Effects of prolonged flushing interval in totally implantable venous access devices (TIVADs)
| Autor: | Lisa Golin, Serena Ditta, Dino Stefano Di Massimo, Laura Rasero, Guya Piemonte, Alberto Dal Molin |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Catheterization Central Venous medicine.medical_treatment Lumen (anatomy) Cohort Studies 03 medical and health sciences 0302 clinical medicine Catheters Indwelling Neoplasms Occlusion medicine Humans 030212 general & internal medicine Prospective Studies Therapeutic Irrigation General Nursing Aged Practice Patterns Nurses' business.industry Significant difference Middle Aged Surgery Venous access Italy 030220 oncology & carcinogenesis Cohort Flushing Female medicine.symptom Complication business Central venous catheter Vascular Access Devices |
| Zdroj: | British journal of nursing (Mark Allen Publishing). 27(8) |
| ISSN: | 0966-0461 |
| Popis: | Totally implantable venous access device (TIVAD) lumen occlusion is a long-term complication of central venous catheters, associated with risks of infection, therapy interruptions and increased healthcare costs. The role of flushing and locking in maintaining TIVAD patency is paramount. Most flushing protocols are based on manufacturers' recommendations, which indicate that 4 weeks is the safest interval between two consecutive flushing procedures during periods when TIVADs are not in use. Conversely, results of several studies suggest that extended flushing intervals (FIs) do not increase the rate of obstructive or infective complications. The study aimed to describe the effects of prolonged FIs in a cohort of 317 patients with cancer. The authors found no significant difference in terms of TIVAD problems between long (>45 days) and short (≤45 days) FI groups, which raises questions over the validity of current practice. |
| Databáze: | OpenAIRE |
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