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Vacuum-Assisted Venous Drainage: A 2014 Safety Survey. | LitMetric

Vacuum-Assisted Venous Drainage: A 2014 Safety Survey.

J Extra Corpor Technol

Department of Cardiovascular Perfusion, College of Health Professions, SUNY Upstate Medical University, Syracuse, New York.

Published: September 2015

AI Article Synopsis

  • The study investigates safety practices related to vacuum-assisted venous drainage (VAVD) within the perfusion community to prevent catastrophic incidents, noting a lack of documentation on current methods.
  • A survey sent to certified clinical perfusionists in New York State revealed that a majority use VAVD, with most monitoring pressure and some having alarms, but compliance with specific safety protocols varies.
  • The findings indicate that while VAVD usage has increased and there is some adherence to recommended safety standards, there are still areas that need improvement to enhance patient safety.

Article Abstract

Despite the widespread use of vacuum-assisted venous drainage (VAVD) and case reports describing catastrophic incidents related to VAVD, there is a lack of data cataloging specific safety measures that individuals and institutions have incorporated into their VAVD practices for the prevention of these incidents. Therefore, the purpose of this study is to survey the perfusion community to gather data on VAVD practices, and to compare these current practices with literature recommendations and the American Society of ExtraCorporeal Technology (AmSECT) Standards and Guidelines. In September 2014, a survey was distributed via PerfList and PerfMail, and by direct e-mail to members of the New York State Society of Perfusionists, targeting certified clinical perfusionists in New York State. Survey topics pertaining to VAVD practice included 1) equipment, 2) pressure monitoring and alarms, 3) protocols, checklists, and documentation, and 4) VAVD-related incidents. Of ∼200 certified clinical perfusionists who live and/or work in New York State (NYS), 88 responded (42%). Most respondents (90.1%) report they use VAVD. Of these, 87.3% report that they monitor VAVD pressure, with 51.6% having audible and visual alarms for both positive and excessive negative pressures. At the institutional level, 61.2% of respondents reported that there is a protocol in place at for their team limiting negative pressure in the reservoir, 28.4% document VAVD pressure in the pump record, and AmSECT's three recommended VAVD checklist items are met with 53.7%, 55.1%, and 33.8% compliance. In conclusion, the results of this study reveal that the use of VAVD has increased and has become nearly universal in 2014. There is high compliance to some of the literature recommendations and AmSECT Standards and Guidelines, however, there are still some gaps between current practices and these recommendations. Continued improvement, both at the individual and institutional levels, will help to improve patient safety by preventing untoward events from occurring while using VAVD.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4631213PMC

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