Catheters designed to be left within an organ or passage for an extended period of time.
A flexible, tubular device that is used to carry fluids into or from a blood vessel, hollow organ, or body cavity.
Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.
Placement of an intravenous CATHETER in the subclavian, jugular, or other central vein.
Catheters that are inserted into a large central vein such as a SUBCLAVIAN VEIN or FEMORAL VEIN.
Catheters inserted into various locations within the heart for diagnostic or therapeutic purposes.
Insertion of a catheter into a peripheral artery, vein, or airway for diagnostic or therapeutic purposes.
Passage of a CATHETER into the URINARY BLADDER or kidney.
Catheters inserted into the URINARY BLADDER or kidney for therapeutic or diagnostic purposes.
Failure of equipment to perform to standard. The failure may be due to defects or improper use.
Infections resulting from the use of catheters. Proper aseptic technique, site of catheter placement, material composition, and virulence of the organism are all factors that can influence possible infection.
Methods of creating machines and devices.
Migration of a foreign body from its original location to some other location in the body.
Placement of a balloon-tipped catheter into the pulmonary artery through the antecubital, subclavian, and sometimes the femoral vein. It is used to measure pulmonary artery pressure and pulmonary artery wedge pressure which reflects left atrial pressure and left ventricular end-diastolic pressure. The catheter is threaded into the right atrium, the balloon is inflated and the catheter follows the blood flow through the tricuspid valve into the right ventricle and out into the pulmonary artery.
Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.
Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins.
The continuation of the axillary vein which follows the subclavian artery and then joins the internal jugular vein to form the brachiocephalic vein.
Production of an image when x-rays strike a fluorescent screen.
Polymers of silicone that are formed by crosslinking and treatment with amorphous silica to increase strength. They have properties similar to vulcanized natural rubber, in that they stretch under tension, retract rapidly, and fully recover to their original dimensions upon release. They are used in the encapsulation of surgical membranes and implants.
Abnormal cardiac rhythm that is characterized by rapid, uncoordinated firing of electrical impulses in the upper chambers of the heart (HEART ATRIA). In such case, blood cannot be effectively pumped into the lower chambers of the heart (HEART VENTRICLES). It is caused by abnormal impulse generation.
The veins that return the oxygenated blood from the lungs to the left atrium of the heart.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Dialysis fluid being introduced into and removed from the peritoneal cavity as either a continuous or an intermittent procedure.
Devices to be inserted into veins or arteries for the purpose of carrying fluids into or from a peripheral or central vascular location. They may include component parts such as catheters, ports, reservoirs, and valves. They may be left in place temporarily for therapeutic or diagnostic purposes.
INFLAMMATION of the PERITONEUM lining the ABDOMINAL CAVITY as the result of infectious, autoimmune, or chemical processes. Primary peritonitis is due to infection of the PERITONEAL CAVITY via hematogenous or lymphatic spread and without intra-abdominal source. Secondary peritonitis arises from the ABDOMINAL CAVITY itself through RUPTURE or ABSCESS of intra-abdominal organs.
A broad family of synthetic organosiloxane polymers containing a repeating silicon-oxygen backbone with organic side groups attached via carbon-silicon bonds. Depending on their structure, they are classified as liquids, gels, and elastomers. (From Merck Index, 12th ed)
The presence of viable bacteria circulating in the blood. Fever, chills, tachycardia, and tachypnea are common acute manifestations of bacteremia. The majority of cases are seen in already hospitalized patients, most of whom have underlying diseases or procedures which render their bloodstreams susceptible to invasion.
Portable peritoneal dialysis using the continuous (24 hours a day, 7 days a week) presence of peritoneal dialysis solution in the peritoneal cavity except for periods of drainage and instillation of fresh solution.
Rapid, irregular atrial contractions caused by a block of electrical impulse conduction in the right atrium and a reentrant wave front traveling up the inter-atrial septum and down the right atrial free wall or vice versa. Unlike ATRIAL FIBRILLATION which is caused by abnormal impulse generation, typical atrial flutter is caused by abnormal impulse conduction. As in atrial fibrillation, patients with atrial flutter cannot effectively pump blood into the lower chambers of the heart (HEART VENTRICLES).
Recording of regional electrophysiological information by analysis of surface potentials to give a complete picture of the effects of the currents from the heart on the body surface. It has been applied to the diagnosis of old inferior myocardial infarction, localization of the bypass pathway in Wolff-Parkinson-White syndrome, recognition of ventricular hypertrophy, estimation of the size of a myocardial infarct, and the effects of different interventions designed to reduce infarct size. The limiting factor at present is the complexity of the recording and analysis, which requires 100 or more electrodes, sophisticated instrumentation, and dedicated personnel. (Braunwald, Heart Disease, 4th ed)
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
The chambers of the heart, to which the BLOOD returns from the circulation.
Elements of limited time intervals, contributing to particular results or situations.
Minimally invasive procedures guided with the aid of magnetic resonance imaging to visualize tissue structures.
Therapy for the insufficient cleansing of the BLOOD by the kidneys based on dialysis and including hemodialysis, PERITONEAL DIALYSIS, and HEMODIAFILTRATION.
Diagnostic and therapeutic procedures that are invasive or surgical in nature, and require the expertise of a specially trained radiologist. In general, they are more invasive than diagnostic imaging but less invasive than major surgery. They often involve catheterization, fluoroscopy, or computed tomography. Some examples include percutaneous transhepatic cholangiography, percutaneous transthoracic biopsy, balloon angioplasty, and arterial embolization.
Substances used on humans and other animals that destroy harmful microorganisms or inhibit their activity. They are distinguished from DISINFECTANTS, which are used on inanimate objects.
Antibacterial used topically in burn therapy.
A species of STAPHYLOCOCCUS that is a spherical, non-motile, gram-positive, chemoorganotrophic, facultative anaerobe. Mainly found on the skin and mucous membrane of warm-blooded animals, it can be primary pathogen or secondary invader.
The removal of secretions, gas or fluid from hollow or tubular organs or cavities by means of a tube and a device that acts on negative pressure.
Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.
The venous trunk which returns blood from the head, neck, upper extremities and chest.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
A polyvinyl resin used extensively in the manufacture of plastics, including medical devices, tubing, and other packaging. It is also used as a rubber substitute.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
An impulse-conducting system composed of modified cardiac muscle, having the power of spontaneous rhythmicity and conduction more highly developed than the rest of the heart.
Surgical creation of a communication between a cerebral ventricle and the peritoneum by means of a plastic tube to permit drainage of cerebrospinal fluid for relief of hydrocephalus. (From Dorland, 28th ed)
The relief of pain without loss of consciousness through the introduction of an analgesic agent into the epidural space of the vertebral canal. It is differentiated from ANESTHESIA, EPIDURAL which refers to the state of insensitivity to sensation.
Infections by bacteria, general or unspecified.
Abnormally rapid heartbeats caused by reentry of atrial impulse into the dual (fast and slow) pathways of ATRIOVENTRICULAR NODE. The common type involves a blocked atrial impulse in the slow pathway which reenters the fast pathway in a retrograde direction and simultaneously conducts to the atria and the ventricles leading to rapid HEART RATE of 150-250 beats per minute.
A form of ventricular pre-excitation characterized by a short PR interval and a long QRS interval with a delta wave. In this syndrome, atrial impulses are abnormally conducted to the HEART VENTRICLES via an ACCESSORY CONDUCTING PATHWAY that is located between the wall of the right or left atria and the ventricles, also known as a BUNDLE OF KENT. The inherited form can be caused by mutation of PRKAG2 gene encoding a gamma-2 regulatory subunit of AMP-activated protein kinase.
The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Surgical procedures conducted with the aid of computers. This is most frequently used in orthopedic and laparoscopic surgery for implant placement and instrument guidance. Image-guided surgery interactively combines prior CT scans or MRI images with real-time video.
A disinfectant and topical anti-infective agent used also as mouthwash to prevent oral plaque.
Space between the dura mater and the walls of the vertebral canal.
Encrustations, formed from microbes (bacteria, algae, fungi, plankton, or protozoa) embedding in extracellular polymers, that adhere to surfaces such as teeth (DENTAL DEPOSITS); PROSTHESES AND IMPLANTS; and catheters. Biofilms are prevented from forming by treating surfaces with DENTIFRICES; DISINFECTANTS; ANTI-INFECTIVE AGENTS; and antifouling agents.
The vein accompanying the femoral artery in the same sheath; it is a continuation of the popliteal vein and becomes the external iliac vein.
Inanimate objects that become enclosed in the body.
An abnormally rapid ventricular rhythm usually in excess of 150 beats per minute. It is generated within the ventricle below the BUNDLE OF HIS, either as autonomic impulse formation or reentrant impulse conduction. Depending on the etiology, onset of ventricular tachycardia can be paroxysmal (sudden) or nonparoxysmal, its wide QRS complexes can be uniform or polymorphic, and the ventricular beating may be independent of the atrial beating (AV dissociation).
Abnormally rapid heartbeats originating from one or more automatic foci (nonsinus pacemakers) in the HEART ATRIUM but away from the SINOATRIAL NODE. Unlike the reentry mechanism, automatic tachycardia speeds up and slows down gradually. The episode is characterized by a HEART RATE between 135 to less than 200 beats per minute and lasting 30 seconds or longer.
The washing of a body cavity or surface by flowing water or solution for therapy or diagnosis.
Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain.
Inflammatory responses of the epithelium of the URINARY TRACT to microbial invasions. They are often bacterial infections with associated BACTERIURIA and PYURIA.
Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA).
A small nodular mass of specialized muscle fibers located in the interatrial septum near the opening of the coronary sinus. It gives rise to the atrioventricular bundle of the conduction system of the heart.
Surgical creation of an opening (stoma) in the URINARY BLADDER for drainage.
The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065)
Further or repeated use of equipment, instruments, devices, or materials. It includes additional use regardless of the original intent of the producer as to disposability or durability. It does not include the repeated use of fluids or solutions.
Formation and development of a thrombus or blood clot in the blood vessel.
The return of a sign, symptom, or disease after a remission.
Tubes inserted to create communication between a cerebral ventricle and the internal jugular vein. Their emplacement permits draining of cerebrospinal fluid for relief of hydrocephalus or other condition leading to fluid accumulation in the ventricles.
Burns produced by contact with electric current or from a sudden discharge of electricity.
Surgical removal of an obstructing clot or foreign material from a blood vessel at the point of its formation. Removal of a clot arising from a distant site is called EMBOLECTOMY.
The end-stage of CHRONIC RENAL INSUFFICIENCY. It is characterized by the severe irreversible kidney damage (as measured by the level of PROTEINURIA) and the reduction in GLOMERULAR FILTRATION RATE to less than 15 ml per min (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002). These patients generally require HEMODIALYSIS or KIDNEY TRANSPLANTATION.
A group of thermoplastic or thermosetting polymers containing polyisocyanate. They are used as ELASTOMERS, as coatings, as fibers and as foams.
Electric conductors through which electric currents enter or leave a medium, whether it be an electrolytic solution, solid, molten mass, gas, or vacuum.
Freedom of equipment from actual or potential hazards.
Any infection which a patient contracts in a health-care institution.
Surgical shunt allowing direct passage of blood from an artery to a vein. (From Dorland, 28th ed)
Regulation of the rate of contraction of the heart muscles by an artificial pacemaker.
The administration of liquid medication, nutrient, or other fluid through some other route than the alimentary canal, usually over minutes or hours, either by gravity flow or often by infusion pumping.
Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.
The escape of diagnostic or therapeutic material from the vessel into which it is introduced into the surrounding tissue or body cavity.
Transducers that are activated by pressure changes, e.g., blood pressure.
Blocking of a blood vessel by air bubbles that enter the circulatory system, usually after TRAUMA; surgical procedures, or changes in atmospheric pressure.
Sharp instruments used for puncturing or suturing.
Infections with bacteria of the genus STAPHYLOCOCCUS.
The use of freezing as a special surgical technique to destroy or excise tissue.
Substances that reduce the growth or reproduction of BACTERIA.
Inflammation of a vein, often a vein in the leg. Phlebitis associated with a blood clot is called (THROMBOPHLEBITIS).
A hindrance to the passage of fluids through a CATHETER.
Introduction of therapeutic agents into the spinal region using a needle and syringe.
The valve consisting of three cusps situated between the right atrium and right ventricle of the heart.
The continuous measurement of physiological processes, blood pressure, heart rate, renal output, reflexes, respiration, etc., in a patient or experimental animal; includes pharmacologic monitoring, the measurement of administered drugs or their metabolites in the blood, tissues, or urine.
The evaluation of incidents involving the loss of function of a device. These evaluations are used for a variety of purposes such as to determine the failure rates, the causes of failures, costs of failures, and the reliability and maintainability of devices.
The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.
The destroying of all forms of life, especially microorganisms, by heat, chemical, or other means.
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
Agents that prevent clotting.
The administering of nutrients for assimilation and utilization by a patient who cannot maintain adequate nutrition by enteral feeding alone. Nutrients are administered by a route other than the alimentary canal (e.g., intravenously, subcutaneously).
The innermost layer of the heart, comprised of endothelial cells.
Systemic inflammatory response syndrome with a proven or suspected infectious etiology. When sepsis is associated with organ dysfunction distant from the site of infection, it is called severe sepsis. When sepsis is accompanied by HYPOTENSION despite adequate fluid infusion, it is called SEPTIC SHOCK.
Use of a balloon catheter for dilation of an occluded artery. It is used in treatment of arterial occlusive diseases, including renal artery stenosis and arterial occlusions in the leg. For the specific technique of BALLOON DILATION in coronary arteries, ANGIOPLASTY, BALLOON, CORONARY is available.
A highly acidic mucopolysaccharide formed of equal parts of sulfated D-glucosamine and D-glucuronic acid with sulfaminic bridges. The molecular weight ranges from six to twenty thousand. Heparin occurs in and is obtained from liver, lung, mast cells, etc., of vertebrates. Its function is unknown, but it is used to prevent blood clotting in vivo and vitro, in the form of many different salts.
The delivery of nutrients for assimilation and utilization by a patient whose sole source of nutrients is via solutions administered intravenously, subcutaneously, or by some other non-alimentary route. The basic components of TPN solutions are protein hydrolysates or free amino acid mixtures, monosaccharides, and electrolytes. Components are selected for their ability to reverse catabolism, promote anabolism, and build structural proteins.
Procedures using an electrically heated wire or scalpel to treat hemorrhage (e.g., bleeding ulcers) and to ablate tumors, mucosal lesions, and refractory arrhythmias. It is different from ELECTROSURGERY which is used more for cutting tissue than destroying and in which the patient is part of the electric circuit.
Compression of the heart by accumulated fluid (PERICARDIAL EFFUSION) or blood (HEMOPERICARDIUM) in the PERICARDIUM surrounding the heart. The affected cardiac functions and CARDIAC OUTPUT can range from minimal to total hemodynamic collapse.
The presence of fungi circulating in the blood. Opportunistic fungal sepsis is seen most often in immunosuppressed patients with severe neutropenia or in postoperative patients with intravenous catheters and usually follows prolonged antibiotic therapy.
A tube that transports URINE from the URINARY BLADDER to the outside of the body in both the sexes. It also has a reproductive function in the male by providing a passage for SPERM.
A nerve originating in the lumbar spinal cord (usually L2 to L4) and traveling through the lumbar plexus to provide motor innervation to extensors of the thigh and sensory innervation to parts of the thigh, lower leg, and foot, and to the hip and knee joints.
Invasion of the host organism by microorganisms that can cause pathological conditions or diseases.
Programs of disease surveillance, generally within health care facilities, designed to investigate, prevent, and control the spread of infections and their causative microorganisms.
Abnormally rapid heartbeat, usually with a HEART RATE above 100 beats per minute for adults. Tachycardia accompanied by disturbance in the cardiac depolarization (cardiac arrhythmia) is called tachyarrhythmia.
Use of a balloon CATHETER to block the flow of blood through an artery or vein.
Pain during the period after surgery.
Regional infusion of drugs via an arterial catheter. Often a pump is used to impel the drug through the catheter. Used in therapy of cancer, upper gastrointestinal hemorrhage, infection, and peripheral vascular disease.
Skin diseases caused by bacteria, fungi, parasites, or viruses.
The short wide vessel arising from the conus arteriosus of the right ventricle and conveying unaerated blood to the lungs.
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Stones in the URINARY BLADDER; also known as vesical calculi, bladder stones, or cystoliths.
Implanted fluid propulsion systems with self-contained power source for providing long-term controlled-rate delivery of drugs such as chemotherapeutic agents or analgesics. Delivery rate may be externally controlled or osmotically or peristatically controlled with the aid of transcutaneous monitoring.
The blood pressure in the central large VEINS of the body. It is distinguished from peripheral venous pressure which occurs in an extremity.
The main artery of the thigh, a continuation of the external iliac artery.
Radiography of blood vessels after injection of a contrast medium.
Small band of specialized CARDIAC MUSCLE fibers that originates in the ATRIOVENTRICULAR NODE and extends into the membranous part of the interventricular septum. The bundle of His, consisting of the left and the right bundle branches, conducts the electrical impulses to the HEART VENTRICLES in generation of MYOCARDIAL CONTRACTION.
Excessive accumulation of cerebrospinal fluid within the cranium which may be associated with dilation of cerebral ventricles, INTRACRANIAL HYPERTENSION; HEADACHE; lethargy; URINARY INCONTINENCE; and ATAXIA.
A type of cardiac arrhythmia with premature contractions of the HEART VENTRICLES. It is characterized by the premature QRS complex on ECG that is of abnormal shape and great duration (generally >129 msec). It is the most common form of all cardiac arrhythmias. Premature ventricular complexes have no clinical significance except in concurrence with heart diseases.
Fluid propulsion systems driven mechanically, electrically, or osmotically that are used to inject (or infuse) over time agents into a patient or experimental animal; used routinely in hospitals to maintain a patent intravenous line, to administer antineoplastic agents and other drugs in thromboembolism, heart disease, diabetes mellitus (INSULIN INFUSION SYSTEMS is also available), and other disorders.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
The elimination of PAIN, without the loss of CONSCIOUSNESS, during OBSTETRIC LABOR; OBSTETRIC DELIVERY; or the POSTPARTUM PERIOD, usually through the administration of ANALGESICS.
Radiographic visualization or recording of a vein after the injection of contrast medium.
Inability to empty the URINARY BLADDER with voiding (URINATION).
Large veins on either side of the root of the neck formed by the junction of the internal jugular and subclavian veins. They drain blood from the head, neck, and upper extremities, and unite to form the superior vena cava.
Measurement of blood flow based on induction at one point of the circulation of a known change in the intravascular heat content of flowing blood and detection of the resultant change in temperature at a point downstream.
Any device or element which converts an input signal into an output signal of a different form. Examples include the microphone, phonographic pickup, loudspeaker, barometer, photoelectric cell, automobile horn, doorbell, and underwater sound transducer. (McGraw Hill Dictionary of Scientific and Technical Terms, 4th ed)
Incision of tissues for injection of medication or for other diagnostic or therapeutic procedures. Punctures of the skin, for example may be used for diagnostic drainage; of blood vessels for diagnostic imaging procedures.
An iodinated polyvinyl polymer used as topical antiseptic in surgery and for skin and mucous membrane infections, also as aerosol. The iodine may be radiolabeled for research purposes.
Fluid accumulation within the PERICARDIUM. Serous effusions are associated with pericardial diseases. Hemopericardium is associated with trauma. Lipid-containing effusion (chylopericardium) results from leakage of THORACIC DUCT. Severe cases can lead to CARDIAC TAMPONADE.
A short vein that collects about two thirds of the venous blood from the MYOCARDIUM and drains into the RIGHT ATRIUM. Coronary sinus, normally located between the LEFT ATRIUM and LEFT VENTRICLE on the posterior surface of the heart, can serve as an anatomical reference for cardiac procedures.
Material used for wrapping or binding any part of the body.
Microscopy in which the object is examined directly by an electron beam scanning the specimen point-by-point. The image is constructed by detecting the products of specimen interactions that are projected above the plane of the sample, such as backscattered electrons. Although SCANNING TRANSMISSION ELECTRON MICROSCOPY also scans the specimen point by point with the electron beam, the image is constructed by detecting the electrons, or their interaction products that are transmitted through the sample plane, so that is a form of TRANSMISSION ELECTRON MICROSCOPY.
Abnormally rapid heartbeats with sudden onset and cessation.
A TETRACYCLINE analog, having a 7-dimethylamino and lacking the 5 methyl and hydroxyl groups, which is effective against tetracycline-resistant STAPHYLOCOCCUS infections.
Silver. An element with the atomic symbol Ag, atomic number 47, and atomic weight 107.87. It is a soft metal that is used medically in surgical instruments, dental prostheses, and alloys. Long-continued use of silver salts can lead to a form of poisoning known as ARGYRIA.
Pathological process resulting in the fibrous obstruction of the small- and medium-sized PULMONARY VEINS and PULMONARY HYPERTENSION. Veno-occlusion can arise from fibrous proliferation of the VASCULAR INTIMA and VASCULAR MEDIA; THROMBOSIS; or a combination of both.
The destruction of germs causing disease.
The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.
Any disturbances of the normal rhythmic beating of the heart or MYOCARDIAL CONTRACTION. Cardiac arrhythmias can be classified by the abnormalities in HEART RATE, disorders of electrical impulse generation, or impulse conduction.
The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon.
The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat).
The space between the arachnoid membrane and PIA MATER, filled with CEREBROSPINAL FLUID. It contains large blood vessels that supply the BRAIN and SPINAL CORD.
Freedom from exposure to danger and protection from the occurrence or risk of injury or loss. It suggests optimal precautions in the workplace, on the street, in the home, etc., and includes personal safety as well as the safety of property.
The veins and arteries of the HEART.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs.
Abnormally rapid heartbeats caused by reentry circuit in or around the SINOATRIAL NODE. It is characterized by sudden onset and offset episodes of tachycardia with a HEART RATE of 100-150 beats per minute. The P wave is identical to the sinus P wave but with a longer PR interval.
An accumulation of air or gas in the PLEURAL CAVITY, which may occur spontaneously or as a result of trauma or a pathological process. The gas may also be introduced deliberately during PNEUMOTHORAX, ARTIFICIAL.
Hospital units providing continuous surveillance and care to acutely ill patients.
Electromagnetic waves with frequencies between about 3 kilohertz (very low frequency - VLF) and 300,000 megahertz (extremely high frequency - EHF). They are used in television and radio broadcasting, land and satellite communications systems, radionavigation, radiolocation, and DIATHERMY. The highest frequency radio waves are MICROWAVES.
The number of times the HEART VENTRICLES contract per unit of time, usually per minute.
A conical fibro-serous sac surrounding the HEART and the roots of the great vessels (AORTA; VENAE CAVAE; PULMONARY ARTERY). Pericardium consists of two sacs: the outer fibrous pericardium and the inner serous pericardium. The latter consists of an outer parietal layer facing the fibrous pericardium, and an inner visceral layer (epicardium) resting next to the heart, and a pericardial cavity between these two layers.
The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).
Subspecialty of radiology that combines organ system radiography, catheter techniques and sectional imaging.
Radiography of the vascular system of the heart muscle after injection of a contrast medium.
Infection with a fungus of the genus CANDIDA. It is usually a superficial infection of the moist areas of the body and is generally caused by CANDIDA ALBICANS. (Dorland, 27th ed)
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
An infant during the first month after birth.
Dysfunction of the URINARY BLADDER due to disease of the central or peripheral nervous system pathways involved in the control of URINATION. This is often associated with SPINAL CORD DISEASES, but may also be caused by BRAIN DISEASES or PERIPHERAL NERVE DISEASES.
Physicochemical property of fimbriated (FIMBRIAE, BACTERIAL) and non-fimbriated bacteria of attaching to cells, tissue, and nonbiological surfaces. It is a factor in bacterial colonization and pathogenicity.
A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.
Surgical creation of an opening in a cerebral ventricle.
DEEP VEIN THROMBOSIS of an upper extremity vein (e.g., AXILLARY VEIN; SUBCLAVIAN VEIN; and JUGULAR VEINS). It is associated with mechanical factors (Upper Extremity Deep Vein Thrombosis, Primary) secondary to other anatomic factors (Upper Extremity Deep Vein Thrombosis, Secondary). Symptoms may include sudden onset of pain, warmth, redness, blueness, and swelling in the arm.
A widely used local anesthetic agent.
The condition of an anatomical structure's being constricted beyond normal dimensions.
Blocking of a blood vessel by an embolus which can be a blood clot or other undissolved material in the blood stream.
The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation.
Potentially pathogenic bacteria found in nasal membranes, skin, hair follicles, and perineum of warm-blooded animals. They may cause a wide range of infections and intoxications.
Any of the ruminant mammals with curved horns in the genus Ovis, family Bovidae. They possess lachrymal grooves and interdigital glands, which are absent in GOATS.
Non-human animals, selected because of specific characteristics, for use in experimental research, teaching, or testing.
A double-layered fold of peritoneum that attaches the STOMACH to other organs in the ABDOMINAL CAVITY.
An abnormal passage in the URINARY BLADDER or between the bladder and any surrounding organ.
The long-term (minutes to hours) administration of a fluid into the vein through venipuncture, either by letting the fluid flow by gravity or by pumping it.
Surgery performed on the heart.
A flat, flexible strip of material used to cover or fasten together damaged tissue.
A vein which arises from the right ascending lumbar vein or the vena cava, enters the thorax through the aortic orifice in the diaphragm, and terminates in the superior vena cava.
One of the three domains of life (the others being Eukarya and ARCHAEA), also called Eubacteria. They are unicellular prokaryotic microorganisms which generally possess rigid cell walls, multiply by cell division, and exhibit three principal forms: round or coccal, rodlike or bacillary, and spiral or spirochetal. Bacteria can be classified by their response to OXYGEN: aerobic, anaerobic, or facultatively anaerobic; by the mode by which they obtain their energy: chemotrophy (via chemical reaction) or PHOTOTROPHY (via light reaction); for chemotrophs by their source of chemical energy: CHEMOLITHOTROPHY (from inorganic compounds) or chemoorganotrophy (from organic compounds); and by their source for CARBON; NITROGEN; etc.; HETEROTROPHY (from organic sources) or AUTOTROPHY (from CARBON DIOXIDE). They can also be classified by whether or not they stain (based on the structure of their CELL WALLS) with CRYSTAL VIOLET dye: gram-negative or gram-positive.
A membrane of squamous EPITHELIAL CELLS, the mesothelial cells, covered by apical MICROVILLI that allow rapid absorption of fluid and particles in the PERITONEAL CAVITY. The peritoneum is divided into parietal and visceral components. The parietal peritoneum covers the inside of the ABDOMINAL WALL. The visceral peritoneum covers the intraperitoneal organs. The double-layered peritoneum forms the MESENTERY that suspends these organs from the abdominal wall.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
The vessels carrying blood away from the capillary beds.
Surgical procedure involving the creation of an opening (stoma) into the chest cavity for drainage; used in the treatment of PLEURAL EFFUSION; PNEUMOTHORAX; HEMOTHORAX; and EMPYEMA.
Enumeration by direct count of viable, isolated bacterial, archaeal, or fungal CELLS or SPORES capable of growth on solid CULTURE MEDIA. The method is used routinely by environmental microbiologists for quantifying organisms in AIR; FOOD; and WATER; by clinicians for measuring patients' microbial load; and in antimicrobial drug testing.
Dilation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply.
Expendable and nonexpendable equipment, supplies, apparatus, and instruments that are used in diagnostic, surgical, therapeutic, scientific, and experimental procedures.
A genus of yeast-like mitosporic Saccharomycetales fungi characterized by producing yeast cells, mycelia, pseudomycelia, and blastophores. It is commonly part of the normal flora of the skin, mouth, intestinal tract, and vagina, but can cause a variety of infections, including CANDIDIASIS; ONYCHOMYCOSIS; vulvovaginal candidiasis (CANDIDIASIS, VULVOVAGINAL), and thrush (see CANDIDIASIS, ORAL). (From Dorland, 28th ed)
The prevention of access by infecting organisms to the locus of potential infection.
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.
Extra impulse-conducting tissue in the heart that creates abnormal impulse-conducting connections between HEART ATRIA and HEART VENTRICLES.

Urethral response to latex and Silastic catheters. (1/1510)

The reaction of the urethral mucosa to latex and Silastic catheters was compared in two groups of patients undergoing prostatectomy. The bacteriologic response in the two groups differed little; however, Silastic catheters produced less cellular reaction than latex catheters.  (+info)

Septicemia in dialysis patients: incidence, risk factors, and prognosis. (2/1510)

BACKGROUND: Infection is second to cardiovascular disease as a cause of death in patients with end-stage renal disease (ESRD), and septicemia causes a majority of these infectious deaths. To identify patients at high risk and to characterize modifiable risk factors for septicemia, we examined the incidence, risk factors, and prognosis for septicemia in a large, representative group of U.S. dialysis patients. METHODS: We conducted a longitudinal cohort study of incident ESRD patients in the case-mix study of the U.S. Renal Data System with seven years of follow-up from hospitalization and death records. Poisson regression was used to examine independent risk factors for hospital-managed septicemia. Cox proportional hazards analysis was used to assess the independent effect of septicemia on all-cause mortality and on death from septicemia. Separate analyses were performed for patients on peritoneal dialysis (PD) and hemodialysis (HD). RESULTS: Over seven years of follow-up, 11.7% of 4005 HD patients and 9.4% of 913 PD patients had at least one episode of septicemia. Older age and diabetes were independent risk factors for septicemia in all patients. Among HD patients, low serum albumin, temporary vascular access, and dialyzer reuse were also associated with increased risk. Among PD patients, white race and having no health insurance at dialysis initiation were also risk factors. Patients with septicemia had twice the risk of death from any cause and a fivefold to ninefold increased risk of death from septicemia. CONCLUSIONS: Septicemia, which carries a marked increased risk of death, occurs frequently in patients on PD as well as HD. Early referral to a nephrologist, improving nutrition, and avoiding temporary vascular access may decrease the incidence of septicemia. Further study of how race, insurance status, and dialyzer reuse can contribute to the risk of septicemia among ESRD patients is indicated.  (+info)

Acinetobacter bacteremia in Hong Kong: prospective study and review. (3/1510)

The epidemiological characteristics of 18 patients with acinetobacter bacteremia were analyzed. Patients (mean age, 55.5 years) developed bacteremia after an average of 14.1 days of hospitalization. Fifteen of 16 patients survived bacteremia caused by Acinetobacter baumannii. Cultures of blood from the remaining two patients yielded Acinetobacter lwoffii. Most patients (78%) resided in the general ward, while four patients (22%) were under intensive care. Genotyping by arbitrarily primed polymerase chain reaction analysis and the temporal sequence of isolation were more useful than phenotyping by antimicrobial susceptibility in the determination of the source of bacteremia, and the intravascular catheter was the leading infection source (39% of cases). The possibility of an association of glucose with the pathogenesis of acinetobacter infection was raised.  (+info)

Infective endocarditis due to Staphylococcus aureus: 59 prospectively identified cases with follow-up. (4/1510)

Fifty-nine consecutive patients with definite Staphylococcus aureus infective endocarditis (IE) by the Duke criteria were prospectively identified at our hospital over a 3-year period. Twenty-seven (45.8%) of the 59 patients had hospital-acquired S. aureus bacteremia. The presumed source of infection was an intravascular device in 50.8% of patients. Transthoracic echocardiography (TTE) revealed evidence of IE in 20 patients (33.9%), whereas transesophageal echocardiography (TEE) revealed evidence of IE in 48 patients (81.4%). The outcome for patients was strongly associated with echocardiographic findings: 13 (68.4%) of 19 patients with vegetations visualized by TTE had an embolic event or died of their infection vs. five (16.7%) of 30 patients whose vegetations were visualized only by TEE (P < .01). Most patients with S. aureus IE developed their infection as a consequence of a nosocomial or intravascular device-related infection. TEE established the diagnosis of S. aureus IE in many instances when TTE was nondiagnostic. Visualization of vegetations by TTE may provide prognostic information for patients with S. aureus IE.  (+info)

Validation of haemodialysis recirculation and access blood flow measured by thermodilution. (5/1510)

BACKGROUND: Recirculation (R) and access blood flow (Qac) measurements are considered useful indicators of adequate delivery of haemodialysis. It was the purpose of this study to compare measurements of R and Qac obtained by two different techniques which are based on the same principle of indicator dilution, but which differ because of the characteristics of the injection and detection of the different indicators used. METHODS: Recirculation measured by a thermal dilution technique using temperature sensors (BTM, Fresenius Medical Care) was compared with recirculation measured by a validated saline dilution technique using ultrasonic transducers placed on arterial and venous segments of the extracorporeal circulation (HDM, Transonic Systems, Inc.). Calculated access flows were compared by Bland Altman analysis. Data are given as mean +/- SD. RESULTS: A total of 104 measurements obtained in 52 treatments (17 patients, 18 accesses) were compared. Recirculation measured with correct placement of blood lines and corrected for the effect of cardiopulmonary recirculation using the 'double recirculation technique' was -0.02 +/- 0.14% by the BTM technique and not different from the 0% measured by the HDM technique. Recirculation measured with reversed placement of blood lines and corrected for the effect of cardiopulmonary recirculation was 19.66 +/- 10.77% measured by the BTM technique compared with 20.87 +/- 11.64% measured by the HDM technique. The difference between techniques was small (-1.21 +/- 2.44%) albeit significant. Access flow calculated from BTM recirculation was 1328 +/- 627 ml/min compared with 1390 +/- 657 ml/min calculated by the HDM technique. There was no bias between techniques. CONCLUSION: BTM thermodilution yields results which are consistent with the HDM ultrasound dilution technique with regard to both recirculation and access flow measurement.  (+info)

Right atrial bypass grafting for central venous obstruction associated with dialysis access: another treatment option. (6/1510)

PURPOSE: Central venous obstruction is a common problem in patients with chronic renal failure who undergo maintenance hemodialysis. We studied the use of right atrial bypass grafting in nine cases of central venous obstruction associated with upper extremity venous hypertension. To better understand the options for managing this condition, we discuss the roles of surgery and percutaneous transluminal angioplasty with stent placement. METHODS: All patients had previously undergone placement of bilateral temporary subclavian vein dialysis catheters. Severe arm swelling, graft thrombosis, or graft malfunction developed because of central venous stenosis or obstruction in the absence of alternative access sites. A large-diameter (10 to 16 mm) externally reinforced polytetrafluoroethylene (GoreTex) graft was used to bypass the obstructed vein and was anastomosed to the right atrial appendage. This technique was used to bypass six lesions in the subclavian vein, two lesions at the innominate vein/superior vena caval junction, and one lesion in the distal axillary vein. RESULTS: All patients except one had significant resolution of symptoms without operative mortality. Bypass grafts remained patent, allowing the arteriovenous grafts to provide functional access for 1.5 to 52 months (mean, 15.4 months) after surgery. CONCLUSION: Because no mortality directly resulted from the procedure and the morbidity rate was acceptable, this bypass grafting technique was adequate in maintaining the dialysis access needed by these patients. Because of the magnitude of the procedure, we recommend it only for the occasional patient in whom all other access sites are exhausted and in whom percutaneous dilation and/or stenting has failed.  (+info)

A method for collecting right coronary venous blood samples from conscious dogs. (7/1510)

This report describes for the first time a technique to collect right coronary venous blood samples from conscious dogs. Catheters, prepared from Micro-Renathane tubing, were surgically implanted in right ventricular superficial veins of three anesthetized dogs. Also implanted were an arterial catheter, a right coronary flow transducer, and a right coronary artery constrictor. The coronary catheter was introduced at a venous bifurcation so that its side holes were positioned above the bifurcation; both ends of the catheter were exteriorized. Heparinized saline was continuously infused through the venous catheter by a battery-powered pump. The dogs were maintained for 10-13 days after surgery, and all catheters remained patent. Multiple right coronary venous samples were collected from each dog. These samples were analyzed for venous oxygen tension (PvO2) under baseline conditions, with right coronary pressure reduced to 50 mmHg, and during the reactive hyperemia after release of the right coronary artery constriction. PvO2 was 27.7 +/- 1.0 mmHg at baseline, 23.4 +/- 1.0 mmHg during coronary artery constriction, and 34.3 +/- 1.5 mmHg during reactive hyperemia. These data and the position of the catheter at autopsy demonstrated that coronary venous blood had been sampled.  (+info)

Volume flow measurement in hemodialysis shunts using time-domain correlation. (8/1510)

Volume flow was measured in 58 hemodialysis shunts (32 grafts and 26 radial fistulas) using the color velocity imaging-quantification method. This method is based on time-domain correlation for velocity calculation and integration of time-varying velocity profiles generated by M-mode sampling. Measurements were made in the brachial artery to estimate radial fistula flow or directly in the grafts. Intraoperator reproducibility was 14.9% for fistulas and 11.6% for grafts. Flow rate was significantly lower in abnormal shunts associated with a functional disorder or a morphologic complication (808 ml/min +/- 484) than in shunts associated with no abnormalities (1401 ml/min +/- 562). Receiver operating characteristic curves showed that a flow rate of 900 ml/min for fistulas and 1300 ml/min for grafts provided 81% and 79% sensitivity and 79% and 67% specificity, respectively. A functional disorder or a morphologic complication was associated with all fistulas and grafts in which flow rates were lower than 500 ml/min and 800 ml/min, respectively.  (+info)

A totally implantable venous access port (TIVAP) plays a crucial role in the treatment of patients in oncology. Catheter fracture is a serious complication with an estimated incidence of 0, 1% - 1%. The objective of this systematic review is to analyze the mechanism of TIVAP fracture to make physicians aware of this fatal entity. A search of the literature between 1980 and 2019 was conducted using PubMed, Ovid, MEDLINE, and Cochrane Systematic Review databases. The search identified 18 case reports and 8 retrospective studies. Fracture of the middle part of the catheter may be induced by constant compression of the catheter between the first-rib and clavicle, which is called the pinch-off syndrome. Catheter fracture at the port-catheter junction may be caused by extrinsic compression near the port-catheter junction combined with material fatigue due to repeated bending of the catheter with shoulder movement. There is no specific cause for the fracture of a catheter tip. An annual chest X-ray is
Headline: Bitcoin & Blockchain Searches Exceed Trump! Blockchain Stocks Are Next!. Hemodialysis Catheters Industry is expected to witness growth of international market with respect to advancements and innovations including development history, competitive analysis and regional development forecast.. The report starts with a basic Hemodialysis Catheters Industry overview. In this introductory section, the research report incorporates analysis of definitions, classifications, applications and industry chain structure. Besides this, the report also consists of development trends, competitive landscape analysis, and key regions development status.. The Hemodialysis Catheters Industry research report shed light on Foremost Regions like:. North America, Europe, China, Japan, Southeast Asia and India. Classification likes Chronic Hemodialysis Catheter, Acute Hemodialysis Catheters and Peritoneal Dialysis Catheter. Application likes Hemodialysis and Peritoneal dialysis. Browse Detailed TOC, Tables, ...
OEM: Merit Cables Material: CS-362 Common name: Peritoneal Dialysis Catheter ImPlantation Stylette Software Version: Accessories: Manufactured Date: Serial Number: None SKU#: Inv-8000147838Functional Condition: UsedCosmetic Condition: Used - GoodOptional Notes: Surgical Tech Inspected
Catheter-related bacteremia, a frequent complication in patients who are undergoing hemodialysis, may be prevented by eradication of the catheter biofilm. Catheter lock solution (CLS) is an investigational preparation containing taurolidine, a biocompatible antimicrobial agent, and citrate, an anticoagulant agent. CLS was instilled into the catheter lumens after each dialysis session for 20 catheter-dependent hemodialysis patients. Catheter outcomes were compared with those observed in 30 concurrent control patients whose catheters were instilled with heparin. Bacteremia-free survival at 90 days was higher among patients who received CLS than among control patients who received heparin (94% vs. 47%; P < .001). Unassisted catheter patency (without tissue plasminogen activator instillation) was lower among patients who received CLS than among control patients (32% vs. 76%; P < .001). CLS dramatically reduces the frequency of catheter-related bacteremia among patients undergoing hemodialysis, ...
A dialysis catheter is a catheter used for exchanging blood to and from a hemodialysis machine and a patient. The dialysis catheter contains two lumens: venous and arterial. Although both lumens are in the vein, the arterial lumen, like natural arteries, carries blood away from the heart, while the venous lumen returns blood towards the heart. The arterial lumen (typically red) withdraws blood from the patient and carries it to the dialysis machine, while the venous lumen (typically blue) returns blood to the patient (from the dialysis machine). Flow rates of dialysis catheters range between 200 and 500 ml/min. If a patient requires long-term dialysis therapy, a chronic dialysis catheter will be inserted. Chronic catheters contain a dacron cuff that is tunneled beneath the skin approximately 3-8 cm. The tunnel is thought to add a barrier to infection. The most popular dialysis catheter sold on the market today is the split-tip dialysis catheter. This catheter comprises two free floating ...
Intravenous line tip cultures provide valuable information when taken in conjunction with blood culture, but in practice are often performed in isolation. This retrospective study has evaluated: (1) the frequency of isolated line tip culture; and (2) whether the species of microorganism isolated from line tip culture, using the Maki semi-quantitative culture method, is predictive of bacteraemia. Of 2753 line tip culture episodes in 1659 patients between May 1993 and August 1995, 2230 were performed in isolation (81%). Evaluation of 792 positive line tip culture episodes in 654 patients where blood cultures were performed in the period from 48 h before, to 24 h after tip culture, identified 825 line tip isolates. Of these, 194 were associated with a blood culture positive for the same species. The rate of positive blood culture, according to species, ranged from 10-72%. The highest rate was seen for methicillin-susceptible Staphylococcus aureus where 70 of 97 line tip episodes (72%) were associated with
CONCLUSION: Implanting totally implantable venous access ports in the upper arm is feasible and safe for patients with early breast cancer, with a low rate of complications, providing good alternative to central venous ports. PMID: 31841061 [PubMed - as supplied by publisher]...
Adrian Dan, MD, Andrew B Standerwick, MD, Shayda Mirhaidari, MD, John Zografakis, MD. Summa Health Systems, Northeast Ohio Medical University. Introduction - The purpose of this study is to evaluate the short term outcomes of 100 patients undergoing laparoscopic peritoneal dialysis catheter placement using the combination of described techniques for optimal placement.. Methods and Procedures - One hundred laparoscopic PD catheter placements were attempted over 5 years. Technique included placement of an adhesive betadine drape and betadine catheter site irrigation to avoid infection, use of fascia and muscle separating trocars to prevent hernia formation, preperitoneal catheter tunneling, omentopexy to the RUQ with trans-abdominal sutures, suture anchoring of the catheter to the lower midline, and flushing with heparinized saline. Patient demographics and short term complications or failures were recorded.. Results - Ninety-six catheters were successfully placed in 100 patients. Mean age of the ...
BACKGROUND: We investigated the safety and efficacy of several dosing regimens of catheter-directed staphylokinase (SY162) bolus administration for the treatment of long-term venous access catheter occlusion. METHODS: This open-label, ascending dose study enrolled 24 subjects. Three doses of SY162 were evaluated in three cohorts (0.15 mg, 0.3 mg and 0.45 mg) with eight subjects each. Catheter function was evaluated 30 min after the first bolus administration. In case of incomplete catheter function restoration, a second bolus was administered with reassessment of catheter function 30 min thereafter. Cathetergram was repeated to assess thrombus resolution. RESULTS: Complete restoration of catheter withdrawal function was observed in 2 (25%), 1 (13%) and 7 (88%) subjects after the first bolus in the first, second and third cohort respectively and in 4 (50%), 7 (88%) and 7 (88%) patients after the second administration of SY162. There were no bleeding complications nor other adverse events related ...
New article on Efficacy of Reducing Alteplase Dose to Restore Patency in Nonhemodialysis Central Vascular Access Devices from the Journal of Infusion Nursing Efficacy of Reducing Alteplase Dose to Restore Patency in Nonhemodialysis Central Vascular Access Devices #vascularaccess #FOAMva #FOAMed #FOAMcc #FOAMped #FOAMrad
Hemodialysis catheters are being extensively used to meet the growing demand of hemodialysis, apheresis, infusion, and monitoring of central venous pressure along with high-pressure contrast injection patients. It is predominantly used for maintaining effective blood flow rate, which is estimated at 400 ml/min for at least 3 hours. The growing number of patients suffering from end-stage renal disease (ESRD) have increased the demand for hemodialysis to avert liver damage. The various types of hemodialysis catheters available in the global market are tunneled and non-tunneled catheters.. Global Hemodialysis Catheter Market: Key Trends. The growing prevalence of chronic kidney disease (CKD) among the global population is expected to be the primary growth driver for the global hemodialysis catheter market. According to the American Kidney Fund, about 31 million people in the U.S. were suffering from kidney diseases, which is about 10% of the overall adult population in the country. The growing pool ...
Hemodialysis catheters are being extensively used to meet the growing demand of hemodialysis, apheresis, infusion, and monitoring of central venous pressure along with high-pressure contrast injection patients. It is predominantly used for maintaining effective blood flow rate, which is estimated at 400 ml/min for at least 3 hours. The growing number of patients suffering from end-stage renal disease (ESRD) have increased the demand for hemodialysis to avert liver damage. The various types of hemodialysis catheters available in the global market are tunneled and non-tunneled catheters.. Global Hemodialysis Catheter Market: Key Trends. The growing prevalence of chronic kidney disease (CKD) among the global population is expected to be the primary growth driver for the global hemodialysis catheter market. According to the American Kidney Fund, about 31 million people in the U.S. were suffering from kidney diseases, which is about 10% of the overall adult population in the country. The growing pool ...
Hemodialysis catheters are being extensively used to meet the growing demand of hemodialysis, apheresis, infusion, and monitoring of central venous pressure along with high-pressure contrast injection patients. It is predominantly used for maintaining effective blood flow rate, which is estimated at 400 ml/min for at least 3 hours. The growing number of patients suffering from end-stage renal disease (ESRD) have increased the demand for hemodialysis to avert liver damage. The various types of hemodialysis catheters available in the global market are tunneled and non-tunneled catheters.. Global Hemodialysis Catheter Market: Key Trends. The growing prevalence of chronic kidney disease (CKD) among the global population is expected to be the primary growth driver for the global hemodialysis catheter market. According to the American Kidney Fund, about 31 million people in the U.S. were suffering from kidney diseases, which is about 10% of the overall adult population in the country. The growing pool ...
In this secondary analysis of the ELVIS study, we found that inserting a DC by GWE (as opposed to VPI) did not increase the risk of DC colonization but was associated with a higher risk of DC dysfunction. The risk of DC dysfunction was more than twofold higher when the previous DC was malfunctioning and had been replaced by GWE rather than by VPI.. In a pilot study Palmer et al. demonstrated that guidewire contamination during central line placement predisposes to subsequent colonization of the inserted catheter [19]. This is why replacement by GWE of a non-tunnelled catheter that is suspected to be infected is discouraged, but it may be used to replace a malfunctioning catheter when there is no evidence of catheter infection [14].. Three recent observational studies of critically ill adult patients, designed to assess the impact of catheter replacement by GWE on the risk of infections, yielded conflicting results [20-22]. In a prospective multicentre survey of 1598 central venous catheters, ...
TY - JOUR. T1 - Catheter survival and comparison of catheter exchange methods in children on hemodialysis. AU - Onder, Ali Mirza. AU - Chandar, Jayanthi. AU - Saint-Vil, Marie. AU - Lopez-Mitnik, Gabriela. AU - Abitbol, Carolyn L.. AU - Zilleruelo, Gaston. PY - 2007/9/1. Y1 - 2007/9/1. N2 - This retrospective study was done to compare the infection-free and overall survival of first and subsequent tunneled cuffed hemodialysis catheters in children. Subsequent catheters were exchanged by two different methods (a) removal and replacement (R&R), or (b) wire-guided exchange (WGE) using the same tunnel and vessel. The study involved 59 children (27 male, 32 female; mean age 13.9±4.6 years) undergoing maintenance hemodialysis in a pediatric unit over a period of 60 months. From a total of 175 catheters (57 first catheters, 81 WGE, 37 R&R) and 38,888 catheter days, 74/175 (42%) catheters were exchanged because of catheter-related bacteremia (CRB) and 43/175 (25%) for malfunction or cuff extrusion. ...
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Source: OGrady N, Alexander M, Burns L, Dellinger EP, Garland J, Heard SO. Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011.[Internet]. Available in: http://www. cdc. gov/hicpac/pdf/guidelines/bsi-guidelines-2011. pdf. (Revised. 2017 ...
A tunneled catheter remains the most common access in patients initiating haemodialysis.1 This is most likely because the catheters are ready to use immediately after insertion, with no maturation time needed. As with any other dialysis access, hydraulic performance is critical for tunneled catheters. This depends mainly on the exit site, the shape of the catheter curve, and the tip position. In this report, Mohamed A Sheta and John R Ross discuss one important technical issue: the catheter tip.. In 2006, the Kidney Disease Outcomes Quality Initiative recommended that at the time of placement, the tip(s) of the catheter should be in the mid-atrium, with the arterial lumen facing the mediastinum.2 In one study, Mandolfo et al reported better blood flow with the catheter tip in the right atrium.3 In another study by McCarthy, the mean survival of catheters in the right atrium was 245 days, but only 116 days for catheters placed at the junction of the superior vena cava and the right atrium.4 ...
The catheter tip must be in the lower superior vena cava for optimal performance. If placed femorally, the catheter tip should be placed in the inferior vena cava to minimize recirculation. Catheters greater than 24 cm are intended for femoral vein insertion. CAUTION: For jugular and subclavian insertion, the catheter tip should not be located in the right atrium.. WARNING: Verification of the catheter tip location must be confirmed by x-ray.. ...
Address correspondence to: Ursula C. Brewster, MD, Section of Nephrology, Yale University School of Medicine, BB 114, 330 Cedar Street, PO Box 208029, New Haven, CT 06520-8029, USA, Tel.: 203 785 4184, Fax: 203 785 7068, or e-mail ...
International Journal of Nephrology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies focusing on the prevention, diagnosis, and management of kidney diseases and associated disorders. The journal welcomes submissions related to cell biology, developmental biology, genetics, immunology, pathology, pathophysiology of renal disease and progression, clinical nephrology, dialysis, and transplantation.
Vascular access devices, or PICCS and ports, allow repeated and long-term access to the bloodstream for frequent or regular administration of drugs, like intravenous (IV) antibiotics.
Vascular Access Devices Market is estimated to mark approximately US$8.6 bn by 2024, after registering over US$5.4 bn in 2016. By volume, the market is anticipated to be propelled by a 5.4% CAGR throughout the forecast period.
BACKGROUND: Catheter-related infection (CRI) is associated with increased all-cause mortality and morbidity in hemodialysis patients and may be reduced by using antimicrobial lock solutions (ALSs). STUDY DESIGN: We performed a meta-analysis of studie
A dialysis catheter is used for patients whose kidneys have failed. When kidneys fail, the body loses its ability to keep the blood clean. The function of the kidneys can be replaced by dialysis, in which the blood is removed from the body, filtered to remove impurities, then returned to the body. This procedure can maintain healthy blood, but it causes wear and tear on the veins that are frequently pierced to remove and return the blood. A dialysis catheter can be placed directly into the large vein at the base of the neck (jugular vein), allowing the blood to be filtered without weakening the veins. Traditionally, these catheters have been implanted surgically, but our doctors use a minimally invasive procedure to place the catheter, reducing complications and risks. The catheter is a hollow, soft tube that has two openings one to send your blood to the dialysis machine and the other to return the cleansed blood back to your body.. ...
A catheter for hemodialysis comprises a flexible catheter tube defining a plurality of separate lumens. The catheter defines an arc angle of generally U-shape in its natural, unstressed configuration. Thus, the catheter may be implanted with a distal catheter portion residing in a vein of the patient, the distal catheter portion being of substantially the shape of the vein in its natural, unstressed condition. Also, a proximal catheter portion resides in a surgically created tunnel extending from the vein and through the skin of the patient, this section of the Catheter also being typically in its natural, unstressed condition. Thus blood may be removed from the vein through one lumen of the catheter, and blood may be returned to the vein through another lumen of the catheter, while the catheter is subject to long term indwelling in the body. Improved results are achieved because of the lack of mechanical stress in the shape of the catheter, which stress causes the catheter to press unduly against
A number of past conventional meta-analyses have compared different ALS with heparin. However, there is no consensus recommendation regarding which type of ALS is best. The purpose of our study is to carry out a network meta-analysis comparing the efficacy of different ALS for prevention of CRI in patients with HD and ranking these ALS for practical consideration.. METHODS AND ANALYSIS: We will search six electronic databases, earlier relevant meta-analyses and reference lists of included studies for randomised controlled trials (RCTs) that compared ALS for preventing episodes of CRI in patients with HD either head-to-head or against control interventions using non-ALS. Study selection and data collection will be performed by two reviewers independently. The Cochrane Risk of Bias Tool will be used to assess the quality of included studies. The primary outcome of efficacy will be catheter-related bloodstream infection (CRBSI). We will perform a Bayesian network meta-analysis to compare the ...
Although Hickman catheters provide safe and reliable venous access for chemotherapy over many months (1, 2), infectious complications (3, 4) and the need for sophisticated and attentive care to maintain patency of the catheter for the duration of therapy (5) have encouraged the development of alternative devices. Access ports have recently been introduced (6, 7) to avoid these problems of maintenance and sepsis. The ports are implanted subcutaneously and have a small reservoir attached to the external end of the venous access tubing. Entry to the device for drug administration is gained by directing a specially designed needle through the ...
A. A central line is a device that assists in the process of administering chemotherapy and other medications and fluids, and blood sampling. A tube is surgically placed into a blood vessel. This device avoids the need for separate needle insertions for each infusion or blood test. Examples of these devices include Hickman or Broviac catheters, PICC lines and ports. Hickman or Broviac catheters are placed in the upper chest, and there is an external portion that protrudes from the skin. PICC lines are placed in the arm, and also have an external portion. Ports are placed in the chest but are implanted below the skin, so that nothing shows externally. When a Broviac, Hickman or PICC line are accessed, a syringe is attached to the external portion in a painless procedure. When a port is accessed, the needle is inserted through the skin causing a brief moment of discomfort, minimized with the use of a special cream (EMLA) applied to the skin. ...
A shunt for draining cerebral spinal fluid from the brain and an access port for use therein is provided. In an embodiment, the shunt includes a master control unit that is located in the abdomen, which interconnects a ventricular catheter and a second catheter, typically located in the peritoneal cavity. In a specific embodiment, the master control unit includes a variety of smart features including at least one access port to allow the injection of solutions for the prevention or removal of blockages in the catheter, and/or antibiotics. The access port can have other uses, such as allowing a point of access for physical navigation of a catheter or the like within the shunt, thereby providing another option for breaking-up blockages, and/or allowing an access point for repairing the shunts components. Additionally, the master control unit includes a diagnostic unit that transmits, either wirelessly or through a wired connection via the access port, diagnostic information about the status of the
Disclosed are implantable, vascular access ports and vascular access systems including such ports. These ports include a biocompatible housing having at least one internal open-faced chamber extending along a reference axis, and defined by a concave sidewall and a bottom wall. The concave sidewall is concave in the direction of the axis and forms a lateral sidewall for the chamber. The port further includes a septum of biocompatible, self-resealing, penetrable material affixed to the housing and spanning the periphery of the open face of the chamber. A cannula is attached at a first end to the housing and extends laterally from that end. Its second end is adapted to receive a catheter. The cannula further includes internal walls defining a channel extending from the first end, along a channel axis from a point on the lateral boundary of, and in communication with, the chamber to the second end.
Dialysis Catheters Market 2017 Executive Summary Dialysis Catheter provides vascular access to the dialysis equipment for carrying out the procedure. These catheters have two separate tubes or dual-lumen, where the arterial port helps the blood flow out to the dialysis machine and the venous port returns the blood to the body. These devices can be…
A catheter hub to nose engagement for securely engaging the hub of a catheter to the nose of a catheter emplacement unit is described. The attachment mechanism may be as simple as an elastic tube which provides an interference fit between the catheter hub and the nose of the emplacement unit. In an alternate embodiment the nose has a longitudinal slot to provide a split nose tip. The split nose tip is held in a separated position by the passage of a cannula therethrough and an enlarged burr end securely engages the hub and nose together. In another embodiment the nose has a longitudinally tapered nose tip and the tapered nose tip has an enlarged burr end to securely engage the hub and nose together. In a further embodiment the nose has an internal undercut in which an elastic plug is secured which is positioned between the catheter hub and nose. The elastic plus has a through hole having a diameter slightly smaller than the diameter of a catheter needle such that when the needle is inserted into the
About one hour or less is needed in the recovery room after a vascular access procedure. When discharged, you should rest at home for the remainder of the day and may resume your usual activities the following day, but should avoid lifting heavy objects. After having a catheter placed you may experience some bruising, swelling, and tenderness in the chest, neck, or shoulder, but these symptoms resolve over about five days. Pain medication may help during this time. This catheter may remain in place for one to two weeks. Flushing the catheter at a stated interval with a heparin flush solution may help keep blood clots from forming and obstructing the catheter.. ...
A catheter assembly including a first catheter having distal and proximal ends, and a second catheter which is positionable within the first catheter. The second catheter has a smaller diameter and is more flexible than the first catheter. The second catheter is positionable within the first catheter so that its distal end is extendable beyond the distal end of the first catheter. An expandable balloon or inflatable means is affixed to the outer surface of either the first or second catheters near the distal end thereof. When inflated, the inflatable means sealingly engages the interior walls of a body channel into which the catheter assembly has been inserted. The catheter assembly may also include associated fiber optics for viewing and removing obstructions.
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Methods and apparatuses for inserting a catheter into a patient. In one exemplary embodiment, a guide-tube is disposed within the catheter lumen to guide the insertion of the catheter into a patient. The catheter having two ends and at least a catheter lumen and is surrounded by a catheter wall. The guide-tube is hollow, and having a guide-tube lumen which is surrounded by a guide-tube wall. The dimension of the guide-tube is less than that of the catheter lumen.
Intravenous literature: Smith, J.S., Irwin, G., Viney, M., Watkins, L., Morris, S.P., Kirksey, K.M. and Brown, A. (2012) Optimal Disinfection Times for Needleless Intravenous Connectors. The Journal of the Association for Vascular Access. 17(3), p.137-143. Abstract: Background - Elimination of catheter-related bloodstream infections is a major focus in health care. According to the Centers for…
Methods for making a loaded catheter assembly for delivering a self-expanding stent where the self-expanding stent is carried in a compressed state and the compressed stent has an inside diameter smaller than the outside diameter of the catheter distal tip. The methods can utilize catheter sub-assemblies lacking already attached tips or having partially formed distal tips. A stent can be proximally and co-axially slid over the distal end of the catheter shaft and constrained by a retractable sheath disposed co-axially about the compressed stent. The catheter distal tip can be added or more fully formed after the loading of the stent. Some catheters include a preformed distal conical tip held in position by a heat-shrink film. Other catheters have an elastomeric distal tip waist for slipping over and engaging an outward projection on the catheter shaft distal region. Some catheters are adapted to engage catheter shaft distal threaded regions.
TY - JOUR. T1 - Blood-stream infection and atrial thrombus due to a buried and forgotten permanent haemodialysis catheter.. AU - Solak, Yalcin. AU - Koc, Osman. AU - Gaipov, Abduzhappar. AU - Ozbek, Orhan. AU - Biyik, Zeynep. AU - Yeksan, Mehdi. PY - 2012. Y1 - 2012. UR - UR - M3 - Article. C2 - 23148401. AN - SCOPUS:84892551072. VL - 2012. JO - BMJ Case Reports. JF - BMJ Case Reports. SN - 1757-790X. ER - ...
We undertook a prospective study of all new central venous catheters inserted into patients in the intensive care units, in order to identify the risk factors and to determine the effect of glycopeptide antibiotics on catheter - related infections. During the study period 300 patients with central venous catheters were prospectively studied. The catheters used were nontunneled, noncuffed, triple lumen and made of polyurethane material. Catheters were cultured by semiquantitative method and blood cultures done when indicated. Data were obtained on patient age, gender, unit, primary diagnosis on admission, catheter insertion site, duration of catheterization, whether it was the first or a subsequent catheter and glycopeptide antibiotic usage. Ninety-one (30.3%) of the catheters were colonized and infection was found with 50 (16.7%) catheters. Infection was diagnosed with higher rate in catheters inserted via jugular vein in comparison with subclavian vein (95% CI: 1.32-4.81, p = 0.005). The incidence of
Why Are We Stuck on Tape and Suture?. Ann Marie Frey, RN & Gregory Schears, MD. Journal of Infusion Nursing January/February 2006. Biofilm: Secret Refuge of the Microbial World. Steve Bierman, MD. Infection Control Today. September 2005. Renowned Expert Dennis Maki, MD Addresses Catheter-Related Infections - Interview I. Dennis Maki, MD. Infection Control Today. January 2005. Renowned Expert Dennis Maki, MD Addresses Catheter-Related Infections - Interview II. Dennis Maki, MD. Infection Control Today. February 2005. The Benefits of a Catheter Securement Device on Reducing Patient Complications. Gregory Schears, M.D.. Managing Infection Control. February 2005. A personal odyssey toward reducing the potential for sharps injuries. Steve Bierman, MD. Journal of Vascular Access Devices. Spring 2002. A call for easier safety device classification. Marilyn Hanchett RN, PhD (c), CPHQ. Journal of Vascular Access Devices. Spring 2002. The emerging science of IV securement. Marilyn Hanchett RN, PhD (c), ...
EB NEURO offers a wide variety of disposable and multi-use duodenal catheters for conventional and high-resolution manometry. Disposable catheters are available in different configurations that reach up to 24 pressure channels and offer many benefits: no need for disinfection (time-saving), no risk of infection and no risk of deletion of day of exams due to catheter malfunction. Multi-use catheters are available with configurations that reach up to 36 pressure channels and up to 12 impedance channels. They are available in silicon and in PVC. You can customize your catheter on request.. ...
A sliding gas-tight seal on an access port promotes insufflation of an anatomical space formed in tissue at a surgical site only during insertion of an endoscopic instrument through the access port into the anatomical space, and promotes deflation of the inflated space upon removal of the endoscopic instrument from within the access port. An inflatable balloon disposed about the port near the distal end may be selectively expanded to seal and anchor the access port within an incision through which a surgical procedure with insufflation is to be performed. Multiple resilient seals may be attached to the body of the port, and an auxiliary resilient seal may be inserted within the aperture of a seal attached to the body to accommodate a wide range of endoscopic instruments of various exterior dimensions inserted through the seals.
A hemodialysis catheter comprising a dual lumen tube with a bullet nose bolus at its distal end. A venous port is formed in one side of the bolus adjacent the bullet nose of the bolus. An arterial port is formed in the bolus circumferentially displaced 180 around the catheter from the venous port. The bolus contains a venous passage which transitions from a smaller diameter D-shaped cross-section to a larger diameter circular cross-section. The bullet nose is thinner than the tube but is inclined on an angle to the axis of the tube so that a portion of its outer periphery is substantially tangent to a hypothetical cylinder containing the trailing edge of the venous port.
Patients who undergo hemodialysis via a tunneled catheter often develop bloodstream infections that arise from the catheter. There are several management options for treatment of such an infection, though the best option is not clearly delineated. Standard of care options include exchanging the catheter for a new one over a guide-wire and instilling a high concentration of an antibiotic directly into the catheter lumen. The investigators are planning to treat hemodialysis catheter bloodstream infections by one of two strategies: 1. Use of a novel antibiotic lock solution Or 2. Changing out the infected catheter for a new one. Both these options have comparable cure rates as shown in the medical literature. After obtaining informed consent, patients will be randomized to either treatment arm and will continue to receive all other standard medical care.. Specific Aim: To conduct a randomized clinical trial to demonstrate that the use of a novel antibiotic lock solution (consisting of ...
Retrograde placement allows the placer to position the catheter tip in the desired anatomical location before creation of the tunnel tract. This differs from antegrade placement where the catheter tip is placed in the desired location after creation of the tunnel tract. As a result, retrograde placement may allow for more accurate tip placement.. ...
Catheters are indispensable tools of modern medicine, but catheter-associated infection is a significant clinical problem, even when stringent sterile protocols are observed. When the bacteria colonize catheter surfaces, they tend to form biofilms making them hard to treat with conventional antibiotics. Hence, there is a great need for inherently antifouling and antibacterial catheters that prevent bacterial colonization. This paper reports the preparation of nonleachable antibiofilm and antibacterial cationic film coatings directly polymerized from actual tubular silicone catheter surfaces via the technique of supplemental activator and reducing agent surface-initiated atom-transfer radical polymerization (SARA SI-ATRP). Three cross-linked cationic coatings containing (3-acrylamidopropyl) trimethylammonium chloride (AMPTMA) or quaternized polyethylenimine methacrylate (Q-PEI-MA) together with a cross-linker (polyethylene glycol dimethacrylate, PEGDMA) were tested. The in vivo antibacterial and ...
Intermittent catheters are used for emptying the urinary bladder in patients who lose control over their bladder. These catheters are used for short term. Urine incontinence can be caused due to neurogenic bladder disorders such as spinal cord injury, spina bifida or multiple sclerosis, and non-neurogenic bladder disorders. The catheter is inserted into the urethra and guided to the bladder causing the urine to flow through the catheter tube and drain into the collection bag. Once the bladder is emptied, the catheter can be removed. Self- catheterization is also possible with these catheters; even children of seven or eight years can be trained to handle catheterization on their own. A parent or caregiver can help in case a patient is physically ill.. The analysts forecast the Global Intermittent Catheters Market to grow at a CAGR of 6.33 percent over the period 2015-2019.. The report covers the present scenario and the growth prospects of the Global Intermittent Catheters market for the period ...
TY - JOUR. T1 - Advances in the Diagnosis and Management of Central Venous Access Device Infections in Children. AU - Bowan, Asha. AU - Carapetis, Jonathan. PY - 2011. Y1 - 2011. N2 - Infection is a well-known complication of central venous access device (CVAD) use, with an incidence of 3-6 bloodstream infections per 1,000 catheter days in children. Prevention of CVAD infections has improved with new strategies including the use of chlorhexidine antisepsis, bundles, maximal sterile barriers for insertion, prophylactic locks, antibiotic impregnated catheters and tunnelling of long-term devices. Despite these strategies, catheter-related bloodstream infections (CRBSIs) continue to be an important health problem. New approaches to diagnosis include differential time to positivity and quantification of blood cultures and molecular diagnostics. The management of CRBSIs includes techniques for line salvage including ethanol, antibiotic, hydrochloric acid, taurolidine and urokinase locks. When these ...
BACKGROUND AND PURPOSE: Maintaining long-term peritoneal catheter function for peritoneal dialysis is commonly threatened by problems with catheter obstruction. Multiple methods have been used to salvage nonfunctioning catheters, including omentopexy, catheter repositioning, and omentectomy. We report on our experience with a laparoscopic method of omentectomy and catheter fixation for salvage of nonfunctioning peritoneal dialysis catheters.. PATIENTS AND METHODS: Thirteen patients with nonfunctioning peritoneal dialysis catheters underwent 16 laparoscopic procedures with the intent to restore function. Clinically, all patients presented with outflow obstruction. At initial presentation, all patients underwent diagnostic laparoscopy and a definitive procedure. In 12 patients, catheters were enveloped by omentum, and we performed laparoscopic omentectomy and catheter fixation to the anterior pelvic wall. In one patient, we identified a broken catheter and performed a laparoscopic omentectomy at ...
Bacterial colonisation of central venous access devices (CVADs) is a major cause of morbidity and potential cause of mortality in children receiving cancer chemotherapy. Catheter related bacterial infections can occur in the form of exit site infection (erythema, tenderness or swelling with positive skin swab), tunnel infection (erythematous tracking along the catheter path), colonisation of the line (positive blood culture from CVAD or fever/rigor with line flush, peripheral venous cultures sterile) or true catheter related bacteraemia (bacterial isolation from central and peripheral blood cultures)(Bishop). Device removal is frequently advised to manage the infection. However, it can result in significant morbidity, which includes the need for general anaesthesia during removal and reinsertion of a new line, and delay in chemotherapy. Particular problems arise with recurrent infections following CVAD colonisation. These concerns prompted early researchers to try alternative measures using ...
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TY - JOUR. T1 - PICC-PORT totally implantable vascular access device in breast cancer patients undergoing chemotherapy. AU - Bertoglio, Sergio. AU - Cafiero, Ferdinando. AU - Meszaros, Paolo. AU - Varaldo, Emanuela. AU - Blondeaux, Eva. AU - Molinelli, Chiara. AU - Minuto, Michele. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Background and objectives: The increasing use of arm totally implantable vascular access devices for breast cancer patients who require chemotherapy has led to a greater risk of complications and failures and, in particular, to upper extremity deep vein thrombosis. This study aims to investigate the outcomes of the arm peripherally inserted central catheter-PORT technique in breast cancer patients. Methods: The peripherally inserted central catheter-PORT technique is an evolution of the standard arm-totally implantable vascular access device implant based on guided ultrasound venous access in the proximal third of the upper limb with subsequent placement of the reservoir at the ...
Procedures and treatments from Great Ormond Street Hospital on Central venous access devices for children with lysosomal storage disorders
臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。. To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of NTU Repository with Academic Hub to form NTU Scholars.. ...
Rodent Vascular Access Ports with Detachable Catheters The vascular access port has evolved from being an intravascular access port into a multi-purpose access port for use in intestinal, biliary, intraspinal, cranial, ventricular, and other applications. It is available in a variety... more ...
The Centers for Disease Control (CDC) have just recently upgraded their 2017 Recommendations on the Use of Chlorhexidine-Impregnated Dressings for Prevention of Intravascular Catheter-Related Infections 1.1 Recommendations 1. For patients aged 18 years and older: a. Chlorhexidine-impregnated dressings with an FDA-cleared label that specifies a clinical indication for reducing catheter-related bloodstream infection (CRBSI) or catheter-associated…
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AbstractThe aim of this study was to assess the incidence rate and the risk factors for late complications associated with use of central totally implanted venous access devices (TIVAPs) in patients with cancer, and to devise nursing strategies to minimize late complications.This retrospective study
Central vein stenosis/occlusion is a common well-described sequel to the placement of hemodialysis catheters in the central venous system. The precise mechanisms by which central vein stenosis occurs are not well known. Current concepts in central vein stenosis pathophysiology focus on the response to vessel injury model, emphasizing the process of trauma. A case of left brachiocephalic vein stenosis due to the insertion and function of a temporary right subclavian hemodialysis catheter is presented. The purpose of the manuscript is to emphasize that, with the introduction of a temporary subclavian hemodialysis catheter via the right subclavian vein apart from causing concurrent stenosis/infarction of the right subclavian and right brachiocephalic vein, it is also possible to cause stenosis of the left brachiocephalic vein (close to its contribution to the superior vena cava) although the catheter tip is placed in the correct anatomical position in the superior vena cava ...
Effects of tai chi on catheter management and quality of life in tumor patients with PICC at the intermission of chemotherapy: a non-inferiority randomized controlled trial
Catheter-related bloodstream infections (CRBSIs) are a major cause of morbidity and mortality in infants admitted to the NICU. In adults, chlorhexidine used as a skin antiseptic has been shown to reduce the incidence of CRBSIs, and recent evidence indicates the inner surface of long-term central catheters as the likely route of infection. This study will evaluate 3.15% chlorhexidine as the daily catheter hub antiseptic to reduce catheter tip microbial colonization, an indication of high risk for acquiring CRBSI. The purpose of this study is to compare the antiseptic capability of 3.15% chlorhexidine versus isopropyl alcohol in reducing central catheter-related infections in neonates. This study also aims to compare the time to catheter hub microbial colonization in the two groups and to determine the route of catheter tip colonization by comparing cultures taken from the catheter tip, hub, and skin insertion site.. This study will last 1 year. There are no study visits. The placement and removal ...
Vascular access ports, infusion pumps, and catheters are implants and devices commonly used to provide long-term vascular administration of chemotherapeutic agents, antibiotics, analgesics and other medications (also, see information pertaining to other similar devices including Ambulatory Infusion Pumps, Insulin Pumps, the IsoMed Implantable Constant-Flow Infusion Pump, Prometra Programmable Pumps, the SynchroMed, SynchroMED EL, and SynchroMed II Drug Infusion Systems).. Vascular access ports are usually implanted in a subcutaneous pocket over the upper chest wall with the catheters inserted in the jugular, subclavian, or cephalic vein. Vascular access ports have a variety of similar features (e.g., a reservoir, central septum, and catheter) and may be constructed from different materials including stainless steel, titanium, silicone, and plastic. Because of the widespread use of vascular access ports and associated catheters and the high probability that patients with these devices may require ...
TY - JOUR. T1 - Fibrin sheath enhances central venous catheter infection. AU - Mehall, John R.. AU - Saltzman, Daniel A.. AU - Jackson, Richard J.. AU - Smith, Samuel D.. PY - 2002/1/1. Y1 - 2002/1/1. N2 - Objective: To determine whether fibrin-coated central venous catheters have a higher infection rate, and spawn more septic emboli, than uncoated catheters after exposure to bacteremia. Design: Animal study comparing catheter infection and blood cultures of fibrin-coated and uncoated catheters exposed to bacteremia. Setting: Animal laboratory. Subjects: Adult male Sprague-Dawley rats. Interventions: A total of 210 rats had catheters placed with the proximal end buried subcutaneously. Rats were divided into three groups: tail vein bacterial injection on day 0 (no fibrin group) or on day 10 (fibrin group), or no injection/saline injection (control, n = 40). Bacterial injections were 1 x 108 colony forming units of either Staphylococcus epidermidis (n = 100) or Enterobacter cloacae (n = 60). ...
PURPOSE Antimicrobial lock therapy (ALT) seems a promising approach for treatment of central line associated bloodstream infections (CLABSI). The recent introduction of molecules such as daptomycin and tigecycline, alone or in combination with other molecules, improved chances of efficacy of ALT, due to their activity on the bacterial biofilm. Our aim was to review the literature concerning ALT for CLABSI, including data concerning novel molecules. METHODS We included case-control studies evaluating two or more molecules as ALT in central venous catheter infections extracted from the Medline database. Among 221 available articles in Pubmed, 54 were selected for their particular interest concerning ALT. RESULTS Incidence of CLABSI is high worldwide. Mechanisms of catheter infection include contamination by skin bacteria, hand contamination and hematogenous diffusion. Catheter-infection is associated with biofilm formation, which reduces the efficacy of ALT. The most promising situation for ALT to
Predisposing factors described are: immunesupression, peritonitis resistant to several cycles of antibiotic, surgery, accidental trauma, or injections.. Auramin or Ziehl-Neelsen staining techniques reveal the acid-alcohol resistance of mycobacteria. A culture should be made in 2 specific media: a solid egg-based medium (Lowenstein-Jensen) and a liquid medium allowing for automated reading (MGIT, MB/BacT, ESP). Colony growth usually occurs within 7 days and is identified by means of faster and more accurate phenotyping (biochemical tests) and genotyping systems, based on the detection of species-specific DNA sequences.. RGAMs are relatively resistant to standard disinfectants and are able to generate biofilms to survive. Consequently in many cases, peritoneal catheters must often be removed or replaced. In our literature review the dialysis catheter was replaced in 65.2% of patients. The catheter was also removed in all cases showing peritonitis or tunnel infection, patients with M. abcessus ...
A central line is often used instead of a standard IV line when you need treatment for longer than a week or so. The line can send medicine or nutrition right into your bloodstream.
S CROCKER1. 1John Hunter Hospital, Newcastle, New South Wales. Background: Peritoneal dialysis (PD) continues to remain a viable dialysis modality with at least 60-90% of home-based patients performing PD across Australia. PD allows patients to maintain greater independence and a more normal lifestyle to participate in usual activities of daily living. Complications of peritonitis, catheter migration and exit site infections are not uncommon and often lead to membrane failure.. Case Report: A 49 year-old lady on peritoneal dialysis presented to hospital with diffuse abdominal pain, fevers and cloudy dialysate. Her underlying renal disease was diabetic nephropathy and the peritoneal dialysis catheter had been laparoscopically inserted 6 months prior to this presentation. Dialysis had been complicated by an episode of uncomplicated Staphylococcus epidermidis peritonitis and a pleural leak. Initial treatment in hospital began with empiric intra-peritoneal antibiotics after a PD fluid sample ...
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TY - JOUR. T1 - A novel method to prevent catheter dysfunction during spray cryotherapy. AU - Visrodia, Kavel. AU - Zakko, Liam. AU - Nolte, Theresa. AU - Wang, Kenneth Ke Ning. PY - 2017. Y1 - 2017. UR - UR - U2 - 10.1016/j.gie.2017.09.005. DO - 10.1016/j.gie.2017.09.005. M3 - Article. C2 - 28927839. AN - SCOPUS:85031410207. JO - Gastrointestinal Endoscopy. JF - Gastrointestinal Endoscopy. SN - 0016-5107. ER - ...
Christopher Crawford, MD, Daniel Lomelin, MPH, Bradley Hall, MD, Vishal Kothari, MD. University of Nebraska Medical Center. INTRODUCTION: Peritoneal dialysis (PD) catheters are utilized worldwide for patients with end-stage renal disease, but usage is plagued with complications including inability to drain or catheter occlusion. Use of laparoscopy to facilitate placement has been found to improve the rates of primary function as well as salvage of existing catheters. This improvement in outcomes has previously been associated with an increase in the cost of the operation, raising the question of whether it is more economical to place a catheter with open technique, even if it requires subsequent revision versus placing it laparoscopically at the outset.. METHODS: Records were obtained from the University HealthSystem Consortiums (UHC) Clinical Database/Resource Manager tool from December 2011 to June 2015. UHCs database represents the majority of nonprofit academic medical centers and ...
This is the worlds first randomized controlled trial evaluating the effectiveness of tunneled CVAD dressing and securement in pediatrics. The trial included innovative securement strategies that had never been tested on this device type, or within this population. This pilot trial evaluated the feasibility of a large efficacy trial, using pre-determined feasibility criteria, a registered and published trial protocol, and rigorous methods.. As per our a priori definition of feasibility, a large efficacy trial of tunneled, cuffed CVAD securement and dressing in pediatrics, using these intervention arms, is feasible. Study processes were successful, with targets for eligibility, recruitment, retention, attrition, protocol adherence and missing data achieved. The proportion of failure (6%) and complication (6%) have provided point estimates for future interventional studies; and for a 5% absolute reduction in CVAD failure or complication is to be reached in future efficacy studies (p = 0.05; 80% ...
The aim of this study was to identify factors that contribute significantly to the bacterial contamination of peripheral intravenous catheters in dogs and cats. Between January and June 2005, intravenous catheters were removed from 84 dogs and 15 cats at the Queen Mother Hospital for Animals, Royal Veterinary College. None of the factors under consideration was significantly associated with bacterial contamination, but 42·9 per cent of the animals with clinical signs consistent with a peripheral catheter-related infection, 34·8 per cent of the animals in which blood had been collected from the catheter immediately after its insertion, and 21·1 per cent of the animals in which a T-connector rather than a Y-connector had been used had contaminated cannulae, compared with 19·0 per cent, 19·7 per cent and 8·3 per cent, respectively, of the animals that did not have signs of such an infection, from which blood was not taken immediately, and that had a Y-connector rather than a T-connector. ...
Vascular access-related infections and septicemia are the main causes of infections among hemodialysis patients, the majority of them caused by Staphylococcus species. Acetylsalicylic acid (ASA) has recently been reported with a probable antistaphylococcal activity. This study aimed to evaluate the effect of ASA on the risk of dialysis-related infection and septicemia among incident chronic hemodialysis patients. In a nested case-control study, we identified 449 cases of vascular access-related infections and septicemia, and 4156 controls between 2001 and 2007 from our incident chronic hemodialysis patients cohort. Cases were defined as patients hospitalized with a main diagnosis of vascular access-related infection or septicemia on the discharge sheet (ICD-9 codes). Up to ten controls per case were selected by incidence density sampling and matched to cases on age, sex and follow-up time. ASA exposure was measured at the admission and categorized as: no use, low dose (80-324 mg/d), high dose (≥325
TY - JOUR. T1 - Distance of the internal central venous catheter tip from the right atrium is positively correlated with central venous thrombosis. AU - Ballard, David H.. AU - Samra, Navdeep S.. AU - Gifford, Karen Mathiesen. AU - Roller, Robert. AU - Wolfe, Bruce. AU - Owings, John T.. PY - 2016/4/25. Y1 - 2016/4/25. N2 - Central venous catheters (CVCs) are associated with occlusive, infectious, and thrombotic complications. The aim of this study was to determine if internal CVC tip position was correlated with subsequent complications. This was an institutional review board approved single-center retrospective review of 169 consecutive patients who underwent placement of 203 semipermanent CVCs. Using post-placement chest X-rays, a de novo scale of internal catheter tip position was developed. Major complications were recorded. A logistic regression analysis was used to determine if catheter tip position predicted subsequent complications. There were 78 men and 91 women with a mean age of 48 ...
Central venous catheters (CVC) or lines (CVL) refer to a wide range of central venous access devices but can broadly be divided into four categories. They may be inserted by medical, surgical, anesthetic/ITU, or radiology specialists. Classifica...
As a foreign body, the peritoneal dialysis (PD) catheter represents a potential source of infection, particularly for immunosuppressed renal transplant patients. A retrospective study was therefore...
Evaluating the source of fever with a through history, physical and laboratory testing is imperative in this population. Catheter-related bloodstream infection (CRBSI) should always be suspected if there is no obvious alternative source. Blood cultures are necessary to determine potential pathogens. If a central catheter is present then cultures should be taken from each lumen. Taking two blood culture specimens increases the likelihood of discovering true bacteremia. In one study, 32 to 43 percent of double lumen catheter cultures that resulted positive were positive from only one of multiple lumens.. Controversy exists regarding the value of peripheral cultures in addition to central catheter cultures if a central catheter is present. Although peripheral cultures may allow for more specific diagnosis of central catheter infection, the treatment of both entities is similar and in only rarely changes management. This pathway does not advocate for peripheral cultures.. Weight-based blood cultures ...
Vascular access dysfunction is the leading cause of morbidity amongst patients with end-stage renal disease (ESRD) and is a key performance indicator for haemodialysis service provision [1]. Complications of vascular access are responsible for over 20% of all hospitalisations in patients on haemodialysis and account for one-third of all inpatient renal bed use [2].. Autologous arteriovenous fistulae (AVFs) are the vascular access modality of choice [1,3] with fewer infective and thrombotic complications than the alternatives [1,4]: tunnelled central venous catheters (TCVCs) and prosthetic arteriovenous grafts (AVGs). The major limitations to native AVF usage are a 6 to 8 week maturation lag from creation to first cannulation and 30 to 50% early failure rate [5,6]. Unfortunately, due to a combination of late referral, primary access failure and acute presentation of renal failure, 40 to 50% of incident patients do not have a functioning AVF when they commence dialysis [3,7,8]. Given the ...
TY - JOUR. T1 - The Incidence of Catheter Tract Hemorrhage and Catheter Placement Accuracy in the CLEAR III Trial. AU - for the CLEAR investigators. AU - Müller, Achim. AU - Mould, W. Andrew. AU - Freeman, W. David. AU - McBee, Nichol. AU - Lane, Karen. AU - Dlugash, Rachel. AU - Thompson, Richard. AU - Nekoovaght-Tak, Saman. AU - Madan, Vikram. AU - Ali, Hasan. AU - Stadnik, Agnieszka. AU - Awad, Issam. AU - Hanley, Daniel F. AU - Ziai, Wendy C. PY - 2018/1/2. Y1 - 2018/1/2. N2 - Background: Incidence of catheter tract hemorrhage (CTH) after initial ventriculostomy placement ranges from 10 to 34%. We investigated CTH incidence in the Clot Lysis: Evaluation of Accelerated Resolution of Intraventricular Hemorrhage Phase III trial. Methods: Prospective observational analysis of 1000 computer tomography (CT) scans from all 500 patients enrolled in the trial. All catheters were evaluated on first CT post-placement and on last CT prior to randomization for placement location and CTH size, location, ...
0035] With further referenced to FIG. 4, the curved tip catheter 50 is illustrated as it would be positioned in the SVC. The arrows show the in-flow and out-flow of blood relative to catheter 50. Based on the illustration of curved tip 52, focusing now on downstream section 66, it will be seen that the curved form of tip 52 provides a laterally wider structure within the SVC which is substantially wider than a single catheter body width due to the two (2) catheter body widths (66 and 68) in a lateral direction and the open space between downstream section 66 and upstream section 68. As illustrated, the curved tip 52 includes upstream section 68, distal section 64 and downstream section 66. In effect, by forming curved tip 52 with curved distal section 64, the lateral width or dimension of catheter 50 across curved tip 52 includes the lateral width of two (2) catheter bodies and the lateral width of the open space 70 between those two (2) catheter body sections 66 and 68. This lateral width is ...
0004] A steerable dual lumen catheter is provided having a flexible catheter with a proximal end, a distal end, and a distal portion with a pre-bend configuration. The distal portion in the pre-bend configuration can be bent over a range up to 180 degrees relative to the catheters unbent and straightened configuration. A first lumen is present through the catheter and open at both the proximal and distal ends of the catheter. A second lumen is present through the catheter and open at the proximal end of the catheter, but closed at the distal end of the catheter. A straightening wire is movable inside the second lumen and able to change the pre-bend configuration of the distal portion over a range of 0 degrees when the catheter is straightened and the straightening wire is pushed-in towards the distal end of the second lumen to 180 degrees when the straightening wire is pulled-away from the distal portion and the catheter is in the pre-bend configuration. The straightening wire is inserted in ...
Hemodialysis vascular access catheters are essential in the maintenance of hemodialysis vascular access. However, they have a significant infectious, thrombotic, anatomic complication rate that are detailed with proposed problem-solving guidelines.
Infections: The most common potential problem is a catheter infection. Although these catheters are placed in a sterile environment (the operating room), sometimes the skin harbors bacteria that can establish an infection. Other times, the bacteria are in your childs blood stream for other reasons and settle down on the inside of the catheter, starting a catheter infection. If a catheter infection occurs, it can usually be treated with antibiotics, however, sometimes the catheter will have to be removed.. Bleeding: At the time of placement of the catheter, the surgeon has two primary concerns, particularly when the catheter is placed with the needle method (the technical term is percutaneous, or through the skin, i.e. without an actual incision). One is bleeding from the vein or the artery that is located next to the vein. This is not necessarily a major problem, unless your childs ability to stop bleeding is impaired, which may happen due to a low platelet count, for example. If the level ...
The i-port Advance combines an i-port with an insertion device.[citation needed] "Children with DIABETES - Indwelling Catheters ...
The Foley catheter is recommended because it has a balloon to hold it in place. The indwelling Foley catheter drains urine from ... a catheter, catheter removal, and an examination and discharge from the hospital at a minimum of four weeks, with instruction ... If treated early, the use of a urinary catheter may help with healing. Counseling may also be useful. An estimated 2 million ... Even without preselecting the least complicated obstetric fistula cases, a Foley catheter by midwives after the onset of ...
As a second resort, in cases where TIPS is contradicted, an indwelling pleural catheter (IPC) can be used. Pleurodesis is used ... Haas, Kevin P.; Chen, Alexander C. (July 2017). "Indwelling tunneled pleural catheters for the management of hepatic ...
Five Cases Associated with Indwelling Central Venous Catheters". Clinical Infectious Diseases. 20 (3): 629-633. doi:10.1093/ ...
They are more common in women than men, but similar between anatomies while carrying indwelling catheters. In women, they are ... Lam TB, Omar MI, Fisher E, Gillies K, MacLennan S (September 2014). "Types of indwelling urethral catheters for short-term ... Nicolle LE (May 2001). "The chronic indwelling catheter and urinary infection in long-term-care facility residents". Infection ... urinary catheters as little and as short of time as possible and appropriate care of the catheter when used prevents catheter- ...
A condom catheter can be used by males and carries a lower risk of infection than an indwelling catheter. Catheter diameters ... An intermittent catheter/Robinson catheter is a flexible catheter that is removed after each use. Unlike the Foley catheter, it ... Catheters come in several basic designs: A Foley catheter (indwelling urinary catheter) is retained by means of a balloon at ... A catheter may be in place for long periods of time (indwelling catheter) or removed after each use (intermittent ...
Additionally, children are at a higher risk of dislodging indwelling central venous catheters. Pediatric consideration to ... commonly used access are central venous catheter devices. The flow through a central venous catheter accommodates high blood ... Central venous catheter infections and safety: Central venous access used for treatments are at risk for central venous ... Regular central venous catheter care including: dressing changes, placing of a securement device/dressing to prevent line ...
"Management of occlusion and thrombosis associated with long-term indwelling central venous catheters". Lancet. 374 (9684): 159- ... Catheter obstruction is commonly observed with a central venous catheter. Currently, the standard treatment for catheter ... To treat blocked catheters, alteplase is administered directly into the catheter. Alteplase has also been used off-label for ... Catheter-directed thrombolysis may be more efficient than systemic thrombolysis, as alteplase is locally administered to the ...
Standard treatment involves inserting an indwelling plural catheter and pleurodesis. However, this treatment requires an ... If an infection due to the catheter occurs, antibiotics are given and the catheter is generally left in. A Cochrane review ... This has led to the development of tunneled pleural catheters (e.g., Pleurx Catheters), which allow outpatient treatment of ...
Hypospadias can also occur iatrogenically by the downward pressure of an indwelling urethral catheter. It is usually corrected ...
Pacik PT, Nelson CE, Werner C (2008). "Pain control in augmentation mammaplasty: safety and efficacy of indwelling catheters in ... Pacik PT, Nelson CE, Werner C (2008). "Pain control in augmentation mammaplasty using indwelling catheters in 687 consecutive ... analgesic indwelling medication catheters can alleviate pain Moreover, significantly improved patient recovery has resulted ... Specific treatments for the complications of indwelling breast implants-capsular contracture and capsular rupture-are periodic ...
Pacik, P.; Nelson, C.; Werner, C. (2008). "Pain Control in Augmentation Mammaplasty Using Indwelling Catheters in 687 ... Safety and Efficacy of Indwelling Catheters in 644 Consecutive Patients". Aesthetic Surgery Journal. 28 (3): 279-284. doi: ... Specific treatments for the complications of indwelling breast implants - capsular contracture and capsular rupture - are ... analgesic medication catheters for alleviating pain. The plastic surgical emplacement of breast-implant devices, either for ...
Most of the time infections are hospital acquired, often associated with immunosuppression or indwelling catheters. It has been ... meningitis and central venous catheter-associated infections. The numbers of reported C. indologenes infections are increasing ...
The indwelling catheter is typically connected to a urine bag that can be worn on the leg or hung on the side of the bed. ... Indwelling catheters (also known as foleys) are often used in hospital settings, or if the user is not able to handle any of ... The advantage of indwelling catheters is that because the urine is funneled away from the body, the skin remains dry. However, ... Indwelling catheters need to be monitored and changed on a regular basis by a healthcare professional. ...
In those with a long term indwelling urinary catheter rates are 100%. Up to 10% of women have a urinary tract infection in a ... bladder catheters, and spinal cord injuries. People with a long-term Foley catheter always show bacteriuria. Chronic ... Sendi P, Borens O, Wahl P, Clauss M, Uçkay I (2017). "Management of Asymptomatic Bacteriuria, Urinary Catheters and Symptomatic ...
In the past, an indwelling nasoesophageal catheter was the only way to measure esophageal acid exposure. Because this method is ... Single sensor pH monitoring using a pH catheter Dual sensor pH monitoring using a pH catheter Wireless pH monitoring using ... A catheter-free radio telemetric system allows a longer period of monitoring and may be better tolerated. Esophageal pH ... In an effort to improve diagnostic accuracy of testing, a catheter with two pH sensors has been used to measure the degree of ...
The difficulty in assessing this may be complicated with the usage of indwelling or suprapubic catheters. Other causes include ... Straight catheterization of the bladder or relief of a blocked urinary catheter tube may resolve the problem. The rectum should ...
Biofilms are particularly pathogenic in the setting of foreign bodies like indwelling catheters and tissue implants. Actin ...
Potential applications include flesh-eating disease, problems related to in-dwelling urinary catheters, and common eye ...
This species has been associated with candidemia and has been recovered from catheters. It has also found in biofilms on other ... indwelling devices such as pacemakers and prosthetic heart valves. Between 1-3 % of cases involving K. marxianus that have been ...
If a person struggles with using an intermittent catheter, than an indwelling catheter can be used instead. The indwelling has ... Intermittent catheters are used most frequently to treat DSD. The catheter is able to be inserted and removed from a person's ... By having the catheter, the goal is to help reduce spasms within the sphincter. Ultrasound can be used to help track how ... A catheter is then used to help relieve pressure that can occur. Synergy "Dyssynergia -- Medical Definition". Archived from the ...
... is an opportunistic pathogen seen in patients with severe burns or long-term indwelling urinary catheters ...
The most common type of catheter used after major surgeries is an indwelling Foley catheter. The indwelling Foley catheter is ... For the patient's bladder control, a catheter will be inserted so that a patient can urinate without having to move. A catheter ... Once the catheter is inserted into the urethra, a balloon is blown up inside the bladder in order to keep it from falling out. ... The balloon allows the catheter to remain inside the urethra until the patient is able to get up and go to the bathroom on ...
Exchange or repositioning of indwelling catheters is achieved over a guidewire under image guidance. Radiologically inserted ... port catheters, hemodialysis catheters, translumbar and transhepatic venous lines). Drainage catheter placement: Placement of ... Catheter placement Central venous catheter placement: Vascular access and management of intravenous devices (IVs), including ... Dialysis related interventions: Placement of tunneled hemodialysis catheters, peritoneal dialysis catheters, and revision/ ...
Providencia stuartii can cause urinary tract infections, particularly in patients with long-term indwelling urinary catheters ...
People with indwelling urinary catheters must take special care with them, removing them or taping them out of the way. Birth ...
The risk of UTI, likely the most common complication in the long term, is heightened by use of indwelling urinary catheters. ...
Money persuaded his medical advisers to let him go with an indwelling urinary catheter. In 1968, at his retirement from San ...
In cases of patients with indwelling catheters, special care should be taken so that a community-acquired infection does not ... When an infection caused by P. oryzihabitans was reported in a patient with AIDS and an indwelling catheter, scientists took ... Along with catheters, P. oryzihabitans are most commonly found at sites involved with respiratory equipment and devices for ... This organism can infect individuals that have major illnesses, including those undergoing surgery or with catheters in their ...
Indwelling catheters pose the risk of infection and ulceration, and some peoples may also develop lipodystrophy due to the ... The limitations are cost, the potential for hypoglycemic and hyperglycemic episodes, catheter problems, and no "closed loop" ... attached to a temporarily implanted catheter or cannula. Some who cannot achieve adequate glucose control by conventional (or ...
Ljung, Rolf (2007-09-01). "The risk associated with indwelling catheters in children with haemophilia". British Journal of ... "Guidelines for the Prevention of Intravascular Catheter-Related Infections". Retrieved 8 July 2016.. ... there are other studies that show a risk of clots forming at the tip of the catheter, rendering it useless. Some individuals ...
"The Chronic Indwelling Catheter and Urinary Infection in Long-Term-Care Facility Residents"। Infection Control & Hospital ... "Types of indwelling urethral catheters for short-term catheterisation in hospitalised adults"। Cochrane Database of Systematic ... "Short term urinary catheter policies following urogenital surgery in adults"। Cochrane Database of Systematic Reviews ... "Antibiotic prophylaxis for urinary tract infections after removal of urinary catheter: meta-analysis"। BMJ (ইংরেজি ভাষায়)। ...
... organ transplantation and use of indwelling catheters). Oral candidiasis has been recognized throughout recorded history. The ...
... disease In-dwelling catheters have recently been identified with hospital acquired infections. To deal with this complication, ... central venous catheters and urinary catheters. The use of antibiotics does not, itself, increase risk of hospital-acquired ... "Catheter-associated Urinary Tract Infections (CAUTI)". 2017-07-19. Retrieved 2018-01-13. Justo, JA; Bookstaver, PB ( ... Introducing antibiotics, including ethanol, into the catheter (without flushing it into the bloodstream) reduces the formation ...
Delayed placement: Instead of the voice prosthesis, a catheter (red rubber, Silastic Foley catheter, Ryle's tube) is introduced ... a single Institution's experience with consistent application of provox indwelling voice prostheses". Arch. Otolaryngol. Head ... The advantage of this method is that the patient may be fed through the catheter, not requiring standard tube feeding. The ... there is no irritation or pressure from a stenting catheter, used to maintain the puncture opening until a voice prosthesis can ...
However, for scarring down the pleura, talc appears to be the better option although indwelling pleural catheters are at least ...
... to have home intravenous antibiotic therapy because of concern that an indwelling intravenous catheter could be used to inject ...
... because of the risks associated with chronic indwelling central venous catheters, including serious blood stream infections, ... but also may be given intravenously via a central venous catheter if the patient is unable to tolerate subcutaneous ...
"Risk of heparin lock-related bleeding when using indwelling venous catheter in haemodialysis". Nephrology Dialysis ... A catheter lock solution is used to fill the catheter when not in use, primarily to prevent clotting. Neutrolin contains ... Antibiotic catheter lock solutions could lead to antibiotic resistance and taurolidine has been associated with catheter ... To avoid the use of heparin in central venous catheters, also citrate catheter locks were developed. Citrate solution can be ...
Jacobsen, S. M.; Stickler, D. J.; Mobley, H. L. T.; Shirtliff, M. E. (January 2008). "Complicated Catheter-Associated Urinary ... are complications of general treatments involving microorganisms or viral infections and are most commonly caused by indwelling ... devices (urinary catheters, central lines) or previous surgical procedures. Common microbes involved in HAIs are Escherichia ...
... as was the design of indwelling intravenous catheters (e.g. Hickman lines and PICC lines) which allowed safe administration of ...
Defective cellular and humoral immunity as well as presence of indwelling catheters, coma, broad-spectrum antibiotics, and ...
A select few of the populations at risk include: People with indwelling implants, prostheses, drains, and catheters People who ... MRSA is common in hospitals, prisons, and nursing homes, where people with open wounds, invasive devices such as catheters, and ...
In an epidural, an indwelling catheter may be placed that allows for redosing injections, while a spinal is almost always a one ... Epidural anaesthesia is a technique whereby a local anaesthetic drug is injected through a catheter placed into the epidural ...
... decided to discontinue the use of the sacral anterior root stimulator and instead chose to use an indwelling urethral catheter ...
When catheter drainage is temporary, it is commonly referred to as an external ventricular drain (EVD). When catheter drainage ... is a neurosurgical procedure that creates a hole in the floor of the third ventricle and usually has no indwelling objects. ... There are many catheter-based ventricular shunts that are named for where they terminate, for example, a ventriculo-peritoneal ...
Conservative treatment with an in-dwelling catheter can be effective for small and recently formed urinary fistulas. It has a ...
... and it is preferred in patients with indwelling intravenous catheters to decrease the adherence of Tc-99m to the catheter wall ...
Indwelling means inside your body. This catheter drains urine from your bladder into a bag outside your body. Common reasons ... You have an indwelling catheter (tube) in your bladder. ... "Indwelling" means inside your body. This catheter drains urine ... You will need to make sure your indwelling catheter is working properly. You will also need to know how to clean the tube and ... Gently hold the catheter and begin washing the end near your vagina or penis. Move slowly down the catheter (away from your ...
Creating a urine culture stewardship program for hospitalized patients without an indwelling urinary catheters and appropriate ... Use of Urine Cultures in Patients without Indwelling Urinary Catheters. Here are some examples of appropriate and inappropriate ... The prevalence of asymptomatic bacteriuria (ASB) in patients without indwelling urinary catheters varies widely among groups ... Urine Culture Stewardship in Patients without Indwelling Urinary Catheters. ...
ACEP advises against placing indwelling urinary catheters in the ED for urine output monitoring in patients who can void or for ... as sometimes such catheters can be avoided. Emergency physicians can reduce the use of indwelling urinary catheters by ... Indwelling urinary catheters are placed in patients in the emergency department to assist when patients cannot urinate, to ... Avoid placing indwelling urinary catheters in the emergency department for either urine output monitoring in stable patients ...
Davies HE, Mishra EK, Kahan BC, et al. Effect of an indwelling pleural catheter vs chest tube and talc pleurodesis for ... They suggested indwelling catheters did reduce hospital stay but were associated with increased adverse events. ... Indwelling pleural catheters versus chest tube and talc pleurodesis in malignant pleural effusion ... Indwelling pleural catheters versus chest tube and talc pleurodesis in malignant pleural effusion ...
... states the sales of indwelling catheters will exceed US$ 1 Bn by the end of 2021. Demand for best-in-class patient care is ... Key Takeaways from Indwelling Catheters Market Study. *2-way catheters will account for a leading share in the indwelling ... Indwelling Catheters demand by country: The report forecasts the country wise demand for Indwelling Catheters between 2021 and ... Indwelling Catheters Manufacturing trend analysis: A key aspect of the study is comprehensive Indwelling Catheters ...
Catheter Associated Urinary Tract Infection (CAUTI) Prevention - Results from #60 ... algoritum for measuring bladder volume post-Indwelling catheter removal, algoritum, Streamlined Evidence-Based RN Tool: ... Catheter-associated urinary tract infection: Role of the setting of catheter insertion - Abstract BACKGROUND: This study aimed ... Risk factors for catheter-associated urinary tract infections in a pediatric institution - Abstract PURPOSE: Catheter- ...
Silver Nitrate-coated versus Standard Indwelling Pleural Catheter for Malignant Effusions: The SWIFT Randomized Trial. ... Rationale: Tunneled, indwelling pleural catheters (IPCs) have been demonstrated to be an effective method of managing malignant ... Objectives: To compare the efficacy of a novel silver nitrate-eluting indwelling pleural catheter (SNCIPC) with that of a ... Silver Nitrate-coated versus Standard Indwelling Pleural Catheter for Malignant Effusions: The SWIFT Randomized Trial. Journal ...
... indwelling catheters; cancer; and certain chronic medical illnesses, such as heart or lung disease. ...
How are Foley catheters used in the treatment of neurogenic bladder?. How are indwelling catheters maintained in the treatment ... A suprapubic catheter is an alternative solution to an indwelling urethral catheter in patients who require long-term bladder ... The usual practice is to replace indwelling catheters and collection bags at least once monthly. However, catheters that ... Long-term use of urethral catheters poses significant health hazards. Indwelling urethral catheters are a significant cause of ...
Indwelling catheters. Very rarely, indwelling jejunal catheters can lead to intussusception by acting as a lead point, which is ... Diagnosis can be facilitated by injecting contrast proximal to the catheter and then through the tip of the catheter. Surgery ... especially true if the tip of the catheter has been manipulated or cut so that its surface is not smooth. The clinical picture ... is required to remove the tip of the catheter and to reduce the intussusception. ...
Indwelling catheters. Very rarely, indwelling jejunal catheters can lead to intussusception by acting as a lead point, which is ... Diagnosis can be facilitated by injecting contrast proximal to the catheter and then through the tip of the catheter. Surgery ... especially true if the tip of the catheter has been manipulated or cut so that its surface is not smooth. The clinical picture ... is required to remove the tip of the catheter and to reduce the intussusception. ...
2. Indwelling Catheters leak!*3. Catheter Leg Bag Sleeve*4. Catheter Night Bag*5. Indwelling Catheter Can Get Blocked!*6. ... 2. Indwelling Catheters leak!. Yep, you heard me - an indwelling catheter can leak, or urine can bypass the catheter. It can ... 7. Night Catheter Bags and Human error!*8. Catheter Bags Arent All The Same!*9. Catheters & UTIs*10. Indwelling Catheters Make ... What is an indwelling catheter?. Indwelling catheters are also referred to as " Foley Catheters", named after the inventor ...
Silicone Coated Latex 2-way Foley Catheter has two, opposed eyes, a 30 cc balloon and is 40 cm (16) L. It is sterile for ... Silicone Coated 2-Way Foley Catheter 16 L, 30cc Balloon Capacity, Sterile, Latex The Teleflex/Rüsch® Gold™ ... "Indwelling Catheter - Bard 2-Way Foley Catheter, 100% Silicone","handle":"bard-2-way-foley-catheter-silicone-20fr-30cc-balloon- ... "Indwelling Catheter - Bard 2-Way Foley Catheter, 100% Silicone - 14fr 5cc","public_title":"14fr 5cc","options":["14fr 5cc"]," ...
"Inferior Vena Cava Thrombosis Due to an Indwelling Hemodialysis Catheter",. abstract = "Various indwelling venous catheters ... Gouge, S. F. ; Paulson, W. D. ; Moore, J. M. / Inferior Vena Cava Thrombosis Due to an Indwelling Hemodialysis Catheter. In: ... Gouge, S. F., Paulson, W. D., & Moore, J. M. (1988). Inferior Vena Cava Thrombosis Due to an Indwelling Hemodialysis Catheter. ... We describe a thrombus in the inferior vena cava due to an indwelling hemodialysis catheter, a site with potential for fatal ...
Central Venous Catheter made of specially formulated and biocompatible Polyurethane material provides strength during insertion ... Single Lumen Catheter. P/N. P/N. P/N Catheter Size. 1 Lumen 22 Ga13cms. 22 Ga. 22. 13. 4. 0.018x45 cm. MCVC-20 G 01 -13. -. ... Single Lumen Catheter. Catheter Size Ga/Fr. Lumen Ga. Dilator Fr. Guide Wire Nickle Titanium Double Distal. With Std. Needle. ... Four Lumen Catheter. 4 Lumen 8.5 Fr 10 cms. 8.5 Fr. 14,16,18,18. 10. 9. 0.035x45 cm. MCVC-8.504-10. MCVC-8.504-10 YN. MCVC- ...
Silcoat Balloon catheter / Indwelling catheter Latex-foley CH16 per 10 pieces ... Description Balloon catheter / Indwelling catheter Latex-foley CH16 per 10 pieces EAN: 4052919027995 Article code: 123-I7605-16 ... Silcoat balloon catheter / indwelling catheter latex-foley CH16 per 10 pieces The latex Foley long-term silicone-coated balloon ... The catheter has a significantly longer lying time compared to conventional latex catheters. Residence time up to 14 days. ...
Categories: Catheters, Indwelling Image Types: Photo, Illustrations, Video, Color, Black&White, PublicDomain, ...
Chronic long-term indwelling tunneled pleural catheters. Indwelling pleural catheters (IPCs) represent an alternative to ... Indwelling catheters are now available for patients with recurrent effusions who are not suitable for pleurodesing. ... Davies HE, Mishra EK, Kahan BC, et al.: Effect of an indwelling pleural catheter vs chest tube and talc pleurodesis for ... Thomas R, Fysh ETH, Smith NA, et al.: Effect of an Indwelling Pleural Catheter vs Talc Pleurodesis on Hospitalization Days in ...
... Catheter-associated Urinary Tract Infections ... Catheter Change Interval Indwelling catheters should not be changed at arbitrary fixed intervals (34). Category II * Spatial ... With indwelling catheters, infecting microorganisms can migrate to the bladder along the outside of the catheter in the ... Indwelling catheters should be properly secured after insertion to prevent movement and urethral traction (31). Category I * ...
Foley catheters are also used in abdominal surgery. Indwelling urinary catheters should not be used to monitor stable people ... "Indwelling Urinary Catheters: Types". UroToday. Retrieved 22 Jan 2020. Catheter sizes are colored-coded at the balloon ... Indwelling urinary catheters are most commonly used to assist people who cannot urinate on their own. Indications for using a ... Indwelling catheters should be avoided when there are alternatives, and when patients and caregivers discuss alternatives to ...
Low prices and fast shipping on the Instaflo Indwelling Bowel Catheter System Kit 33004 from Hollister and more Bowel Catheter ... An InstaFlo indwelling bowel catheter system with a disposable odor-barrier collection bag. Includes:*Catheter (1) ...
Multiple underlying medical conditions and indwelling devices, tracheostomies, central venous catheter, gastrostomy tubes. So ... and so generally Candida in the urine you can remove catheters, you can do different things to get rid of it and it doesnt ...
Are male patients at higher risk than females for catheter-associated bacteremia? ... Indwelling Urinary Catheter. Definition of Secondary Bacteremia or Sepsis. Krieger, Kaiser, & Wenzel (1983). Prospective ... "To assess the efficacy of a silver-alloy, hydrogel-coated latex urinary catheter for the prevention of nosocomial catheter- ... Manipulation including catheter (72.7%) protective vs. no manipulation (85.7%) (p = 0.038). Instrumentation or surgery NS. ...
This paper aims to evaluate current strategies for the removal of short-term indwelling catheters. The main purpose is to ... We will write a custom Essay on Strategies for the Successful Removal of Short-Term Indwelling Catheters specifically for you ... Strategies for the Successful Removal of Short-Term Indwelling Catheters Strategies for the Successful Removal of Short-Term ... This paper aims to evaluate current strategies for the removal of short-term indwelling catheters. The main purpose is to ...
use of indwelling epidural catheters * concomitant use of other drugs that affect hemostasis, such as non-steroidal anti- ... use of indwelling epidural catheters * concomitant use of other drugs that affect hemostasis, such as non-steroidal anti- ... 5.1 Neuraxial Anesthesia and Post-operative Indwelling Epidural Catheter Use 5.2 Hemorrhage 5.3 Renal Impairment and Bleeding ... The risk of these events may be higher with post-operative use of indwelling epidural catheters or concomitant use of other ...
Catheters, Indwelling / adverse effects * Continuity of Patient Care / standards* * Cost-Benefit Analysis ... The average line sepsis rate for the 13 patients was 0.89/1000 catheter-days. All patients were generally satisfied with ...
Exercise test specificity is improved when an indwelling arterial catheter is used (Lundgren et al. 2001). For many patients ...
MRSA stated back in the 70s from Urinary Tract Infections., and was mostly found in the elder with indwelling foley catheters ...
  • When possible, alternatives to indwelling urinary catheters should be used. (
  • Indwelling catheters should be avoided when there are alternatives, and when patients and caregivers discuss alternatives to indwelling urinary catheters with their physicians and nurses then sometimes an alternative may be found. (
  • Reviews alternatives to indwelling urinary catheters to consider using prior to catheter insertion. (
  • This catheter drains urine from your bladder into a bag outside your body. (
  • Urine is leaking around the catheter. (
  • Avoid placing indwelling urinary catheters in the emergency department for either urine output monitoring in stable patients who can void, or for patient or staff convenience. (
  • Indwelling urinary catheters are placed in patients in the emergency department to assist when patients cannot urinate, to monitor urine output or for patient comfort. (
  • After insertion, a water balloon is inflated to secure the catheter, stopping it from falling out and urine from leaking out. (
  • Urine drains into the catheter as the bladder fills and then into a drainage bag attached or can be directly released into the toilet with a catheter release valve where no bag is worn. (
  • Yep, you heard me - an indwelling catheter can leak, or urine can bypass the catheter. (
  • It can cause a leak because it may have been fitted incorrectly, you may experience bladder spasms that mean the catheter moves, it could leak due to a kink in the line causing the flow to reduce or stop completely, and urine bypasses (leaks) into your underwear. (
  • However, the nurses involved waited for it to settle on its own rather than change the catheter as urine was also still draining into the leg bag, so there was no blockage. (
  • The catheter leg bags used during the day can only support a certain amount of urine, ours will take 500ml, but some bags go up to 750ml. (
  • In urology, a Foley catheter (named for Frederic Foley, who produced the original design in 1929) is a flexible tube that a clinician passes through the urethra and into the bladder to drain urine. (
  • Indications for using a catheter include providing relief when there is urinary retention, monitoring urine output for critically ill persons, managing urination during surgery, and providing end-of-life care. (
  • A urinary catheter is a partially flexible tube for draining urine from the bladder. (
  • As a result, several manufacturers are developing products such as coated urine catheters with temperature monitoring for ICU patients as stronger protection against secondary infections, which is expected to boost the market growth. (
  • For instance, in February 2021, Health Canada approved Bactiguard's urine catheter with a temperature sensor for infection prevention. (
  • You may need a catheter if you have had surgery or cannot control your bladder function, and there is a need to closely monitor how much urine your kidneys are producing. (
  • Your doctor may ask you to keep track of what you eat and drink, when you urinate or cath and the amount of urine produced, as well as noting episodes of incontinence or leakage. (
  • 1 Our external urine management devices help your male and female patients transition from indwelling catheters to independent continence. (
  • When urine stops flowing, remove catheter from urethra. (
  • If urine starts to flow while removal of the catheter, hold the catheter in that position for a while until flow stops. (
  • Patients, who are treated with indwelling catheters through the urethra, often have bacterial colonization in their urine after a period of time. (
  • Intermittent catheters are used to drain urine several times a day and prevent urine from accumulating in the bladder. (
  • Furthermore, the worldwide foley catheters market is expected to benefit greatly from the rising prevalence of urine incontinence and occurrences of kidney stones. (
  • During my clinical preceptorship at New York Presbyterian Hospital, many patients that came into the hospital with urinary retention a catheter was inserted to determine the amount of urine in their bladder or post-void residual (PVR). (
  • Following prostate-removal surgery, men can expect to temporarily have an indwelling urinary catheter drain their urine into a plastic bag. (
  • You will go home with a catheter (tube) to drain urine from your bladder. (
  • A urinary catheter is a tube placed in the body to drain and collect urine from the bladder. (
  • This prevents kidney damage because these catheter drains urine from the bladder. (
  • Urinary catheterisation is a medical procedure involving the introduction of a catheter - which is a thin flexible tube - into the bladder to drain urine. (
  • Many of these children have been using traditional catheters that are inserted through the urethra, which is the normal place where urine exits the body. (
  • One of the catheters will be in the urethra as an indwelling catheter (one that stays inserted for an extended period of time) to drain urine, and the other catheter will be in the Mitrofanoff site. (
  • Also known as Foley catheters, indwelling catheters are inserted into the bladder through the urethra, allowing urine to empty into a drainage leg bag. (
  • Straight tip catheters have straight tips that have holes that allow urine to drain directly into the toilet, so there's no need for a urinary drainage bag. (
  • The external catheter is then attached to a tube that drains urine into an external urinary bag. (
  • In addition, the potential complications of neurogenic urinary disorders (reflux, stone formation, incomplete emptying of the bladder), and the methods of urine drainage (intermittent or indwelling catheters, urinary diversion) contribute even more to UTIs. (
  • Recent data from a CAUTI animal model has shown that inflammation induced by catheterization releases host fibrinogen that accumulates on the catheter. (
  • Patients who require chronic indwelling catheters or individuals who can be managed with intermittent catheterization may have different needs. (
  • The risk of acquiring a urinary tract infection depends on the method and duration of catheterization, the quality of catheter care, and host susceptibility. (
  • Reported infection rates vary widely, ranging from 1%-5%, after a single brief catheterization (3) to virtually 100% for patients with indwelling urethral catheters draining into an open system for longer than 4 days (4). (
  • I.A.1 "Minimize urinary catheter use and duration of use in all patients, particularly those at risk for CAUTI or mortality from catheterization such as women, the elderly, and patients with impaired immunity. (
  • Thus, to ensure the judicious use of catheters, guidelines have been published by the CDC that clearly defined inappropriate and appropriate catheterization practices. (
  • Method of bladder management is intermittent catheterization or indwelling catheter. (
  • Coloplast Self-Cath Intermittent Catheter for Male is recommended for people with bladder control problems and those who perform self-catheterization to empty the bladder. (
  • To avoid urinary tract infections (UTIs) or catheter-associated urinary tract infections, special precautions must be taken during catheterization (CAUTIs). (
  • Given the drawbacks of catheterization, their availability is projected to limit the market for urinary catheters. (
  • This guideline does not apply to pregnant women, patients who are immunocompromised, those with anatomic or functional abnormalities of the urinary tract, women with rUTIs due to self-catheterization or indwelling catheters or those exhibiting signs or symptoms of systemic bacteremia, such as fever and flank pain. (
  • Diagram of an intermittent catheter in place in a male for Clean Intermittent Catheterization (CIC). (
  • Brachial artery catheterization, and hemodynamic monitoring A 20-gauge, 5-cm catheter was put into the brachial artery from the nondominant arm under aseptic conditions and after local anesthesia (2 % lidocaine). (
  • Disposable urinary catheters are designed to allow for self-catheterization. (
  • Continuous catheterization, with an indwelling foley catheter, or suprapubic catheter changed every 4 weeks is usually not recommended. (
  • I.B.1 - "Consider using external catheters as an alternative to indwelling urethral catheters in cooperative male patients without urinary retention or bladder outlet obstruction. (
  • An effective bedside drainage system that can be used with Foley ® indwelling or male external catheters. (
  • Male external catheters are often referred to as male catheters or condom catheters. (
  • External catheters are for males and not made for female catheter users. (
  • Discharge or drainage from around the catheter where it is inserted into your body. (
  • An indwelling catheter is where a drainage tube is inserted through the urethra into the bladder. (
  • Determination of the optimal catheter care for these and other patients with different drainage systems requires separate evaluation. (
  • Adoption of the closed method of urinary drainage has markedly reduced the risk of acquiring a catheter-associated infection, but the risk is still substantial. (
  • This design also ensures complete drainage due to the protected catheter eyes. (
  • Two types of continuous drainage are urethral (Foley) and suprapubic catheters. (
  • Foley catheters are the most widely utilized type of indwelling urinary drainage system. (
  • Modern Foley catheters have dual lumen tubes, with one lumen dedicated to urinary drainage, and the other used for balloon inflation. (
  • Indwelling catheters are also referred to as " Foley Catheters", named after the inventor Frederic Foley. (
  • Manufacturers usually produce Foley catheters using silicone or coated natural latex. (
  • Foley catheters should be used only when indicated, as use increases the risk of catheter-associated urinary tract infection (UTI) and other adverse effects. (
  • citation needed] Foley catheters come in several types: Coudé (French for elbowed) catheters have a 45° bend at the tip that facilitates easier passage through an enlarged prostate. (
  • Foley catheters are usually color coded by size with a solid color band at the external end of the balloon inflation tube, allowing for easy identification of the size. (
  • Foley catheters are also used in abdominal surgery. (
  • Each year, more than 30 million Foley catheters are inserted. (
  • The demand for foley catheters is mostly driven by the increased prevalence of urinary diseases. (
  • According to Fact.MR- a market research and competitive intelligence provider- the global market for foley catheters expanded at a CAGR of 5% from 2016 to 2020. (
  • If the severity of such problems is beyond medication's control, healthcare practitioners recommend using foley catheters for a duration ranging from days to weeks, depending on the severity. (
  • According to Fact.MR's study, between 2021 and 2031, the global market for foley catheters is expected to grow at a significant rate, registering a CAGR of 5.9% across the aforementioned forecast period. (
  • How are Numerous Innovations Spurring Foley Catheters Industry Growth? (
  • Growing innovations in foley catheters resulting in increased patient comfort is projected to generate tailwinds to the foley catheters industry. (
  • Similarly, 5-10% of nursing home residents (about 75,000 to 150,000 people) require foley catheters. (
  • What Supports Increasing Foley Catheters in the U.S. (
  • The U.S market for foley catheters is developing rapidly due to factors such as a high prevalence of diseases, a growing geriatric population, the availability of sophisticated interventional products (including urinary catheters), and an increase in surgical procedures conducted in the region. (
  • According to projections put forth by Fact.MR, foley catheters revenue in the U.S surpassed 1/3rd of the global market share in 2020. (
  • There are three types of catheter products that are used for managing urinary incontinence: indwelling (sometimes called a Foley) catheters, suprapubic catheters, and intermittent catheters. (
  • A urinary tract infection is the most common problem for people with an indwelling urinary catheter. (
  • Catheter-associated urinary tract infection (CAUTI) is the most common hospital-acquired infection in the U.S., and can be prevented by reducing the use of indwelling urinary catheters. (
  • Hazelett SE, Tsai M, Gareri M, Allen K. The association between indwelling urinary catheter use in the elderly and urinary tract infection in acute care. (
  • To estimate differences in the length of stay (LOS) and costs for comparable pediatric patients with and without venous thromboembolism (VTE), catheter-associated urinary tract infection (CAUTI), and pressure ulcer (PU). (
  • Catheter-associated urinary tract infection (CAUTI) is an important patient safety issue that is responsible for an estimated 449334 annual infections, with an average direct cost of $790-$1200 per infection. (
  • Incidence of catheter-associated urinary tract infection (CAUTI) is a quality benchmark. (
  • In the United States, catheter-associated urinary tract infection is the most common type of hospital-acquired infection. (
  • Such infection in otherwise healthy patients is often asymptomatic and is likely to resolve spontaneously with the removal of the catheter. (
  • The scholars report that early removal of catheters minimizes the possibility of urinary tract infection at 27 percent. (
  • These findings are quite consistent with a meta-analysis, made by Fernandes and Griffiths, who say that in the course of five trials early removal of catheter decreased the risk of infection and significantly diminishes the period of hospitalization approximately at two days (2006). (
  • 262. Approach to occluded indwelling catheter / Remove line if local infection? (
  • What Is a Catheter-Associated Urinary Tract Infection (CAUTI)? (
  • A catheter-associated urinary tract infection (CAUTI) is one of the most common infections a person can contract in the hospital, according to the American Association of Critical-Care Nurses . (
  • Indwelling catheters are the cause of this infection. (
  • Catheters shouldn't be left in longer than needed, as longer use is associated with a higher risk of infection. (
  • The main infectied association with invasive procedures were ventila- tor-associated pneumonia followed by catheter-related urinary tract infection and bloodstream infections. (
  • Nosocomial infection is an infection ac- lieved that many could be avoided by the quired by a patient in a hospital or other proper management of the indwelling cath- health care facility that was not present or eter [ 13,14 ]. (
  • Catheter-related bloodstream incubating at the time of admission or that infections are associated with increased was the residual of an infection acquired morbidity, a mortality rate of 10% to 20%, during a previous admission [ 1-4 ]. (
  • Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review, British Medical Journal Quality and Safety, 2014;23:277-289. (
  • Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute Care Hospitals: 2014 Update, Infection Control and Hospital Epidemiology, May 2014;35(5):464-479. (
  • Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009, Healthcare Infection Control Practices Advisory Committee (HICPAC). (
  • Diagnosis, Prevention, and Treatment of Catheter-Associated Urinary Tract Infection in Adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America, Clinical Infectious Diseases, 2010;50:625-663. (
  • UroShield is a disposable ultrasound device designed to reduce the risk of catheter-associated urinary tract infection (CAUTI). (
  • Infection is a recognized risk of medical care, and the risk increases for patients who have catheters (tubes) inserted. (
  • The insertion and removal of insufficiently lubricated catheters can produce friction between the urethral walls and the device's surface, which is not only uncomfortable for the patient but can also lead to urethral constriction, bleeding, and infection with repeated use. (
  • Urinary tract infection attributed to the use of an indwelling urinary catheter is one of the most common infections acquired by patients in health care facilities. (
  • While removal of colonized devices remains the most frequent strategy for avoiding device-related complications, antibiotic lock therapy constitutes an adjunct therapy for catheter-related infection. (
  • Background Indwelling urinary catheters (IUCs) placed in acute care are a leading cause of healthcare-associated urinary tract infection. (
  • Catheter-Related Bloodstream Infection (CRBSI) is defined as the presence of bacteremia occurring from an intravascular (I.V.) catheters. (
  • CRBSI refers to bloodstream infection attributed to an intravascular catheter by quantitative culture of the catheter tip or by differences in growth between catheter and peripheral venipuncture blood culture specimens. (
  • Boone County Hospital (BCH) was recently notifed by the Hospital Improvement Innovation Network (HIIN) of our achievement of success with our CAUTI (catheter associated urinary tract infection) rate from May through July, 2017. (
  • CAUTI is a serious infection that occurs when bacteria enters the body through a urinary catheter. (
  • These strategies include conducting catheter rounds with targeted education to optimize appropriate use, feeding back infection and catheter utilization metrics to frontline staff in "real-time," observing and documenting competency of catheter insertion and performing a full root cause analysis of every CAUTI. (
  • To determine the frequency of hemodialysis (HD) catheter related infection, causative microorganisms and predisposing factors contributing to these infections at our center, we con ducted a prospective study in 2007 involving 57 (45.6% males) patients in whom a temporary catheter was inserted for HD. (
  • The patients were followed for one month to document any episodes of hemodialysis catheter related infection (HCRI). (
  • Central venous catheter related blood stream infection is a major cause of morbidity and mortality in HD patients. (
  • In this study, we aimed to determine the fre quency of HD catheter related infection, causa tive microorganisms, and predisposing factors contributing to these infections at our center. (
  • Catheter related bacteremia was suspected when a patient experienced fever, chills, purulent discharge from catheter site, erythema or tenderness over exit site, in the ab sence of any other focus of infection. (
  • Frequency and percentages were computed to present categorical variables such as catheter related infection, causative micro organisms, gender, history of catheter related infection, causes of ESRD, blood C/S and bio chemical parameters categorized as per stan dard normal range. (
  • id":3198912453,"title":"Bardex® Lubricath® 2-Way Foley Catheter, Hydrogel Coating","handle":"bardex-lubricath-2-way-foley-catheter-hydrogel-coating","description":"\u003cp\u003eThe Bardex® Lubricath® latex Foley catheter provides for smoother insertion and enhanced patient comfort given the hydrogel coating's unique ability to absorb fluid, thus creating a hydrophilic \"cushion\" between the catheter surface and the urethra. (
  • An indwelling catheter is a tube inserted into your urethra. (
  • Insert the rounded end of the coloplast self cath straight tip male catheter into the urethra with a gentle pressure. (
  • Indwelling catheter is inserted through the urethra, or through the wall of the stomach, into the bladder and left in place for a period of time. (
  • Whereas the intermittent catheter is inserted through the urethra into the bladder to empty it, then removed, several times a day. (
  • However, catheters through the urethra can cause pain in boys, and may be difficult for girls to insert because of their anatomy. (
  • Intermittent catheters consist of thin, flexible tubes that can be inserted into the urethra to empty the bladder directly into a toilet or receptacle. (
  • The Teleflex/Rüsch® Gold™ Silicone Coated Latex 2-way Foley Catheter has two, opposed eyes, a 30 cc balloon and is 40 cm (16") L. It is sterile for single-use and color coded. (
  • Three-way, or triple lumen catheters have a third channel used to infuse sterile saline or another irrigating solution. (
  • The reimbursement covers straight, coude, catheters kits, and various brands of catheters with hydrophilic & antimicrobial coatings, whereas the Medicare program allows reimbursement for a maximum of 200 sterile and single-use intermittent catheters per month. (
  • DEHP-, BPA-, and latex-free for safety, Cure sterile catheters offer polished eyelets for comfortable insertion, and a range of sizes for both males and females. (
  • Hydrophilic catheters come with sterile water lubrication instead of a gel. (
  • Each subject was prepared with a chronic indwelling venous catheter under sterile surgical conditions using a technique described previously (Wilcox et al, 2002). (
  • The following recommendations were developed for the care of patients with temporary indwelling urethral catheters. (
  • In sharp contrast, those patients whose catheter was removed within three hours had fewer complications. (
  • According to Gregory D. Wiita Founder and CEO, the current Foley catheter attacks the body's natural defenses, which results in serious complications, including urosepsis and even bladder cancer . (
  • In the US alone costs due to complications caused by indwelling catheters run over $25 billion annually. (
  • However, indwelling catheter may produce complications such as venous thrombosis [4] or catheter infections in some cases. (
  • IntroductionThe importance of accidental catheter removal (ACR) lies in the complications caused by the removal itself and by catheter reinsertion. (
  • We continue to develop and design superior quality products for both our old and new customers and achieve a win-win prospect for our clients as well as us for Central Venous Catheter , Female External Catheter , Triple Lumen Catheter .We sincerely welcome you come to visit us. (
  • Various indwelling venous catheters have been used in hemodialysis patients after failure of traditional angioaccess. (
  • Central venous catheters with ports are used when you need treatment over a long period of time. (
  • Following strict guidelines for inserting and using central venous catheters and other indwelling devices (tubes). (
  • FOLFOX or FOLFIRI regimens) can be given on via indwelling venous catheters and portable infusion pumps. (
  • The use of centrally or peripherally inserted venous catheters with implantable ports has become common in cancer patients receiving chemotherapy. (
  • Thrombogenicity of dif-ferent central venous catheters has been reported to vary depending on the catheter material and size of the cath-eter used. (
  • Strategies to prevent catheter-associated urinary tract infections in acute care hospitals.Infect Control Hosp Epidemiol. (
  • Overutilization of indwelling urinary catheters and the development of nosocomial urinary tract infections.Clin Perform Qual Health Care. (
  • Guideline for prevention of catheter-associated urinary tract infections 2009. (
  • Need for improved patient care to avoid infections, especially with the outbreak of COVID-19, is aid the growth of the indwelling catheters market. (
  • Catheter-associated urinary tract infections (CAUTI) account for ∼40% of all hospital-acquired infections worldwide, with more than one million cases diagnosed annually. (
  • OBJECTIVE - Catheter-associated urinary tract infections (CAUTIs) are the most common nosocomial acquired infections, with high resistance rates. (
  • Catheter-associated urinary tract infections (CAUTIs) occur in 290,000 US hospital patients annually, with an estimated cost of $290 million. (
  • A collaborative effort reduced catheter-associated urinary tract infections in the neuro-spine intensive care unit where the majority of infections occurred at our institution. (
  • Although not all catheter-associated urinary tract infections can be prevented, it is believed that a large number could be avoided by the proper management of the indwelling catheter. (
  • Host factors which appear to increase the risk of acquiring catheter-associated urinary tract infections include advanced age, debilitation, and the postpartum state (7,8). (
  • Catheter-associated urinary tract infections are generally assumed to be benign. (
  • The natural history of catheter associated urinary tract infections has been largely unstudied. (
  • To assess the efficacy of a silver-alloy, hydrogel-coated latex urinary catheter for the prevention of nosocomial catheter-associated [urinary tract infections]" vs. a silicone-coated latex catheter (p. 3294). (
  • Designed to reduce Catheter-Related Bladder Discomfort (CRBD) and Catheter-Associated Urinary Tract Infections (CAUTIs) . (
  • A large percentage of patients with indwelling urinary catheters are likely to get bacterial infections, bladder spasms, leakage, bladder stones, and hematuria research has demonstrated bacteria alone are NOT the reason for many of these catheter-related infections. (
  • The introduction of an advanced and effective catheter can alleviate these infections. (
  • The COVID-19 pandemic prompted the approval because Bactiguard's catheters can lower the incidence of secondary infections in critically ill patients, boosting the market growth. (
  • En tout, 38 patients ont contracté 43 infections nosocomiales liées aux dispositifs médicaux (1,13 épisode par patient). (
  • Centers for Disease Control and Prevention, Catheter-associated Urinary Tract Infections (CAUTIs). (
  • Catheter-Associated Infections: Pathogenesis Affects Prevention, Arch Internal Medicine, 2004, April 26;164(8):842-850. (
  • 4. Agency for Healthcare Research and Quality (AHRQ), Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide, Rockville, MD, October 2015. (
  • Patients who have indwelling urinary catheters often suffer from urinary tract infections, which can be difficult to treat. (
  • Preventing bacteria from attaching to the catheter itself is an important part of reducing the risk of infections. (
  • Foley catheter demand will be fueled even more by antibacterial coatings that minimize the prevalence of catheter-associated urinary tract infections. (
  • Risk factors associated with the development of catheter-associated infections can be divided into host-related problems and device-related issues. (
  • Cells and proteins build up on indwelling devices such as stents, urinary catheters, and dialysis tubing, and this can lead to product malfunctions, or blood clots or infections in patients. (
  • Catheter related infections may be classified as bacteremia or exit site/tunnel infections. (
  • [3] Exit site and tunnel infections may predispose to bacteremia via extra luminal colonization of the catheter. (
  • 1 , 2 In one study, 1 for example, radiologic placement of long-term hemodialysis catheters resulted in a 50 percent savings in total hospital costs compared with surgical placement of the same type of catheter. (
  • The objective of the present study was to analyze the incidence of ACR for all types of catheters in the ICU.MethodsThis was a prospective and observational study, conducted in a 24-bed medical/surgical ICU in a university hospital. (
  • Hollister Incorporated, a US-based company that develops, manufactures, and markets healthcare products and services worldwide, has launched the Infyna Chic intermittent catheter, the latest in the company's line of female hydrophilic catheter products. (
  • Hydrophilic catheters allow for easy catheter insertion. (
  • We perform all necessary diagnostic procedures, ranging from thoracentesis to pleuroscopy and therapeutic procedures such as indwelling pleural catheter placement and pleurodesis. (
  • Certain types of catheters can be fitted independently. (
  • Refer to the FAQs below for more information on the other types of catheters available. (
  • These types of catheters of coudé tip catheters allow for easy insertion and can get past tight spots, or blockages. (
  • After filling out the form, one of our Continence Care Specialists will be in touch with you to send you free samples of products and discuss the different types of catheters to help you find the perfect fit. (
  • To the best of our knowledge, no studies have analyzed accidental removal of various types of catheters in the intensive care unit (ICU). (
  • The incidences of ACR for all types of catheters (both per 100 catheters and per 100 catheter-days) were determined.ResultsA total of 988 patients were included. (
  • In our view, according to establish quality standards, findings should be reported as ACR incidence per 100 catheters and per 100 catheter-days, for all types of catheters. (
  • Indwelling catheters should be removed as soon as they are no longer required to reduce the risk of CA-bacteriuria and CAUTI. (
  • Each day an indwelling catheter remains in place, a patient has a three to seven percent increased risk of acquiring a CAUTI. (
  • Reviews interventions to include in indwelling urinary catheter insertion and maintenance bundles and highlights the importance of proper catheter insertion and care as a means to prevent CAUTI. (
  • Urethral trauma is the only absolute contraindication to the placement of a urinary catheter. (
  • Any operation expected to last several hours generally requires the placement of a urinary catheter. (
  • Also known as catheter-related sepsis, it is the most common cause of nosocomial bacteremia. (
  • Physicians can reduce their use of indwelling urinary catheters when they follow evidence-based guidelines for usage, such as those published by the Centers for Disease Control and Prevention. (
  • Furthermore, the Centers for Disease Control and Prevention (CDC) estimates that 15-25 percent of hospitalized patients receive a foley catheter each year. (
  • Dataset extracted from MIMIC-II for a tutorial on effectiveness of indwelling arterial catheters in hemodynamically stable patients with respiratory failure for mortality outcomes. (
  • To determine whether postexercise hypotension would occur in spontaneously hypertensive rats and to test the hypothesis that any reductions would result because of decreases in regional vascular resistances, hypertensive rats (n=19) were instrumented with indwelling arterial catheters and Doppler probes to measure regional blood flows from the iliac, superior mesenteric, and renal arteries. (
  • id":262797157,"title":"Foley Catheter Bard Silicone Coated","handle":"foley-catheter-bard-silicone-coated","description":"\u003cp\u003eBard Silicone Coated Latex Foley Catheter. (
  • The latex Foley long-term silicone-coated balloon catheters are for medium-term urinary diversion: the latex-core silcoat catheters, which are additionally coated with silicone elastomer on the inside and outside, provide good incrustation protection at a relatively low cost. (
  • The brand also maintains cost parity with the present silicone catheter models. (
  • A central venous catheter is a long, soft plastic tube (usually made of silicone) that is placed via a small cut in the neck, chest, or groin into a large vein in the chest to allow IV fluids and medications to be given over an extended period of time. (
  • This unblinded randomised controlled trial aimed to determine whether indwelling pleural catheters (IPCs) are more effective at relieving dyspnoea in patients with malignant effusions than chest tube and talc pleurodesis. (
  • Effect of an indwelling pleural catheter vs chest tube and talc pleurodesis for relieving dyspnoea in patients with malignant pleural effusion. (
  • A novel, silver nitrate-coated IPC was developed with the intention of creating a rapid, effective chemical pleurodesis to allow more frequent and earlier catheter removal. (
  • Similarily, a condom catheter in males is associated with risks. (
  • While female sex is generally recognised as a risk factor for UTIs, the differences in biological sex are reduced or even diminished while carrying catheters. (
  • While UTIs are generally more common among females, the risk factor associated to anatomy is reduced while carrying catheters, some studies even showing no significant differences between the sex. (
  • 2 Approximately 75% of hospital-acquired UTIs are associated with an indwelling urinary catheter. (
  • Bacteria or fungi may enter your urinary tract via the catheter. (
  • Urinary tract instrumentation and the presence of an indwelling catheter increase the risk of S. (
  • An indwelling bladder catheter is removed, a tropia rather than by radiograph alone. (
  • We describe a thrombus in the inferior vena cava due to an indwelling hemodialysis catheter, a site with potential for fatal pulmonary embolism. (
  • The patients were followed up for one month after insertion of catheter for any evidence of hemodialysis catheter related infec tion (HCRI). (
  • Further prospective randomised controlled trials are warranted, potentially translating permanent indwelling peritoneal catheters into improved palliative care in end‐stage liver disease. (
  • Twelve (86%) of 14 patients presenting with chronic urinary retention were catheter free at last follow-up. (
  • North America was the largest user of catheters across the globe in 2019 because of the high incidence of chronic diseases, huge healthcare spending, launch of several initiatives by private and public organizations for raising public awareness about the benefits of catheters, surging population of geriatric people, and existence of leading catheter market players in the region. (
  • Thus, the rising incidence of urological dysfunctions and related surgeries has augmented the demand for urinary catheters for post-operative convenience. (
  • This was primarily because of the high incidence of cardiovascular diseases (CVDs) all over the world and extensive usage of catheters for diagnosing and treating them. (
  • Catheter-related thrombosis incidence without anticoagulants was 28% in arm and 33% in chest ports, but with anticoagulants this was 32% in arm and only 1% in chest ports (odds ratio (OR) 34.8 95% confidence interval (CI) 7.3-165). (
  • The reported incidence of catheter-related venous thrombosis varies considerably, in part due to the method of detecting thrombi, with incidences of greater than 60% being reported[1,2]. (
  • De Cicco and col-leagues [1] reported a very high incidence of 66%, but only 6% of patients with catheter-related thrombosis, screened by venography, were symptomatic. (
  • Polyethylene cathcath-eters are associated with a higher incidence than silastic catheters [6,7], whereas there is no difference in the incidence of venous throm-bosis following the use of silastic or hydromer-coated polyurethane catheters[6,7]. (
  • [4] The majority of bac teremias are caused by the vascular accesses, with the incidence being 10 times greater with indwelling catheters than either fistulas or synthetic grafts. (
  • The report forecasts the country wise demand for Indwelling Catheters between 2021 and 2031. (
  • Gently hold the catheter and begin washing the end near your vagina or penis. (
  • The prevalence of asymptomatic bacteriuria (ASB) in patients without indwelling urinary catheters varies widely among groups and is more common in women, the elderly, those with urogenital abnormalities, institutionalized patients, and certain comorbidities. (
  • Common reasons to have an indwelling catheter are urinary incontinence (leakage), urinary retention (not being able to urinate), surgery that made this catheter necessary, or another health problem. (
  • Doctors recommend the use of urinary catheters in the case of Urinary Incontinence (UI), urinary retention, prostate surgery, or other medical conditions, such as spinal cord injury, multiple sclerosis, or dementia. (
  • Common reasons individuals need indwelling catheters include urinary retention, physical or mental disabilities, injuries, urinary incontinence, and surgeries. (
  • This type of catheter is used to help manage urinary incontinence and does not require urethral catheter insertion. (
  • In terms of coating type, hydrogel coated indwelling catheters are highly popular. (
  • The sleeve had another significant effect for someone with dementia as it hides the bag (not tubing) and reduces the risks of the catheter being pulled or tugged at, causing more discomfort, leakage or pain. (
  • Make sure the bladder is completely empty when you remove the catheter. (
  • When I flush the bottle doesn't totally empty so after I remove the catheter I use the remaining water to flush out the catheter. (
  • Specially Designed Soft & beveled tip for smooth & easy insertion of catheter. (
  • A common side effect of having a catheter is bladder spasms as your bladder squeezes, trying to push out the balloon. (
  • Poiesis Medical announces new clinical outcomes data of rigorous clinical controlled studies and Real-World Evidence (RWE) supporting the Dual Balloon (Duette) indwelling catheter technology. (
  • Poiesis Medical, a company focused on delivering advanced urinary products targeting patient-centric outcomes, offers the Duette dual balloon catheter . (
  • We are happy to state that clinical results in controlled and real-world studies (RWS) confirm the benefits of Dual balloon (Duette) catheter technology compared to single balloon (Foley) devices. (
  • It is time for catheter innovations , seeing the need for new and innovative design, Poiesis Medical researched and developed the Duette dual balloon catheter. (
  • The zero-tip dual balloon catheter prevents trauma to the mucosal lining of the catheter. (
  • The Dual Balloon technology Duette can be deployed across the many different care areas where catheters are utilized. (
  • Here, we report two cases of benign ALO that were treated with percutaneous transhepatic afferent loop balloon dilatation and indwelling catheter, including one case with no improvement after surgery. (
  • The Urology department that fitted the catheter never once suggested this as an option for mum, even though I explained that this was a risk for mum with Alzheimer's. (
  • Aeroflow Urology works with top urological medical supply manufacturers to ensure industry-leading solutions and the best brands of catheter supplies available, including Bard, Cure, Hollister, Coloplast, Rusch, and more. (
  • This in vivo study demonstrates the potential of EDTA as an efficient antibiotic adjuvant to eradicate catheter-associated biofilms of major bacterial pathogens and thus provides a promising new lock solution. (
  • Overtreatment of asymptomatic bacteriuria (ASB) in patients with urinary catheters remains high. (
  • An organism isolated from blood culture is compatible with a related nosocomial catheter-associated symptomatic UTI or asymptomatic bacteriuria. (
  • Catheter-related thrombosis is probably frequently under-diagnosed as most patients with catheter-related thrombosis are asymptomatic or have non-specific symptoms. (
  • Clinical presentation of catheter-related thrombosis may include arm or head swelling, erythema, pain and congestion of collateral veins, whereas catheter malfunctioning may be the first clinical manifestation of an otherwise asymptomatic catheter-related thrombosis. (
  • Rationale: Tunneled, indwelling pleural catheters (IPCs) have been demonstrated to be an effective method of managing malignant pleural effusions. (
  • Methods: The SWIFT [A Pivotal Multi-Center, Randomized, Controlled, Single-Blinded Study Comparing the Silver Nitrate-Coated Indwelling Pleural Catheter (SNCIPC) to the Uncoated PleurX® Pleural Catheter for the Management of Symptomatic, Recurrent, Malignant Pleural Effusions] trial was a multicenter, parallel-group, randomized, controlled, patient-blind trial. (