Arterial Line Removal Best Practice

  arterial line removal best practice: Best Practices Lippincott Williams & Wilkins, 2007 Now in its Second Edition with a new title, Best Practices: Evidence-Based Nursing Procedures is an excellent compilation of best practices based on current research and expert consensus findings. This timely, authoritative reference applies research findings directly to every aspect of nursing practice to guide nurses in performing procedures for patients with a full range of conditions and illnesses. This edition provides a thorough update and review and includes new procedures and practices. Every entry is evidence-based, identifies the sources of the evidence, and now includes manufacturer recommendations. Nursing diagnoses, expected outcomes, and unexpected outcomes (complications) are now discussed for each procedure.
  arterial line removal best practice: WHO Guidelines on Drawing Blood Neelam Dhingra, 2010 Phlebotomy uses large, hollow needles to remove blood specimens for lab testing or blood donation. Each step in the process carries risks - both for patients and health workers. Patients may be bruised. Health workers may receive needle-stick injuries. Both can become infected with bloodborne organisms such as hepatitis B, HIV, syphilis or malaria. Moreover, each step affects the quality of the specimen and the diagnosis. A contaminated specimen will produce a misdiagnosis. Clerical errors can prove fatal. The new WHO guidelines provide recommended steps for safe phlebotomy and reiterate accepted principles for drawing, collecting blood and transporting blood to laboratories/blood banks.
  arterial line removal best practice: Catheter-Related Infections Dr. Harald Seifert, Bernd Jansen, Barry M. Farr, 1997-05-06 This timely guide details, in a highly accessible manner, the pathogenesis, epidemiology, and major complications of catheter-related infections (CRIs) as well as the types of catheters and etiological agents involved-providing practical approaches to the diagnosis, management, and prevention of CRIs.
  arterial line removal best practice: Monitoring the Critically Ill Patient Philip Jevon, Beverley Ewens, 2012-03-20 Monitoring the Critically Ill Patient is an invaluable, accessible guide to caring for critically ill patients on the general ward. Now fully updated and improved throughout, this well-established and handy reference guide text assumes no prior knowledge and equips students and newly-qualified staff with the clinical skills and knowledge they need to confidently monitor patients at risk, identify key priorities, and provide prompt and effective care. This new edition includes the following five new chapters: Monitoring the critically ill child Monitoring the critically ill pregnant patient Monitoring the patient with infection and related systemic inflammatory response Monitoring a patient receiving a blood transfusion Monitoring pain
  arterial line removal best practice: Point of Care Ultrasound E-book Nilam J Soni, Robert Arntfield, Pierre Kory, 2014-07-22 With portable, hand-carried ultrasound devices being more frequently implemented in medicine today, Point-of-Care Ultrasound will be a welcome resource for any physician or health care practitioner looking to further their knowledge and skills in point-of-care ultrasound. This comprehensive, portable handbook offers an easy-access format that provides comprehensive, non-specialty-specific guidance on this ever-evolving technology. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Access all the facts with focused chapters covering a diverse range of topics, as well as case-based examples that include ultrasound scans. Understand the pearls and pitfalls of point-of-care ultrasound through contributions from experts at more than 30 institutions. View techniques more clearly than ever before. Illustrations and photos include transducer position, cross-sectional anatomy, ultrasound cross sections, and ultrasound images.
  arterial line removal best practice: Continuous Renal Replacement Therapy John A. Kellum, Rinaldo Bellomo, Claudio Ronco, 2016 Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance for the management of critically ill patients with acute renal failure, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice.
  arterial line removal best practice: Smith's Anesthesia for Infants and Children E-Book Peter J. Davis, Franklyn P. Cladis, 2016-10-15 Now thoroughly up to date with new chapters, Smith’s Anesthesia for Infants and Children, 9th Edition, by Drs. Peter Davis and Franklyn Cladis, covers the information you need to provide effective perioperative care for any type of pediatric surgery. Leading experts in pediatric anesthesia bring you up to date with every aspect of both basic science and clinical practice, helping you incorporate the latest clinical guidelines and innovations in your practice. Quick-reference appendices: drug dosages, growth curves, normal values for pulmonary function tests, and a listing of common and uncommon syndromes. Outstanding visual guidance in full color throughout the book. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. More than 100 video demonstrations, including new regional anesthesia videos, echocardiograms of congenital heart lesions, anatomic dissections of various congenital heart specimens with audio explanations, various pediatric surgical operative procedures, airway management, and much more. Table of Contents has been reorganized and new chapters added on statistics, sedation, pediatric obesity, and cardiac critical care pediatrics. A new chapter on regional anesthesia for pediatrics, including video and ultrasound demonstrations online. A new chapter on dermatology, specifically for the anesthesiologist, with more than 100 photos. A new chapter on medical missions to third-world countries, including what you should know before you go. A new Questions chapter provides opportunities for self-assessment. New coverage includes cardiac anesthesia for congenital heart disease, anesthesia outside the operating room, and a new neonatology primer for the pediatric anesthesiologist.
  arterial line removal best practice: Vessel Health and Preservation: The Right Approach for Vascular Access Nancy L. Moureau, 2019-06-10 This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.
  arterial line removal best practice: Cardiothoracic Critical Care E-Book David Sidebotham, Andrew McKee, Michael Gillham, Jerrold Levy, 2007-09-12 This new bedside manual guides you through all the practical aspects of managing patients following cardiothoracic surgery and critically ill cardiology patients. Primarily designed to use in cardiothoracic intensive care units and coronary care units, it covers the perioperative management for the full range of cardiothoracic surgical procedures, the management of complications, and related issues. Core topics in cardiothoracic critical care, such as hemodynamic instability, arrhythmias, bleeding, and mechanical cardiac support, are afforded broad coverage. Also included are sections on advanced ventilatory techniques and veno-venous ECMO for treating severe respiratory failure, as well as nutritional support, treating and preventing infection, renal failure, and care of the dying patient. Concisely written and featuring liberal use of illustrations as well as an integrated, tightly edited style, and a limited number of key references, this volume will become your reference of choice for the care of of cardiothoracic surgery patients and critically ill cardiology patients. Find information quickly with concisely written text. Get a more complete picture with extensive illustrations. Focus on just the information you need using a a limited number of key references. Navigate the complexities of critical care for a fulll range of cardiothoracic surgery patients with in-depth coverage of perioperative care, management of complications, and more.
  arterial line removal best practice: WHO Best Practices for Injections and Related Procedures Toolkit , 2010 The new WHO guidelines provide recommended steps for safe phlebotomy and reiterate accepted principles for drawing, collecting blood and transporting blood to laboratories/blood banks. The main areas covered by the toolkit are: 1. bloodborne pathogens transmitted through unsafe injection practices;2. relevant elements of standard precautions and associated barrier protection;3. best injection and related infection prevention and control practices;4. occupational risk factors and their management.
  arterial line removal best practice: Acute Pulmonary Embolism A. Geibel, Hanjoerg Just, W. Kasper, S. Konstantinides, 2012-12-06 The value of echocardiography in the diagnostic work-up of patients with suspected acute pulmonary embolism.- New developments in the thrombolytic therapy of venous thrombosis.- Mechanism of blood coagulation. Newer aspects of anticoagulant and antithrombotic therapy.MR-angiography in the diagnosis of pulmonary embolism.Scintigraphy-ventilation/perfusion scanning and imaging of the embolus.- Clinical course and prognosis of acute pulmonary embolism.- The molecular mechanisms of inherited thombophilia.
  arterial line removal best practice: Oxford Handbook of Critical Care Nursing Fiona Creed, Jessica Hargreaves, 2016-01-28 Focused on the practical issues of nursing care and nursing procedures, the Oxford Handbook of Critical Care Nursing has been written by nurses, for nurses Reflecting current best practice, this handbook is an easily accessible and evidence-based guide for all levels of nursing staff working in critical care environments. It provides the nurse at the bedside with the answers to day-to-day problems experienced when caring for critically ill patients, and is also a guide to some of the less commonly encountered issues. Now including more detail on the psychological issues facing critically ill patients and further information on the intricacies of receiving and transferring critically ill patients to and from critical care environments, this handbook is a concise, practical, evidence-based guide for nursing professionals caring for critically ill patients
  arterial line removal best practice: Emergent Vascular Access James H. Paxton, 2021-09-02 This book focuses on the placement of vascular access devices under emergent conditions, including the techniques and devices needed to achieve successful device deployment in even the most critically-ill patient. Up-to-date references and evidence for best practices are provided, informing both the novice and experienced healthcare provider. Each chapter is meticulously researched, including individual chapters focusing upon peripheral intravenous, intraosseous, central venous, and ultrasound-guided catheter placement. Device selection and emergent decision-making are discussed at length, including such crucial determinants as infusion flow rates, device limitations, issues with medication incompatibility, complications of line placement, and the relative indications and contraindications associated with various vascular access approaches. Emergent Vascular Access is an essential resource for any healthcare provider who places or manages vascular access devices in critically-ill patients, including emergency and ICU physicians, residents, rapid response providers, EMS paramedics, patient care technicians, medical students, and nurses.
  arterial line removal best practice: The Interventional Cardiac Catheterization Handbook E-Book Morton J. Kern, Michael J Lim, Paul Sorajja, 2017-05-02 Packed with useful information, The Interventional Cardiac Catheterization Handbook, 4th Edition, by Drs. Morton J. Kern, Michael J. Lim, and Paul Sorajja, is the perfect hands-on resource for physicians, nurses, and technicians who need to understand and perform these complex procedures. Easy-to-read text, hundreds of clear images, and narrated videos from Dr. Kern ensure that health care workers at all levels have quick access to easily accessible guidelines on procedures and patient care. Features a wealth of quick-reference tables, and more than 500 images – making this handbook a must-have reference for physicians and staff members in every cath lab. Includes a chapter dedicated to interventional pharmacology. Includes new content on correction of mitral regurgitation with Mitra ClipTM, enhanced coverage of aortic valve stenosis with TAVR, expansion of biodegradable and drug-eluting stents, enhanced descriptions of lesion assessment, chronic total occlusion intervention, and radial access approach to intervention. Covers the latest treatment of mitral valve regurgitation and mitral stenosis, new procedural enhancements for the treatment of aortic valve stenosis, and chronic total occlusion intervention technique updates.
  arterial line removal best practice: Lippincott Nursing Procedures Lippincott Williams & Wilkins, 2022-03-14 Confidently provide best practices in patient care, with the newly updated Lippincott® Nursing Procedures, 9th Edition. More than 400 entries offer detailed, evidence-based guidance on procedures ranging from the most basic patient care to assisting with intricate surgeries. The alphabetical organization allows you to quickly look up any procedure by name, and benefit from the clear, concise, step-by-step direction of nursing experts. Whether you’re a nursing student, are new to nursing, or are a seasoned practitioner, this is your go-to guide to the latest in expert care and positive outcomes.
  arterial line removal best practice: The Difficult Airway David B. Glick, Richard M Cooper, Andranik Ovassapian, 2012-12-05 The Difficult Airway provides a comprehensive textual and visual coverage of how to deal with patients who have expected or unexpected difficult airways. The text begins with a description of the incidence and importance of the difficult airway and then describes the ASA Difficult Airway Algorithm created to facilitate the management of “difficult airways.” The majority of the book features a comprehensive step-by-step approach to the rescue techniques listed as part of the ASA Algorithm. Noted experts in each of the techniques have been recruited by the book editors to present the information. Figures throughout the book illustrate important points and procedures. This is a wonderful resource for professionals in the health care field including anesthesiologists, intensive care physicians, emergency room physicians, nurses, and out-of-hospital first responders.
  arterial line removal best practice: Interventional Nephrology Alexander S. Yevzlin, Arif Asif, Loay Salman, 2013-12-05 Interventional Nephrology: Principles and Practice describes a very direct approach to clinical problems encountered by the community of care providers who treat chronic kidney disease and dialysis patients. Practical scenarios faced on a day-to-day basis are presented by experts in the field utilizing the latest scientific information. In addition to internal medicine residents, nephrology fellows and practitioners, this comprehensive and useful resource is a must-have for the allied health professionals taking care of patients with hemodialysis and peritoneal dialysis access problems.
  arterial line removal best practice: Caring for People who Sniff Petrol Or Other Volatile Substances National Health and Medical Research Council (Australia), 2011 These guidelines provide recommendations that outline the critical aspects of infection prevention and control. The recommendations were developed using the best available evidence and consensus methods by the Infection Control Steering Committee. They have been prioritised as key areas to prevent and control infection in a healthcare facility. It is recognised that the level of risk may differ according to the different types of facility and therefore some recommendations should be justified by risk assessment. When implementing these recommendations all healthcare facilities need to consider the risk of transmission of infection and implement according to their specific setting and circumstances.
  arterial line removal best practice: Essentials of Cardiac Anesthesia for Noncardiac Surgery E-Book Joel A. Kaplan, 2018-07-21 Patients with cardiac conditions routinely present for noncardiac surgeries, requiring special protocols for perioperative assessment and management by the anesthesiologist. Essentials of Cardiac Anesthesia for Noncardiac Surgery: A Companion to Kaplan's Cardiac Anesthesia provides current, easily accessible information in this complex area, ideal for general anesthesiologists and non-cardiac subspecialists. From preoperative assessment through postoperative care, this practical reference covers all perioperative approaches to today's patients with cardiac conditions. - Provides guidance on the anesthetic diagnosis and management of the full range of cardiac lesions, helping minimize adverse outcomes and reduce complications for patients with common, complex, or uncommon cardiac conditions. - Includes complete coverage of echocardiography and current monitoring techniques needed for thorough perioperative assessment – all from the anesthesiologist's perspective. - Discusses safe and effective perioperative anesthetic management of patients presenting with advanced levels of cardiac care such as drug-eluting stents, multiple antiplatelet drugs, ventricular assist devices, multiple drugs for end-stage heart failure, and implanted electrical devices that produce cardiac resynchronization therapy, as well as patients with complicated obstetric problems or other significant cardiovascular issues. - Features a concise, easy-to-navigate format and Key Points boxes in each chapter that help you find answers quickly.
  arterial line removal best practice: Radiology of the Orbit and Visual Pathways E-Book Jonathan J Dutton, 2010-02-02 Dr. Jonathan J. Dutton, a world leader in orbital surgery, presents Radiology of the Orbit and Visual Pathways. This new and unique diagnostic guide offers expert advice on the full spectrum of uses of CT and MRI, the two core methods of radiologic imaging of the orbit. An atlas style approach provides the essential text you need to accurately diagnose over 120 of the more common disorders you’ll come across in your daily routine, and over 1,100 lavish illustrations enhance your visual guidance. Covering the entire visual pathways from the eye to the occipital cortex, you’ll gain thorough knowledge of normal anatomy and how it compares to pathologic findings to confidently diagnose. • Offers expert guidance on the strengths and weaknesses of CT and MRI and discusses the correct application of each, so you can choose the most appropriate technology for the most accurate diagnosis for more than 120 disorders. • Uses an atlas-style approach, illustrating the full spectrum of scanning available for each disorder and includes 1,100 images to help you better identify, recognize, and understand the complete variations of each disease. • Presents clear and concise artwork that illustrates the mechanics of each imaging protocol making difficult concepts easy to grasp and explains the physics behind each technology to help you understand how and why various imaging techniques apply to specific lesions. • Illustrates the normal anatomic structures in the orbit and brain to compare against pathologic presentations for better understanding of disease.
  arterial line removal best practice: Myocardial Protection Tomas A. Salerno, Marco Ricci, 2008-04-15 Myocardial protection is regarded as one of the most important, yet also most controversial aspects of cardiac surgery. There has been considerable improvement in myocardial protection strategies over recent years, utilising a variety of new approaches to treat cardiac diseases, and this text is intended to embrace the state of the art in this field. The book summarises the state of knowledge on all aspects of myocardial protection, including the latest in the treatment of cardiac diseases, robotics, pediatric surgery and the treatment of cardiac failure. Robotic surgery, valvular surgery, pediatric surgery and coronary surgery are all covered by renowned experts, producing a comprehensive, forward-looking view of the field of myocardial protection. This book should function to update physicians and surgeons interested in the field of cardiac surgery on the current state of knowledge on myocardial protection.
  arterial line removal best practice: Peripherally Inserted Central Venous Catheters Sergio Sandrucci, Baudolino Mussa, 2014-07-25 Indications for central venous cannulation in critically ill patients have increased dramatically, but central venous access has the drawbacks of morbidity and a scarcity of experienced operators. Ultrasound-guided peripheral venous access offers a solution, in that it reduces morbidity and can be performed by a dedicated nursing team. The aim of this book is to teach the fundamentals of this emerging technique. Advice is provided on choice of materials; maneuvers for positioning of peripherally inserted central venous catheters (PICCs), techniques for evaluation of PICC tip placement; prevention, diagnosis, and management of complications; and organization of a dedicated team within a hospital or a supportive care program. Legal and economic issues are also considered. The book will be of interest to a wide range of professionals, including nutritionists, oncologists, anesthesiologists, surgeons, registered nurses, nurse practitioners, physicians, physician assistants, and radiologists.
  arterial line removal best practice: ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021) Department Of Health And Human Services, 2020-09-06 These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.
  arterial line removal best practice: The Rand/UCLA Appropriateness Method User's Manual Kathryn Fitch, Steven J. Bernstein, Maria Delores Aguilar, Mary S. Aguilar, Bernard Burnand, Pablo Lazaro, Juan Ramon LaCalle, 2001 Health systems should function in such a way that the amount of inappropriate care is minimized, while at the same time stinting as little as possible on appropriate and necessary care. The ability to determine and identify which care is overused and which is underused is essential to this functioning. To this end, the RAND/UCLA Appropriateness Method was developed in the 1980s. It has been further developed and refined in North America and, increasingly, in Europe. The rationale behind the method is that randomized clinical trials--the gold standard for evidence-based medicine--are generally either not available or cannot provide evidence at a level of detail sufficient to apply to the wide range of patients seen in everyday clinical practice. Although robust scientific evidence about the benefits of many procedures is lacking, physicians must nonetheless make decisions every day about when to use them. Consequently, a method was developed that combined the best available scientific evidence with the collective judgment of experts to yield a statement regarding the appropriateness of performing a procedure at the level of patient-specific symptoms, medical history, and test results. This manual presents step-by-step guidelines for conceptualising, designing, and carrying out a study of the appropriateness of medical or surgical procedures (for either diagnosis or treatment) using the RAND/UCLA Appropriateness Method. The manual distills the experience of many researchers in North America and Europe and presents current (as of the year 2000) thinking on the subject. Although the manual is self-contained and complete, the authors do not recommend that those unfamiliar with the RAND/UCLA Appropriateness Method independently conduct an appropriateness study; instead, they suggest seeing one before doing one. To this end, contact information is provided to assist potential users of the method.
  arterial line removal best practice: Mechanical Ventilation Manual Suhail Raoof, Faroque A. Khan, 1998 Based on a highly successful workshop at Annual Session, Mechanical Ventilation Manual answers the clinically important questions faced while putting patients on, and weaning them from, mechanical ventilation. Designed for easy use, the Manual is divided into three sections: Why Ventilate?, How to Ventilate, and Problems During Mechanical Ventilation.
  arterial line removal best practice: Buttonhole Cannulation M. Misra, S. Toma, T. Shinzato, 2015-08-14 The buttonhole method for the cannulation of the arteriovenous fistula was discovered more than 40 years ago and was soon adopted on a wide scale due to its obvious benefits of decreased puncture pain and extension of the life of the arteriovenous fistula. Following reports of complications such as a higher incidence of access-related infections, the method has lately been the subject of intense scrutiny; recent research has focused on the mechanisms of buttonhole access-related infections and newer techniques that may have bearing on the future use of the buttonhole method. This book presents an easily accessible overview of information relevant to the subject, including history, benefits and the latest research results related to the buttonhole cannulation method. It aims to rekindle an awareness of the advantages of this method and to encourage a critical analysis of possible techniques to overcome current barriers that prevent a wider spread of the technique.
  arterial line removal best practice: Cardiac Intensive Care - E-Book David L. Brown, 2018-07-19 Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, and thorough updates ensure that you stay on the cutting edge of this rapidly advancing field. - Discusses recent changes in cardiac intensive care, including new care paradigms, new mechanical support modalities, and new therapies and interventions. - Contains 11 new chapters: Palliative Care, Temporary Pacemaker Insertion, Pericardiocentesis, Distributive Shock, Electrical Storm, Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest, Temporary Mechanical Circulatory Support Devices, Cardiorenal Syndrome, Fulminant Myocarditis, Stress-Induced Cardiomyopathy, Diagnosis and Treatment of Unstable Supraventricular Tachycardia. - Online access features heart sounds and murmurs to accompany the chapter on history and physical examination, videos of clinical images and key procedures, frequently updated information on late-breaking clinical trials, reviews of new research publications, and more. - Concisely yet thoroughly covers acute and severe heart failure, chronic pulmonary hypertension, life-threatening dysrhythmias, aortic dissection, and other cardiac conditions as they relate to intensive care. - Explains drug therapy for key cardiac drugs, such as inotropes, vasodilators, anti-arrhythmics, diuretics, anticoagulants, and anti-platelets, and discusses important drug interactions. - Ideal for all healthcare professionals involved in cardiac intensive care, including intensivists, cardiologists, cardiac surgeons, residents, fellows, cardiac nurses, respiratory therapists, physical therapists, and nutritionists. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices and contains an up to date collection of all relevant ACC/AHA and ESC guidelines.
  arterial line removal best practice: Best Practice Guidelines in the Care and Maintenance of Pediatric Central Venous Catheters SECOND EDITION , 2015-08-20
  arterial line removal best practice: Hemodynamic Monitoring Michael R. Pinsky, Jean-Louis Teboul, Jean-Louis Vincent, 2019-02-21 This book, part of the European Society of Intensive Care Medicine textbook series, teaches readers how to use hemodynamic monitoring, an essential skill for today’s intensivists. It offers a valuable guide for beginners, as well as for experienced intensivists who want to hone their skills, helping both groups detect an inadequacy of perfusion and make the right choices to achieve the main goal of hemodynamic monitoring in the critically ill, i.e., to correctly assess the cardiovascular system and its response to tissue oxygen demands. The book is divided into distinguished sections: from physiology to pathophysiology; clinical assessment and measurements; and clinical practice achievements including techniques, the basic goals in clinical practice as well as the more appropriate hemodynamic therapy to be applied in different conditions. All chapters use a learning-oriented style, with practical examples, key points and take home messages, helping readers quickly absorb the content and, at the same time, apply what they have learned in the clinical setting. The European Society of Intensive Care Medicine has developed the Lessons from the ICU series with the vision of providing focused and state-of-the-art overviews of central topics in Intensive Care and optimal resources for clinicians working in Intensive Care.
  arterial line removal best practice: Your Guide to Lowering Your Blood Pressure with Dash U. S. Department Human Services, National Health, Department Of Health And Human Services, Lung, and Blood, National Heart Institute, National Heart Lung Institute, And, 2012-07-09 This book by the National Institutes of Health (Publication 06-4082) and the National Heart, Lung, and Blood Institute provides information and effective ways to work with your diet because what you choose to eat affects your chances of developing high blood pressure, or hypertension (the medical term). Recent studies show that blood pressure can be lowered by following the Dietary Approaches to Stop Hypertension (DASH) eating plan-and by eating less salt, also called sodium. While each step alone lowers blood pressure, the combination of the eating plan and a reduced sodium intake gives the biggest benefit and may help prevent the development of high blood pressure. This book, based on the DASH research findings, tells how to follow the DASH eating plan and reduce the amount of sodium you consume. It offers tips on how to start and stay on the eating plan, as well as a week of menus and some recipes. The menus and recipes are given for two levels of daily sodium consumption-2,300 and 1,500 milligrams per day. Twenty-three hundred milligrams is the highest level considered acceptable by the National High Blood Pressure Education Program. It is also the highest amount recommended for healthy Americans by the 2005 U.S. Dietary Guidelines for Americans. The 1,500 milligram level can lower blood pressure further and more recently is the amount recommended by the Institute of Medicine as an adequate intake level and one that most people should try to achieve. The lower your salt intake is, the lower your blood pressure. Studies have found that the DASH menus containing 2,300 milligrams of sodium can lower blood pressure and that an even lower level of sodium, 1,500 milligrams, can further reduce blood pressure. All the menus are lower in sodium than what adults in the United States currently eat-about 4,200 milligrams per day in men and 3,300 milligrams per day in women. Those with high blood pressure and prehypertension may benefit especially from following the DASH eating plan and reducing their sodium intake.
  arterial line removal best practice: Totally Implantable Venous Access Devices Isidoro Di Carlo, Roberto Biffi, 2012-02-01 Since their first application in 1982, Totally Implantable Venous Access Devices (TIVADs) have become increasingly important in the clinical practice, as more intensive chemotherapy and parenteral treatments have come into use. At this time, there is objective evidence that TIVADs are a safe, effective strategy for long-term venous access; they play a significant role throughout the management of the oncology patient, as they are needed in the initial phases for active treatments as well as in the last stages for palliative measures, making possible repeated administration of chemotherapeutic vesicant agents, nutrients, antibiotics, analgesics, and blood products. According to a number of prospective studies, use of TIVADs is associated with a significant complication rate (10% to 25% of all patients). Evidence-based data support that most complications are directly related to inappropriate technique of placement and/or nursing care, sometimes leading to TIVAD loss, significant morbidity, increased duration of hospitalization, and additional medical cost. A group of world-renowned experts - both in the clinical and research fields – contributed to this volume, whose aim is to provide clinicians, nurses and medical students with a multidisciplinary, full update on these devices, as long term central venous access can no be longer considered a routine matter, and serious complications can be maintained at a very low level only if strict adherence to a well-defined protocol of surgical technique and of catheter care is maintained.
  arterial line removal best practice: Medical-Surgical Nursing Sharon Mantik Lewis, Margaret McLean Heitkemper, Jean Foret Giddens, Shannon Ruff Dirksen, 2003-12-01 Package includes Medical-Surgical Nursing: Assessment and Management of Clinical Problems Two Volume text and Virtual Clinical Excursions 2.0
  arterial line removal best practice: Morgan and Mikhail's Clinical Anesthesiology, 5th edition John F. Butterworth, David C. Mackey, John D. Wasnick, 2013-05-16 The most user-friendly, clinically relevant overview of the practice of anesthesiology Current, concise, and engagingly written, Morgan & Mikhail’s Clinical Anesthesiology, Fifth Edition is a true essential for all anesthesia students and practitioners. This trusted classic delivers comprehensive coverage of the field’s must-know basic science and clinical topics in a clear, easy-to-understand presentation. Indispensable for coursework, exam review, and as a clinical refresher, this trusted text has been extensively updated to reflect the latest research and developments. Here’s why Clinical Anesthesiology is the best anesthesiology resource: NEW full-color presentation NEW chapters on the most pertinent topics in anesthesiology, including anesthesia outside of the operating room and a revamped peripheral nerve blocks chapter that details ultrasound-guided regional anesthesia Up-to-date discussion of all relevant areas within anesthesiology, including equipment, pharmacology, regional anesthesia, pathophysiology, pain management, and critical care Case discussions promote application of the concepts to real-world practice Numerous tables and figures encapsulate important information and facilitate memorization
  arterial line removal best practice: Peripherally Inserted Central Catheters Janet Pettit, Mary Mason Wyckoff, National Association of Neonatal Nurses (NANN), 2007
  arterial line removal best practice: Staging Laparoscopy P. Hohenberger, K. Conlon, 2012-12-06 Included here is a discussion of the pathophysiological aspects and risks of laparoscopic staging (such as trocar metastases) on the basis of international experience.
  arterial line removal best practice: Diagnosis and Management of Medical Emergencies Rustom Jal Vakil, Farokh Erach Udwadia, 1972
  arterial line removal best practice: Peripheral Arterial Disease Jay D. Coffman, Robert T. Eberhardt, 2014-03-06
  arterial line removal best practice: The Pulmonary Artery Catheter Charles L. Sprung, 1983
  arterial line removal best practice: Access Device Standards of Practice for Oncology Nursing Dawn Camp-Sorrell, Laurl Matey, 2017 The use of venous access devices (VADs) is central to the care that nurses provide to patients with cancer. Oncology nurses must base their practice on evidence-based research when available, but a lack of evidence has been a professional challenge for decades. With limited research to guide practice, ongoing controversies remain regarding optimal device management. Since 1989, the Oncology Nursing Society (ONS) has provided guidelines to establish a foundation for access device management. With this new text, ONS has identified practice standards, developed from a synthesis of evidence, critical review, and analysis of aspects of access device management for which nursing is accountable. Access Device Standards of Practice for Oncology Nursing reviews the controversies in access device care, explores the range of devices currently available, details the advantages and disadvantages of each device to ensure optimal selection based on patient needs, and discusses the key legal ramifications concerning access devices and their management. With access device technology becoming more complex, this text is an essential resource for nurses practicing in a wide range of settings to ensure safe, effective care of patients with VADs.--Publisher's description.
  arterial line removal best practice: Medical-Surgical Nursing - Single-Volume Text and Elsevier Adaptive Learning Package Sharon L. Lewis, Shannon Ruff Dirksen, Margaret M. Heitkemper, Linda Bucher, 2014-06-17 Corresponding chapter-by-chapter to Medical-Surgical Nursing, 9e, Elsevier Adaptive Learning combines the power of brain science with sophisticated, patented Cerego algorithms to help you learn faster and remember longer. It's fun; it's engaging; and it's constantly tracking your performance and adapting to deliver content precisely when it's needed to ensure core information is transformed into lasting knowledge. Please refer to the individual product pages for the duration of access to these products. An individual study schedule reduces cognitive workload and helps you become a more effective learner by automatically guiding the learning and review process. The mobile app offers a seamless learning experience between your smartphone and the web with your memory profile maintained and managed in the cloud. UNIQUE! Your memory strength is profiled at the course, chapter, and item level to identify personal learning and forgetting patterns. UNIQUE! Material is re-presented just before you would naturally forget it to counteract memory decay. A personalized learning pathway is established based on your learning profile, memory map, and time required to demonstrate information mastery. The comprehensive student dashboard allows you to view your personal learning progress.
ARTERIAL Definition & Meaning - Merriam-Webster
The meaning of ARTERIAL is of or relating to an artery. How to use arterial in a sentence.

Peripheral artery disease (PAD) - Symptoms and causes
Aug 9, 2024 · Peripheral artery disease (PAD) is a common condition in which narrowed arteries reduce blood flow to the arms or legs. This condition also may be called peripheral arterial …

Arterial Diseases: Risk Factors, Causes, and Symptoms
Jan 2, 2024 · Arterial diseases affect the arteries in your body, which send oxygen-rich blood from your heart and lungs to other parts of your body. When the arteries become blocked, the …

Arteries: What They Are, Anatomy & Function - Cleveland Clinic
Arteries, a critical part of your cardiovascular system, are blood vessels that distribute oxygen-rich blood to your entire body. These tube-like vessels and the muscles inside them ensure your …

Artery - Wikipedia
The arterial system of the human body is divided into systemic arteries, carrying blood from the heart to the whole body, and pulmonary arteries, carrying deoxygenated blood from the heart …

Arteries: Function, anatomy, and types - Medical News Today
Feb 28, 2022 · Arteries are blood vessels. Most carry oxygen-rich blood from the heart to various organs and tissues. Arteries are a part of the circulatory system, along with the heart and other …

ARTERIAL | English meaning - Cambridge Dictionary
ARTERIAL definition: 1. related to or flowing in an artery (= a tube carrying blood from the heart to other parts of the…. Learn more.

Arterial | definition of arterial by ... - Medical Dictionary
Relating to one or more arteries or to the entire system of arteries. Farlex Partner Medical Dictionary © Farlex 2012. 1. Of, like, or in an artery or arteries. 2. Of, relating to, or being the …

ARTERIAL Definition & Meaning | Dictionary.com
Arterial definition: pertaining to the blood in the pulmonary vein, in the left side of the heart, and in most arteries, having been oxygenated during its passage through the lungs and being …

Arteries: Structure, Types, Functions & Common Diseases
Sep 30, 2024 · Arteries are the elastic, muscular tubes (blood vessels) responsible for carrying the blood away from the heart and distributing it to several other organs and tissues. Simply, …

CHOC Children’s Hospital Best Evidence and Recommendations
May 2, 2021 · medication, and blood product administration. Central line placement may be clinically indicated for repeated medication delivery, chemo/immunotherapy, total parenteral …

Practice Guidelines for the MRI & MRT - Stanford Medicine
A high pressure, low compliance extension tubing connected to an arterial catheter, with the transducer placed at the level of the right atrium, beyond the 50 Gauss line can be used without …

PICC line removal - Erlanger
When removing the PICC line, asked the patient to take a deep breath and bear down, creating a Valsalva response. 1. If a Valsalva response was contraindicated, asked the patient to hold his or …

Early Warning Signs of a Vascular Complication After PCI via …
May result from arterial cannulation dysfunction, inadequate compression after sheath removal, impaired hemostasis and femoral puncture below the bifurcation At risk for rupture leading to …

Practice Guidelines for Central Venous Access 2020
Practice Guidelines for Central Venous access Practice Guidelines (9) management of periinsertion coagulopathy; and (10) competency assessment for central line insertion. application These …

CHAPTER 3 Femoral Arterial Access Considerations: Step …
Femoral Arterial Access Considerations: Step-by-Step Troubleshooting, and Tip-and-Tricks Karim Al-Azizi, MD,1 Molly Szerlip, MD1 1Baylor Scott and White The Heart Hospital Plano, Plano, TX …

Bloodstream Infection Event (Central Line-Associated …
in an inpatient location begins the central line day count (CL Day for making central line-associated determinations). De-accessing any type of central line (for example, removal of port needle but …

STANDARDIZED PROCEDURE ARTERIAL CATHETER …
11. Suture material for femoral arterial line placement (2.0 silk) 12. Scissors 13. Monitor cable for transducing arterial waveform. IV. Procedure A. Pre-treatment evaluation: Assess clinical …

Insertion, Management and Removal of Central Venous …
for Medical Imaging; awake teenager for PICC line or complex patient requiring IR skills for insertion. Call the duty radiologist on extension 52544 or 9345 7621 to find the IR doctor on duty. 4. Place …

Arterial line catheters: Summary - SHARE @ Children's Mercy
Jun 24, 2021 · using ultrasound; and arterial line securement. No studies reported on arterial line removal. Summary of Evidence . Risk Factors for Complications, Failures, and/or BSI . Four …

Avoid unnecessary use of central lines - UCSF Health Hospital ...
venipunctures or if assessing the need for line removal due to central line-associated infection, one set from a peripheral venipuncture and one set from a central line can be obtained. 3. Do not …

Arterial lines - Intermountain Healthcare
Arterial lines An arterial line (also called an art line) is a short, soft, plastic tube (catheter) put directly into an artery. The ... Practice, and Research 801.662.3500 LTA112 – 04/18 Available in …

Removal of a Midline/PICC Catheter - careprohs.com
2. Removal of a midline/PICC catheter shall be performed by an RN on the order of the physician. 3. The nurse shall be competent in the process of the midline/PICC catheter removal, including …

Newborn Critical Care Center (NCCC) Guidelines - UNC …
B. Obtain Umbilical Line Placement KUB (includes chest and lower pelvis) to verify placement of lines 1. After ordering, page the XRAY STAT pager through the directory with message stating …

Neonatal Pediatric Peripheral Arterial Line Insertion (Neonatal, …
NEONATAL / PEDIATRIC PERIPHERAL ARTERIAL LINE INSERTION (Neonatal, Pediatric) 1 I. Definition To place an indwelling artery catheter for the purposes of: 1. Arterial blood sampling. 2. Arterial …

Safe Removal of Femoral Arterial Sheaths Using a Digital …
Safe removal of Femoral Arterial Sheaths using a digital approach Clinical Guideline V6.0 Page 2 of 13 1. Aim/Purpose of this Guideline 1.1. To aid registered nurses in the safe removal of arterial …

ARTERIAL ACCESS FOR INVASIVE CARDIOVASCULAR …
High Versus Standard Heparin Dose on Incident Radial Arterial Occlusion After Transradial Coronary Angiography: The SPIRIT OF ARTEMIS Study. JACC Cardiovasc Interv 2018;11:2241–2250. 10. …

INFUSION THERAPY/INSERTION/ACCESS PROCEDURES
Removal of infusion device Peripheral X X X PICC line X X Midline catheter X X Central venous/arterial catheters X X Epidural/Caudal catheter X X Intrathecal catheter X X Intraosseous …

Arizona Board of Nursing Scope of Practice Questions
practice of an RN as determined by the Board. B. A RN shall: 1. Practice within the legal boundaries of registered nursing within the scope of practice authorized by A.R.S. Title 32, Chapter 15 and 4 …

Lines, Tubes, and Drains - Board Preppers
S A Peripheral arterial line (PAL) is administered when your patient has the need for acute measurement of blood pressure, or when there is a need for regular blood monitoring. S This …

Summary of Guidelines for the Use of Platelet Transfusions
Platelet transfusion: principles, risks, alternatives and best practice. Platelet transfusions are an essential component in the management of selected patients with. ... PICC line insertion, traction …

CVC/PICC/Midline/Central Arterial Line(s) Insertion Standard …
STANDARD OPERATING PROCEDURE (SOP) Issue date:06/08/2021 Trust Reference Number: C40/2021 Revision date: October 2023 Review date: October 2026 Leicester Royal Infirmary …

WHO guidelines on drawing blood - World Health Organization
5.3 Illustrations for arterial blood sampling .....33. iv WHO guidelines on drawing blood: best practices in phlebotomy 6 ... Annex B: Infection prevention and control, safety equipment and …

Central Venous Access Device (CVAD) Removal
Central Line Catheter (Subclavian, Jugular, Femoral) Removal. After removal, observe patient in supine position for 30 minutes. After removal, monitor respiratory status and assess for bleeding …

ADULT ACUTE CARE CERTIFIED REGISTERED NURSE …
Core Duties and Scope of Practice 1. The certified registered nurse practitioner (CRNP) may work in any setting consistent with the collaborating physician's areas of practice and function within the …

Sample Discard Guideline - Transfusion Guidelines
• In ICU blood samples are generally taken from arterial lines • The arterial line is maintained under a positive pressure with Sodium Chloride 0.9% W/V • Arterial blood samples are taken from the …

Post PCI Sheath Removal Checklist - American College of …
Appropriate removal of the sheath after PCI is essential in preventing vascular complications. The following checklist provides a step-by-step approach to performing sheath pulls. Adapted with …

LocSSIP Guideline for: Arterial and Central Lines in The …
are attached to each lumen of the central line and each line is flushed with sterile saline (the 3 way taps and bungs provided in the standard central line packs are to be discarded and replaced with …

AACN Procedure Manual for Critical Care Table of Contents
55 Arterial Catheter Insertion (Perform) AP 361 Deborah E. Becker 56 Arterial Catheter Insertion (Assist), Care and Removal 367 Rose B. Shaffer 57 Blood Sampling from Arterial Pressure …

Approval Date Pages: 1 7 CLINICAL April 2019 PRACTICE …
2.4 The removal of a PICC can be performed by the nurse or authorized prescriber who have received training and demonstrated competency as outlined in this guideline. 2.5 In the …

Central Line-Associated Bloodstream Infections and Advanced …
aspects of central line care, including standardized dressing change regimens, proper line access, and evaluating the continuing need for the line.5,6 This includes a daily discussion of the need …

CVC Removal Considerations - The Joint Commission
CVC Removal Considerations Removal of a central venous catheter (CVC) is a procedure that should be undertaken with as much care and skill as CVC insertion and maintenance and by an …

Diagnostic and Therapeutic Cardiovascular Procedures
Femoral Arterial Access and Closure Sripal Bangalore, MD, MHA; Deepak L. Bhatt, MD, MPH, FAHA F emoral arterial access is the most common method of ... It is best practice to pull back on the …

CLINICAL PRACTICE GUIDELINES Use of Alteplase (TPA) For …
Mar 4, 2020 · CLINICAL PRACTICE GUIDELINES Use of Alteplase (TPA) For Thrombolytic Therapy Disclaimer: These clinical practice guidelines are based upon the opinions of staff members of …

PICC (Peripherally Inserted Central Catheter) Removal …
PICC Removal with Culture PICC Removal with Culture 1. Check physician order for PICC removal with culture and determine pre‐insertion catheter length and arm circumference. 1. Assures …

Nurses’ Compliance with Safety Measures of Arterial Line
practice in following arterial line safety measures. Additionally, a substantial number of the study ... work diligently to do the best nurses can care . Original Article Egyptian Journal of Health care. …

CHAPTER 14 Step-by-Step Guide to Femoral Vascular Access …
4. The anchor is deployed and pulled against the arterial wall. Further retraction of the device delivers the collagen plug just outside the arterial wall. 5. Tension is maintained and a tamping …

Intra Aortic Balloon Pump (IABP) in Critical Care
Jun 16, 2016 · Removal of Intra-Aortic Balloon Catheter Preparation After Removal of Device • Removal should be performed by a competent and suitably trained person • If anticoagulated for …

Volume 43 Number 4 Devastating Cerebral Air Embolism …
removal. Case: An 84-year-old man was admitted to the neuroscience critical care unit with acute stroke symptoms and seizures after removal of a central venous catheter. Conclusion: There is …

Best Practice Guidelines - IVAS
Pediatric Best Practice Guidelines 3 Preface PediSIG is the pediatric special interest group of the Association for Vascular Access (AVA). !is multidisciplinary group of practitioners is dedicated to …

and Securement For the Life Of The Line™ - SecurAcath
Optimal CICC Placement For the Life Of The Line™ and Securement 1. Rowe, et al, “Catheter Securement Impact on PICC-related CLABSI: A University Hospital Perspective” American …

Removal of Your Central Venous Catheter (CVC) - osumc.edu
Removal of Your Central Venous Catheter (CVC) Author: The James The Ohio State University Comprehensive Cancer Center Subject: Care After the CVC is Removed Keywords: Removal of …

Central venous access devices (CVAD) - Agency for Clinical …
during both insertion and removal. 2. This guide focuses on areas where evidence-based practice have been shown to improve patient outcomes. It has been structured to focus on different …

This worksheet provides a set of post-PCI orders that can be ...
This tool is a part of the Bleeding Risk Toolkit available through the ACC Quality Improvement for Institutions program on CVQuality.ACC.org. Reviewed and updated 10/2018 by the ACC Reduce …

CLINICAL PRACTICE GUIDELINE - UK Kidney
clinical practice guidelines when consensus is elusive. BMJ 2008; 337:327-330. 3. Uhlig K, MacLeod A, Craig J et al. Grading evidence and recommendations for clinical practice guidelines …

Neonatal Umbilical Vessel Catheterization (Neonatal)
1. Arterial blood sampling. 2. Arterial blood pressure monitoring. 3. Administration of fluids and drugs. 4. Exchange transfusions (removal of blood) B. Vein 1. Intravenous access for the …

Radiography Practice Standards - ASRT
Medical Imaging and Radiation Therapy Scope of Practice Scopes of practice delineate the parameters of practice and identify the boundaries for practice. A comprehensive procedure list …

Three new Best Practices in the 2024-2025 Targeted …
Feb 22, 2024 · New Best Practice 20: Safeguard against wrong-route errors with tranexamic acid. a) Utilize point-of-care barcode-assisted medication safety checks prior to administering ... is …

Inserted Central Catheter (PICC) Lines - Texas Board of Nursing
Jan 7, 2023 · LVN practice is guided by the Nursing Practice Act (NPA) and Board Rules. 22 TAC §217.11, Standards of Nursing Practice, is the Board rule most often applied to nursing practice …

IU Health Central Line Insertion Training Program
Central Line Insertion Training Program Program Summary The IU Health Vascular Access Program focuses on reinforcing best practices in vas-cular access to help reduce the risk of complications …