♦ BACKGROUND: The most commonly used peritoneal dialysis (PD) catheters have silicon tubing with attached Dacron cuffs. The current standard of care for PD catheter removal is by complete surgical dissection, withdrawing both the tubing and the cuffs. The intention is to avoid infection of any residual part of the catheter. We retrospectively analyzed our results with the alternative 'pull' technique, by which the silicon tube is pulled out, leaving the Dacron cuffs within the abdominal wall. This technique never gained popularity due to concern that the retained cuffs would get infected. ♦ METHODS: We reviewed our experience from an 18-month period, between January 2014 and June 2015. There were 46 catheter removals in 40 patients. All the catheters were of the double-cuffed coiled Tenckhoff type (Covidien, Dublin, Ireland). ♦ RESULTS: Of the 46 catheter removals by the 'pull' technique, there was only 1 case of retained cuff infection. ♦ CONCLUSIONS: The 'pull' technique is a safe method for Tenckhoff catheter removal with low risk of infection. We strongly recommend it as the procedure of choice.
Objectives: To assess the current landscape of hospital libraries by collecting benchmarking data from hospital librarians in the U.S. and other countries. Since the last MLA benchmarking survey in 2002 hospital libraries have faced significant changes including downsizing, position and library elimination, and hospital mergers. This survey will provides information to inform the development and implementation of effective advocacy for hospital libraries. Methods: A web-based, anonymous survey was designed to collect information from hospital librarians representing stand-alone hospitals and hospital systems. The 57-question survey was distributed via select list servs, targeting the US and Canada but open to any country. The topic areas covered hospital/health system, library, and library staff demographics; library characteristics and scope of service; interlibrary loan and document delivery; library funding; and library budget. Hospital library benchmarking surveys, including the previous MLA surveys, were reviewed and applicable questions were added. Results: There were a total of 180 respondents but the total number of responses for each question varied. Select results are as follows: of the responding libraries, 67.2% were part of a hospital system; 24.4% had merged with or were bought by another hospital or health system and, of those, 77.1% had acquired 1-5 hospitals in the last 10 years; 77.9% were not for profits; over half (55.2%) had <5,001 FTE in the organization; 56.9% had one library; 47.7% had 1 FTE librarian, 34.9% had 2-5; 82.1% did not or were not able to use social media; 60.7% didn’t have strategic plans; 66.1% belonged to a consortium; 48.2% provided up to 250 search requests a year; 66.3% did not receive funding outside of their organization; 32.5% had budgets for print books totaling less than $1,000; 30.1% had budgets, excluding salaries, of less than $100,000 and 9.7% had budgets over $1M. Conclusions: These findings contribute to the field’s knowledge of hospital library demographics as well as the services provided. The results suggest implications for hospital librarians regarding staffing levels and the depth of services within their unique settings, especially within the context of rapidly expanding health systems.
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