Academic literature on the topic 'Catheter care'

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Journal articles on the topic "Catheter care"

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Warren, John W. "Catheters and Catheter Care." Clinics in Geriatric Medicine 2, no. 4 (November 1986): 857–71. http://dx.doi.org/10.1016/s0749-0690(18)30858-9.

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Poletti, Fabrizio, Claudio Coccino, Davide Monolo, Paolo Crespi, Giorgio Ciccioli, Giuseppe Cordio, Giovanni Seveso, and Stefano De Servi. "Efficacy and safety of peripherally inserted central venous catheters in acute cardiac care management." Journal of Vascular Access 19, no. 5 (March 7, 2018): 455–60. http://dx.doi.org/10.1177/1129729818758984.

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Purpose: Patients admitted to cardiac intensive care unit need administration of drugs intravenously often in concomitance of therapeutic techniques such as non-invasive ventilation, continuous renal replacement therapy and intra-aortic balloon counterpulsation. Therefore, the insertion of central venous catheters provides a reliable access for delivering medications, laboratory testing and hemodynamic monitoring, but it is associated with the risk of important complications. In our study, we tested the efficacy and safety of peripherally inserted central catheters to manage cardiac intensive care. Methods: All patients admitted to cardiac intensive care unit with indication for elective central venous access were checked by venous arm ultrasound for peripherally inserted central catheter’s implantation. Peripherally inserted central catheters were inserted by ultrasound-guided puncture. After 7 days from the catheter’s placement and at the removal, vascular ultrasound examination was performed searching signs of upper extremity deep venous thrombosis. In case of sepsis, blood cultures peripherally from the catheter and direct culture of the tip of the catheter were done to establish a catheter-related blood stream infection. Results: In our cardiac intensive care unit, 137 peripherally inserted central catheters were placed: 80.3% of patients eligible for a peripherally inserted central catheter were implanted. The rate of symptomatic catheter-related peripheral venous thrombosis was 1.4%. Catheter-related blood stream infection was diagnosed in one patient (0.7%; 5.7 × 1000 peripherally inserted central catheter days). All peripherally inserted central catheters were inserted successfully without other major complications. Conclusions: In patients admitted to cardiac intensive care unit, peripherally inserted central catheters’ insertion was feasible in a high percentage of patients and was associated with low infective complications and clinical thrombosis rate.
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Hatler, Carol, Linda Buckwald, Zoraida Salas-Allison, and Cathleen Murphy-Taylor. "Evaluating Central Venous Catheter Care in a Pediatric Intensive Care Unit." American Journal of Critical Care 18, no. 6 (November 1, 2009): 514–20. http://dx.doi.org/10.4037/ajcc2009168.

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Background Catheter-related bloodstream infection remains an important health problem for hospitalized children. Although placement of a central venous catheter is a life-saving intervention for critically ill children, these same central catheters are a potential source of infection. Objectives Few studies that directly address care of central venous catheters for children in intensive care units have been reported. This evaluation was designed to describe the extent of evidence-based practices for care of insertion sites of central venous catheters in the pediatric intensive care unit of an urban tertiary care center. Another goal was to determine the influence of 2 different regimens for dressing changes on rates of catheter-related bloodstream infections and costs. Methods A convenience sample and an exploratory design were used to collect data in 2 phases, including 30 days to establish baseline information and 30 days each during which patients received dressing care for a central venous catheter with a transparent dressing alone and with a transparent dressing plus a chlorhexidine-impregnated dressing. Nurses also participated in a survey of knowledge about infection control practices related to central catheters. Results Few differences were found between the transparent dressing alone and a chlorhexidine-impregnated dressing plus the transparent dressing. A serendipitous finding was the number of times that central catheters were accessed daily. Conclusions The results of this project suggest that infection control efforts may be most appropriately focused on processes rather than on products.
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Parameswaran, Ramanathan, Jatan Bahadur Sherchan, Muralidhar Varma D, Chiranjay Mukhopadhyay, and Sudha Vidyasagar. "Intravascular catheter-related infections in an Indian tertiary care hospital." Journal of Infection in Developing Countries 5, no. 06 (November 11, 2010): 452–58. http://dx.doi.org/10.3855/jidc.1261.

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Introduction: This study had two objectives: 1) to determine the clinical and microbiological profiles of patients developing intravascular catheter-related local (localized catheter colonization and exit site) and systemic infections and their predisposing factors; 2) to study the antibiotic sensitivity patterns of the organisms isolated. Methodology: This case-control study was conducted over 19 months involving 232 patients at a tertiary care hospital. Non-tunneled central venous catheters and midline catheters were the two types studied. Catheter tips were processed using Maki's roll plate and endoluminal flush techniques. Blood cultures were drawn under strict aseptic precautions and processed by the BacT ALERT system. A "case" was any patient with proven localized catheter colonization, exit site infection or blood-stream infection and a "control" was any patient from whom the intravascular catheter yielded no organism in semi-quantitative cultures. Results and Conclusions: The incidence of catheter-related blood-stream infections (CRBSI) in our institute was 8.75 per 1,000 catheter days. The commonest organisms causing local infections were coagulase-negative Staphylococci, and those causing CRBSI were Staphylococcus aureus. Multidrug-resistant organisms accounted for 30.2% of the infections. Risk factors for development of catheter-related infections included an immune compromised state, duration of the catheter in situ, femoral venous cannulation, and triple lumen catheters. Choice of venous cannulation to minimize the risk of catheter-related infection in ascending order for risk of infection is the subclavian vein, jugular vein, basilic vein and then the femoral vein. There was no role for empirical antibiotic therapy to prevent intravascular catheter-related local or systemic infections.
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Trautner, Barbara W., Jan E. Patterson, Nancy J. Petersen, Sylvia Hysong, Deborah Horwitz, G. John Chen, Patti Grota, and Aanand D. Naik. "Quality Gaps in Documenting Urinary Catheter Use and Infectious Outcomes." Infection Control & Hospital Epidemiology 34, no. 8 (August 2013): 793–99. http://dx.doi.org/10.1086/671267.

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Objective.To describe the frequency of use of all types of urinary catheters, including but not limited to indwelling catheters, as well as positive cultures associated with the various types. We also determined the accuracy of catheter-days reporting at our institution.Design.Prospective, observational trial based on patient-level review of the electronic medical record. Chart review was compared with standard methods of catheter surveillance and reporting by infection control personnel.Setting.Ten internal medicine and 5 long-term care wards in 2 tertiary care Veterans Affairs hospitals in Texas from July 2010 through June 2011.Participants.The study included 7,866 inpatients.Methods.Measurements included patient bed-days; days of use of indwelling, external, suprapubic, and intermittent urinary catheters; number of urine cultures obtained and culture results; and infection control reports of indwelling catheter-days.Results.We observed 7,866 inpatients with 128,267 bed-days on acute medicine and extended care wards during the study. A urinary catheter was used on 36.9% of the total bed-days observed. Acute medicine wards collected more urine cultures per 1,000 bed-days than did the extended care wards (75.9 and 10.4 cultures per 1,000 bed-days, respectively; P < .0001 ). Catheter-days were divided among indwelling-catheter-days (47.8%), external-catheter-days (48.4%), and other (intermittent- and suprapubic-catheter-days, 3.8%). External catheters contributed to 376 (37.3%) of the 1,009 catheter-associated positive urine cultures. Urinary-catheter-days reported to the infection control department missed 20.1% of the actual days of indwelling catheter use, whereas 12.0% of their reported catheter-days were false.Conclusions.Urinary catheter use was extremely common. External catheters accounted for a large portion of catheter-associated bacteriuria, and standard practices for tracking urinary-catheter-days were unreliable.Trial Registration.ClinicalTrials.gov identifier: NCT01052545.
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Bersten, A. D., D. R. G. Williams, and G. D. Phillips. "Central Venous Catheter Stiffness and its Relation to Vascular Perforation." Anaesthesia and Intensive Care 16, no. 3 (August 1988): 342–51. http://dx.doi.org/10.1177/0310057x8801600317.

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Delayed central venous perforation is an uncommon but serious complication of central venous catheter insertion. An increase in catheter stiffness may have been responsible for our association of venous perforation with use of a guidewire insertion technique. A bench model was used to investigate the stiffness characteristics of thirty-four different types of catheters. The initial stiffness is poorly described by material or catheter gauge. A large range of values is seen between apparently similar catheters — the 16 gauge polyethylene catheter associated with two perforations at our institution had an initial stiffness value 7.5 Nm 2 X 10 -5 at 37°C in comparison with our previous standard—the 16 gauge Deseret Intracath with an initial stiffness of 2 Nm2 X 10 -5. Multilumen catheters had a similar range of stiffness to single lumen catheters, while paediatric catheters in general were less stiff. Dialysis catheters were up to five times as stiff as the stiffest central venous catheter. Stiffness decayed at a rate and to an extent which differed from catheter to catheter. Absorption of water by the catheter appears to be one factor involved in stress relaxation.
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Carson, Maureen, and Linda Culyer. "Catheter care." Primary Health Care 6, no. 6 (June 1988): 17–19. http://dx.doi.org/10.7748/phc.6.6.15.s9.

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Pomfret, Ian. "Catheter care." Primary Health Care 9, no. 5 (June 1999): 29–36. http://dx.doi.org/10.7748/phc1999.06.9.5.29.c648.

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Guido, Amanda, Sheng Zhang, Cheng Yang, and Laura Pook. "An innovative cyanoacrylate device developed to improve the current standard of care for intravascular catheter securement." Journal of Vascular Access 21, no. 3 (September 9, 2019): 293–99. http://dx.doi.org/10.1177/1129729819872881.

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Introduction: Over one billion intravascular devices are used worldwide, annually. Due to the associated complications with these devices, the development of a reliable yet cost-effective securement technique is extremely important. The purpose of this study is to demonstrate the strength of a novel catheter securement cyanoacrylate for securing peripheral venous catheters, central venous catheters, peripherally inserted central catheters, and all other intravascular catheter types. Materials and methods: An unprecedented in vitro method was performed to quantify and compare the strength of a novel cyanoacrylate product when securing intravascular catheters inserted into prepared porcine skin. In vivo, canine subjects were used to implant various types of catheters. These catheters were secured with a novel catheter securement cyanoacrylate to test the strength and durability while undergoing simulated clinical stresses. Results: In vitro, the catheter securement cyanoacrylate demonstrated superior strength over conventional catheter securement methods as well as other known cyanoacrylates. The catheter securement cyanoacrylate demonstrated the ability to maintain superior strength for up to 7 days. In vivo, the catheter securement cyanoacrylate demonstrated the ability to withstand five weight tugs per hour for a 3-h duration, alone, while securing three types of catheters in canine subjects. Conclusion: This is one of the first studies to provide quantitative data to support the use of cyanoacrylate for intravascular catheter securement. The results from this research suggest that the novel catheter securement cyanoacrylate can be a simple and cost-effective catheter securement device that can improve the current health care protocol for intravascular catheterization.
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Aslakson, Rebecca A., Mark Romig, Samuel M. Galvagno, Elizabeth Colantuoni, Sara E. Cosgrove, Trish M. Perl, and Peter J. Pronovost. "Effect of Accounting for Multiple Concurrent Catheters on Central Line–Associated Bloodstream Infection Rates: Practical Data Supporting a Theoretical Concern." Infection Control & Hospital Epidemiology 32, no. 2 (February 2011): 121–24. http://dx.doi.org/10.1086/657941.

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Background.Central line-associated bloodstream infection (CLABSI) rates are gaining importance as they become publicly reported metrics and potential pay-for-performance indicators. However, the current conventional method by which they are calculated may be misleading and unfairly penalize high-acuity care settings, where patients often have multiple consurrent central venous catheters (CVCs).Objective.We compared the conventional method of calculating CLABSI rates, in which the number of catheter-days is used (1 patient with n catheters for 1 day has 1 catheter-day), with a new method that accounts for multiple concurrent catheters (1 patient with n catheters for 1 day has n catheter-days), to determine whether the difference appreciably changes the estimated CLABSI rate.Design.Cross-sectional survey.Setting.Academic, tertiary care hospital.Patients.Adult patients who were consecutively admitted from June 10 through July 9, 2009, to a cardiac-surgical intensive care unit and a surgical intensive and surgical intermediate care unit.Results.Using the conventional method, we counted 485 catheter-days throughout the study period, with a daily mean of 18.6 catheter-days (95% confidence interval, 17.2-20.0 catheter-days) in the 2 intensive care units. In contrast, the new method identified 745 catheter-days, with a daily mean of 27.5 catheter-days (95% confidence interval, 25.6-30.3) in the 2 intensive care units. The difference was statistically significant (P < .001). The new method that accounted for multiple concurrent CVCs resulted in a 53.6% increase in the number of catheter-days; this increased denominator decreases the calculated CLABSI rate by 36%.Conclusions.The undercounting of catheter-days for patients with multiple concurrent CVCs that occurs when the conventional method of calculating CLABSI rates is used inflates the CLABSI rate for care settings that have a high CVC burden and may not adjust for underlying medical illness. Additional research is needed to validate and generalize our findings.
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Dissertations / Theses on the topic "Catheter care"

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Roe, Brenda Hilary. "Catheter care and patient teaching." Thesis, University of Manchester, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.327917.

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Hauch, Rodney R. "A Urinary Catheter Insertion and Care Program for Reducing Catheter-Related Infections." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7658.

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Many inpatients in U.S. hospitals acquire an hospital-acquired infection (HAI), the majority of which can be attributed to an indwelling urinary catheter. The use of urinary catheters is a common practice within the acute care setting although the placement comes with risk. Improper catheter placement or a lack of care and maintenance can increase patient morbidity and mortality, as well as increase financial strain for the hospital. The purpose of this quality improvement (QI) evaluation was to determine if using a safety checklist and a 2-person urinary indwelling catheter-insertion team would reduce the rate of catheter-associated urinary tract infections (CAUTIs). Kotter’s change model informed the project. The evaluation encompassed reviewing the number of CAUTIs in the hospital for the 9-month period starting January 1 and ending October 1, 2018, for pre-QI data (n = 9). Following the implementation of the safety checklist, evaluation occurred for the next 9 months, October 1, 2018, through June 30, 2019 (n = 9), for post-QI data. At the end of the data collection, analysis of CAUTI rates was conducted using a 2-tail paired t-test to evaluate if there was a statistically significant difference in CAUTI rates. After running the paired t-test, it was determined there was a statistically significant difference in pre versus post-CAUTI rates (p = 0.0497). The result of the evaluation demonstrates that through the use of a 2-person safety checklist and leadership support, CAUTIs can significantly decrease in an acute care hospital. This project might support social change by contributing to improved health care outcomes and a reduction in cost of care.
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Romesberg, Tricia L. "Midline Catheter Use in the Newborn Intensive Care Unit." UNF Digital Commons, 2014. http://digitalcommons.unf.edu/etd/544.

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Ongoing evaluation of current practice and incorporation of evidence based research into guidelines and protocols is a requirement for the provision of high quality, cost efficient care. Despite some literature describing observational data, midline catheters (MCs) are not an appropriate vascular access device for Newborn Intensive Care Unit (NICU) patients due to insufficient high level evidence demonstrating safety and efficacy. In addition, national guidelines for MC use in neonatal and infant patients lacks sufficient information for safe and effective use of MCs. The results of this small, online survey indicate that while some neonatal nurses and Nurse Practitioners report the use of MC use in the NICU, there is a wide range of practice pertaining to MC unit-specific protocols, competencies, success with placement, and clinician agreement of appropriate use for this vascular access device (VAD). Multicenter, randomized control trials are needed to evaluate current MC practice in the NICU, and institutions must incorporates current, evidence based practice into policies, procedures, and guidelines.
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Lönn, Gustaf, and Edvin Kalmaru. "Biofilm in urinary catheters : impacts on health care and methods for quantification." Thesis, KTH, Skolan för teknik och hälsa (STH), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-149526.

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Biofilm is an increasing problem in the healthcare and have in urinary catheters long been associated with nosocomial urinary tract infections. The infections caused in 2002 alone 13,000 deaths in the US and annual costs have been estimated to over $400 million. These costs are however most likely underestimated. The analysis of biofilm is important to aid the work on increasing patient safety and reducing the financial implications. A literature study was conducted in order to recommend a method for quantification that was fast, accurate and versatile. Methods used for biofilm quantification are primarily based upon light absorption, light scattering and changes in impedance. A few methods utilizing these properties are spectrophotometry, flow cytometry and coulter counters. Samples of biofilm are usually collected via traditional scraping with a sterile blade or with sonication (ultrasound). Flow cytometry was considered the superior method for quantification along with sonication for sample collection. The survey therefore came to the conclusion that biofilm sample collection should be done with sonication and analysis with flow cytometry.
Biofilm är ett ökande problem inom sjukvården och har i urinkatetrar länge varit associerademed sjukvårdsrelaterade urinvägsinfektioner. Infektionerna orsakade under 200213,000 dödsfall i USA och de ekonomiska kostnaderna har uppskattats till över $400miljoner. Kostnaderna antas dock vara underskattade. Analysen av biofilm är viktig förarbetet med att förbättra patientsäkerhet och minska kostnader relaterade till biofilm.En litteraturstudie användes för att rekommendera en metod som var snabb, noggrannoch mångsidig. Mätmetoder som används för kvantifiering är i huvudsak baserade påljusabsorption, ljusspridning samt förändringar i elektrisk impedans. Några metodersom använder detta är t.ex. spektrofotometri, flödescytometri samt coulter counters.Prover av biofilm samlas ofta in via traditionell skrapning med ett sterilt knivblad ellermed hjälp av ultraljud. Flödescytometri ansågs vara den bästa metoden för kvantifieringtillsammans med ultraljud för provtagning. Utifrån undersökningen drogs slutsatsen attprovtagning bör ske med ultraljud och analys med flödescytometri.
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Wright, Marshanell. "Decreasing Catheter-Associated Urinary Tract Infections in the Acute Care Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6707.

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The most important risk factor for developing a catheter-associated urinary tract infection (CAUTI) is the prolonged use of the urinary catheter. To address the CAUTI rate at the project site, which was higher than the national benchmark, a team of healthcare practice leaders developed an evidence-based algorithm addressing the appropriate indications for inserting or discontinuing a patient's Foley catheter. Using the plan-do-study-act model, the purpose of this quality improvement evaluation project was to evaluate the effectiveness of the evidence-based Foley algorithm for decreasing the use of Foley catheters and reducing the CAUTI rate and to explore whether using the Foley algorithm shift assessment tool would reduce the incidence of Foley catheter utilization. Data were compared on the rate of CAUTI and Foley catheter use over 4 months before and 4 months after implementation of the algorithm. There was a statistically significant decrease in the Foley utilization rate after implementing the Foley algorithm; the overall CAUTI rate did not decrease. The outcome of this quality improvement evaluation project could produce social change by highlighting the need for consistent application of the algorithm. In addition, reducing the rate of Foley catheter usage could decrease the incidence of CAUTIs, reduce hospital costs, and improve overall patient health during hospitalization.
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Schlegel, Tina K. "Role of Midline Catheters in Patient Care." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3632.

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Central line-associated bloodstream infections (CLABSIs) are responsible for 100,000 patient deaths per year, creating a critical need for prevention of these deadly infections that occur with central venous lines (CVLs). Alternative forms of IV access such as midline catheters (MLCs) may offer lower rates of infection than those seen with CVLs. MLCs were implemented at the practice setting in 2016; however, no evaluation of their effectiveness had been conducted. The purpose of this project was to evaluate the effectiveness of MLCs using a retrospective, pre- post- comparison of CLABSI rates and device utilization rates (DUR) obtained from the practice setting before and after implementation of MLCs. Infection control and Lewin's change theories were used to provide a foundation for the project. This retrospective, pre-post comparison of CLABSI and DUR 6 months before and after introduction of MLCs sought to determine if MLC use affected either rate. Results of a Wilcoxon signed-rank test showed no statistical differences (p > .05) in CLABSI rates and DUR when comparing the rates from the specified 6 month periods. A secondary purpose was to identify the characteristics and conditions in which MLCs were used. Patients with cardiovascular, neuro, and infection diagnoses constituted 43% of the 262 MLC placements. No statistically significant improvement in infection rates was demonstrated by this project; however, these findings illuminate the types of patients or conditions where MLCs are a viable alternative for IV access, and this knowledge may assist providers in options for patient care. This project promotes positive social change by raising awareness of potential strategies for reducing infections in patients when they are at their most vulnerable.
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Price, David C. "Evaluation of a Difficult Urinary Catheter Team in an Academic Medical Center." Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10793008.

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The placement of an indwelling urinary catheter (IUC) is a commonly performed clinical procedure which may become challenging for the clinician and painful for the patient. In response to urologic complications attributed to repeated failed IUC insertion attempts by nurses, a difficult urinary catheter (DUC) team program was launched in October 2012. The purpose of the doctoral project was to conduct a quality improvement evaluation of the effectiveness of the DUC team program using retrospective data from May 1, 2013 through May 31, 2017. Benner’s novice to expert model was chosen as the theoretical framework to guide the additional training, critical thinking, problem-solving, and skill acquisition necessary for team member inclusion. The practice-focused question for the project answered whether DUC team nurses, through advanced training and demonstrated procedural competence, have been effective with DUC insertions. Sources of evidence included primary and secondary articles in peer-reviewed journals, as well as clinical evidence collected from internal sources. During the project time-line, 463 DUC team consultations were recorded with an insertion success rate of 89.6%. Based on the DUC team concept, additional didactic content and simulation training may be developed for other cognitive and skill-based clinical procedures. The implications for positive social change include improved patient safety and comfort, as well as cost savings for the organization and overall healthcare system.

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Olatunji, Olatunde. "Education Program for Critical Care Nurses on Preventing Catheter-Associated Urinary Tract Infections." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7888.

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Catheter-associated urinary tract infections (CAUTIs) are the most frequently reported hospital-acquired condition, affecting more than 560,000 patients each year. CAUTIs prolong hospital stays and increase health care costs, and they can result in patient morbidity and mortality. Nurses can be empowered by receiving education and knowledge to manage and identify urinary catheters that are not clinically indicated. The purpose of this project was to develop an education program on CAUTI prevention for critical care nurses using the teach-back method. The conceptual framework that guided this project was Knowles's adult learning theory. The theoretical model was based on 4 fundamental assumptions of self-concept development. A total of 32 critical care unit nurses participated in the evaluation of the teach-back method. Demographic data were collected from these 32 participants, and the results of a frequency analysis were obtained. Deidentified CAUTI data were provided by the organization prior to the educational intervention. The postintervention CAUTI rate and increase in nurses' knowledge level were evaluated 1 month after the educational intervention using a 1-sample t test. The finding was statistically significant (p < .001). The incidence of CAUTI was followed, and the outcomes indicated that the overall incidence of CAUTI in these patients was decreased. The education program was effective in improving critical care unit nurses' knowledge of evidence-based practices to prevent CAUTIs. Improving nurses' knowledge to decrease CAUTI rates is a strategy that may be effective in many healthcare settings. This educational intervention may create social change by improving the health of patients and serving as an educational resource for nurses.
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Oliveira, Francisca Jane Gomes de. "AvaliaÃÃo das prÃticas de prevenÃÃo e controle de infecÃÃo relacionadas ao cateter venoso central: indicadores clÃnicos." Universidade Federal do CearÃ, 2013. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=11681.

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nÃo hÃ
Os serviÃos de saÃde vÃm desenvolvendo aÃÃes e programas visando à qualificaÃÃo de seus processos de trabalho, com intuito de reduzir, prevenir e eliminar deficiÃncias da qualidade e que tambÃm atendam Ãs necessidades e expectativas dos usuÃrios. Diferentes estratÃgias de avaliaÃÃes das prÃticas em saÃde tÃm sido adotadas, permitindo a identificaÃÃo das condiÃÃes em que as prÃticas assistenciais sÃo executadas. As infecÃÃes hospitalares constituem risco significativo à saÃde dos usuÃrios, e dentre estas, a infecÃÃo de corrente sanguÃnea relacionada ao cateter venoso central, dada a mortalidade a ela associada, especialmente quando acomete pacientes graves, internados em Unidade de Terapia Intensiva (UTI). Assim, este estudo objetivou avaliar a conformidade e nÃo conformidade das prÃticas de prevenÃÃo de infecÃÃo de corrente sanguÃnea relacionada ao cateter venoso central de curta permanÃncia (ICS-ACVC), por meio de indicadores clÃnicos em uma Unidade de Terapia Intensiva. Trata-se de um estudo observacional, seccional, com abordagem quantitativa, estruturado a partir do âmanual de avaliaÃÃo das prÃticas de controle e prevenÃÃo de infecÃÃo hospitalarâ, realizado em um hospital da rede privada da cidade de Fortaleza/CearÃ. O universo do estudo foi composto pelas oportunidades de avaliaÃÃo das prÃticas selecionadas, realizadas pelos profissionais de saÃde (mÃdicos e profissionais de enfermagem) em pacientes internados na Unidade de Terapia Intensiva da instituiÃÃo e que passaram pelo procedimento de inserÃÃo do cateter venoso central de curta permanÃncia. A amostra baseou-se na conformidade esperada de 80%, com 2064 avaliaÃÃes distribuÃdas entre as prÃticas selecionadas, realizadas por meio da observaÃÃo direta ou registro em prontuÃrios. De acordo com os resultados encontrados, o indicador CSPI apresenta maior Ãndice de conformidade geral (62,5%), em seguida o indicador CSCM apresenta conformidade geral inferior à ideal, com apenas 45%, entretanto, quando analisado cada item que compÃe este indicador, pode-se observar que essa inferioridade deve-se principalmente à nÃo realizaÃÃo da prÃticas de desinfecÃÃo de hubs e conectores com clorexidine 0,5% (17,5%) e troca de equipos e transdutores conforme recomendaÃÃo (13,5%). O indicador CSQI apresentou conformidade geral baixa (12,5%), devido à nÃo conformidade de algumas prÃticas como: uso de campo estÃril ampliado no momento de instalaÃÃo do cateter (30%) e o uso de antissÃptico de veÃculo alcoÃlico para preparo da pele antes da punÃÃo (37,5%). Jà o indicador HMSEL apresentou Ãndice de conformidade geral nulo. Conclui-se que, embora a avaliaÃÃo das prÃticas de registro de indicaÃÃo, tempo de permanÃncia, inserÃÃo percutÃnea, presenÃa de curativo oclusivo apÃs inserÃÃo do cateter, registro e periodicidade da troca do curativo do cateter tenham atingido conformidade similar ou superior à esperada de 80%, as demais prÃticas precisam de uma nova elaboraÃÃo de estratÃgias que assegurem a adesÃo duradoura das prÃticas de controle e prevenÃÃo de ICS-ACVC, associada à anÃlise contÃnua de condiÃÃes de trabalho e disponibilidade de material.
Health services has developed actions and programmes targeting the qualification of its work processes, in order to reduce, prevent and elimiinar quality deficiencies and which also meet the needs and expectations of users. Different evaluations of strategies in health practices has been adopted, allowing the identification of the conditions under which assists practices are performed. Hospital-acquired infections pose significant risk to the health of users, and among these, bloodstream infection central venous catheter-related, given the associated mortality, especially when it involves serious patients admitted to intensive care unit (ICU). Thus, this study aimed to evaluate compliance and non-compliance of practices for the prevention of infection of the bloodstream of central venous catheter related sojourn (ICS-ACVC), through clinical indicators in a therapy unit Intensive. This is an observational study, sectional, with quantitative approach, structured from the "Handbook of practical assessment of hospital infection control and prevention", held in a private network hospital of Fortaleza/CearÃ. The universe of study was composed of selected practices assessment opportunities, conducted by health professionals (doctors and nursing professionals) in patients hospitalized in the intensive care unit of the institution and who went through the procedure of central venous catheter insertion of sojourn. The sample was based on expected 80% compliance with 2064 evaluations distributed among selected practices, carried out by means of direct observation or record in charts. According to the results, the CSPI, indicator presents greater overall compliance index (62.5%), then the CSCM indicator, presents general compliance less than ideal, with only 45%, however when analysed each item that makes up this indicator it can be observed that this inferiority is mainly the non-realization of the practice of disinfection of hubs and connectors with 0.5% (17.5%) also and exchange of equipment and transducers as recommendation (13.5%). The CSQI indicator, presented general compliance low (12.5%), due to non-compliance of some practices such as: use of sterile field expanded at the time of installation of the catheter (30%) and the use of antiseptic of vehicle alcohol for skin preparation before the LP (37.5%). Already the HMSEL indicator presented general compliance index null. It is concluded that, although the evaluation of registration practices, on-call time, percutaneous insertion, presence of Occlusive dressing after catheter insertion, registry and periodicity curative catheter Exchange have reached compliance similar to or greater than 80% expected, other practices need a new elaboration of strategies that ensure lasting adhesion control practices and prevention of ICS-ACVC, associated with the analysis continues working conditions and availability of material.
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Philyaw, Charlotte Evette. "Preventing Urinary Tract Infections in the Acute Care Setting." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2574.

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More than 13,000 deaths and $340 million in health care costs are the result of catheter-associated urinary tract infections (CAUTIs) annually in the United States. CAUTIs can also result in acute patient discomfort and potentially preventable exposure to antibiotics. The hospital for which this quality improvement project was developed was above the National Healthcare Safety Network CAUTI bench mark. Framed within the Iowa model of evidence-based practice, a multidisciplinary team of 8 hospital stakeholders guided the project (n=8). The purpose of the project was to develop an indwelling urinary catheter maintenance checklist using evidence-based practice guidelines related to preexisting inappropriate risk factors for catheterization and appropriate indications for catheterization, as well as evidence-based maintenance practices for care of the indwelling catheter. Each piece of evidence to be included in the checklist was evaluated by 4 content experts using a 10 item 5 point Likert scale ranging from 'strongly disagree' to 'strongly agree'. Descriptive analysis showed an average of 4.8/5 for all items with 'agree' being voiced in two of the items rather than 'strongly agree'. The checklist was completed and presented to hospital senior leadership who recommended that the checklist be incorporated into the hospital CAUTI prevention plan. All project team members (n=8) completed an 8 item 5 point Likert scale summative evaluation of the purpose, goal, objectives, and my leadership which averaged as 5 or 'strongly agree' supporting the development of the project. Implications for social change include improved patient outcomes, mindful stewardship of healthcare dollars, and increased patient and family satisfaction.
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Books on the topic "Catheter care"

1

Brimelow, Susan J. Catheter care audit: A strategy for change. [Edinburgh]: Scottish Office, 1994.

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Ervin, Gary W. Memory bank for hemodynamic mointoring: The pulmonary artery catheter. 2nd ed. Boston: Jones and Bartlett Publishers, 1993.

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Roe, Brenda. A study of the procedures for catheter care recommended by district health authorities and schools of nursing. Guildford: University of Surrey, Nursing Practice Research Unit, 1986.

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Roe, Brenda. A study of the procedures for catheter care recommended by district health authorities and schools of nursing. Guildford: Nursing Practice Research Unit, University of Surrey, 1986.

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Forum, Leukaemia and Bone Marrow Transplant Nursing. Skin tunnelled catheters: Guidelines for care. 2nd ed. Harrow, Middlesex: Scutari Projects, for The Royal College of Nursing, 1995.

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Leukaemia and Bone Marrow Transplant Nursing Forum. Skin tunnelled catheters: Guidelines for care. London: Royal College of Nursing, 1992.

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Dougherty, Lisa. Central venous access devices: Care and management. Oxford: Blackwell Pub., 2005.

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Inter-Provincial Workshop on Patient Care and Drug Delivery (1987 Hamilton, Ont.). New concepts in drug delivery: Three shared experiences : proceedings of an Inter-Provincial Workshop on Patient Care and Drug Delivery : Hamilton, Ontario, Canada, October 1987. Montreal: Medicöpea, 1988.

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National Institutes of Health (U.S.), ed. Foley catheter care. [Bethesda, Md.?: National Institutes of Health, 1986.

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National Institutes of Health (U.S.), ed. Foley catheter care. [Bethesda, Md.?: National Institutes of Health, 1986.

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Book chapters on the topic "Catheter care"

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Stilwell, Barbara. "Catheter Care." In Skills Update, 14–15. London: Macmillan Education UK, 1993. http://dx.doi.org/10.1007/978-1-349-13317-8_7.

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Ahmed, Hesham M., Christopher T. Aquina, Vicente H. Gracias, J. Javier Provencio, Mariano Alberto Pennisi, Giuseppe Bello, Massimo Antonelli, et al. "Dialysis Catheter." In Encyclopedia of Intensive Care Medicine, 714. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_1478.

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Davenport, Andrew, Todd W. Costantini, Raul Coimbra, Marc M. Sedwitz, A. Brent Eastman, David V. Feliciano, David V. Feliciano, et al. "Ventricular Catheter." In Encyclopedia of Intensive Care Medicine, 2442. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_2411.

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Oto, Brandon, and Christopher L. Atkins. "Hemodialysis Catheter Insertion." In Interventional Critical Care, 125–37. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-64661-5_13.

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Goddard, Shannon. "Catheter-Related Infections." In Encyclopedia of Trauma Care, 297–300. Berlin, Heidelberg: Springer Berlin Heidelberg, 2015. http://dx.doi.org/10.1007/978-3-642-29613-0_236.

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Eckert, Matthew J., and Matthew J. Martin. "Pulmonary Artery Catheter." In Surgical Critical Care Therapy, 659–68. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71712-8_66.

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Kaur, Shubjeet, and Stephen O. Heard. "Catheter-Related Infection." In Surgical Intensive Care Medicine, 435–49. Boston, MA: Springer US, 2001. http://dx.doi.org/10.1007/978-1-4757-6645-5_26.

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Miles, Steve. "Catheterisation and catheter care." In Foundation Skills for Caring, 114–26. London: Macmillan Education UK, 2009. http://dx.doi.org/10.1007/978-1-137-11733-5_13.

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Wuestenberg, Kimm. "Nasal Oxygen Catheter Care." In Clinical Small Animal Care, 123–24. Ames, Iowa, USA: John Wiley & Sons, Inc., 2016. http://dx.doi.org/10.1002/9781119264927.ch13.

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Broyhill, Britney S., and Toan Huynh. "Pulmonary Artery Catheter Insertion." In Interventional Critical Care, 109–14. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-25286-5_13.

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Conference papers on the topic "Catheter care"

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McDonnell, M., C. Laws-Chapman, and M. Lavelle. "78 Safer catheter care: using simulation to reduce avoidable harm in patients with catheters." In Abstracts of the Association for Simulation Practice in Healthcare (ASPiH) Annual Conference. 15th to 17th November 2016, Bristol, UK. The Association for Simulated Practice in Healthcare, 2016. http://dx.doi.org/10.1136/bmjstel-2016-000158.129.

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Issatayeva, Aizhan, Aidana Beisenova, Carlo Molardi, and Daniele Tosi. "Distributed strain sensing medical catheter for epidural anesthesia." In Optics in Health Care and Biomedical Optics VIII, edited by Qingming Luo, Xingde Li, Yuguo Tang, and Ying Gu. SPIE, 2018. http://dx.doi.org/10.1117/12.2502650.

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Rotman, Oren, Dalit Shav, Uri Zaretsky, and Shmuel Einav. "Bio-Mechanical Aspects of Short Peripheral Catheter Thrombophlebitis." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-205445.

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Venflons, or Short Peripheral Catheters (SPC), are the most common intravenous devices being used in medical practice, particularly in hospitals and intensive care units. SPC is usually inserted into veins of the upper extremities to administer fluids, medications, blood products or for prophylactic use before procedures. It has been reported that 40–80% of hospitalized patients were treated with SPCs [1, 2]. Short Peripheral Catheter Thrombophlebitis (SPCT) is the most frequent complication of treatment with, characterized by pain, tenderness, warmth, erythema, swelling and palpable thrombosis of the cannulated vein. SPCT causes patients discomfort and generally leads to catheter removal and insertion of a new catheter at a different site [3]. SPCT is a sterile inflammation [2, 3], and its pathogenesis is not well understood. Several mechanisms have been suggested for SPCT pathogenesis, such as chemical irritation of the endothelium due to infusate or catheter material, or that vein wall injury combined with stasis cause an inflammation response and thrombosis [4, 5].
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Cavanagh, Daniel P., Asena Abay, Jessica M. Brito, Jasmine R. Joyner, Jordyn N. Nally, and Xianren Wu. "A Novel Epidural Catheter Fixation Device." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3490.

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Epidurals are a method of long-term pain relief administered by injecting and continuously delivering an anesthetic via catheter in the spine. This method of pain relief is often used for patients in the Obstetrics/Gynecology unit as well as those in pre- and post-operational care. For almost 2 million singleton vaginal deliveries across 27 states in 2008 (representing 65% of all US singleton vaginal births in 2008), 61% of patients received some form of an epidural or spinal injection [1]. Additionally, this number has been increasing. For the 18 states for which 2006 and 2008 data are available, the average of the state-level increases in epidural/spinal injections is approximately 4.2% revealing an overall increase in these injections. Just between 2000 and 2010, the use of epidural injections increased by 160% [2]. Commonly, epidural catheters are inserted into the patient’s back in the appropriate location and then secured to the body with an adhesive medical dressing. Movement and subsequent dislocation of the catheter beneath the adhesive medical dressing can result in inefficient anesthetic delivery, increased patient discomfort, and repeated administration of the epidural. Secondary migration of epidural catheters is a problem responsible for failure in approximately 6.8% of epidurals administered [3]. Requiring an anesthesiologist to repeat the procedure is also an increased cost. A solution to secondary migration of epidural catheters would ensure effective delivery of the anesthetic to the patient, reduce the need for a repeated procedure, and prevent unwanted additional healthcare expenses.
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Adithya, Prashanth Chetlur, Shraddha Pandey, Ravi Sankar, Stuart Hart, and Wilfrido A. Moreno. "Cluster analysis framework for novel acoustic catheter stethoscope." In 2017 IEEE Healthcare Innovations and Point-of-Care Technologies (HI-POCT). IEEE, 2017. http://dx.doi.org/10.1109/hic.2017.8227575.

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Safdari, Amer, Xiaoyin Ling, Michael B. Tradewell, Timothy M. Kowalewski, and Robert M. Sweet. "Practical, Non-Invasive Measurement of Urinary Catheter Insertion Forces and Motions." In 2019 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/dmd2019-3308.

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Catheter associated urinary tract infections (CAUTI) are among the most common nonpayment hospital acquired conditions. Inexperienced health care providers placing indwelling urinary catheters are associated with an increased risk of CAUTI. The creation of high-fidelity simulators may reduce CAUTI risk during critical early learning. As a first step toward the creation of accurate simulators our group set out to characterize the mechanical aspects of urethral catheterization. This work presents an inexpensive, yet practical means of acquiring motion and force data from urethral catheter insertion procedures using OpenCV ArUco markers. Evaluation of the video system’s accuracy was done to understand the performance characteristics within the boundaries of the procedure’s target workspace. The tracking accuracy was validated to be roughly ± 3 mm in the plane of the camera, and ± 10–25 mm along its axis depending on the distance. Feasibility of using this platform in a clinically relevant setting was demonstrated by capturing the force and motion data when performing urinary catheterization on cadaveric donors (N=2).
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Hume-Smith, H., N. Dobby, N. Clunies Ross, R. Young, C. Masardi, K. Kawamoto, F. Calder, et al. "012 Morphine requirements in paediatric live related renal transplant recipients receiving continuous transversus abdominis plane catheter." In Great Ormond Street Hospital Conference 2018: Continuous Care. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/goshabs.12.

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Awad, M. T. T., T. Said Ahmed, Y. Abdel-Aziz, M. Conley, and R. M. Assaly. "Eliminating Central Venous Catheter Related Infection in the Intensive Care Unit: Quality Improvement Project." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a4793.

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Parker, Robert. "P-145 Managing changes in condition: using a rectal administration catheter to reduce hospital utilisation." In Transforming Palliative Care, Hospice UK 2018 National Conference, 27–28 November 2018, Telford. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-hospiceabs.170.

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Fauziah, Wardah, Nana Rochana, and Achmad Zulfa Juniarto. "The Effect of Catheter Associated Urinary Tract Infection (CAUTI) Bundle of Care: A Systematic Review." In The 1st International Conference of Indonesian National Nurses Association. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008205901230131.

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Reports on the topic "Catheter care"

1

Mavrovounis, Georgios, Maria Mermiri, and Ioannis Pantazopoulos. Peripherally inserted central catheter lines for Intensive Care Unit and onco-hematologic patients: a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2020. http://dx.doi.org/10.37766/inplasy2020.5.0043.

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Wang, Jingyi, Jichang Du, and Muhammad Usman. Incidence and mortality of Neonatal pericardial effusion associated with central venous catheters: A meta-analysis of retrospective cohort studies, case series and case reports. INPLASY - International Platform of Registered Systematic Review Protocols, March 2020. http://dx.doi.org/10.37766/inplasy2020.3.0014.

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