Central venous catheters:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Chichester
Wiley
2009
|
| Edition: | 1. publ. |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XII, 253 S. |
| ISBN: | 9780470019948 0470019948 |
Staff View
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| 300 | |a XII, 253 S. | ||
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Record in the Search Index
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| adam_text | Contents
Contributors xi
Preface xiii
1 The history of central venous access 1
J.L. Peters
Introduction 1
The origins of venous access 1
Venous access and the development of parenteral nutrition 5
Venous access and chemotherapy 8
Routes of insertion 9
Percutaneous infraclavicular subclavian vein catheterisation 9
A supraclavicular approach to subclavian vein catheterisation 9
Conclusion 10
2 Applied anatomy of the central veins 14
Jonathan Chantler
Introduction 14
What is a central vein? 14
Routes of access to a central vein 19
Anatomical variations of central veins 19
Where should the catheter tip lie? 23
Microanatomy 26
Adjacent structures 26
Choosing the best approach to the best vein 28
The best approach 31
Conclusion 32
3 Patient examination and assessment: choice of devices 34
Helen Hamilton
Introduction 34
Information and informed consent 35
Choice of anaesthetic techniques 36
Physical examination and assessment 36
Vascular assessment 37
Cardiovascular 39
Infection issues 43
Radiological assessment 45
Laboratory assessments 46
Conclusion 54
I
I
vi Contents ;
4 Catheter design and materials 57
Fiona Ives
Introduction 57
Material differences 57
Thrombosis: the relative risks between materials 58
Infection 58
Catheter design 59
Insertion techniques 61
Needle design 62
Catheter size 63
Common types of catheters 64
Tunnelled cuffed catheters 69
Apheresis and Haemodialysis catheters 71
Totally implanted ports 71
Anchorage devices 71
Conclusion 75
5 Cannulation of the jugular veins 78
Catherine Farrow, Andrew R. Bodenham and Julian Millo
Introduction 78
The internal jugular vein 78
Applied anatomy of the IJV 78
Insertion techniques 82
Basic technique for IJV cannulation 84
Specific considerations 86
Factors influencing success 87
Complications 87
The external jugular vein 89
Conclusions 90
6 Venous access via the femoral vein 92
Andrew Gratrix and Andrew R. Bodenham
Introduction 92
Anatomy of the femoral vein 92
Use of the femoral vein 94
Vascular access devices for the femoral approach 94
Landmark technique 95
Use of ultrasound 95
Technical considerations 96
Temporary use of the femoral vein 96
Long-term use of the femoral vein 98
Catheter tip position 98
Advantages and disadvantages of femoral venous access 99
Removal 100
Conclusion 100
i
Contents vii
7 Central venous access via the subdavian and axillary veins 101
Simon Galloway and Andrew R. Bodenham
Introduction 101
Applied anatomy 101
Insertion techniques 107
Conclusion 112
8 Peripherally inserted central catheters 114
Nancy Moureau and Janice Gabriel
Introduction 114
Objectives 114
Peripherally inserted central catheters 114
Midline catheters 115
Patient assessment 115
Selection of patients 117
Benefits of PICCs 119
Consent and patient information 120
Measurements 120
Insertion procedures 120
Ultrasound 121
Power injection 122
Catheter rupture/damage 122
Conclusion 122
Appendix 123
9 Ultrasound-guided venous access 127
Andrew R. Bodenham
Introduction 127
Rationale for the use of ultrasound 128
Limitations of ultrasound guidance 129
What is the evidence that ultrasound is helpful? 131
Ultrasound probe selection 132
Applied ultrasound anatomy 133
Verification of needle-tip placement 139
Conclusion 140
10 The role of diagnostic and interventional radiology in the placement
and management of central venous catheters 142
Dinuke R. Warakaulle and Jane Phillips-Hughes
Introduction 142
Imaging modalities 142
Imaging venous anatomy 143
Image-guided CVC placement 144
Management of CVC-related complications: the radiologist s role 149
Conclusion 155
viii Contents
11 Problems and practical solutions during insertion of catheters 157 i
Cathy Hartley-Jones
Needlephobia 157
Symptom management 158
Confused patients 160
Respiratory disease 160
Coughing 161
Snoring 161
Cardiovascular disease 162
Venous stenosis 162
Problems with venous access 163
Needles 168
Arterial puncture 170
Problems with tunnelling catheters 171
Port insertion 171
Conclusion 173
12 Complications of central venous access 175
Andrew R. Bodenham and Liz Simcock
Introduction 175
Pneumothorax 175
Air embolism 177
Pleural effusions 179
Arterial puncture/catheterisation 181
Great vein perforation 185
Damage to other neighbouring structures 187
Cardiac arrhythmias 188
Catheter-related sepsis 190
Catheter-related vein thrombosis 192
Mechanical phlebitis 195
Incorrect catheter tip position 196
Embolised, fractured or irretrievable guidewires and catheters 198
Extravasation injury 201
Conclusion 201
13 The pathogenesis and prevention of intravascular
catheter-related infections 206
T.S.J. Elliott
Introduction 206
Types of intravascular catheter-related infections 206
Sources of microorganisms resulting in catheter-related infections 207
Development of catheter-related sepsis 209
Causative microorganisms of catheter-related infections 209
Prevention of intravascular catheter-related infections 210
Conclusion 215
i
Contents ix
14 Aftercare and management of central venous access devices 221
Liz Bishop
Introduction 221
Immediate patient care post-catheter insertion 222
Long-term care of CVADs 223
Conclusion 234
15 Removal of central venous access devices 238
Sarah Drewett
Introduction 238
Assessment of patients before removal 238
Positioning and breathing during CVC removal 241
Basic principles for removal of any CVC 241
Complications of removal 242
Removal procedures 243
Conclusion 246
Index 249
|
| adam_txt |
Contents
Contributors xi
Preface xiii
1 The history of central venous access 1
J.L. Peters
Introduction 1
The origins of venous access 1
Venous access and the development of parenteral nutrition 5
Venous access and chemotherapy 8
Routes of insertion 9
Percutaneous infraclavicular subclavian vein catheterisation 9
A supraclavicular approach to subclavian vein catheterisation 9
Conclusion 10
2 Applied anatomy of the central veins 14
Jonathan Chantler
Introduction 14
What is a central vein? 14
Routes of access to a central vein 19
Anatomical variations of central veins 19
Where should the catheter tip lie? 23
Microanatomy 26
Adjacent structures 26
Choosing the best approach to the best vein 28
The best approach 31
Conclusion 32
3 Patient examination and assessment: choice of devices 34
Helen Hamilton
Introduction 34
Information and informed consent 35
Choice of anaesthetic techniques 36
Physical examination and assessment 36
Vascular assessment 37
Cardiovascular 39
Infection issues 43
Radiological assessment 45
Laboratory assessments 46
Conclusion 54
I
I
vi Contents ;
4 Catheter design and materials 57
Fiona Ives
Introduction 57
Material differences 57
Thrombosis: the relative risks between materials 58
Infection 58
Catheter design 59
Insertion techniques 61
Needle design 62
Catheter size 63
Common types of catheters 64
Tunnelled cuffed catheters 69
Apheresis and Haemodialysis catheters 71
Totally implanted ports 71
Anchorage devices 71
Conclusion 75
5 Cannulation of the jugular veins 78
Catherine Farrow, Andrew R. Bodenham and Julian Millo
Introduction 78
The internal jugular vein 78
Applied anatomy of the IJV 78
Insertion techniques 82
Basic technique for IJV cannulation 84
Specific considerations 86
Factors influencing success 87
Complications 87
The external jugular vein 89
Conclusions 90
6 Venous access via the femoral vein 92
Andrew Gratrix and Andrew R. Bodenham
Introduction 92
Anatomy of the femoral vein 92
Use of the femoral vein 94
Vascular access devices for the femoral approach 94
Landmark technique 95
Use of ultrasound 95
Technical considerations 96
Temporary use of the femoral vein 96
Long-term use of the femoral vein 98
Catheter tip position 98
Advantages and disadvantages of femoral venous access 99
Removal 100
Conclusion 100
i
Contents vii
7 Central venous access via the subdavian and axillary veins 101
Simon Galloway and Andrew R. Bodenham
Introduction 101
Applied anatomy 101
Insertion techniques 107
Conclusion 112
8 Peripherally inserted central catheters 114
Nancy Moureau and Janice Gabriel
Introduction 114
Objectives 114
Peripherally inserted central catheters 114
Midline catheters 115
Patient assessment 115
Selection of patients 117
Benefits of PICCs 119
Consent and patient information 120
Measurements 120
Insertion procedures 120
Ultrasound 121
Power injection 122
Catheter rupture/damage 122
Conclusion 122
Appendix 123
9 Ultrasound-guided venous access 127
Andrew R. Bodenham
Introduction 127
Rationale for the use of ultrasound 128
Limitations of ultrasound guidance 129
What is the evidence that ultrasound is helpful? 131
Ultrasound probe selection 132
Applied ultrasound anatomy 133
Verification of needle-tip placement 139
Conclusion 140
10 The role of diagnostic and interventional radiology in the placement
and management of central venous catheters 142
Dinuke R. Warakaulle and Jane Phillips-Hughes
Introduction 142
Imaging modalities 142
Imaging venous anatomy 143
Image-guided CVC placement 144
Management of CVC-related complications: the radiologist's role 149
Conclusion 155
viii Contents
11 Problems and practical solutions during insertion of catheters 157 i
Cathy Hartley-Jones
Needlephobia 157
Symptom management 158
Confused patients 160 \
Respiratory disease 160
Coughing 161
Snoring 161
Cardiovascular disease 162
Venous stenosis 162
Problems with venous access 163
Needles 168
Arterial puncture 170
Problems with tunnelling catheters 171
Port insertion 171
Conclusion 173
12 Complications of central venous access 175
Andrew R. Bodenham and Liz Simcock
Introduction 175
Pneumothorax 175
Air embolism 177
Pleural effusions 179
Arterial puncture/catheterisation 181
Great vein perforation 185
Damage to other neighbouring structures 187
Cardiac arrhythmias 188
Catheter-related sepsis 190
Catheter-related vein thrombosis 192
Mechanical phlebitis 195
Incorrect catheter tip position 196
Embolised, fractured or irretrievable guidewires and catheters 198
Extravasation injury 201
Conclusion 201
13 The pathogenesis and prevention of intravascular
catheter-related infections 206
T.S.J. Elliott
Introduction 206
Types of intravascular catheter-related infections 206
Sources of microorganisms resulting in catheter-related infections 207
Development of catheter-related sepsis 209
Causative microorganisms of catheter-related infections 209
Prevention of intravascular catheter-related infections 210
Conclusion 215
i
Contents ix
14 Aftercare and management of central venous access devices 221
Liz Bishop
Introduction 221
Immediate patient care post-catheter insertion 222
Long-term care of CVADs 223
Conclusion 234
15 Removal of central venous access devices 238
Sarah Drewett
Introduction 238
Assessment of patients before removal 238
Positioning and breathing during CVC removal 241
Basic principles for removal of any CVC 241
Complications of removal 242
Removal procedures 243
Conclusion 246
Index 249 |
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| spelling | Central venous catheters ed. by Helen Hamilton ... 1. publ. Chichester Wiley 2009 XII, 253 S. txt rdacontent n rdamedia nc rdacarrier Blood-vessels Cutdown Catheterization, Central Venous Intravenous catheterization Nursing Venenkatheter (DE-588)4277497-4 gnd rswk-swf Venenkatheter (DE-588)4277497-4 s DE-604 Hamilton, Helen 1944- Sonstige (DE-588)109999754 oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016586445&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Central venous catheters Blood-vessels Cutdown Catheterization, Central Venous Intravenous catheterization Nursing Venenkatheter (DE-588)4277497-4 gnd |
| subject_GND | (DE-588)4277497-4 |
| title | Central venous catheters |
| title_auth | Central venous catheters |
| title_exact_search | Central venous catheters |
| title_exact_search_txtP | Central venous catheters |
| title_full | Central venous catheters ed. by Helen Hamilton ... |
| title_fullStr | Central venous catheters ed. by Helen Hamilton ... |
| title_full_unstemmed | Central venous catheters ed. by Helen Hamilton ... |
| title_short | Central venous catheters |
| title_sort | central venous catheters |
| topic | Blood-vessels Cutdown Catheterization, Central Venous Intravenous catheterization Nursing Venenkatheter (DE-588)4277497-4 gnd |
| topic_facet | Blood-vessels Cutdown Catheterization, Central Venous Intravenous catheterization Nursing Venenkatheter |
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