Catheters, Indwelling
Catheterization, Central Venous
Catheter-Related Infections
Catheters
Catheterization
Central Venous Catheters
Cardiac Catheters
Catheterization, Peripheral
Urinary Catheters
Equipment Failure
Foreign-Body Migration
Catheterization, Swan-Ganz
Cardiac Catheterization
Jugular Veins
Subclavian Vein
Silicone Elastomers
Atrial Fibrillation
Pulmonary Veins
Treatment Outcome
Peritoneal Dialysis
Vascular Access Devices
Peritonitis
Silicones
Bacteremia
Peritoneal Dialysis, Continuous Ambulatory
Atrial Flutter
Body Surface Potential Mapping
Prospective Studies
Magnetic Resonance Imaging, Interventional
Renal Dialysis
Radiography, Interventional
Anti-Infective Agents, Local
Prospective comparison of downward and lateral peritoneal dialysis catheter tunnel-tract and exit-site directions. (1/386)
OBJECTIVE: Guidelines for optimal peritoneal dialysis access support both downward and lateral exit-site directions. Numerous clinical reports support the superiority of downward exit sites but none substantiate lateral configurations. METHODS: This prospective study compared infectious and mechanical complications between 85 catheters with a preformed arcuate bend to produce a downward exit site and 93 catheters with a straight intercuff segment configured to create a lateral exit site. RESULTS: Kaplan-Meier survivals were not different for time to first exit-site infection (p = 0.62), tunnel infection (p = 0.89), or peritonitis (p = 0.38) for downward and lateral exit-site directions. Poisson regression showed no differences in rates (episodes/patient-year) of exit-site infection (0.26 vs 0.27, p = 0.86), tunnel infection (0.02 vs 0.03, p = 0.79), peritonitis (0.42 vs 0.43, p = 0.87), or catheter loss (0.06 vs 0.09, p = 0.29) for downward and lateral exit sites. Kaplan-Meier analyses of antibiotic-free intervals for exit-site (p = 0.94) and peritonitis infections (p = 0.72) were not different for the two groups. There was one case of catheter tip displacement with flow dysfunction in each group. There were no pericatheter hernias or spontaneous cuff extrusions. Catheter survival between groups was not different (p = 0.20). CONCLUSIONS: Catheter types employing downward and lateral tunnel-tract and exit-site configurations produce equivalent outcomes for infectious and mechanical complications. (+info)Comparison of tissue plasminogen activator-antibiotic locks with heparin-antibiotic locks in children with catheter-related bacteraemia. (2/386)
(+info)Trisodium citrate 46.7% selectively and safely reduces staphylococcal catheter-related bacteraemia. (3/386)
(+info)Vascular access in oncology patients. (4/386)
(+info)Impact of age on peritonitis risk in peritoneal dialysis patients: an era effect. (5/386)
(+info)Usefulness of catheter tip culture in the diagnosis of neonatal infections. (6/386)
(+info)Development of a reference information model and knowledgebase for electronic bloodstream infection detection. (7/386)
The most prevalent hospital-acquired infections in the United States are bloodstream infections (BSIs) associated with the presence of a central venous catheter. There is currently a movement, including national organizations such as the Centers for Medicare and Medicaid Services as well as consumer, quality improvement and patient safety groups, encouraging the standardization of reporting and aggregation of such nosocomial infection data to increase and improve reporting, and enable rate comparisons among healthcare institutions. Domain modeling is a well-known method for designing interoperable processes that take advantage of existing data and legacy systems. We have combined such a model-driven design approach with the use of partitioned clinical and business logic knowledgebases in order to employ a previously validated electronic BSI surveillance algorithm in the context of a multi-center study. (+info)An agent-based model for evaluating surveillance methods for catheter-related bloodstream infection. (8/386)
Surveillance for catheter-related bloodstream infections (CRBSI) is hindered by the fact that clinical case criteria are complex and subjective. Simplified objective criteria, based only on microbiologic data, may be a less valid, but potentially more reliable system for estimating and comparing institutional infection rates. We developed an agent-based simulation model to examine the impact of these two different criteria on the measurement of CRBSI in a simulated 12-bed hospital intensive care unit (ICU). We found that, on average, the clinical criteria was more accurate at estimating the true CRBSI rate than the simple criteria (3.36+/-1.11 vs. 5.41+/-1.36 infections/1000 catheter-days, compared with a true rate of 3.54+/-1.60). However, ecologic correlation (i.e., the accurate ranking of CRBSI rates across institutions) was higher for simple criteria than clinical criteria. Thus, simplified objective criteria are potentially superior to clinical criteria in identifying the true differences in CRBSI rates between institutions. (+info)Indwelling catheters, also known as Foley catheters, are medical devices that are inserted into the bladder to drain urine. They have a small balloon at the tip that is inflated with water once the catheter is in the correct position in the bladder, allowing it to remain in place and continuously drain urine. Indwelling catheters are typically used for patients who are unable to empty their bladders on their own, such as those who are bedridden or have nerve damage that affects bladder function. They are also used during and after certain surgical procedures. Prolonged use of indwelling catheters can increase the risk of urinary tract infections and other complications.
Central venous catheterization is a medical procedure in which a flexible tube called a catheter is inserted into a large vein in the body, usually in the neck (internal jugular vein), chest (subclavian vein), or groin (femoral vein). The catheter is threaded through the vein until it reaches a central location, such as the superior vena cava or the right atrium of the heart.
Central venous catheterization may be performed for several reasons, including:
1. To administer medications, fluids, or nutritional support directly into the bloodstream.
2. To monitor central venous pressure (CVP), which can help assess a patient's volume status and cardiac function.
3. To draw blood samples for laboratory tests.
4. To deliver chemotherapy drugs or other medications that may be harmful to peripheral veins.
5. To provide access for hemodialysis or other long-term therapies.
The procedure requires careful attention to sterile technique to minimize the risk of infection, and it is usually performed under local anesthesia with sedation or general anesthesia. Complications of central venous catheterization may include bleeding, infection, pneumothorax (collapsed lung), arterial puncture, and catheter-related bloodstream infections (CRBSI).
Catheter-related infections are infections that occur due to the presence of a catheter, a flexible tube that is inserted into the body to perform various medical functions such as draining urine or administering medication. These infections can affect any part of the body where a catheter is inserted, including the bladder, bloodstream, heart, and lungs.
The most common type of catheter-related infection is a catheter-associated urinary tract infection (CAUTI), which occurs when bacteria enter the urinary tract through the catheter and cause an infection. Symptoms of CAUTI may include fever, chills, pain or burning during urination, and cloudy or foul-smelling urine.
Other types of catheter-related infections include catheter-associated bloodstream infections (CLABSI), which can occur when bacteria enter the bloodstream through the catheter, and catheter-related pulmonary infections, which can occur when secretions from the respiratory tract enter the lungs through a catheter.
Catheter-related infections are a significant concern in healthcare settings, as they can lead to serious complications such as sepsis, organ failure, and even death. Proper catheter insertion and maintenance techniques, as well as regular monitoring for signs of infection, can help prevent these types of infections.
Staphylococcal infections are a type of infection caused by Staphylococcus bacteria, which are commonly found on the skin and nose of healthy people. However, if they enter the body through a cut, scratch, or other wound, they can cause an infection.
There are several types of Staphylococcus bacteria, but the most common one that causes infections is Staphylococcus aureus. These infections can range from minor skin infections such as pimples, boils, and impetigo to serious conditions such as pneumonia, bloodstream infections, and toxic shock syndrome.
Symptoms of staphylococcal infections depend on the type and severity of the infection. Treatment typically involves antibiotics, either topical or oral, depending on the severity and location of the infection. In some cases, hospitalization may be necessary for more severe infections. It is important to note that some strains of Staphylococcus aureus have developed resistance to certain antibiotics, making them more difficult to treat.
A catheter is a flexible tube that can be inserted into the body to treat various medical conditions or to perform certain medical procedures. Catheters are used to drain fluids, deliver medications, or provide access to different parts of the body for diagnostic or therapeutic purposes. They come in various sizes and materials, depending on their intended use.
In a general sense, catheters can be classified into two main categories:
1. **External catheters:** These are applied to the outside of the body and are commonly used for urinary drainage. For example, a condom catheter is an external collection device that fits over the penis to drain urine into a bag. Similarly, a Texas or Foley catheter can be used in females, where a small tube is inserted into the urethra and inflated with a balloon to keep it in place.
2. **Internal catheters:** These are inserted into the body through various openings or surgical incisions. They have different applications based on their placement:
* **Urinary catheters:** Used for bladder drainage, similar to external catheters but inserted through the urethra.
* **Vascular catheters:** Inserted into veins or arteries to administer medication, fluids, or to perform diagnostic tests like angiography.
* **Cardiovascular catheters:** Used in procedures such as cardiac catheterization to diagnose and treat heart conditions.
* **Neurological catheters:** Placed in the cerebrospinal fluid spaces of the brain or spinal cord for diagnostic or therapeutic purposes, like draining excess fluid or delivering medication.
* **Gastrointestinal catheters:** Used to provide enteral nutrition, drain fluids, or perform procedures within the gastrointestinal tract.
Proper care and maintenance of catheters are crucial to prevent infection and other complications. Patients with indwelling catheters should follow their healthcare provider's instructions for cleaning, handling, and monitoring the catheter site.
Anti-bacterial agents, also known as antibiotics, are a type of medication used to treat infections caused by bacteria. These agents work by either killing the bacteria or inhibiting their growth and reproduction. There are several different classes of anti-bacterial agents, including penicillins, cephalosporins, fluoroquinolones, macrolides, and tetracyclines, among others. Each class of antibiotic has a specific mechanism of action and is used to treat certain types of bacterial infections. It's important to note that anti-bacterial agents are not effective against viral infections, such as the common cold or flu. Misuse and overuse of antibiotics can lead to antibiotic resistance, which is a significant global health concern.
Catheterization is a medical procedure in which a catheter (a flexible tube) is inserted into the body to treat various medical conditions or for diagnostic purposes. The specific definition can vary depending on the area of medicine and the particular procedure being discussed. Here are some common types of catheterization:
1. Urinary catheterization: This involves inserting a catheter through the urethra into the bladder to drain urine. It is often performed to manage urinary retention, monitor urine output in critically ill patients, or assist with surgical procedures.
2. Cardiac catheterization: A procedure where a catheter is inserted into a blood vessel, usually in the groin or arm, and guided to the heart. This allows for various diagnostic tests and treatments, such as measuring pressures within the heart chambers, assessing blood flow, or performing angioplasty and stenting of narrowed coronary arteries.
3. Central venous catheterization: A catheter is inserted into a large vein, typically in the neck, chest, or groin, to administer medications, fluids, or nutrition, or to monitor central venous pressure.
4. Peritoneal dialysis catheterization: A catheter is placed into the abdominal cavity for individuals undergoing peritoneal dialysis, a type of kidney replacement therapy.
5. Neurological catheterization: In some cases, a catheter may be inserted into the cerebrospinal fluid space (lumbar puncture) or the brain's ventricular system (ventriculostomy) to diagnose or treat various neurological conditions.
These are just a few examples of catheterization procedures in medicine. The specific definition and purpose will depend on the medical context and the particular organ or body system involved.
Central venous catheters (CVCs) are medical devices used to access the central venous system, typically placed in one of the large great veins such as the internal jugular, subclavian, or femoral vein. They can be used for a variety of purposes including administration of medications and fluids, monitoring central venous pressure, and obtaining blood samples. CVCs come in different types, such as non-tunneled, tunneled, and implantable ports, each with its own specific indications and uses. Proper placement and maintenance of CVCs are crucial to prevent complications such as infection, thrombosis, and catheter-related bloodstream infections.
A cardiac catheter is a thin, flexible tube that is inserted into the heart or adjacent blood vessels during a cardiac catheterization procedure. This procedure is typically performed to diagnose and treat various cardiovascular conditions such as heart disease, heart defects, or abnormal heart rhythms.
Cardiac catheters can be used for several purposes:
1. To measure the pressure and oxygen levels in different chambers of the heart and blood vessels.
2. To inject dye into the coronary arteries to visualize blockages or narrowing through angiography.
3. To perform interventions such as balloon angioplasty, stent placement, or valvuloplasty to open up blocked or narrowed blood vessels or repair damaged heart valves.
4. To collect samples of heart muscle tissue for biopsy, which can help diagnose conditions like cardiomyopathy or myocarditis.
There are various types of cardiac catheters, including:
1. Diagnostic catheters - used to measure pressure and oxygen levels in the heart and blood vessels.
2. Guiding catheters - used to guide other interventional devices like balloons or stents into place.
3. Angioplasty balloon catheters - used to inflate a balloon at the tip of the catheter, which helps open up blocked or narrowed blood vessels.
4. Thermodilution catheters - used to measure cardiac output and other hemodynamic parameters.
5. Microcatheters - smaller, more flexible catheters used for complex interventions or accessing difficult-to-reach areas of the heart and blood vessels.
Cardiac catheterization is a minimally invasive procedure that usually requires only local anesthesia and mild sedation. The recovery time is typically short, with most patients returning home within 24 hours after the procedure.
Peripheral catheterization is a medical procedure that involves the insertion of a thin, flexible tube (catheter) into a peripheral vein, which is a blood vessel located outside of the chest and abdomen. This type of catheterization is typically performed to administer medications, fluids, or nutritional support, or to monitor various physiological parameters such as central venous pressure.
Peripheral catheters are usually inserted into veins in the hands or arms, although they can also be placed in other peripheral veins. The procedure is typically performed using aseptic technique to minimize the risk of infection. Once the catheter is in place, it may be secured with a dressing or suture to prevent movement and dislodgement.
Peripheral catheterization is a relatively safe and common procedure that is routinely performed in hospitals, clinics, and other healthcare settings. However, like any medical procedure, it carries a small risk of complications such as infection, bleeding, or damage to the vein or surrounding tissues.
Urinary catheterization is a medical procedure in which a flexible tube (catheter) is inserted into the bladder through the urethra to drain urine. This may be done to manage urinary retention, monitor urine output, or obtain a urine sample for laboratory testing. It can be performed as a clean, intermittent catheterization, or with an indwelling catheter (also known as Foley catheter) that remains in place for a longer period of time. The procedure should be performed using sterile technique to reduce the risk of urinary tract infection.
A urinary catheter is a flexible tube that is inserted into the bladder to drain urine. It can be made of rubber, plastic, or latex and comes in various sizes and lengths. The catheter can be inserted through the urethra (the tube that carries urine out of the body from the bladder) and is called a Foley catheter or an indwelling catheter. A straight catheter, on the other hand, is inserted through the urethra and removed after it has drained the urine.
Urinary catheters are used in various medical situations, such as when a person is unable to empty their bladder due to surgery, anesthesia, medication, or conditions that affect bladder function. They may also be used for long-term management of urinary incontinence or to drain the bladder during certain medical procedures.
It's important to note that the use of urinary catheters carries a risk of complications, such as urinary tract infections, bladder spasms, and injury to the urethra or bladder. Therefore, they should only be used when necessary and under the guidance of a healthcare professional.
Equipment failure is a term used in the medical field to describe the malfunction or breakdown of medical equipment, devices, or systems that are essential for patient care. This can include simple devices like syringes and thermometers, as well as complex machines such as ventilators, infusion pumps, and imaging equipment.
Equipment failure can have serious consequences for patients, including delayed or inappropriate treatment, injury, or even death. It is therefore essential that medical equipment is properly maintained, tested, and repaired to ensure its safe and effective operation.
There are many potential causes of equipment failure, including:
* Wear and tear from frequent use
* Inadequate cleaning or disinfection
* Improper handling or storage
* Power supply issues
* Software glitches or bugs
* Mechanical failures or defects
* Human error or misuse
To prevent equipment failure, healthcare facilities should have established policies and procedures for the acquisition, maintenance, and disposal of medical equipment. Staff should be trained in the proper use and handling of equipment, and regular inspections and testing should be performed to identify and address any potential issues before they lead to failure.
Equipment design, in the medical context, refers to the process of creating and developing medical equipment and devices, such as surgical instruments, diagnostic machines, or assistive technologies. This process involves several stages, including:
1. Identifying user needs and requirements
2. Concept development and brainstorming
3. Prototyping and testing
4. Design for manufacturing and assembly
5. Safety and regulatory compliance
6. Verification and validation
7. Training and support
The goal of equipment design is to create safe, effective, and efficient medical devices that meet the needs of healthcare providers and patients while complying with relevant regulations and standards. The design process typically involves a multidisciplinary team of engineers, clinicians, designers, and researchers who work together to develop innovative solutions that improve patient care and outcomes.
Foreign-body migration is a medical condition that occurs when a foreign object, such as a surgical implant, tissue graft, or trauma-induced fragment, moves from its original position within the body to a different location. This displacement can cause various complications and symptoms depending on the type of foreign body, the location it migrated to, and the individual's specific physiological response.
Foreign-body migration may result from insufficient fixation or anchoring of the object during implantation, inadequate wound healing, infection, or an inflammatory reaction. Symptoms can include pain, swelling, redness, or infection at the new location, as well as potential damage to surrounding tissues and organs. Diagnosis typically involves imaging techniques like X-rays, CT scans, or MRIs to locate the foreign body, followed by a surgical procedure to remove it and address any resulting complications.
Swan-Ganz catheterization is a medical procedure in which a Swan-Ganz catheter, also known as a pulmonary artery catheter, is inserted into a patient's vein and guided through the heart to the pulmonary artery. The procedure is named after its inventors, Dr. Jeremy Swan and Dr. William Ganz.
The Swan-Ganz catheter is a thin, flexible tube that is equipped with sensors that measure various cardiac functions, such as blood pressure in the heart chambers and lungs, oxygen saturation of the blood, and cardiac output. This information helps doctors evaluate heart function, diagnose heart conditions, and monitor treatment effectiveness.
Swan-Ganz catheterization is typically performed in a hospital setting by trained medical professionals, such as cardiologists or critical care specialists. The procedure may be used to diagnose and manage various heart conditions, including heart failure, pulmonary hypertension, and shock. It may also be used during major surgeries or other medical procedures to monitor the patient's hemodynamic status.
Like any medical procedure, Swan-Ganz catheterization carries some risks, such as infection, bleeding, and damage to blood vessels or heart structures. However, these complications are relatively rare when the procedure is performed by experienced medical professionals.
Cardiac catheterization is a medical procedure used to diagnose and treat cardiovascular conditions. In this procedure, a thin, flexible tube called a catheter is inserted into a blood vessel in the arm or leg and threaded up to the heart. The catheter can be used to perform various diagnostic tests, such as measuring the pressure inside the heart chambers and assessing the function of the heart valves.
Cardiac catheterization can also be used to treat certain cardiovascular conditions, such as narrowed or blocked arteries. In these cases, a balloon or stent may be inserted through the catheter to open up the blood vessel and improve blood flow. This procedure is known as angioplasty or percutaneous coronary intervention (PCI).
Cardiac catheterization is typically performed in a hospital cardiac catheterization laboratory by a team of healthcare professionals, including cardiologists, radiologists, and nurses. The procedure may be done under local anesthesia with sedation or general anesthesia, depending on the individual patient's needs and preferences.
Overall, cardiac catheterization is a valuable tool in the diagnosis and treatment of various heart conditions, and it can help improve symptoms, reduce complications, and prolong life for many patients.
The jugular veins are a pair of large, superficial veins that carry blood from the head and neck to the heart. They are located in the neck and are easily visible when looking at the side of a person's neck. The external jugular vein runs along the surface of the muscles in the neck, while the internal jugular vein runs within the carotid sheath along with the carotid artery and the vagus nerve.
The jugular veins are important in clinical examinations because they can provide information about a person's cardiovascular function and intracranial pressure. For example, distention of the jugular veins may indicate heart failure or increased intracranial pressure, while decreased venous pulsations may suggest a low blood pressure or shock.
It is important to note that medical conditions such as deep vein thrombosis (DVT) can also affect the jugular veins and can lead to serious complications if not treated promptly.
The subclavian vein is a large venous structure that carries deoxygenated blood from the upper limb and part of the thorax back to the heart. It forms when the axillary vein passes through the narrow space between the first rib and the clavicle (collarbone), becoming the subclavian vein.
On the left side, the subclavian vein joins with the internal jugular vein to form the brachiocephalic vein, while on the right side, the subclavian vein directly merges with the internal jugular vein to create the brachiocephalic vein. These brachiocephalic veins then unite to form the superior vena cava, which drains blood into the right atrium of the heart.
The subclavian vein is an essential structure for venous access in various medical procedures and interventions, such as placing central venous catheters or performing blood tests.
Fluoroscopy is a type of medical imaging that uses X-rays to obtain real-time moving images of the internal structures of the body. A continuous X-ray beam is passed through the body part being examined, and the resulting fluoroscopic images are transmitted to a monitor, allowing the medical professional to view the structure and movement of the internal organs and bones in real time.
Fluoroscopy is often used to guide minimally invasive procedures such as catheterization, stent placement, or joint injections. It can also be used to diagnose and monitor a variety of medical conditions, including gastrointestinal disorders, musculoskeletal injuries, and cardiovascular diseases.
It is important to note that fluoroscopy involves exposure to ionizing radiation, and the risks associated with this exposure should be carefully weighed against the benefits of the procedure. Medical professionals are trained to use the lowest possible dose of radiation necessary to obtain the desired diagnostic information.
Silicone elastomers are a type of synthetic rubber made from silicone, which is a polymer composed primarily of silicon-oxygen bonds. They are known for their durability, flexibility, and resistance to heat, cold, and moisture. Silicone elastomers can be manufactured in various forms, including liquids, gels, and solids, and they are used in a wide range of medical applications such as:
1. Breast implants: Silicone elastomer shells filled with silicone gel are commonly used for breast augmentation and reconstruction.
2. Contact lenses: Some contact lenses are made from silicone elastomers due to their high oxygen permeability, which allows for better eye health.
3. Catheters: Silicone elastomer catheters are flexible and resistant to kinking, making them suitable for long-term use in various medical procedures.
4. Implantable drug delivery systems: Silicone elastomers can be used as a matrix for controlled release of drugs, allowing for sustained and targeted medication administration.
5. Medical adhesives: Silicone elastomer adhesives are biocompatible and can be used to attach medical devices to the skin or other tissues.
6. Sealants and coatings: Silicone elastomers can be used as sealants and coatings in medical devices to prevent leakage, improve durability, and reduce infection risk.
It is important to note that while silicone elastomers are generally considered safe for medical use, there have been concerns about the potential health risks associated with breast implants, such as capsular contracture, breast pain, and immune system reactions. However, these risks vary depending on the individual's health status and the specific type of silicone elastomer used.
Atrial fibrillation (A-tre-al fi-bru-la'shun) is a type of abnormal heart rhythm characterized by rapid and irregular beating of the atria, the upper chambers of the heart. In this condition, the electrical signals that coordinate heartbeats don't function properly, causing the atria to quiver instead of contracting effectively. As a result, blood may not be pumped efficiently into the ventricles, which can lead to blood clots, stroke, and other complications. Atrial fibrillation is a common type of arrhythmia and can cause symptoms such as palpitations, shortness of breath, fatigue, and dizziness. It can be caused by various factors, including heart disease, high blood pressure, age, and genetics. Treatment options include medications, electrical cardioversion, and surgical procedures to restore normal heart rhythm.
Pulmonary veins are blood vessels that carry oxygenated blood from the lungs to the left atrium of the heart. There are four pulmonary veins in total, two from each lung, and they are the only veins in the body that carry oxygen-rich blood. The oxygenated blood from the pulmonary veins is then pumped by the left ventricle to the rest of the body through the aorta. Any blockage or damage to the pulmonary veins can lead to various cardiopulmonary conditions, such as pulmonary hypertension and congestive heart failure.
Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.
Peritoneal dialysis is a type of renal replacement therapy used to treat patients with severe kidney dysfunction or end-stage renal disease. It is a process that utilizes the peritoneum, a membranous sac lining the abdominal cavity, as a natural semipermeable membrane for filtering waste products, excess fluids, and electrolytes from the bloodstream.
In peritoneal dialysis, a sterile dialysate solution is infused into the peritoneal cavity via a permanently implanted catheter. The dialysate contains various substances such as glucose or other osmotic agents, electrolytes, and buffer solutions that facilitate the diffusion of waste products and fluids from the blood vessels surrounding the peritoneum into the dialysate.
There are two primary types of peritoneal dialysis: continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD). CAPD is performed manually, several times a day, while APD is carried out using a cycler machine overnight.
Peritoneal dialysis offers certain advantages over hemodialysis, such as better preservation of residual renal function, fewer dietary restrictions, and greater flexibility in scheduling treatments. However, it also has potential complications, including peritonitis (inflammation of the peritoneum), catheter-related infections, fluid imbalances, and membrane failure over time.
Vascular access devices (VADs) are medical devices that are used to gain access to a patient's vascular system for the purpose of administering treatments, monitoring vital signs, or obtaining diagnostic samples. These devices can be categorized into short-term and long-term based on their intended duration of use.
Short-term VADs include peripheral intravenous catheters (PIVs), midline catheters, and peripherally inserted central catheters (PICCs). PIVs are thin, flexible tubes that are inserted into a vein in the arm or hand for short-term use. Midlines are similar to PIVs but are longer and can be used for up to 4 weeks. PICCs are inserted into a vein in the upper arm and threaded through to the larger veins near the heart, allowing for long-term access.
Long-term VADs include tunneled central venous catheters (CVCs), non-tunneled CVCs, and implanted ports. Tunneled CVCs are inserted into a large vein in the neck or chest and then threaded under the skin to an exit site, reducing the risk of infection. Non-tunneled CVCs are similar but do not have a tunnel, making them more prone to infection. Implanted ports are small devices that are surgically implanted under the skin, usually in the chest or arm, and connected to a catheter that is inserted into a large vein.
VADs can be used for various medical treatments such as chemotherapy, antibiotic therapy, parenteral nutrition, dialysis, and blood transfusions. Proper care and maintenance of VADs are essential to prevent complications such as infection, thrombosis, and catheter-related bloodstream infections (CRBSI).
Peritonitis is a medical condition characterized by inflammation of the peritoneum, which is the serous membrane that lines the inner wall of the abdominal cavity and covers the abdominal organs. The peritoneum has an important role in protecting the abdominal organs and providing a smooth surface for them to move against each other.
Peritonitis can occur as a result of bacterial or fungal infection, chemical irritation, or trauma to the abdomen. The most common cause of peritonitis is a rupture or perforation of an organ in the abdominal cavity, such as the appendix, stomach, or intestines, which allows bacteria from the gut to enter the peritoneal cavity.
Symptoms of peritonitis may include abdominal pain and tenderness, fever, nausea and vomiting, loss of appetite, and decreased bowel movements. In severe cases, peritonitis can lead to sepsis, a life-threatening condition characterized by widespread inflammation throughout the body.
Treatment for peritonitis typically involves antibiotics to treat the infection, as well as surgical intervention to repair any damage to the abdominal organs and remove any infected fluid or tissue from the peritoneal cavity. In some cases, a temporary or permanent drain may be placed in the abdomen to help remove excess fluid and promote healing.
Silicones are not a medical term, but they are commonly used in the medical field, particularly in medical devices and healthcare products. Silicones are synthetic polymers made up of repeating units of siloxane, which is a chain of alternating silicon and oxygen atoms. They can exist in various forms such as oils, gels, rubbers, and resins.
In the medical context, silicones are often used for their unique properties, including:
1. Biocompatibility - Silicones have a low risk of causing an adverse reaction when they come into contact with living tissue.
2. Inertness - They do not react chemically with other substances, making them suitable for use in medical devices that need to remain stable over time.
3. Temperature resistance - Silicones can maintain their flexibility and elasticity even under extreme temperature conditions.
4. Gas permeability - Some silicone materials allow gases like oxygen and water vapor to pass through, which is useful in applications where maintaining a moist environment is essential.
5. Durability - Silicones have excellent resistance to aging, weathering, and environmental factors, ensuring long-lasting performance.
Examples of medical applications for silicones include:
1. Breast implants
2. Contact lenses
3. Catheters
4. Artificial joints and tendons
5. Bandages and wound dressings
6. Drug delivery systems
7. Medical adhesives
8. Infant care products (nipples, pacifiers)
Bacteremia is the presence of bacteria in the bloodstream. It is a medical condition that occurs when bacteria from another source, such as an infection in another part of the body, enter the bloodstream. Bacteremia can cause symptoms such as fever, chills, and rapid heart rate, and it can lead to serious complications such as sepsis if not treated promptly with antibiotics.
Bacteremia is often a result of an infection elsewhere in the body that allows bacteria to enter the bloodstream. This can happen through various routes, such as during medical procedures, intravenous (IV) drug use, or from infected wounds or devices that come into contact with the bloodstream. In some cases, bacteremia may also occur without any obvious source of infection.
It is important to note that not all bacteria in the bloodstream cause harm, and some people may have bacteria in their blood without showing any symptoms. However, if bacteria in the bloodstream multiply and cause an immune response, it can lead to bacteremia and potentially serious complications.
Peritoneal dialysis, continuous ambulatory (CAPD), is a type of renal replacement therapy used to treat patients with end-stage kidney disease. It is a form of peritoneal dialysis that is performed continuously, without the need for machines or hospitalization. CAPD uses the patient's own peritoneum, a thin membrane that lines the abdominal cavity, as a natural filter to remove waste products and excess fluids from the bloodstream.
In CAPD, a sterile dialysis solution is introduced into the peritoneal cavity through a permanent catheter implanted in the patient's abdomen. The solution remains in the peritoneal cavity for a dwell time of several hours, during which diffusion occurs across the peritoneal membrane, allowing waste products and excess fluids to move from the bloodstream into the dialysis solution.
After the dwell time, the used dialysis solution is drained from the peritoneal cavity and discarded, and a fresh batch of dialysis solution is introduced. This process is typically repeated four to five times a day, with each exchange taking about 30 minutes to complete. Patients can perform CAPD exchanges while going about their daily activities, making it a convenient and flexible treatment option for many patients with end-stage kidney disease.
Overall, CAPD is a highly effective form of dialysis that offers several advantages over other types of renal replacement therapy, including improved quality of life, better preservation of residual kidney function, and lower costs. However, it does require careful attention to sterile technique and regular monitoring to ensure proper functioning of the peritoneal membrane and adequate clearance of waste products and fluids.
Atrial flutter is a type of abnormal heart rhythm or arrhythmia that originates in the atria - the upper chambers of the heart. In atrial flutter, the atria beat too quickly, usually between 250 and 350 beats per minute, which is much faster than the normal resting rate of 60 to 100 beats per minute.
This rapid beating causes the atria to quiver or "flutter" instead of contracting effectively. As a result, blood may not be pumped efficiently into the ventricles - the lower chambers of the heart - which can lead to reduced cardiac output and symptoms such as palpitations, shortness of breath, fatigue, dizziness, or chest discomfort.
Atrial flutter is often caused by underlying heart conditions, such as coronary artery disease, hypertension, valvular heart disease, or congenital heart defects. It can also be a complication of cardiac surgery or other medical procedures. In some cases, atrial flutter may occur without any apparent underlying cause, which is known as lone atrial flutter.
Treatment for atrial flutter typically involves medications to control the heart rate and rhythm, electrical cardioversion to restore a normal heart rhythm, or catheter ablation to destroy the abnormal electrical pathways in the heart that are causing the arrhythmia. In some cases, surgical intervention may be necessary to treat atrial flutter.
Body Surface Potential Mapping (BSPM) is a non-invasive medical technique used to record and analyze the electrical activity of the heart from the surface of the body. It involves placing multiple electrodes on the skin of the chest, back, and limbs to measure the potential differences between these points during each heartbeat. This information is then used to create a detailed, visual representation of the electrical activation pattern of the heart, which can help in the diagnosis and evaluation of various cardiac disorders such as arrhythmias, myocardial infarction, and ventricular hypertrophy.
The BSPM technique provides high-resolution spatial and temporal information about the cardiac electrical activity, making it a valuable tool for both clinical and research purposes. It can help identify the origin and spread of abnormal electrical signals in the heart, which is crucial for determining appropriate treatment strategies. Overall, Body Surface Potential Mapping is an important diagnostic modality that offers unique insights into the electrical functioning of the heart.
Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.
The heart atria are the upper chambers of the heart that receive blood from the veins and deliver it to the lower chambers, or ventricles. There are two atria in the heart: the right atrium receives oxygen-poor blood from the body and pumps it into the right ventricle, which then sends it to the lungs to be oxygenated; and the left atrium receives oxygen-rich blood from the lungs and pumps it into the left ventricle, which then sends it out to the rest of the body. The atria contract before the ventricles during each heartbeat, helping to fill the ventricles with blood and prepare them for contraction.
In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.
For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.
Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.
Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.
Interventional Magnetic Resonance Imaging (MRI) is a medical imaging technique that combines the diagnostic capabilities of MRI with minimally invasive image-guided procedures. It uses a strong magnetic field, radio waves, and computer software to produce detailed images of the body's internal structures and soft tissues.
In interventional MRI, the technology is used in real-time to guide the placement of needles, catheters, or other medical instruments for diagnostic or therapeutic purposes. This can include biopsies, tumor ablations, or targeted drug deliveries. The primary advantage of interventional MRI over traditional interventional radiology techniques is its ability to provide high-resolution imaging without the use of radiation, making it a safer option for certain patients. However, it requires specialized equipment and trained personnel to perform these procedures.
Renal dialysis is a medical procedure that is used to artificially remove waste products, toxins, and excess fluids from the blood when the kidneys are no longer able to perform these functions effectively. This process is also known as hemodialysis.
During renal dialysis, the patient's blood is circulated through a special machine called a dialyzer or an artificial kidney, which contains a semi-permeable membrane that filters out waste products and excess fluids from the blood. The cleaned blood is then returned to the patient's body.
Renal dialysis is typically recommended for patients with advanced kidney disease or kidney failure, such as those with end-stage renal disease (ESRD). It is a life-sustaining treatment that helps to maintain the balance of fluids and electrolytes in the body, prevent the buildup of waste products and toxins, and control blood pressure.
There are two main types of renal dialysis: hemodialysis and peritoneal dialysis. Hemodialysis is the most common type and involves using a dialyzer to filter the blood outside the body. Peritoneal dialysis, on the other hand, involves placing a catheter in the abdomen and using the lining of the abdomen (peritoneum) as a natural filter to remove waste products and excess fluids from the body.
Overall, renal dialysis is an essential treatment option for patients with kidney failure, helping them to maintain their quality of life and prolong their survival.
Interventional radiography is a subspecialty of radiology that uses imaging guidance (such as X-ray fluoroscopy, ultrasound, CT, or MRI) to perform minimally invasive diagnostic and therapeutic procedures. These procedures typically involve the insertion of needles, catheters, or other small instruments through the skin or a natural body opening, allowing for targeted treatment with reduced risk, trauma, and recovery time compared to traditional open surgeries.
Examples of interventional radiography procedures include:
1. Angiography: Imaging of blood vessels to diagnose and treat conditions like blockages, narrowing, or aneurysms.
2. Biopsy: The removal of tissue samples for diagnostic purposes.
3. Drainage: The removal of fluid accumulations (e.g., abscesses, cysts) or the placement of catheters to drain fluids continuously.
4. Embolization: The blocking of blood vessels to control bleeding, tumor growth, or reduce the size of an aneurysm.
5. Stenting and angioplasty: The widening of narrowed or blocked vessels using stents (small mesh tubes) or balloon catheters.
6. Radiofrequency ablation: The use of heat to destroy tumors or abnormal tissues.
7. Cryoablation: The use of extreme cold to destroy tumors or abnormal tissues.
Interventional radiologists are medical doctors who have completed specialized training in both diagnostic imaging and interventional procedures, allowing them to provide comprehensive care for patients requiring image-guided treatments.
Anti-infective agents, local, are medications that are applied directly to a specific area of the body to prevent or treat infections caused by bacteria, fungi, viruses, or parasites. These agents include topical antibiotics, antifungals, antivirals, and anti-parasitic drugs. They work by killing or inhibiting the growth of the infectious organisms, thereby preventing their spread and reducing the risk of infection. Local anti-infective agents are often used to treat skin infections, eye infections, and other localized infections, and can be administered as creams, ointments, gels, solutions, or drops.
Silver Sulfadiazine is a topical antimicrobial cream, primarily used for the prevention and treatment of burn wounds' infections. It has broad-spectrum activity against various bacteria, including gram-positive and gram-negative organisms, as well as some fungi. The cream creates a physical barrier that helps minimize bacterial growth and contains silver, which has antimicrobial properties. Silver Sulfadiazine is often used in combination with other burn wound care treatments to optimize healing and reduce the risk of complications such as sepsis.
The medical definition of Silver Sulfadiazine can be stated as:
A topical antimicrobial agent, chemically described as silver(I) 1-(4-amino-2-sulfonylphenyl)-2-(N-pyrimidin-2-ylsulfamoyl)ethanone dihydrate. It is primarily used for the prevention and treatment of infections associated with burn wounds due to its broad-spectrum antibacterial and antifungal properties. The compound is available as a white cream, which forms a protective layer on the wound, releasing silver ions that inhibit bacterial growth and promote healing.
Staphylococcus epidermidis is a type of coagulase-negative staphylococcal bacterium that is commonly found on the human skin and mucous membranes. It is a part of the normal flora and usually does not cause infection in healthy individuals. However, it can cause serious infections in people with weakened immune systems or when it enters the body through medical devices such as catheters or artificial joints. Infections caused by S. epidermidis are often difficult to treat due to its ability to form biofilms.
Medical Definition: Staphylococcus epidermidis is a gram-positive, catalase-positive, coagulase-negative coccus that commonly inhabits the skin and mucous membranes. It is a leading cause of nosocomial infections associated with indwelling medical devices and is known for its ability to form biofilms. S. epidermidis infections can cause a range of clinical manifestations, including bacteremia, endocarditis, urinary tract infections, and device-related infections.