FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4387248032> ?p ?o ?g. }

• W4387248032 endingPage "A5331" @default.
• W4387248032 startingPage "A5330" @default.
• W4387248032 abstract "SESSION TITLE: Procedures Case Report Posters 3 SESSION TYPE: Case Report Posters PRESENTED ON: 10/11/2023 12:00 pm - 12:45 pm INTRODUCTION: Central venous catheter placement is perhaps the most common procedure performed in the intensive care unit. While this procedure is a potentially life-saving intervention, it is fraught with complications including inadvertent arterial puncture, venous injury, bleeding, hematoma, pneumothorax, air embolus, arrhythmia and malpositioning (Kornbau, 2015). Infection is a particularly concerning long-term complication that has significant implications with respect to patient outcomes as well as hospital system metrics. The inclusion of ultrasound has had a positive effect in reducing these complications but has not eliminated them. Peripherally inserted central catheters, as an alternative to femoral, internal jugular or subclavian vein central lines does reduce the complications of pneumothorax and serious bleeding, but it does not significantly mitigate risks of bleeding, air embolism, hematoma, arrhythmia and catheter malposition. It also comes with the risk of upper extremity DVT and phlebitis. The process by which central venous lines are placed in the ICU are also potentially distressing to patients.Midline catheters have been shown to have fewer complications, decreased central line days (Deutsch 2014) and decreased rates of central line associated bloodstream infections (Pathak, 2015). They do not carry the risk of pneumothorax, arrhythmia, serious bleeding or air embolus. The risk of bloodstream infections is significantly lower as compared to central lines and peripherally inserted central lines (Pathak, 2015). Furthermore, midlines have been demonstrated to be safe in full dose vasopressor administration (Prasanna, 2021). CASE PRESENTATION: We present a case series of 2 patients who received midline catheters for administration of vasopressors in the intensive care unit. The first patient is a 28-year-old male who was admitted to the intensive care unit for acute hemorrhagic shock secondary to an upper gastrointestinal bleed. He received a right basilar vein midline catheter that was trimmed to 14 cm and received norepinephrine at a rate of 6 mcg/min to good effect and without complications. The second patient is an 81-year-old female who was admitted with acute respiratory failure secondary to a combination of an acute right-sided pleural effusion and exacerbated heart failure in the setting of known ischemic cardiomyopathy. She received dopamine at a maximum rate of 5 mcg/kg/min without complication. DISCUSSION: In both cases, the midlines were placed by a pulmonary and critical care fellow who had received 3 hours of training on placement of midline catheters. Both catheters were placed successfully on the first attempt and without complication. Both patients received vasoactive medications without extravasation or complication. CONCLUSIONS: Considering the ease of training and the speed with which fellows demonstrate proficiency in the placement of midline catheters, the results of this case series could support the implementation of midline catheter training as a standard in pulmonary and critical care fellowship. This is a valuable skill set that allows for collaboration with nursing (IV and PICC teams) and significant reduction in ICU complications, as outlined above. REFERENCE #1: Deutsch GB, Sathyanarayana SA, Singh N, Nicastro J. Ultrasound-guided placement of midline catheters in the surgical intensive care unit: A cost-effective proposal for Timely Central line removal. Journal of Surgical Research. 2014;191(1):1-5. doi:10.1016/j.jss.2013.03.047 REFERENCE #2: Pathak R, Patel A, Enuh H, Adekunle O, Shrisgantharajah V, Diaz K. The incidence of Central line–associated bacteremia after the introduction of midline catheters in a ventilator unit population. Infectious Diseases in Clinical Practice. 2015;23(3):131-134. doi:10.1097/ipc.0000000000000237 REFERENCE #3: Prasanna N, Yamane D, Haridasa N, Davison D, Sparks A, Hawkins K. Safety and efficacy of vasopressor administration through midline catheters. Journal of Critical Care. 2021;61:1-4. doi:10.1016/j.jcrc.2020.09.024 DISCLOSURES: No relevant relationships by Timothy DAmico No relevant relationships by Patrick Durand No relevant relationships by Ronak Patel No relevant relationships by Robyn Scatena" @default.
• W4387248032 created "2023-10-03" @default.
• W4387248032 creator A5033671216 @default.
• W4387248032 creator A5051331492 @default.
• W4387248032 creator A5063017488 @default.
• W4387248032 creator A5065395065 @default.
• W4387248032 date "2023-10-01" @default.
• W4387248032 modified "2023-10-03" @default.
• W4387248032 title "LET'S MEET IN THE MIDDLE" @default.
• W4387248032 doi "https://doi.org/10.1016/j.chest.2023.07.3459" @default.
• W4387248032 hasPublicationYear "2023" @default.
• W4387248032 type Work @default.
• W4387248032 citedByCount "0" @default.
• W4387248032 crossrefType "journal-article" @default.
• W4387248032 hasAuthorship W4387248032A5033671216 @default.
• W4387248032 hasAuthorship W4387248032A5051331492 @default.
• W4387248032 hasAuthorship W4387248032A5063017488 @default.
• W4387248032 hasAuthorship W4387248032A5065395065 @default.
• W4387248032 hasBestOaLocation W43872480321 @default.
• W4387248032 hasConcept C141071460 @default.
• W4387248032 hasConcept C177713679 @default.
• W4387248032 hasConcept C2776376669 @default.
• W4387248032 hasConcept C2778329176 @default.
• W4387248032 hasConcept C2778342025 @default.
• W4387248032 hasConcept C2778446481 @default.
• W4387248032 hasConcept C2778959117 @default.
• W4387248032 hasConcept C2779662492 @default.
• W4387248032 hasConcept C2779806549 @default.
• W4387248032 hasConcept C2780868729 @default.
• W4387248032 hasConcept C2781267111 @default.
• W4387248032 hasConcept C42219234 @default.
• W4387248032 hasConcept C71924100 @default.
• W4387248032 hasConcept C78221805 @default.
• W4387248032 hasConcept C81182388 @default.
• W4387248032 hasConceptScore W4387248032C141071460 @default.
• W4387248032 hasConceptScore W4387248032C177713679 @default.
• W4387248032 hasConceptScore W4387248032C2776376669 @default.
• W4387248032 hasConceptScore W4387248032C2778329176 @default.
• W4387248032 hasConceptScore W4387248032C2778342025 @default.
• W4387248032 hasConceptScore W4387248032C2778446481 @default.
• W4387248032 hasConceptScore W4387248032C2778959117 @default.
• W4387248032 hasConceptScore W4387248032C2779662492 @default.
• W4387248032 hasConceptScore W4387248032C2779806549 @default.
• W4387248032 hasConceptScore W4387248032C2780868729 @default.
• W4387248032 hasConceptScore W4387248032C2781267111 @default.
• W4387248032 hasConceptScore W4387248032C42219234 @default.
• W4387248032 hasConceptScore W4387248032C71924100 @default.
• W4387248032 hasConceptScore W4387248032C78221805 @default.
• W4387248032 hasConceptScore W4387248032C81182388 @default.
• W4387248032 hasIssue "4" @default.
• W4387248032 hasLocation W43872480321 @default.
• W4387248032 hasOpenAccess W4387248032 @default.
• W4387248032 hasPrimaryLocation W43872480321 @default.
• W4387248032 hasRelatedWork W161339683 @default.
• W4387248032 hasRelatedWork W2011177479 @default.
• W4387248032 hasRelatedWork W2012702675 @default.
• W4387248032 hasRelatedWork W2319608171 @default.
• W4387248032 hasRelatedWork W2417244804 @default.
• W4387248032 hasRelatedWork W2440439573 @default.
• W4387248032 hasRelatedWork W2956039594 @default.
• W4387248032 hasRelatedWork W2981730791 @default.
• W4387248032 hasRelatedWork W2999314198 @default.
• W4387248032 hasRelatedWork W4387248032 @default.
• W4387248032 hasVolume "164" @default.
• W4387248032 isParatext "false" @default.
• W4387248032 isRetracted "false" @default.
• W4387248032 workType "article" @default.