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Background: In patients with cancer, the choice of an appropriate venous access device is crucial for effective treatment, minimizing complications, and reducing healthcare costs. Key management decisions, such as the timing of device removal post-therapy, can impact clinical outcomes. As current international guidelines lack specific directives for these issues, a global consensus of experts, representing different countries, was deemed appropriate.
View Article and Find Full Text PDFInterventions to manage occluded central venous access devices: An umbrella review.
J Vasc Access
April 2024
Department of Medical Imaging, Toowoomba Hospital, Darling Downs Health, Queensland Health, Toowoomba, QLD, Australia.
The main objective of this umbrella review is to synthesise available evidence from systematic reviews on the effectiveness of interventions for the management of occlusions in central venous access devices. CVADS have been extensively utilised among the critically ill since the 1950s however have also been linked to an increase in catheter complications. CVAD occlusion can occur in 14%-36% of patients within 1-2 years of catheter placement and is a longstanding complication.
View Article and Find Full Text PDFTransitioning from heparin to saline locks for central venous access devices in oncology: An evidence-based practice approach.
Can Oncol Nurs J
April 2022
Faculty Statistician, Department of Data Science, Dana Farber Cancer Institute, Boston, MA.
Central vascular access devices (CVADs) are often essential to the care of patients undergoing long-term cancer treatment. CVAD maintenance is an essential oncology nurse competency. Evidence-based practice (EBP) in flushing and locking help to prevent intraluminal occlusion, a common complication.
View Article and Find Full Text PDFA Day in the Life of a CVAD.
J Infus Nurs
May 2019
Nebraska Antimicrobial Stewardship Assessment and Promotion Program, Nebraska Infection Control Assessment and Promotion Program, and Nebraska Medicine, Omaha, Nebraska (Dr Nailon); Division of Infectious Diseases, University of Nebraska Medical Center, Omaha, Nebraska (Dr Rupp); and College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska (Ms Lyden). Regina E. Nailon, PhD, RN, facilitates interprofessional research and meaningful use of data in clinical decision making at Nebraska Medicine. Her primary research focus is aimed at improving health outcomes and the infrastructure necessary for the delivery of safe and appropriate care across the care continuum. Mark E. Rupp, MD, is professor and chief of the Division of Infectious Diseases at the University of Nebraska Medical Center. He is also the medical director of the Department of Infection Control and Epidemiology. Dr Rupp studies device-associated infections, staphylococcal disease, and antimicrobial stewardship. Elizabeth Lyden, MS, is associate director of the Center for Collaboration on Research, Design and Analysis, and an instructor in the Department of Biostatistics at the University of Nebraska Medical Center. She provides consultation, data analysis, and manuscript preparation in multiple departments including infectious diseases.
Patients are increasingly receiving therapy at home via central vascular access devices (CVADs). Limited data exist regarding patients' experiences with outpatient CVADs. This study characterized outpatient CVAD care via 14-day patient diaries.
View Article and Find Full Text PDFAmerican Society for Parenteral and Enteral Nutrition Guidelines for the Selection and Care of Central Venous Access Devices for Adult Home Parenteral Nutrition Administration.
JPEN J Parenter Enteral Nutr
January 2019
Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago Illinois.
This document represents the American Society for Parenteral and Enteral Nutrition (ASPEN) clinical guidelines to describe best practices in the selection and care of central venous access devices (CVADs) for the infusion of home parenteral nutrition (HPN) admixtures in adult patients. The guidelines targeted adults >18 years of age in which the intervention or exposure had to include HPN that was administered via a CVAD. Case studies, non-English studies, or studies of CVAD no longer available in the United States were excluded.
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