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Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
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Venous Access Devices: Clinical Rounds.

Laurl Matey1, Dawn Camp-Sorrell2

  • 1Oncology Nursing Society, Pittsburgh, PA, USA.

Asia-Pacific Journal of Oncology Nursing
|January 14, 2017
PubMed
Summary
This summary is machine-generated.

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This article clarifies evidence-based nursing practices for managing venous access devices (VADs), addressing complications like infection and occlusion. It guides clinicians in distinguishing evidence-based care from institutional preferences for VAD management.

Area of Science:

  • Nursing
  • Infection Control
  • Medical Devices

Background:

  • Effective management of venous access devices (VADs) is crucial in patient care.
  • Practices surrounding VADs often blend evidence-based guidelines with institutional traditions.
  • Understanding the basis of current VAD management protocols is essential for optimal patient outcomes.

Approach:

  • This article critically examines complex complications associated with VADs, including infections and occlusions.
  • It delineates strategies for identifying, troubleshooting, and managing these VAD-related issues.
  • The content evaluates the existing evidence base for various VAD care aspects.

Key Points:

  • Distinguishing evidence-based VAD practices from those based on institutional history is highlighted.
Keywords:
Complicationsoncologyvenous access devices

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  • Controversies surrounding VAD complications, such as lack of blood return and malposition, are discussed.
  • Evidence evaluation for access, maintenance, and scope of practice is presented.

    • Conclusions:

    • Nurses require robust knowledge of evidence and its limitations for VAD management.
    • This review aims to enhance clinical decision-making regarding VAD care protocols.
    • Improved understanding supports safer and more effective VAD utilization in healthcare settings.