Annotated Bibliography On Vascular Access Essay

The physician inserts a tissue valve into the bigger artery there, and then takes the valve up to the

an artery in the neck. Once the catheter is in place, the needle is removed and a

In the NICU central lines (CL) are used for an extended period of time to provide sufficient means of Total parental nutrition known as (TPN), administration of medication, administration of blood products and blood collection (Hoveacvar, 2014). A CL is where medical access can be used through devices known as percutaneously inserted central catheter (PICC) umbilical venous catheter (UVC) located centrally in the venous system in the inferior vena cava ( Zhou, 2015). An average central line in the NICU is used for 6-10 days (63.5%), a UVC should not be used greater than 7 days of life (Hovearcar, 2014). With a CL being placed close to the heart, prevention of infection is of utmost importance to prevent CLABSI. When a PICC CL remains in past 35 days, there is an increase of 33% chance per day of increasing the risk of developing CLABSI (Sengupta, ).

Medical staff will clean and shave your groin or arm for the insertion of the catheter. A local numbing agent will be administered, but you will be awake during the procedure. Medicines for anxiety could be given if patient is having trouble relaxing during the exam. Next, a small catheter will be inserted into an artery. The doctor then uses x-rays to guide the catheter to the area of interest. Once the catheter is in place, dye will be inserted through tube. This allows for visualization of your blood vessels. Very minimal movement will be aloud during this exam to ensure safety and high quality images. This procedure could last one to two hours. If this is a planned procedure and not an emergency, this is normally only scheduled in the

Catheters are basically connected either to a bodily vessel or a cavity. They can be used to either drain body fluids or push medicine into the body. Catheterization can be done, using a number of needles and tubes. Some of them are soft while some

Sometimes, the care they receive requires people to have central venous catheters, or central lines, inserted. These lines are typically placed in large veins in the neck, chest or groin. Like the more common intravenous catheters, or IVs, central venous catheters are generally used to administer medications or fluids, or to collect blood.

Central lines and peripherally inserted central catheter are tubes inserted in a patient’s vein. They are required to help the patient get medication and nutrition. There are so many articles about these tubes, what they are, how to put them, and how to care about them. To achieve the aim of these tubes without complications, the people with them should know about them and know how to care for them, what is not normal about them, what to do in case of complications, and when to call their healthcare provider. In this paper the safety, teaching and care about the central and peripherally inserted central catheter will be discussed.

One of the most reliable long term central venous access devices is a Port-a-Cath. There are numerous health professionals that have confirmed that implanted port devices have a lower risk of any complications and infection. Typically, this type of access devices is also used because of the variety of medications that maybe pumped into this device without causing much damage to the vasculature. The intention of this paper is to show evidence based practice implications with the use of the Port-a-Cath device, as well as analyze any barriers to the practice implications.

Groin access, guiding catheter navigated to the internal carotid artery, then intermediate catheter and microcatheter are pushed through and slightly passed the clot.

The authors used quite an extensive list of references, ranging in time frame from the years 1982-2014, which were used appropriately throughout the article and were aimed to give readers evidence on the background and complications of Central Venous Access Devices. The authors followed APA guidelines and used credible resources.

This is where the research gets very interesting. The truth of the matter is there are two methods to discuss. The first method is commonly known as the “blind” method where the catheter line is threaded by feel through a vein the arm and into the superior vena cava of the heart. The second method is accomplished using ultrasound technology to guide the catheter up through the arm and into the heart chamber.

Two hours to transplant this heart, BP 140/90 mmHg, life or death and it is all in my hands. “Scalpel”. It takes many attributes to become and maintain the occupation of a cardiovascular surgeon. Such as the amount of schooling it will require, the amount of emotional stability it will take to pursue this career, lastly dealing with the loss of a patient. Cardiovascular surgery is a challenging but rewarding career to be interested in or be a part of. Amidst researching Cardiovascular surgeons and answering my questions, to soon realize the answers were met with more questions. I came across a book called Advice for a young surgeon by John C. Hall. Which offered great first-hand information on the daily life of a Surgeon and starting your career. Also numerous other interviews and articles. My aim by the end

A peripherally inserted central catheter or PICC line “is a thin soft flexible tube” (Peripherally Inserted Central Catheter (PICC). (2015). It is usually inserted in the upper arm just above the elbow in a main vein that will lead to the heart where the blood flows more rapidly. Midlines are inserted usually into the vein in the arm. Sometimes you will need to use a leg vein when caring for infants. They last longer than a regular IV, but not as long as a PICC line. “It can usually be used for 2-4 weeks” (Peripherally Inserted Central Catheter (PICC). (2015). The central venous catheter is “placed into a large vein leading into the heart and comes out through a small opening in the chest area” (Peripherally Inserted Central Catheter (PICC). (2015). which they call the exit site. The big

Morrison, K., & Holt, K. E. (2015). The Effectiveness of Clinically Indicated Replacement of Peripheral Intravenous Catheters: An Evidence Review With Implications for Clinical Practice. Worldviews On Evidence-Based Nursing, 12(4), 187-198.

To perform a cardiac catheterization the cardiologist will insert a sheath, or a short tube usually into the femoral artery. A long very thin catheter will then be fed through the sheath and guided through the arteries until it is in the heart and coronary arteries. The physician uses fluoroscopy equipment to guide the catheter into the coronary arteries. To allow for clear viewing of the coronary arteries, contrast material is injected into the catheter. As the contrast material flows through the heart chambers and coronary arteries x-rays are taken. The