keyword
MENU ▼
Read by QxMD icon Read
search

Informed consent central venous catheter

keyword
https://www.readbyqxmd.com/read/29735862/influence-of-visual-information-on-consent-for-invasive-procedures-in-intensive-care-unit
#1
E C Celik, M Ekinci, B Ciftci, B E Gölboyu, O Ö Kilinç
Objective: Patients hospitalized in Intensive Care Units (ICU) are critically ill. Sometimes informed consent for invasive procedures cannot be obtained from patients or relatives due to insufficient information. Methodology: Relatives of the patients who were being hospitalized in ICUs of state hospitals in 3 provinces in Eastern part of Turkey during year 2015, who were planned to undergo central venous catheter insertion, tracheostomy, and percutaneous gastroenterostomy (PGE) were asked to sign consent forms and these relatives were included in the study...
May 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29390474/a-successful-insertion-of-picc-in-patient-with-cardiac-angiosarcoma-and-neoplasty-of-right-atrium-and-pacemaker-a-case-report
#2
Bing Liu, Wenyan Sun, Kai Wang
INTRODUCTION: Primary cardiac angiosarcoma is a rare tumor and the common treatment is surgical resection followed by chemotherapy. Peripherally inserted central venous catheters (PICCs) are widely used in cancer patients and ultrasound-guided PICC insertion could improve success rate especially in patient with abnormal anatomy structure. Reports about PICCs being placed in patient who had suffered from the cardiac angiosarcoma and neoplasty of right atrium with an ipsilateral cardiac permanent pacemaker are rarely...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390472/upper-extremity-deep-vein-thrombosis-after-migration-of-peripherally-inserted-central-catheter-picc-a-case-report
#3
Kai Wang, Wenyan Sun, Xiaodong Shi
INTRODUCTION: Peripherally inserted central venous catheters (PICC) are widely used in cancer patients and ultrasound-guided PICC insertion could improve success rate. The tip position of the catheter should be located at the border of lower one-third of the superior vena cava (SVC) and cavo-atrial junction. The migration is malposition at the late stage after PICCs were inserted, and catheter malposition was associated with thrombosis and other complications.After patient's informed consent, we report a case of a 66-year-old male with twice catheter migrations resulting in thrombosis after being diagnosed with cardiac cancer...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29153532/the-blind-pushing-technique-for-peripherally-inserted-central-catheter-placement-through-brachial-vein-puncture
#4
Jae Myeong Lee, Young Kwon Cho, Han Myun Kim, Myung Gyu Song, Soon-Young Song, Jae Woo Yeon, Dae Young Yoon, Sam Yeol Lee
OBJECTIVE: The objective of this study was to conduct a prospective clinical trial evaluating the technical feasibility and short-term clinical outcome of the blind pushing technique for placement of pretrimmed peripherally inserted central catheters (PICCs) through brachial vein access. METHODS: Patients requiring PICC placement at any of the three participating institutions were prospectively enrolled between January and December 2016. The review boards of all participating institutions approved this study, and informed consent was obtained from all patients...
March 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28259730/incidence-of-central-venous-catheter-hub-contamination
#5
Julie L Holroyd, Terrie Vasilopoulos, Mark J Rice, Kenneth H Rand, Brenda G Fahy
PURPOSE: To investigate microorganisms causing central venous catheter contamination and how this contamination differs across different catheter metrics. MATERIALS AND METHODS: After obtaining IRB approval and informed consent, 830 cultures were prospectively obtained from 45 ICU patients with central venous catheter or peripherally inserted central catheter. Bacterial colonies were identified by mass spectrometry. RESULTS: Bacterial contamination of central catheter hubs occurred 44% of the time in this study in the ICU setting...
June 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/27884849/access-hd-pilot-a-randomised-feasibility-trial-comparing-catheters-with-fistulas-in-elderly-patients-starting-haemodialysis
#6
RANDOMIZED CONTROLLED TRIAL
Robert Quinn, Pietro Ravani
INTRODUCTION: The selection of the type of vascular access for haemodialysis is an important intervention question. However, only observational studies are available to inform decision-making in this area, and they are at high risk of selection bias. While a clinical trial comparing the effects of the 2 most frequently chosen strategies for haemodialysis access (fistulas and catheters) on patient important and 'hard' clinical end points is needed, the feasibility of such a trial is uncertain...
November 24, 2016: BMJ Open
https://www.readbyqxmd.com/read/27229130/sonography-for-complete-evaluation-of-neonatal-intensive-care-unit-central-support-devices-a-pilot-study
#7
David Saul, Samuel Ajayi, David L Schutzman, Mindy M Horrow
OBJECTIVES: Neonates in the neonatal intensive care unit often require considerable support with endotracheal tubes, umbilical arterial and venous catheters, and peripherally inserted central venous catheters. Support device evaluation with radiography exposes neonates to ionizing radiation. This study evaluated the effectiveness of sonographic localization for endotracheal tubes, umbilical arterial and venous catheters, and peripherally inserted central venous catheters. METHODS: This blinded prospective Institutional Review Board-approved, Health Insurance Portability and Accountability Act-compliant study with informed consent compared sonography to radiography for endotracheal tube, umbilical arterial and venous catheter, and peripherally inserted central venous catheter localization...
July 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27012271/ultrasound-guided-supraclavicular-central-venous-catheter-tip-positioning-via-the-right-subclavian-vein-using-a-microconvex-probe
#8
Se-Chan Kim, Ingo Gräff, Alexandra Sommer, Andreas Hoeft, Stefan Weber
PURPOSE: The ultrasound-guided central venous catheter (CVC) guidewire tip positioning has been demonstrated for catheterization of the right internal jugular vein. We explored the feasibility of an ultrasound-guided right subclavian vein (RScV) CVC tip positioning via a right supraclavicular approach using a microconvex probe. METHODS: Twenty patients scheduled for elective surgery were consecutively included in this observational feasibility study following written informed consent...
September 21, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/26935961/catheter-infections-in-children-catch-a-randomised-controlled-trial-and-economic-evaluation-comparing-impregnated-and-standard-central-venous-catheters-in-children
#9
RANDOMIZED CONTROLLED TRIAL
Katie Harron, Quen Mok, Kerry Dwan, Colin H Ridyard, Tracy Moitt, Michael Millar, Padmanabhan Ramnarayan, Shane M Tibby, Berit Muller-Pebody, Dyfrig A Hughes, Carrol Gamble, Ruth E Gilbert
BACKGROUND: Impregnated central venous catheters (CVCs) are recommended for adults to reduce bloodstream infection (BSI) but not for children. OBJECTIVE: To determine the effectiveness of impregnated compared with standard CVCs for reducing BSI in children admitted for intensive care. DESIGN: Multicentre randomised controlled trial, cost-effectiveness analysis from a NHS perspective and a generalisability analysis and cost impact analysis...
March 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/26438711/deferred-consent-for-randomized-controlled-trials-in-emergency-care-settings
#10
Katie Harron, Kerry Woolfall, Kerry Dwan, Carrol Gamble, Quen Mok, Padmanabhan Ramnarayan, Ruth Gilbert
BACKGROUND: There is limited experience in using deferred consent for studies involving children, which was legalized in the United Kingdom in 2008. We aimed to inform future studies by evaluating consent rates and reasons for nonconsent in a large randomized controlled trial in pediatric intensive care. METHODS: In the CATCH trial, eligible children from 14 PICUs in England and Wales were randomly assigned to 3 types of central venous catheters. To avoid delay in treatment, children admitted on an emergency basis were first randomly assigned to a trial central venous catheter, and we deferred seeking consent to use already collected data and blood samples until after stabilization...
November 2015: Pediatrics
https://www.readbyqxmd.com/read/25885054/immediate-access-arteriovenous-grafts-versus-tunnelled-central-venous-catheters-study-protocol-for-a-randomised-controlled-trial
#11
RANDOMIZED CONTROLLED TRIAL
Emma Aitken, Colin Geddes, Pete Thomson, Ram Kasthuri, Mohan Chandramohan, Colin Berry, David Kingsmore
BACKGROUND: Autologous arteriovenous fistulae (AVF) are the optimal form of vascular access for haemodialysis. AVFs typically require 6 to 8 weeks to "mature" from the time of surgery before they can be cannulated. Patients with end-stage renal disease needing urgent vascular access therefore traditionally require insertion of a tunnelled central venous catheter (TCVC). TCVCs are associated with high infection rates and central venous stenosis. Early cannulation synthetic arteriovenous grafts (ecAVG) provide a novel alternative to TCVCs, permitting rapid access to the bloodstream and immediate needling for haemodialysis...
2015: Trials
https://www.readbyqxmd.com/read/25778560/immediate-access-arteriovenous-grafts-versus-tunnelled-central-venous-catheters-study-protocol-for-a-randomised-controlled-trial
#12
Emma Aitken, Colin Geddes, Pete Thomson, Ram Kasthuri, Mohan Chandramohan, Colin Berry, David Kingsmore
BACKGROUND: Autologous arteriovenous fistulae (AVF) are the optimal form of vascular access for haemodialysis. AVFs typically require 6 to 8 weeks to "mature" from the time of surgery before they can be cannulated. Patients with end-stage renal disease needing urgent vascular access therefore traditionally require insertion of a tunnelled central venous catheter (TCVC). TCVCs are associated with high infection rates and central venous stenosis. Early cannulation synthetic arteriovenous grafts (ecAVG) provide a novel alternative to TCVCs, permitting rapid access to the bloodstream and immediate needling for haemodialysis...
December 2015: Trials
https://www.readbyqxmd.com/read/24962946/the-comparison-between-stroke-volume-variation-and-filling-pressure-as-an-estimate-of-right-ventricular-preload-in-patients-undergoing-renal-transplantation
#13
Daisuke Toyoda, Mitsue Fukuda, Ririko Iwasaki, Takashi Terada, Nobukazu Sato, Ryoichi Ochiai, Yoshifumi Kotake
PURPOSE: The purpose of this prospective, observational study was to respiratory variation of stroke volume (stroke volume variation, SVV) against central venous pressure (CVP) and pulmonary artery diastolic pressure (PADP) as an estimate of right and left ventricular preload. METHODS: With IRB approval and informed consent, 31 patients undergoing living related renal transplantation were analyzed. Under general anesthesia with positive pressure ventilation, stroke volume index and SVV were continuously monitored with FloTrac/Vigileo monitor...
February 2015: Journal of Anesthesia
https://www.readbyqxmd.com/read/23997555/fibrin-sheath-angioplasty-a-technique-to-prevent-superior-vena-cava-stenosis-secondary-to-dialysis-catheters
#14
Robert I Hacker, Lorena De Marco Garcia, Ankur Chawla, Thomas F Panetta
Fibrin sheaths are a heterogeneous matrix of cells and debris that form around catheters and are a known cause of central venous stenosis and catheter failure. A total of 50 cases of central venous catheter fibrin sheath angioplasty (FSA) after catheter removal or exchange are presented. A retrospective review of an outpatient office database identified 70 eligible patients over a 19-month period. After informed consent was obtained, the dialysis catheter exiting the skin was clamped, amputated, and a wire was inserted...
September 2012: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/23748817/home-artificial-nutrition-in-advanced-cancer-patients
#15
Enrico Ruggeri, Federica Agostini, Luana Fettucciari, Marilena Giannantonio, Loris Pironi, Franco Pannuti
AIMS AND BACKGROUND: Malnutrition is over 50% in advanced cancer patients and is related to a decreased survival. Cachexia is the first reason for death in 4-23% of cases. The aim of the study was to estimate the appropriateness of the criteria to select patients for home artificial nutrition and its effectiveness to avoid death from cachexia and to improve quality of life in patients with advanced cancer assisted at home by the National Tumor Association (ANT) Foundation. METHODS AND STUDY DESIGN: The criteria for patient selection are: inadequate caloric intake ± malnutrition; life expectancy ≥6 weeks; suitable psycho-physical conditions; informed consent...
March 2013: Tumori
https://www.readbyqxmd.com/read/23162392/hemodynamic-changes-during-robotic-radical-prostatectomy
#16
Vanlal Darlong, Nishad Poolayullathil Kunhabdulla, Ravindra Pandey, Chandralekha, Jyotsna Punj, Rakesh Garg, Rajeev Kumar
BACKGROUND: Effect on hemodynamic changes and experience of robot-assisted laparoscopic radical prostatectomy (RALRP) in steep Trendelenburg position (45°) with high-pressure CO(2) pneumoperitoneum is very limited. Therefore, we planned this prospective clinical trial to study the effect of steep Tredelenburg position with high-pressure CO(2) pneumoperitoneum on hemodynamic parameters in a patient undergoing RALRP using FloTrac/Vigileo™1.10. METHODS: After ethical approval and informed consent, 15 patients scheduled for RALRP were included in the study...
July 2012: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/23059715/a-comparison-of-coagulation-study-results-between-heparinized-peripherally-inserted-central-catheters-and-venipunctures
#17
COMPARATIVE STUDY
Linda Humphries, Kathleen M Baldwin, Kirstena L Clark, Vivian Tenuta, Kimberly Brumley
PURPOSE/OBJECTIVE: The purpose of this study was to test an evidence-based procedure of drawing blood samples for coagulation testing from heparinized peripherally inserted central catheter (PICC) by comparing results with blood drawn from venipuncture (VP). DESIGN: A prospective, quasi-experimental design using purposive sampling was used. SETTING: The setting was a 230-bed community hospital located in the Southwest. The hospital is part of a 15-hospital system...
November 2012: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/23034121/efficacy-and-safety-of-venous-angioplasty-of-the-extracranial-veins-for-multiple-sclerosis-brave-dreams-study-brain-venous-drainage-exploited-against-multiple-sclerosis-study-protocol-for-a-randomized-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Paolo Zamboni, Antonio Bertolotto, Paolo Boldrini, Patrizia Cenni, Roberto D'Alessandro, Roberto D'Amico, Massimo Del Sette, Roberto Galeotti, Stefania Galimberti, Alessandro Liberati, Luca Massacesi, Donato Papini, Fabrizio Salvi, Silvana Simi, Andrea Stella, Luigi Tesio, Maria Grazia Valsecchi, Graziella Filippini
BACKGROUND: Multiple sclerosis (MS) is a chronic inflammatory demyelinating disease of the central nervous system with a disabling progressive course. Chronic cerebrospinal venous insufficiency (CCSVI) has recently been described as a vascular condition characterized by restricted venous outflow from the brain, mainly due to blockages of the internal jugular and azygos veins. Despite a wide variability among studies, it has been found to be associated with MS. Data from a few small case series suggest possible improvement of the clinical course and quality of life by performing percutaneous balloon angioplasty (PTA) of the stenotic veins...
October 3, 2012: Trials
https://www.readbyqxmd.com/read/22870249/making-co-enrolment-feasible-for-randomised-controlled-trials-in-paediatric-intensive-care
#19
REVIEW
Katie Harron, Twin Lee, Tracy Ball, Quen Mok, Carrol Gamble, Duncan Macrae, Ruth Gilbert
AIMS: Enrolling children into several trials could increase recruitment and lead to quicker delivery of optimal care in paediatric intensive care units (PICU). We evaluated decisions taken by clinicians and parents in PICU on co-enrolment for two large pragmatic trials: the CATCH trial (CATheters in CHildren) comparing impregnated with standard central venous catheters (CVCs) for reducing bloodstream infection in PICU and the CHIP trial comparing tight versus standard control of hyperglycaemia...
2012: PloS One
https://www.readbyqxmd.com/read/22856492/breakdown-of-the-consent-process-at-a-quaternary-medical-center-our-full-disclosure
#20
Lindsay M Fairfax, A Britton Christmas, H James Norton, David G Jacobs
Circumstances may arise in the intensive care unit (ICU) when the physician is unable to obtain informed consent. We undertook this study to determine the variations in the consent process. An anonymous survey was distributed to all critical care nurses (RN), resident physicians (RES), advanced practitioners (AP), and attending physicians (ATT). Participants were asked to describe the risks of nine common ICU procedures (central venous line, peripherally inserted central catheter, bronchoscopy, tube thoracostomy, tracheostomy, vena cava filter, angioembolization, image-guided drainage, and percutaneous endoscopic gastrostomy tube)...
August 2012: American Surgeon
keyword
keyword
43081
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"