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Albeir Y Mousa, Gurpreet Gill, Ali F Aburahma
A 54-year-old male presented to the vascular service for an urgent inpatient consultation. During an infusaport removal, the catheter was accidentally disconnected and lost intravascularly within the left subclavian vein, with the tip still in the right ventricle. We report on a novel technique for removing such intravascular foreign bodies (FBs), which will add a valuable technical option to our existing armamentarium regarding intracorporeal FB removal.
January 2014: Vascular and Endovascular Surgery
Michael L Rinke, Allen R Chen, David G Bundy, Elizabeth Colantuoni, Lisa Fratino, Kim M Drucis, Stephanie Y Panton, Michelle Kokoszka, Alicia P Budd, Aaron M Milstone, Marlene R Miller
OBJECTIVE: To investigate whether a multidisciplinary, best-practice central line maintenance care bundle reduces central line-associated blood stream infection (CLABSI) rates in hospitalized pediatric oncology patients and to further delineate the epidemiology of CLABSIs in this population. METHODS: We performed a prospective, interrupted time series study of a best-practice bundle addressing all areas of central line care: reduction of entries, aseptic entries, and aseptic procedures when changing components...
October 2012: Pediatrics
Julia S Lehman, Joseph C Benacci
Cutaneous metastasis of a primary internal malignancy is a relatively common phenomenon, occurring in up to 10% of patients with noncutaneous cancer. Cutaneous metastasis can occur via direct extension, hematologic or lymphatic dissemination, or surgical implantation. The most common internal malignancy associated with the development of cutaneous metastases in females is breast cancer. We present a patient with widely metastatic invasive ductal carcinoma of the breast, status postpalliative mastectomy and chest wall coverage with a vertical rectus abdominus myocutaneous flap, who acquired cellulitis and, subsequently, noncontiguous cutaneous metastasis of her breast cancer to the site of her central venous access device (ie, infusaport)...
March 2008: Cutis; Cutaneous Medicine for the Practitioner
M Pendergrass, M E Gordinier, L P Parker, D S Metzinger, C W Helm
Delivery of chemotherapy directly into the peritoneal cavity is becoming part of the standard frontline management of patients with optimally cytoreduced ovarian carcinoma. Traditionally, the peritoneal access devices used for this have had relatively high complication rates including infection, blockage, leakage, and difficulties with port access. In order to reduce the risk of infection, we have been using a Bard 9.6F silastic infusaport that does not have a Dacron cuff to secure it into the tissues of the anterior abdominal wall...
September 2007: International Journal of Gynecological Cancer
V A Minassian, A K Sood, P Lowe, J I Sorosky, A S Al-Jurf, R E Buller
BACKGROUND: To assess the utility and safety of three different longterm indwelling intravenous catheters in patients with gynecologic malignancies. STUDY DESIGN: A retrospective review was performed of the records of all women with gynecologic malignancies who required longterm venous access catheters and ports between 1990 and 1997. RESULTS: Two hundred sixty-eight women underwent placement of 308 indwelling catheters, of which 305 were available for analysis...
October 2000: Journal of the American College of Surgeons
S J Blevins
The radiology nurse's role requires a high level of knowledge, expertise and independence because the department provides services to a wide variety of patients with diverse needs and about whom information may be limited. Radiology nurses routinely start or check peripheral i.v.s, assess infusaports, administer medications, monitor vital signs, suction patients, insert foleys and help patients with their personal needs. The nurse also informs the technologist or radiologist of any unusual patient needs and performs specialized nursing duties, such as administering i...
1994: Radiology Management
B J Lange, M Weiman, E J Feuer, D Jakobowski, J Bilodeau, V A Stallings, R Hirschl, L M Bell, J Harper, A Cnaan
OBJECTIVES: To characterize and enumerate central venous catheter (CVC)-related complications among children with chronic illnesses, and to reduce the complication rate through changes in CVC management and education. DESIGN: A prospective observational study followed by an educational program and a nonrandomized interventional trial. SETTING: The Children's Hospital of Philadelphia, a tertiary, pediatric facility. PATIENTS: 268 children with Broviac, Hickman, or Infusaport catheters in place during 58,290 catheter days...
May 1997: Infection Control and Hospital Epidemiology
V Dasappa, W B Ross, J King, D W King, P R Clingan, D L Morris
Twenty-two patients with colorectal cancer and synchronous unresectable hepatic metastases were treated by resection the primary tumour with concurrent insertion of an Infusaid infusaport system for regional chemoperfusion (hepatic arterial 20, portal venous 2). Four patients in addition had cryotherapy the liver metastases. Morbidity from the synchronous procedures was minimal. Median survival was 10 months. Four patients with poorly-differentiated tumours had a poor response, with a median survival of 3.75 months...
1996: International Journal of Colorectal Disease
P K Frankenfield
Many benefits of humor and play have been documented in the literature. The purpose of this Case Report was to assess the benefits of humor and play with a 5-year-old retinoblastoma patient in an ambulatory care setting. The use of humor in the forms of tickling, joke-telling, play on words, funny movies, silly stickers, and medical play was found to be helpful in decreasing the anxiety of a pediatric oncology patient during insertion of his Infusaport needle. This article reviews the benefits of humor and play and provides a brief discussion of the developmental aspects of humor and play theory...
January 1996: Journal of Pediatric Oncology Nursing: Official Journal of the Association of Pediatric Oncology Nurses
G Delgado, R K Potkul, J A Treat, G S Lewandowski, J F Barter, D Forst, A Rahman
A phase I and II clinical trial of intraperitoneally administered liposome-encapsulated doxorubicin in patients with advanced ovarian cancer is being evaluated. Doxyrubicin liposomes were prepared with cardiolipin, phosphatidyl choline, cholesterol, and sterarylamine and sized by flow cytometry before administration. Fifteen patients have been treated with 42 cycles of intraperitoneal liposome-encapsulated doxrubicin. Liposome-encapsulated doxorubicin in 2 L of normal saline solution was infused over 1 hour through an infusaport into the peritoneal cavity with a dwell time of 4 hours every 21 days...
April 1989: American Journal of Obstetrics and Gynecology
J E Sola, M M Stone, B Wise, P M Colombani
The use of vascular access systems in patients with cystic fibrosis (CF) is well accepted, with lower overall complications and maintenance costs than percutaneous silastic catheters. We report our 6 year experience with 22 infusaports in 15 CF patients. Our patients had indwelling catheters for an average of 539 days per catheter (range, 14-2,224 days). These infusaports were used for home antibiotic therapy, blood sampling, and total parenteral nutrition. The overall complication rate was relatively low, 1 in every 1,483 catheter days...
December 1992: Pediatric Pulmonology
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