Maintenance of totally implantable ports in Zhongshan Hospital

Shen, Yuehong; Zhang, Xin Ping; Ge, Feng; Huang, Hui-Ling; Li, Li

doi:10.11124/jbisrir-2016-2517

Cited by 6 publications

(4 citation statements)

References 15 publications

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“…Este e outros estudos demonstram os benefícios da educação continuada por meio de programas educacionais. (11,24,30) Em comparação com a linha de base, observamos que a exposição ao manual de procedimentos aumentou consideravelmente tanto o conhecimento quanto as habilidades práticas dos enfermeiros, principalmente no que diz respeito à técnica de manutenção do cateter, mesmo sem o treinamento adicional de habilidades. O grande aumento nas competências de manutenção pode ter ocorrido porque as pontuações iniciais dos enfermeiros foram muito baixas.…”

Section: Discussionunclassified

“…(31,32) O baixo custo do manual e sua disponibilidade em formato digital permitem fácil utilização pelos profissionais e em programas de educação continuada. (8,30,33) Vários estudos avaliaram material escrito, em formato manual, que mostrou melhora no conhecimento e na prática quando utilizado. Entre eles, podemos citar um manual educativo para gestão do DAVTI, (30) um manual de procedimentos para residentes médicos durante casos clínicos que exigiam raciocínio e intervenção rápidos, (34) um guia de bolso para procedimentos de exames físicos para estudantes de medicina, (35) e um manual de procedimentos em situação de emergência em uma unidade pré-operatória escrito para as equipes de anestesiologia.…”

Section: Discussionunclassified

“…(8,30,33) Vários estudos avaliaram material escrito, em formato manual, que mostrou melhora no conhecimento e na prática quando utilizado. Entre eles, podemos citar um manual educativo para gestão do DAVTI, (30) um manual de procedimentos para residentes médicos durante casos clínicos que exigiam raciocínio e intervenção rápidos, (34) um guia de bolso para procedimentos de exames físicos para estudantes de medicina, (35) e um manual de procedimentos em situação de emergência em uma unidade pré-operatória escrito para as equipes de anestesiologia. (36) Em nosso estudo, o manual apresentava passo a passo, o que pode ter contribuído para o elevado aumento nas pontuações da linha de base até a primeira avaliação.…”

Section: Discussionunclassified

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Intervenção educativa para melhorar o manejo do dispositivo de acesso vascular totalmente implantado

Vieira,

Vasques,

Reis

et al. 2024

Acta Paulista De Enfermagem

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Section: Discussionunclassified

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Intervenção educativa para melhorar o manejo do dispositivo de acesso vascular totalmente implantado

Vieira,

Vasques,

Reis

et al. 2024

Acta Paulista De Enfermagem

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“…According to a random number table, the patients receiving arm infusion port implantation in our hospital from January 2020 to August 2021, were divided into three groups, includng 0.9% sodium chloride solution conduction group (group A), 5.45% sodium chloride solution conduction group (group B) and 10% sodium chloride solution conduction group (group C). Inclusion criteria were (1) no contraindications for arm infusion port implantation, such as hemorrhagic tendency, bacteriemia, and being allergic to silicone, rubber or titanium alloy used in the arm infusion port implantation 7 , 8 ; (2) clear consciousness; (3) age 18 years or older; and (4) surface ECG showing a normal P wave and sinus rhythm. Exclusion criteria were (1) arrhythmia or abnormal P wave, such as implanting heart pacemaker and atrial fibrillation; (2) psychiatric illness with poor compliance; (3) hypernatremia or hypokalemia; (4) a history of indwelling catheter or infusion port implantation; and (5) permanent left superior vena cava.…”

Section: Methodsmentioning

confidence: 99%

Effects of different concentrations of intraluminal sodium chloride solution on intracavitary ECG used for arm infusion port implantation

Dong

Guan

Zhang

et al. 2022

Sci Rep

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At present, there are few clinical studies on the application of high-concentration sodium chloride solutions in intracavitary ECG-guided catheter tip localization during the arm infusion port implantation. This study observed the effects of sodium chloride solutions with different concentrations on intracavitary ECG-guided arm infusion port implantation in the patients with cancer. The 657 patients receiving arm infusion port implantation in our hospital between January 2020 and August 2021 were randomly divided into 0.9% sodium chloride solution conduction group (group A), 5.45% sodium chloride solution conduction group (group B) and 10% sodium chloride solution conduction group (group C). The derived rate of stable intracavitary ECG, the occurrence rate of characteristic P wave, the time used for catheter tip localization and the optimal position rate of catheter tip were compared between the three groups. The derived rate of stable intracavitary ECG was significantly higher in the group B (97.78%) and group C (98.63%) than in the group A (93.90%) (all P < 0.05). The occurrence rate of characteristic P wave was also significantly higher in the group B (96.89%) and group C (97.72%) than in the group A (88.73%) (all P < 0.001). The time used for catheter tip localization was significantly shorter in the group B [(49.73 ± 8.15) s] and group C [(48.27 ± 8.61) s] than in the group A [(69.37 ± 19.99) s] (all P < 0.001). There was no significant difference in the optimal position rate of catheter tip among the three groups (P > 0.05). The 5.45% and 10% sodium chloride solutions are significantly superior comparing with 0.9% sodium chloride solution in the derived rate of stable intracavitary ECG, occurrence rate of characteristic P wave and time used for catheter tip localization, but there were no significant differences between 5.45 and 10% sodium chloride solutions. Moreover, the 5.45% sodium chloride solution is closer to physiological state comparing with 10% sodium chloride solution, so the 5.45% sodium chloride solution may be recommended for the intracavitary ECG-guided arm infusion port implantation.

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A retrospective observational study on maintenance and complications of totally implantable venous access ports in 563 patients: Prolonged versus short flushing intervals

Zhang

Zhao

Jiang

et al. 2021

International Journal of Nursing Sciences

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Objectives To assess whether the extension of the flushing interval will increase risks of complications associated with totally implantable venous access port (TIVAP) in the off-treatment period. Methods A retrospective single-center observational study was performed. Patients with a TIVAP in the off-treatment period that underwent regular flushing in our clinic were included. Data concerning patients and their TIVAPs were recorded. Patient baseline characteristics and TIVAP-related complications were analyzed. Continuous variables were analyzed by ANOVA or the Kruskal-Wallis H test. To compare the occurrence of TIVAP-related complications, the chi-square test was used; if needed, Fisher’s exact test was used. Results Totally 607 patients were reviewed, and 563 patients were finally included. Thirteen complications were recorded, including 11 cases of catheter occlusion (1.95%), one case of port cannula rotation (0.18%), and one case of catheter tip malposition (0.18%). No device-related infection or venous thrombosis was recorded. Among these patients, the average flushing interval was 35.27 ± 13.09 days. Patients were divided into three groups according to the flushing interval: every 28 days or less (Group 1, n = 133); every 29–44 days (Group 2, n = 350); and every 45 days or more (Group 3, n = 80). No significant difference in catheter-related complications was found among the three groups ( P > 0.05). Conclusions In the TIVAP off-treatment period, patients without any history of TIVAP-related complications during approximately one year can attempt to prolong the flushing interval to more than 4 weeks; we further suggest that 5–6 weeks may be an appropriate option for these patients.

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Maintenance of totally implantable ports in Zhongshan Hospital

Abstract: This project achieved a significant improvement in establishing evidence-based practice regarding maintenance of totally implantable ports in the general surgery ward. Strategies in sustaining best practice should be developed in the future.

Cited by 6 publications

References 15 publications

Intervenção educativa para melhorar o manejo do dispositivo de acesso vascular totalmente implantado

Intervenção educativa para melhorar o manejo do dispositivo de acesso vascular totalmente implantado

Effects of different concentrations of intraluminal sodium chloride solution on intracavitary ECG used for arm infusion port implantation

A retrospective observational study on maintenance and complications of totally implantable venous access ports in 563 patients: Prolonged versus short flushing intervals

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