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. Information included location, frequency, and purpose of CVAD access episodes and who performed CVAD care. Across all patients, 77% of care was provided in the patient's home compared with other sites. Home care was provided via self-care (48%), by a family member/caregiver (25%), or by a nurse (27%). Flushing the device was the most frequent reason for device access (52%). An occlusion rate of 9.57 per 1000 device days was also noted. Further examination of CVAD maintenance and patient/care provider education is warranted.
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http://dx.doi.org/10.1097/NAN.0000000000000321 | DOI Listing |
J Thromb Haemost
November 2024
School of Medicine, University of Queensland, Brisbane, Australia; Division of Cancer Services, Princess Alexandra Hospital, Brisbane, Australia.
Background: Catheter-related thrombosis (CRT) is a complication of central venous access devices (CVADs). Evidence is variable regarding the significance of the side of catheter insertion. The role of the patient's hand dominance in predisposition to CRT remains uncertain.
View Article and Find Full Text PDFHCA Healthc J Med
October 2024
Medical City Healthcare, Irving, TX.
Background: Central line-associated bloodstream infections (CLABSI) increase morbidity, mortality, and healthcare costs. Central venous access device (CVAD) dressing integrity is critical to prevent CLABSI. From the First Quarter to the Third Quarter of 2023, CLABSI rates related to disruption in CVAD dressing integrity increased significantly at our facility.
View Article and Find Full Text PDFJ Infus Nurs
November 2024
Author Affiliations: Oncology and Infusion Services, Providence Regional Medical Center Everett Cancer Partnership, Everett, Washington (Sarver); Sarver Better Living Products LLC, Everett, Washington (Sarver); Outpatient Infusion Center, University of Washington Medical Center, Seattle, Washington (McManus); Nursing Services, Medical Oncology, Providence Regional Medical Center Everett, Everett, Washington (Toler); Everett Community College, Everett, Washington (Toler); Providence Regional Medical Center Everett, Everett, Washington (Johnson).
A quasi-experimental study comparing the mixing and discard methods of laboratory specimen techniques in an adult acute care setting was conducted over a 30-month period. Primary end points were delta hemoglobin (Hgb) and transfusion rates. Secondary end points were redraws related to hemolysis and erroneous results, noting central venous access device (CVAD) type.
View Article and Find Full Text PDFJ Vasc Access
October 2024
School of Nursing, Nantong University Medical School, Nantong, Jiangsu Province, China.
Background: Several studies have upheld the advantages of blood collection using via central venous access device (CVAD); the procedure has a high success rate and avoids painful repeated punctures. Some studies have suggested that via central venous access device (CVAD) blood collection is preferable for acute and critical care, oncology, and pediatric patients. However, there is no consensus on or standardization of this approach.
View Article and Find Full Text PDFPediatr Blood Cancer
December 2024
Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Background: Most children with cancer will require a central venous access device (CVAD) to administer cancer treatment. A commonly used CVAD is a tunnelled cuffed centrally inserted central catheter (TC-CICC). There is little information available to guide best practice when removing this type of CVAD.
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