The incidence of complications of central venous catheters at an intensive care unit

Akmal, AH Hamizatul; Hasan, M; Mariam, A. G.

doi:10.4103/1817-1737.32232

Cited by 39 publications

(29 citation statements)

References 19 publications

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“…This last practice created another indicator, the rate of primary bloodstream infection associated with the central venous catheter (CVC). CVC is a frequent procedure in any ICU since it enables hemodynamic monitoring, maintenance of a solution and medication infusion pathway, parenteral nutrition, hemodialysis, and collection of blood samples (Akmal, Hasan, & Mariam, 2007). According to the most recent epidemiological data, in 2014, CVC corresponded to 5.1 infections per 1,000 CVC/day (Agência Nacional de Vigilância Sanitária, 2015), while for ANAHP, it corresponded to 1.89 infections per 1,000 CVC/day (Ribeiro, 2017).…”

Section: Quality Managementmentioning

confidence: 99%

Efficiency Losses in Healthcare Organizations Caused by Lack of Interpersonal Relationships

et al. 2019

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Despite all quality management and integration literature prescriptions to implement strategies for a better organizational performance, healthcare organizations support a model that is inefficient, expensive, and unsustainable over time. This work aims to examine the interpersonal relationships in three large hospitals located in Southern Brazil and its relation with organizational efficiency. Through a qualitative and explanatory research, semi-structured interviews were applied to 32 professionals, in addition to a document analysis. The data analysis shows that integration occurs at the formal leadership level only in one of the organizations and does not involve the medical and operational professionals. Quality management seems not to be fully incorporated into care routines, and are related to efficiency losses. This scenario is probably related to the lack of integration among the professionals and the consolidation of trust, leadership, and communication.

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Section: Quality Managementmentioning

confidence: 99%

Efficiency Losses in Healthcare Organizations Caused by Lack of Interpersonal Relationships

et al. 2019

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“…Additionally, placement of a CVC is an invasive procedure with a set of complications that can compromise an already complex patient picture. 9,10 The mechanical issues are numerous. The transducer is a water column that must be calibrated and set to zero at the level of the heart along the same plane of the right atrium (phlebostatic axis).…”

Section: Central Venous Pressure Measurementmentioning

confidence: 99%

Review: Pitfalls in Using Central Venous Pressure as a Marker of Fluid Responsiveness

Farcy¹,

Jain²,

Dalley³

et al. 2016

Emerg Med

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A 69-year-old man was transported to the ED via emergency medical services after a family member discovered him alone at home and confused. His wife stated that her husband had been sick with the flu and had been febrile for the previous several days. The patient's blood pressure taken on the scene by the emergency medical technician was 80/40 mm Hg, and 1 L normal saline was infused during transport. Upon arrival to the ED, his vital signs were: temperature, 103.3°F; heart rate,130 beats/minute; BP, 90/48 mm Hg; and respiratory rate, 24 breaths/minute. Oxygen saturation was 92% on nasal canula. An electrocardiogram showed sinus tachycardia with nonspecific changes. Based on the patient's symptoms, the emergency physician (EP) suspected sep-sis and ordered the appropriate laboratory studies and radiographic images. During evaluation, the patient's systolic BP decreased to 70 from 80 mm Hg, and the EP ordered another fluid bolus and considered assessing the patient's volume status.

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“…Because obtaining central venous blood is technically simpler, less expensive, and less often associated with serious complications than obtaining mixed venous blood via PACs, measurement of central venous hemoglobin saturation (ScvO 2 ) has been evaluated as a potential surrogate for SvO 2 . Central venous hemoglobin saturation with oxygen is measured in the right atrium or a central vein, typically the superior vena cava (cranial vena cava in quadrupeds).…”

Section: Introductionmentioning

confidence: 99%

Venous oxygen saturation in critical illness

Walton

Hansen

2018

J Vet Emergen Crit Care

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Venous oxygenation reflects systemic oxygenation status and can be used to guide treatment and estimate prognosis in critically ill patients. Measurement of venous oxygenation in veterinary patients is feasible and is a potentially valuable tool in the management of patients with severe disease. This review is intended to increase the understanding and awareness of the potential role of venous oxygen measurement in veterinary patients.

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The incidence of complications of central venous catheters at an intensive care unit

Cited by 39 publications

References 19 publications

Efficiency Losses in Healthcare Organizations Caused by Lack of Interpersonal Relationships

Efficiency Losses in Healthcare Organizations Caused by Lack of Interpersonal Relationships

Review: Pitfalls in Using Central Venous Pressure as a Marker of Fluid Responsiveness

Venous oxygen saturation in critical illness

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