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Hospital Resources
Published in Michael M. Rothkopf, Jennifer C. Johnson, Optimizing Metabolic Status for the Hospitalized Patient, 2023
Michael M. Rothkopf, Jennifer C. Johnson
When PICC (peripherally inserted central catheter) lines became available it was common practice for me to insert them at the bedside. This could easily be done under strict sterile conditions with the assistance of a floor nurse. As with the central lines, this is now commonly done under ultrasound guidance. It can still be at the bedside by a physician or IV team, but many hospitals (including ours) utilize interventional radiology for this procedure.
Treatment of a chronic postoperative cervical and lumbar spine infection
Published in Gregory D. Schroeder, Ali A. Baaj, Alexander R. Vaccaro, Revision Spine Surgery, 2019
Kamil Okroj, Christopher Kepler
Patients without instrumentation are typically treated with 6 weeks of IV antibiotics, while patients with instrumentation are often treated for 6 weeks with IV antibiotics followed by up to a year of oral suppressive antibiotics. Nearly all patients will receive a peripherally inserted central catheter (PICC) line. Patients with positive blood cultures prior to surgery will have to wait until daily blood cultures are negative prior to PICC placement. Patients are usually seen at regular follow-up periods by the spine surgeon and plastic surgeon (e.g., 2 weeks, 6–8 weeks, 3–6 months). Follow-up with the infectious disease team varies, but patients should be seen no later than 6 weeks after initial I&D, and laboratory studies should be obtained and reviewed before that time to monitor the treatment response.
Jaundice
Published in Louisa Baxter, Neel Sharma, Ian Mann, The Junior Doctor’s Guide to Gastroenterology, 2018
Louisa Baxter, Neel Sharma, Ian Mann, Ian Sanderson
Intravenous cannulas are a common source of infection in hospitals. Ensure that you change the cannula every 3 days, and inspect cannula sites daily for early signs of local infection. Write the date of insertion on the cannula dressing, and record this in the notes to avoid confusion. If your patient is likely to require a prolonged course of antibiotics, you may wish to consider using a peripherally inserted central catheter (PICC) line.
A cost minimisation analysis comparing oral linezolid and intravenous daptomycin administered via an outpatient parenteral antibiotic therapy programme in patients requiring prolonged antibiotic courses
Published in Journal of Chemotherapy, 2023
Daptomycin is a cyclic lipopeptide antibiotic with a broad-spectrum of activity against gram-positive bacteria. It can only be administered intravenously (IV) and therefore if required in the community, can be administered via an outpatient parenteral antibiotic therapy (OPAT) programme. Adverse effects include muscle aches, rhabdomyolysis and eosinophilic pneumonitis [22]. As well as toxicities associated with the antibiotic itself, there are also a range of complications associated with administration of IV antibiotics. These include complications associated with peripherally inserted central catheter (PICC) line insertion such as bleeding and pneumothorax, as well as later complications including PICC line infection, secondary bloodstream infection (BSI), venous thrombosis and line occlusion [23].
Outpatient management of pulmonary exacerbations in children with cystic fibrosis
Published in Expert Review of Respiratory Medicine, 2023
Lucy Perrem, Isaac Martin, Felix Ratjen
The availability of long-term intravenous access (e.g. peripherally inserted central catheter, PICC) may also be considered when deciding on the most appropriate setting for and route of administration of antibiotic treatment. The prevalence of IV-treated pulmonary exacerbations increases with advancing age, when lung disease is often more severe and pathogens can be harder to treat with oral antibiotics [11]. Also, while respiratory viral infections occur in all age groups, they are more common in younger children who are less likely to be treated with antibiotics, particularly intravenous [11]. Providers likely underestimate the severity of exacerbations in young children who are not old enough to perform spirometry and for whom other functional tests are often unavailable. Hospitalization following failure to respond to outpatient treatment of a pulmonary exacerbation is a relatively common scenario in children as well as adults. The Standardized Treatment of Pulmonary Exacerbations (STOP) study, for example, found that roughly half of the adult participants had received outpatient antibiotics prescribed before their hospital admission [66].
The effects of music therapy on peripherally inserted central catheter in hospitalized children with leukemia
Published in Journal of Psychosocial Oncology, 2023
Ting-Ting Zhang, Zhong Fan, Shu-Zhen Xu, Zheng-Yao Guo, Min Cai, Qiong Li, Yan-Lai Tang, Li-Wei Wang, Xi Chen, Li-Jun Tang, Zhi-Ying Li, Yun Wen
Peripherally inserted central catheter (PICC) is a commonly performed procedure for vesicant medication, fluids or blood production administration in pediatrics. Technologic developments have resulted in a wide use of PICC during the past decade.1 However, PICC is a relatively difficult operation for children as they usually feel anxious and nervous, which increases the difficulty of catheterization and the occurrence of complications. Most patients need to be sedated in order to reduce discomfort, alleviate pain, optimize arm positioning and keep it in place.2 Nevertheless, there are individual differences in the use of sedatives among children. Some children are even more fidgety after using sedatives, which may lead to other adverse reactions such as headache, vomiting, respiratory depression, and changes in vital signs.3 Therefore, it is necessary to explore a noninvasive and safe “sedative” for children undergoing PICC.