Central venous access of peripheral insertion and fully implanted, manipulation and optimization
Keywords:
Venous access, CVCTI, PICC, Catheter, Good practicesAbstract
Oncology treatments have been increasing, both in number and in complexity. The existence of a safe central vascular access suitable for the therapy to be performed is essential, promoting best practice in the care of cancer patients.
The fully implanted central venous catheter allows the safe administration of antineoplastic therapies with a low risk of complications and a positive impact on the quality of life of the person with oncological pathology. More recently, peripherally inserted central catheter, being less invasive, has demonstrated proven benefits for the patient and health care management. However, it still needs more publicity.
Although there are several international recommendations regarding the maintenance and optimization of central vascular access, doubts still persist in clinical practice. This fact motivated this bibliographic research to develop skills in this area of intervention.
Downloads
Full-text of the article is available for this locale: Português (Portugal).
References
Center for Disease Control and Prevention (CDC) (2011). Guidelines for the prevention of intravascular catheter related infections. Atlanta: CDC. Recuperado de https://www.cdc.gov/infectioncontrol/guidelines/bsi/index.html.
Derudas, D., Baronciani, D., Depau, C., Pilo, F., Targhetta, C.; Usai, S., Angelucci, E. (2013). Safety, feasibility and cost of hematopoietic stem cell transplantation management by peripheral inserted central catheter (PICC): A phase II prospective study. Blood, 122(21), 2971. Recuperado de http://www.bloodjournal.org/content/122/21/2971.abstract.
Direção Geral de Saúde (DGS). (2015). Norma Nº 022/2015 - “Feixe de Intervenções” de Prevenção de Infeção Relacionada com Cateter Venoso Central. Recuperado de https://normas.dgs.min-saude.pt/2015/12/16/feixe-de-intervencoes-de-prevencao-de-infecao-relacionada-comcateter-venoso-central/.
Ding, X., Ding, F., Wang, Y., Wang, L., Wang, J., Xu, L., … Xue, M. (2019). Shanghai expert consensus on totally implantable access ports 2019. Journal of Interventional Medicine. 2. 141-145. doi.org/10.1016/j.jimed.2019.10.008.
Farjo, L. (2003). Blood collection from peripherally inserted central venous catheters: an institution's effort to evaluate and update its current policy. J Infus Nurs;26(6):374-9.
Garcia, R. A.; Spitzer, E. D.; Kranz, B. & Barnes, S. (2018). A national survey of interventions and practices in the prevention of blood culture contamination and associated adverse health care events. American Journal of Infection Control, 46(5), 571–576. doi.org/10.1016/j.ajic.2017.11.009.
Goossens, G. (2015) Flushing and locking of venous catheters: available evidence and evidence deficit. Nursing research and practice. 1-12. doi.org/10.1155/2015/985686.
Gorski L.A. & Czaplewski, L.M. (2004). Peripherally Inserted Central Catheters and Midline Catheters for the Homecare Nurse. J Infus Nurs 27(6):399-409.
Griffiths V.R. & Philpot P. (2002). Peripherally inserted central catheters (PICC): do they have a role in the care of the critically ill patient? Intensive Crit Care Nurs, 18(1):37-47.
Heffner A. & Androes, M. (2021). Overview of central venous acess in adult. UpToDate. Recuperado de https://www.uptodate.com/contents/overview-of-central-venous-access-in-adults.
Hockenberry M. & Wong D.L. (2011). Fundamentos de enfermagem pediátrica. 8ª ed. Rio de Janeiro:Elsevier.
Khalil, N., Youssef, W. & Moustafa, Z. (2017). Oncology critical care nurse’s knowledge about insertion, care and complications of venous port catheters in Egypt. Journal of advanced practices in nursing. 2(137). doi.org/10.4172/2573-0347.1000137.
Krein S. (2019). Patient-reported complications related to peripherally inserted central catheters: a multicentre prospective cohort study. BMJ; 28:574–581.
Loveday, H. P., Wilson, J. A., Pratt, R. J., Golsorkhi, M., Tingle, A., Bak, A., Health, U. D. (2014). National evidence-based guidelines for preventing healthcareassociated infections in NHS hospitals in England. Journal Hospital Infection., 86 (Suppl.1), S1-S70. doi.org/10.1016/S0195-6701(13)60012-2.
Martinez, M. J.; Leite, L.; França, D.; Capela, R.; Viterbo, L.; Varajão, N.; & Martins, Â... (2015). Bundle approach to reduce bloodstream infections in neutropenic hematologic atients with a longterm central venous catheter. Acta Medica Portuguesa, 28(4), 474–479. doi.org/10.20344/amp.6002.
Montes, S.F., Teixeira, J.B., Barbosa, M., Barichello, E. (2011). Ocorrência de complicações relacionadas ao uso de cateter venoso central de inserção periférica (PICC) em recém-nascidos. Enferm. glob. 15(24). doi.org/10.4321/S1695-61412011000400001.
Moureau, N. L. (2019). CLABSI: Definition and Diagnosis . In Vessel Health and Preservation: The Right Approach for Vascular Access.
NHS (2019). Care and maintenance of central venous catheter devices. Acedido em 09.05.2021. Recuperadodehttps://www.nhslcg.scot.nhs.uk/wpcontent/uploads/2019/06/Care_and_Maintenance_of_Central_Venous_Access_Devices_CVAD.pdf.
Pittiruti, M., Bertoglio, S., Scoppettuolo, G., Biffi, R., Lamperti, M., Dal, A.; & Panocchia, N... (2016). Evidence-based criteria for the choice and the clinical use of the most appropriate lock solutions
for central venous catheters (Excluding dialysis catheters): A GAVeCeLT consensus. The Journal of Vascular Access, 17(6), 453–464. doi.org/10.5301/jva.5000576.
Rupp, M. E. & Karnatak, R. (2018). Intravascular Catheter–Related Bloodstream Infections. Infectious Disease Clinics of North America, 32(4), 765–787. doi.org/10.1016/j.idc.2018.06.002
Santos, R. (2015). Cuidar do doente em cuidados paliativos com cateter venoso central totalmente implantado: importância do manuseamento. Tese de mestrado. Recuperado de https://repositorio.ul.pt/bitstream/10451/23511/1/10973_Tese.pdf
Schiffer, C. A., Mangu, P. B., Wade, J. C., Camp-Sorrell, D., Cope, D. G., El-Rayes, B. F., & Gorman, M... (2013). Central venous catheter care for the patient with cancer: American Society of Clinical Oncology clinical practice guideline. Journal of Clinical Oncology, 31(10), 1357–1370. doi.org/10.1200/JCO.2012.45.5733.
Smith, S. N., Moureau, N., Vaughn, V. M., Boldenow, T., Kaatz, S., Grant, P. J., Bernstein, S. J., … Chopra, V. (2017). Patterns and predictors of peripherally inserted central catheter occlusion: The 3P-O Study. Journal of Vascular and Interventional Radiology, 28(5), 749- 756.e2. doi.org/10.1016/j.jvir.2017.02.005.
Sousa, B., Furlanetto, J., Hutka, M., Gouveia, P., Wuerstlein, R., Mariz, J. M., Pinto, D. & Cardoso, F. (2015). Central venous access in oncology: ESMO clinical practice guidelines. Annals of Oncology. 26 (5). 152-168. doi.org/10.1093/annonc/mdv296.
Stocco, J.G., Crozeta, K., Labronici, L.M., Maftum, M.A., Meier, M.J. (2011). Cateter central de inserção periférica: percepções da equipe de enfermagem. Cogitare Enferm.16(1):56-62.
Toma, E. (2004). Avaliação do uso do PICC - cateter central de inserção periférica em recém-nascidos [Tese de Doutorado]. São Paulo: Escola de Enfermagem da Universidade de São Paulo.
Vasques, C. I. (2017). Cateter totalmente implantado em oncologia. In Custódio, C.; Goulart, C. & Reis,P. Diretrizes oncológicas (pp 653-663). Recuperado de https://diretrizesoncologicas.com.br/wpcontent/uploads/2018/10/Diretrizesoncol%C3%B3gicas-2_Parte40.p.
Zerati, A. E., Wolosker, N., de Luccia, N. & Puech-Leão, P. (2017). Cateteres venosos totalmente implantáveis: Histórico, técnica de implante e complicações. Jornal Vascular Brasileiro. 16(2). 128-139. doi.org/10.1590/1677-5449.008216.
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Albertina Santos, Cristina Santos, Maria Girão, Carine Lopes, Inês Claro, Susana Gonçalves, Susana Silva, Esmeralda Barreira
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.