. The device was readily accepted by both patients and nursing staff. The SecurAcath represents a novel, safe, and effective method for catheter securement.
Assuntos
Cateterismo Venoso Central/normas , Cateterismo Periférico/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Cateterismo Venoso Central/efeitos adversos , Cateterismo Venoso Central/instrumentação , Cateterismo Periférico/efeitos adversos , Cateterismo Periférico/instrumentação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Vigilância de Produtos Comercializados , Estudos Prospectivos , Adulto JovemRESUMO
OBJECTIVES: To review the current up-to-date recommendations for insertion and placement of central venous access devices and discuss the prevention of complications during and post-placement of central catheters. DATA SOURCES: Journal articles, electronic articles, organizational position papers, personal experience. CONCLUSION: There are numerous types of vascular access catheters that play an important role in the management of complex treatments for the oncology patient. Cancer patients with a catheter have a higher rate of thrombosis and infection as part of their disease process and treatment; hence, nursing care can eliminate or minimize complications. IMPLICATIONS FOR NURSING PRACTICE: Nurses must be educated on the correct procedures and rationale for insertion and placement as well as for the care and maintenance of each specific device.
Assuntos
Cateterismo Venoso Central/métodos , Cateterismo Venoso Central/enfermagem , Cateteres de Demora , Enfermagem Oncológica/métodos , Infecções Relacionadas a Cateter/etiologia , Infecções Relacionadas a Cateter/prevenção & controle , Cateterismo Venoso Central/efeitos adversos , Cateterismo Venoso Central/instrumentação , Cateteres de Demora/efeitos adversos , Cateteres de Demora/provisão & distribuição , Lista de Checagem , Infecção Hospitalar/etiologia , Infecção Hospitalar/prevenção & controle , Desenho de Equipamento , Humanos , Controle de Infecções , Neoplasias/complicações , Neoplasias/terapia , Papel do Profissional de Enfermagem , Avaliação em Enfermagem/métodos , Enfermagem Oncológica/educação , Seleção de Pacientes , Guias de Prática Clínica como Assunto , Trombose/etiologia , Trombose/prevenção & controle , Ultrassonografia , Veias/diagnóstico por imagemRESUMO
Benchmarking data has validated that patients with planned vascular access device (VAD) placement have fewer device placements, less difficulty with device insertions, fewer venipunctures, earlier assessment for placement of central VADs, and shorter hospital stays. This article will discuss VAD program planning, early assessment for VAD selection, and benchmarking of program data used to achieve positive infusion-related outcomes.
