Peripherally Inserted Central Venous Catheters

✍ Scribed by Sergio Sandrucci, Baudolino Mussa (eds.)

• Publisher: Springer-Verlag Mailand
• Year: 2014
• Tongue: English
• Leaves: 193
• Edition: 1
• Category: Library

✦ Synopsis

Indications for central venous cannulation in critically ill patients have increased dramatically, but central venous access has the drawbacks of morbidity and a scarcity of experienced operators. Ultrasound-guided peripheral venous access offers a solution, in that it reduces morbidity and can be performed by a dedicated nursing team. The aim of this book is to teach the fundamentals of this emerging technique. Advice is provided on choice of materials; maneuvers for positioning of peripherally inserted central venous catheters (PICCs), techniques for evaluation of PICC tip placement; prevention, diagnosis, and management of complications; and organization of a dedicated team within a hospital or a supportive care program. Legal and economic issues are also considered. The book will be of interest to a wide range of professionals, including nutritionists, oncologists, anesthesiologists, surgeons, registered nurses, nurse practitioners, physicians, physician assistants, and radiologists.

✦ Table of Contents

Front Matter....Pages i-xi
Introduction and Overview of PICC History....Pages 1-6
Which Material and Device? The Choice of PICC....Pages 7-19
Vessel Health and Preservation: The Proactive Approach....Pages 21-30
The Choice of a Vein in Critically Ill Patients: Cost-Effectiveness....Pages 31-42
Advantages, Disadvantages, and Indications of PICCs in Inpatients and Outpatients....Pages 43-51
Ultrasound Anatomy of Peripheral Veins and Ultrasound-Guided Venipuncture....Pages 53-62
Evaluation Techniques of the PICC Tip Placement....Pages 63-83
Frequency, Diagnosis, and Management of Occlusive and Mechanical PICC Complications....Pages 85-94
Clinical Problems Associated with the Use of Peripheral Venous Approaches: Infections....Pages 95-109
Clinical Problems Associated with the Use of Peripheral Venous Approaches in Clinical Practice: Thrombosis....Pages 111-120
Maneuvers, Precautions, and Tricks for PICC Positioning Procedure....Pages 121-126
The “Off-Label” Use of PICCs....Pages 127-144
Venous Access Devices and Emotional Response in Oncologic Patients: Diagnostic and Management Aspects....Pages 145-153
Peripheral Inserted Central Catheters: Medicolegal Aspects....Pages 155-164
The PICC Team....Pages 165-186

✦ Subjects

Intensive / Critical Care Medicine; Oncology; Anesthesiology; Geriatrics/Gerontology; Clinical Nutrition; Nursing Management/Nursing Research