Securing vascular access in geriatric patients
Authors:
J. Charvát
Published in the journal:
Geriatrie a Gerontologie 2017, 6, č. 4: 176-178
Category:
Review Article
Summary
In geriatric patients it is often necessary to secure long term vascular access for intravenous drugs and infusions. A peripheral cannula or a non-tunnelled central venous catheter can however only be inserted into a vein for a relatively short time. In the last 10-15 years, catheters inserted into the middle part of the arm has been used – midline catheter and peripherally inserted central catheter (PICC). In case of midline catheter, its distal end is in the axial vein, which makes it a peripheral access, while in the case of PICC, its distal end is in the cavoatrial junction, which makes it a central access. Both these types of catheters can be used on a long-term basis, on the scale of weeks to months. In cases when these forms of access cannot be used, tunnelled central venous catheter can be another option to use.
Keywords:
Midline catheter – PICC – venous access – geriatric patient
Zdroje
1. Kalvach Z, Zadák Z, Jirák R, a kol. Geriatrie a gerontologie. Praha: Grada Publishing 2004.
2. Charvát J, a kol. Žilní vstupy dlouhodobé a střednědobé. Praha: Grada Publishing 2016.
3. Amadori D, Bruera E, Cozzaglio L, et al. Guidelines on arteficial nutrition versus hydration in terminal cancer patients. Nutrition 1996; 12: 163–167.
4. Bortolussi R, Zotti P, Conte M, et al. Quality of Life, Pain Perception, and Distress Correlated to Ultrasound-Guided Peripherally Inserted Central Venous Catheters in Palliative Care Patients in a Home or Hospice Setting. JPSM 2015; 50(1): 118–123.
5. Cotogni P, Pittiruti M, Barbero C, et al. Catheter related complications in cancer patients on home parenteral nutrition: a prospective study over 51 000 catheter days. JPEN 2013; 37: 375–383.
6. Yamada R, Morita T, Yashiro E, et al. Patient reported usefulness of peripherally inserted central venous catheters in terminaly ill cancer patients. J Pain Symptom Manage 2010; 40: 60–66.
7. Moist LM, Charmaine EL, Tushar JV, et al. Optimal vascular access in the elderly patient. Semin Dial 2012; 25(6): 640–648.
Štítky
Geriatrics General practitioner for adults Orthopaedic prostheticsČlánok vyšiel v časopise
Geriatrics and Gerontology
2017 Číslo 4
- Advances in the Treatment of Myasthenia Gravis on the Horizon
- Memantine Eases Daily Life for Patients and Caregivers
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
Najčítanejšie v tomto čísle
- Gastrointestinal bleeding – a significant risk for geriatric patients
- Securing vascular access in geriatric patients
- COPD – news in diagnostics and treatment
- A frail patient with kidney failure