Base de dados : MEDLINE
Pesquisa : E04.100.814.895 [Categoria DeCS]
Referências encontradas : 173 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 18 ir para página                         

  1 / 173 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
[PMID]:28562239
[Au] Autor:Whitney R; Langhan M
[Ad] Endereço:Clinical Fellow, Department of Pediatrics, Section of Emergency Medicine, Yale University School of Medicine, New Haven, CT.
[Ti] Título:Vascular Access in Pediatric Patients in the Emergency Department: Types of Access, Indications, and Complications.
[So] Source:Pediatr Emerg Med Pract;14(6):1-20, 2017 Jun.
[Is] ISSN:1549-9650
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Vascular access is a potentially life-saving procedure that is a mainstay of emergency medicine practice. There are a number of challenges associated with obtaining and maintaining vascular access, and the choice of the route of access and equipment used will depend on patient- and provider-specific factors. In this issue, the indications and complications of peripheral intravenous access, intraosseous access, and central venous access are reviewed. Timely and effective assessment and management of difficult-access patients, pain control techniques that can assist vascular access, and contraindications to each type of vascular access are also discussed.
[Mh] Termos MeSH primário: Cateterismo Venoso Central/métodos
Cateterismo Periférico/métodos
Infusões Intraósseas/métodos
Medicina de Emergência Pediátrica
Dispositivos de Acesso Vascular
Venostomia/métodos
[Mh] Termos MeSH secundário: Anestésicos Locais/uso terapêutico
Derivação Arteriovenosa Cirúrgica
Cateterismo Venoso Central/instrumentação
Cateterismo Periférico/instrumentação
Cateteres Venosos Centrais
Criança
Pré-Escolar
Serviço Hospitalar de Emergência
Seres Humanos
Lactente
Recém-Nascido
Infusões Intraósseas/instrumentação
Infusões Intravenosas/instrumentação
Infusões Intravenosas/métodos
Manejo da Dor
Cirurgia Assistida por Computador
Ultrassonografia
Venostomia/instrumentação
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anesthetics, Local)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170721
[Lr] Data última revisão:
170721
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170601
[St] Status:MEDLINE


  2 / 173 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo SciELO Brasil
[PMID]:28300878
[Au] Autor:Tube MI; Spencer-Netto FA; Oliveira AI; Holanda AC; Barros BL; Rezende CC; Cavalcanti JP; Batista MA; Campos JM
[Ad] Endereço:Postgraduate Program in Surgery, Federal University of Pernambuco, Recife, PE, Brazil.
[Ti] Título:Surgical model pig ex vivo for venous dissection teaching in medical schools.
[So] Source:Acta Cir Bras;32(2):157-167, 2017 Feb.
[Is] ISSN:1678-2674
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To investigate a method for development of surgical skills in medical students simulating venous dissection in surgical ex vivo pig model. METHODS: Prospective, analytical, experimental, controlled study with four stages: selection, theoretical teaching, training and assessment. Sample of 312 students was divided into two groups: Group A - 2nd semester students; Group B - students of 8th semester. The groups were divided into five groups of 12 students, trained two hours per week in the semester. They set up four models to three students in each skill station assisted by a monitor. Teaching protocol emergency procedures training were applied to venous dissection, test goal-discursive and OSATS scale. RESULTS: The pre-test confirmed that the methodology has not been previously applied to the students. The averages obtained in the theoretical evaluation reached satisfactory parameters in both groups. The results of applying OSATS scale showed the best performance in group A compared to group B, however, both groups had satisfactory medium. CONCLUSION: The method was enough to raise a satisfactory level of skill both groups in venous dissection running on surgical swine ex vivo models.
[Mh] Termos MeSH primário: Dissecação/educação
Educação de Graduação em Medicina/métodos
Estudantes de Medicina
Venostomia/educação
[Mh] Termos MeSH secundário: Animais
Competência Clínica
Avaliação Educacional
Modelos Anatômicos
Modelos Educacionais
Estudos Prospectivos
Faculdades de Medicina
Suínos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE


  3 / 173 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27829522
[Au] Autor:Kaji T; Kawano T; Yamada W; Yamada K; Onishi S; Nakame K; Mukai M; Ieiri S; Takamatsu H
[Ad] Endereço:Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University.
[Ti] Título:The changing profile of safe techniques for the insertion of a central venous catheter in pediatric patients - improvement in the outcome with the experiences of 500 insertions in a single institution.
[So] Source:J Pediatr Surg;51(12):2044-2047, 2016 Dec.
[Is] ISSN:1531-5037
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The ability to safely insert a central venous catheter (CVC) is critical to avoid associated complications. The aim of this study was to explore appropriate technique to maintain the safety of pediatric patients during CVC. METHODS: We reviewed the surgical records of CVC insertion techniques and associated complications of 503 tunneled CVC insertions performed from 2000 to 2015. RESULTS: Two hundred thirty CVCs (45.7%) were inserted into the subclavian vein using the landmark technique for 10years (first period). Only two pneumothoraxes (0.9%) were experienced. In 2009, we adopted ultrasound-guided venous catheterization from the internal jugular vein, and 103 CVCs (20.5%) were inserted (second period). This procedure led to penetration into the innominate vein (1.0%) by dilater sheath. Patient underwent repair of the penetrated vessel. After this serious complication, 170 CVCs (33.8%) were inserted using the venous cutdown procedure except two catheters. We had two cases whose accessible veins were occluded because of frequent catheterization using venous cutdown technique. No mechanical complications were experienced. CONCLUSIONS: The venous cutdown method is the safest technique for inserting a tunneled CVC in pediatric patients. However, multiple vein occlusions because of repeated catheterizaion by venous cutdown lead to the exhaustion of accessible vessels. LEVEL OF EVIDENCE: Treatment Study - Level IV.
[Mh] Termos MeSH primário: Cateterismo Venoso Central/efeitos adversos
Cateterismo Venoso Central/métodos
[Mh] Termos MeSH secundário: Adolescente
Cateteres Venosos Centrais/efeitos adversos
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Veias Jugulares
Masculino
Pneumotórax/etiologia
Veia Subclávia
Ultrassonografia
Lesões do Sistema Vascular/etiologia
Venostomia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170214
[Lr] Data última revisão:
170214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161111
[St] Status:MEDLINE


  4 / 173 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:27752169
[Au] Autor:Jiang JJ; Qing HK; Zhang XM; Zhang XM; Li W; Shen CY; Li QL; Jiao Y
[Ad] Endereço:Department of Vascular Surgery, Peking University People's Hospital, Beijing 100044, China.
[Ti] Título:[Control study of total percutaneous access with preclose technique versus open femoral artery exposure for endovascular aneurysm repair].
[So] Source:Beijing Da Xue Xue Bao Yi Xue Ban;48(5):850-854, 2016 10 18.
[Is] ISSN:1671-167X
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVE: To compare total percutaneous access using preclose technique with femoral artery cut-down in endovascular aneurysm repair (EVAR) and assess the safety and feasibility of preclose technique. METHODS: In the study, 81 cases undergoing EVAR from Dec. 2011 to Nov. 2014 in Peking University People's Hospital were retrospectively reviewed. Preoperative CT angiography (CTA) showed presence of infrarenal abdominal aortic aneurysm or descending aortic aneurysm in all the cases. The maximum diameter of aneurysm >4.5 cm met the indications for surgical treatment. The conditions of bilateral femoral artery and iliac artery CTA showed were good, and there was no moderate or severe stenosis, nor was there any severe calcification in anterior wall of femoral artery. Not only were the cases fit for percutaneous endovascular aortic aneurysm repair (PEVAR), but also feasible with open endovascular aneurysm repair (OEVAR). According to the intention of the patients about the surgical incision, the cases were divided into group PEVAR and group OEVAR. The data of the general situation, operation time, blood loss, technical success rate, length of hospital stay after procedure and wound complications were analyzed statistically. RESULTS: In the study, 44 cases (78 incisions) were enrolled in group PEVAR and 37 cases (65 incisions) in group OEVAR. There was no significant difference between the two groups in age, gender, body mass index (BMI), accompanying diseases, average number of stents and outer diameter of stent delivery system. Average operation time of group PEVAR was less than that of group OEVAR [(119.1±102.0) min vs. (163.6±61.9) min, P=0.025]. The blood loss in group PEVAR was less than that in group OEVAR [(64.7±97.0) mL vs. (98.6±88.3) mL], but there was no significant difference (P=0.106). There was no difference in the technical success rate (94.9% vs.95.4%, P=1.000). The average length of hospital stay after procedure was significantly shorter in group PEVAR [(7.8±2.8) d vs.(12.3±7.2) d, P<0.001]. There were 2 cases with subcutaneous hematoma of wound in group PEVAR and 7 cases of wound complications that occurred in group OEVAR including 3 cases with lymphatic leakage, 3 cases with lower limb ischemia and 1 case with subcutaneous hematoma. The analysis showed that PEVAR could reduce the wound complications (2.6%vs.10.8%), but there was no significant difference between the two groups (P=0.079). CONCLUSION: Using preclose technique in EVAR is safe and effective. It can shorten the operation time and length of hospital stay after procedure.
[Mh] Termos MeSH primário: Angioplastia/efeitos adversos
Angioplastia/métodos
Aneurisma da Aorta Abdominal/cirurgia
Aneurisma da Aorta Torácica/cirurgia
Implante de Prótese Vascular/efeitos adversos
Implante de Prótese Vascular/métodos
Procedimentos Endovasculares/efeitos adversos
Procedimentos Endovasculares/métodos
Artéria Femoral/cirurgia
Venostomia/efeitos adversos
Venostomia/métodos
[Mh] Termos MeSH secundário: Aneurisma da Aorta Abdominal/diagnóstico por imagem
Aneurisma da Aorta Torácica/diagnóstico por imagem
Perda Sanguínea Cirúrgica
Angiografia por Tomografia Computadorizada
Artéria Femoral/diagnóstico por imagem
Seres Humanos
Artéria Ilíaca/diagnóstico por imagem
Tempo de Internação
Duração da Cirurgia
Seleção de Pacientes
Estudos Retrospectivos
Stents/efeitos adversos
Ferida Cirúrgica/complicações
Resultado do Tratamento
Venostomia/instrumentação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161019
[St] Status:MEDLINE


  5 / 173 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
Texto completo
[PMID]:27544827
[Au] Autor:Hsu CC; Kwan GN; Evans-Barns H; Rophael JA; van Driel ML
[Ad] Endereço:Department of Medical Imaging, Princess Alexandra Hospital, 199 Ipswich Road, Brisbane, Queensland, Australia, 4102.
[Ti] Título:Venous cutdown versus the Seldinger technique for placement of totally implantable venous access ports.
[So] Source:Cochrane Database Syst Rev;(8):CD008942, 2016 Aug 21.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Totally implantable venous access ports (TIVAPs) provide patients with a safe and permanent venous access, for instance in the administration of chemotherapy for oncology patients. There are several methods for TIVAP placement, and the optimal evidence-based method is unclear. OBJECTIVES: To compare the efficacy and safety of three commonly used techniques for implanting TIVAPs: the venous cutdown technique, the Seldinger technique, and the modified Seldinger technique. This review includes studies that use Doppler or real-time two-dimensional ultrasonography for locating the vein in the Seldinger technique. SEARCH METHODS: The Cochrane Vascular Trials Search Co-ordinator searched the Cochrane Vascular Specialised Register (last searched August 2015) and the Cochrane Central Register of Controlled Trials (CENTRAL) (2015, Issue 7), as well as clinical trials registers. SELECTION CRITERIA: We included randomised or quasi-randomised controlled clinical trials that randomly allocated people requiring TIVAP to the venous cutdown, Seldinger, or modified Seldinger technique. Two review authors independently assessed studies for inclusion eligibility, with a third review author checking excluded studies. DATA COLLECTION AND ANALYSIS: Two review authors independently extracted data. We assessed all studies for risk of bias. We assessed heterogeneity using Chi(2) statistic and variance (I(2)statistic) methods. Dichotomous outcomes, summarised as odds ratio (OR) with 95% confidence interval (CI), were: primary implantation success, complications (in particular infection), pneumothorax, and catheter complications. We conducted separate analyses to assess the two access veins, subclavian and internal jugular (IJ) vein, in the Seldinger technique versus the venous cutdown technique. We used both intention-to-treat (ITT) and on-treatment analyses and pooled data using a fixed-effect model. MAIN RESULTS: We included nine studies with a total of 1253 participants in the review. Five studies compared Seldinger technique (subclavian vein access) with venous cutdown technique (cephalic vein access). Two studies compared Seldinger (IJ vein) versus venous cutdown (cephalic vein). One study compared the modified Seldinger technique (cephalic vein) with the venous cutdown (cephalic vein), and one study compared the Seldinger (subclavian vein) versus the Seldinger (IJ vein) technique.Seldinger technique (subclavian or IJ vein access) versus venous cutdown (cephalic vein): We included seven trials with 1006 participants for analysis. Both ITT (OR 0.40; 95% CI 0.25 to 0.65) and on-treatment analysis (OR 0.59; 95% CI 0.36 to 0.98) showed that the Seldinger technique for implantation of TIVAP had a higher success rate compared with the venous cutdown technique. We found no difference between overall peri- and postoperative complication rates: ITT (OR 1.16; 95% CI 0.76 to 1.75) and on-treatment analysis (OR 0.93; 95% CI 0.62 to 1.40). In the Seldinger group, the majority of the trials reported use of the subclavian vein for venous access, with only a limited number of trials utilising the IJ vein for access. When individual complication rates of infection, pneumothorax, and catheter complications were analysed, the Seldinger technique (subclavian vein access) was associated with a higher rate of catheter complications compared to the venous cutdown technique: ITT (OR 6.77; 95% CI 2.31 to 19.79) and on-treatment analysis (OR 6.62; 95% CI 2.24 to 19.58). There was no difference in incidence of infections, pneumothorax, and other complications between the groups.Modified Seldinger technique (cephalic vein) versus venous cutdown (cephalic vein): We identified one trial with 164 participants. ITT analysis showed no difference in primary implantation success rate between the modified Seldinger technique (69/82, 84%) and the venous cutdown technique (66/82, 80%), P = 0.686. We observed no differences in the peri- or postoperative complication rates.Seldinger (subclavian vein access) versus Seldinger (IJ vein access): We identified one trial with 83 participants. The primary success rate was 84% (37/44) for Seldinger (subclavian vein) versus 74% (29/39) for the Seldinger (IJ vein). There was a higher overall complication rate in the subclavian group (48%) compared to the jugular group (23%), P = 0.02. However, when specific complications were compared individually, we found no differences between the groups.The overall quality of the trials included in this review was moderate. The methods used for randomisation were inadequate in four of the nine included studies, but sensitivity analysis excluding these trials did not alter the outcome. The nature of the interventions, either venous cutdown or Seldinger techniques, meant that it was not feasible to blind the participant or personnel, therefore we judged this to be at low risk of bias. The majority of participants in the included trials were oncology patients at tertiary centres, and the outcomes were applicable to the typical clinical scenario. For all outcomes, when comparing venous cutdown and Seldinger technique, serious imprecision was evident by wide confidence intervals in the included trials. The quality of the overall evidence was therefore downgraded from high to moderate. Due to the limited number of included studies we were unable to assess publication bias. AUTHORS' CONCLUSIONS: Moderate-quality evidence showed that the Seldinger technique has a higher primary implantation success rate compared with the venous cutdown technique. The majority of trials using the Seldinger technique used the subclavian vein for venous access, and only a few trials reported the use of the internal jugular vein for venous access. Moderate-quality evidence showed no difference in the overall complication rate between the Seldinger and venous cutdown techniques. However, when the Seldinger technique with subclavian vein access was compared with the venous cutdown group, there was a higher reported incidence of catheter complications. The rates of pneumothorax and infection did not differ between the Seldinger and venous cutdown group. We identified only one trial for each of the comparisons modified Seldinger technique (cephalic vein) versus venous cutdown (cephalic vein) and Seldinger (subclavian vein access) versus Seldinger (IJ vein access), thus a definitive conclusion cannot be drawn for these comparisons and further research is recommended.
[Mh] Termos MeSH primário: Braço/irrigação sanguínea
Cateterismo Venoso Central/métodos
Veias Jugulares
Veia Subclávia
Dispositivos de Acesso Vascular
Venostomia/métodos
[Mh] Termos MeSH secundário: Infecções Relacionadas a Cateter
Cateterismo Venoso Central/efeitos adversos
Seres Humanos
Análise de Intenção de Tratamento
Veias Jugulares/diagnóstico por imagem
Pneumotórax/etiologia
Ensaios Clínicos Controlados Aleatórios como Assunto
Veia Subclávia/diagnóstico por imagem
Ultrassonografia de Intervenção/métodos
Dispositivos de Acesso Vascular/efeitos adversos
Veias/diagnóstico por imagem
Venostomia/efeitos adversos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1610
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160822
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD008942.pub2


  6 / 173 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27078142
[Au] Autor:Bichler C
[Ti] Título:[Not Available].
[Ti] Título:Krankenhaus-/Arzthaftung--Hygienemangel bedeutet nicht zwingend grober Behandlungsfehler..
[So] Source:Aktuelle Urol;47(2):131, 2016 Apr.
[Is] ISSN:1438-8820
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Abscesso/enfermagem
Abscesso/transmissão
Cateteres de Demora/microbiologia
Infecção Hospitalar/transmissão
Discite/enfermagem
Luvas Cirúrgicas
Desinfecção das Mãos
Imperícia/legislação & jurisprudência
Recursos Humanos de Enfermagem no Hospital/legislação & jurisprudência
Venostomia/legislação & jurisprudência
Venostomia/enfermagem
[Mh] Termos MeSH secundário: Alemanha
Seres Humanos
Medição de Risco/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160415
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-103007


  7 / 173 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26645575
[Au] Autor:Otsubo R; Hatachi T; Shibata K; Yoshida T; Watanabe H; Oikawa M; Matsumoto M; Yano H; Taniguchi H; Nagayasu T
[Ad] Endereço:Department of Surgical Oncology, Nagasaki University Hospital, Nagasaki, Japan.
[Ti] Título:Evaluation of totally implantable central venous access devices with the cephalic vein cut-down approach: Usefulness of preoperative ultrasonography.
[So] Source:J Surg Oncol;113(1):114-9, 2016 Jan.
[Is] ISSN:1096-9098
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aims of this retrospective study, were to evaluate totally implantable central venous access device (TICVAD) implantation and to validate the efficacy of preoperative ultrasonography. METHODS: A total of 380 cases implanted with TICVADs were divided into four groups: cut-downs with ultrasonography (group A, n = 112); cut-downs without ultrasonography (group B, n = 37); venous puncture (group C, n = 122); and replacements using the existing catheter (group D, n = 109). Operation time, completion rate, and complications were compared. RESULTS: The average operating time was 41.7, 52.4, and 40.6 min in groups A, B (P < 0.01), and C, respectively. Group A and B experienced no postoperative pneumothorax, arterial puncture, or pinch-off syndrome. Completion rates were 93.7% in group A and 86.5% in group B. Preoperative ultrasonography identified the cephalic vein in 94.1% of subjects with an average diameter of 3.1 mm and depth of 10.2 mm. Identifying convergence of the cephalic vein and the axillary vein improved the completion rate. CONCLUSIONS: This study showed that the cephalic vein cut-down approach for TICVAD implantation reduced complications. Preoperative ultrasonography resulted in a shorter operating time and higher completion rate.
[Mh] Termos MeSH primário: Antineoplásicos/administração & dosagem
Veia Axilar/diagnóstico por imagem
Veias Braquiocefálicas/diagnóstico por imagem
Veias Braquiocefálicas/cirurgia
Cateterismo Venoso Central/instrumentação
Cateterismo Venoso Central/métodos
Cateteres de Demora
Período Pré-Operatório
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Veia Axilar/cirurgia
Cateterismo Venoso Central/efeitos adversos
Cateteres de Demora/efeitos adversos
Feminino
Seres Humanos
Masculino
Meia-Idade
Duração da Cirurgia
Complicações Pós-Operatórias/etiologia
Estudos Retrospectivos
Ultrassonografia
Venostomia/efeitos adversos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antineoplastic Agents)
[Em] Mês de entrada:1605
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151210
[St] Status:MEDLINE
[do] DOI:10.1002/jso.24100


  8 / 173 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
PubMed Central Texto completo
Texto completo
[PMID]:26287429
[Au] Autor:Wei WC; Wu CY; Wu CF; Fu JY; Su TW; Yu SY; Kao TC; Ko PJ
[Ad] Endereço:From the Department of Surgery, Division of Thoracic and Cardiovascular Surgery (W-CW, C-YW, C-FW, T-WS, S-YY, T-CK, P-JK); and Department of Internal Medicine, Division of Chest and Critical Care, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan (J-YF).
[Ti] Título:The Treatment Results of a Standard Algorithm for Choosing the Best Entry Vessel for Intravenous Port Implantation.
[So] Source:Medicine (Baltimore);94(33):e1381, 2015 Aug.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Vascular cutdown and echo guide puncture methods have its own limitations under certain conditions. There was no available algorithm for choosing entry vessel. A standard algorithm was introduced to help choose the entry vessel location according to our clinical experience and review of the literature. The goal of this study is to analyze the treatment results of the standard algorithm used to choose the entry vessel for intravenous port implantation.During the period between March 2012 and March 2013, 507 patients who received intravenous port implantation due to advanced chemotherapy were included into this study. Choice of entry vessel was according to standard algorithm. All clinical characteristic factors were collected and complication rate and incidence were further analyzed.Compared with our clinical experience in 2006, procedure-related complication rate declined from 1.09% to 0.4%, whereas the late complication rate decreased from 19.97% to 3.55%. No more pneumothorax, hematoma, catheter kinking, fractures, and pocket erosion were identified after using the standard algorithm. In alive oncology patients, 98% implanted port could serve a functional vascular access to fit therapeutic needs.This standard algorithm for choosing the best entry vessel is a simple guideline that is easy to follow. The algorithm has excellent efficiency and can minimize complication rates and incidence.
[Mh] Termos MeSH primário: Cateterismo Venoso Central
Cateteres de Demora/efeitos adversos
Hematoma/prevenção & controle
Pneumotórax/prevenção & controle
Venostomia/efeitos adversos
[Mh] Termos MeSH secundário: Algoritmos
Veias Braquiocefálicas
Cateterismo Venoso Central/efeitos adversos
Cateterismo Venoso Central/métodos
Tratamento Farmacológico/métodos
Falha de Equipamento
Análise de Falha de Equipamento
Feminino
Hematoma/etiologia
Seres Humanos
Masculino
Meia-Idade
Neoplasias/terapia
Pneumotórax/etiologia
Reprodutibilidade dos Testes
Estudos Retrospectivos
Taiwan
Resultado do Tratamento
Venostomia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1511
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:150820
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000001381


  9 / 173 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26012741
[Au] Autor:Kim S; Kim Y; Moon SB
[Ad] Endereço:Department of General Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, South Korea.
[Ti] Título:Histological changes of the unligated vein wall adjacent to the central venous catheter after open cutdown in rats.
[So] Source:J Pediatr Surg;50(11):1928-32, 2015 Nov.
[Is] ISSN:1531-5037
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The sequelae of a central venous cutdown usually include venous deformity causing venous stenosis or stricture. However, the cellular mechanisms causing these deformities have not been elucidated. METHODS: Silicone 2.7-Fr catheters were placed via the right external jugular vein of 16 rats with the cutdown method. After fixation with formalin at scheduled intervals (1week, 2weeks, 4weeks, and 8weeks; 4 rats in each group), the vein segment with the catheter in situ was harvested. Histological changes in the vein wall were studied and serially compared with light microscopy; standard hematoxylin-eosin staining, Masson's trichrome staining, van Gieson's elastin stain, and immunohistochemical stain against α-actin. RESULTS: Pericatheter sleeve formation, circumferential smooth muscle cell proliferation and infiltration into the pericatheter sleeve by direct contact were noted in all 4 rats of 1-week model; this indicated the initiation of neointimal hyperplasia. The neointimal hyperplasia was located inside the elastin layer. At 2weeks, the SMCs stained faintly but the components of the vein wall were largely replaced by collagen. The proliferation and infiltration of SMCs stabilized at 4weeks and no SMCs were stained around the catheter. At 8weeks, luminal narrowing was noted and the venous wall was composed mainly of collagen. CONCLUSIONS: Circumferential neointimal hyperplasia occurred after surgical cutdown of the external jugular vein in a rat model and was caused by SMC activation, proliferation, and infiltration into the pericatheter sleeve.
[Mh] Termos MeSH primário: Cateteres Venosos Centrais/efeitos adversos
Veias Jugulares/patologia
Venostomia/efeitos adversos
[Mh] Termos MeSH secundário: Actinas/análise
Animais
Colágeno
Constrição Patológica/etiologia
Constrição Patológica/patologia
Hiperplasia/etiologia
Hiperplasia/patologia
Ligadura
Masculino
Neointima/etiologia
Neointima/patologia
Ratos
Ratos Sprague-Dawley
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Actins); 9007-34-5 (Collagen)
[Em] Mês de entrada:1606
[Cu] Atualização por classe:151129
[Lr] Data última revisão:
151129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150528
[St] Status:MEDLINE


  10 / 173 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:25916570
[Au] Autor:Kircanski B; Vasic D; Savic D; Stojanov P
[Ad] Endereço:Referral Pacemaker Center, Clinical Center of Serbia, Belgrade, Serbia. Electronic address: braca032@yahoo.com.
[Ti] Título:Low incidence of complications after cephalic vein cutdown for pacemaker lead implantation in children weighing less than 10 kilograms: A single-center experience with long-term follow-up.
[So] Source:Heart Rhythm;12(8):1820-6, 2015 Aug.
[Is] ISSN:1556-3871
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Only a few studies on the cephalic vein cutdown technique for pacemaker lead implantation in children weighing ≤10 kg have been reported even though the procedure is widely accepted in adults. OBJECTIVE: The purpose of this study was to prove that cephalic vein cutdown for pacemaker lead implantation is a reliable technique with a low incidence of complications in children weighing ≤10 kg. METHODS: The study included 44 children weighing ≤10 kg with an endocardial pacemaker. Cephalic, subclavian, and axillary vein diameters were measured by ultrasound before implantation. The measured diameters were used to select either an endocardial or epicardial surgical technique. Regular 6-month follow-up visits included pacemaker interrogation and clinical and ultrasound examinations. RESULTS: Two dual-chamber and 42 single-chamber pacemakers were implanted. Mean weight at implantation was 6.24 kg (range 2.25-10.40 kg), and mean age was 11.4 months (range 1 day-47 months). In 40 children (90.1%), the ventricular leads were implanted using the cephalic vein cutdown technique, and implantation was accomplished via the prepared right external jugular vein in 4 of the children (9.9%). The atrial leads were implanted using axillary vein puncture and external jugular vein preparations. Mean follow-up was 8.9 years (range 0-20.9 years). Only 1 pacemaker-related complication was detected (a lead fracture near the connector that was successfully resolved using a lead repair kit). CONCLUSION: The cephalic vein cutdown technique is feasible and reliable in children weighing ≤10 kg, which justifies the application of additional surgical effort in the treatment of these small patients.
[Mh] Termos MeSH primário: Peso Corporal/fisiologia
Eletrodos Implantados
Marca-Passo Artificial
Veias/diagnóstico por imagem
Veias/cirurgia
Venostomia/efeitos adversos
[Mh] Termos MeSH secundário: Veia Axilar/diagnóstico por imagem
Veia Axilar/cirurgia
Pré-Escolar
Feminino
Seguimentos
Átrios do Coração/diagnóstico por imagem
Ventrículos do Coração/diagnóstico por imagem
Seres Humanos
Lactente
Recém-Nascido
Veias Jugulares/diagnóstico por imagem
Veias Jugulares/cirurgia
Masculino
Punções/efeitos adversos
Punções/métodos
Veia Subclávia/diagnóstico por imagem
Veia Subclávia/cirurgia
Resultado do Tratamento
Ultrassonografia
Venostomia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1606
[Cu] Atualização por classe:161222
[Lr] Data última revisão:
161222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150429
[St] Status:MEDLINE



página 1 de 18 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde