000			04796nam a22004815i 4500
001			978-88-470-2373-4
003			DE-He213
005			20140220083335.0
007			cr nn 008mamaa
008			120131s2012 it | s |||| 0|eng d
020			_a9788847023734 _9978-88-470-2373-4
024	7		_a10.1007/978-88-470-2373-4 _2doi
050		4	_aRD1-811
072		7	_aMN _2bicssc
072		7	_aMED085000 _2bisacsh
082	0	4	_a617 _223
100	1		_aNiederhuber, John E. _eauthor.
245	1	0	_aTotally Implantable Venous Access Devices _h[electronic resource] : _bManagement in Mid- and Long-term Clinical Setting / _cby John E. Niederhuber ; edited by Isidoro Carlo, Roberto Biffi.
264		1	_aMilano : _bSpringer Milan, _c2012.
300			_aVIII, 286 p. _bonline resource.
336			_atext _btxt _2rdacontent
337			_acomputer _bc _2rdamedia
338			_aonline resource _bcr _2rdacarrier
347			_atext file _bPDF _2rda
505	0		_aPart I Introduction.- History of Vascular Access -- Vascular Anatomy of Central and Peripheral Veins -- Type of Devices for Mid- and Long-term Venous Access -- Huber Needle: Different Types, Uses, Prevention of Accidents -- Part II Totally Implantable Access Devices -- Clinical Indications, Preoperative Assessment, Set-up and Organizational Aspects -- Choice of Venous Sites. Surgical Implant/Technique -- Choice of Venous Sites. Percutaneous Implant/Technique/US Guidance -- Modified Seldinger Technique for Open Central Venous Cannulation for Totally Implantable Access Device -- Optimal Catheter Tip Position: Radiologic Criteria and Clinical Relevance.- Verifying Catheter Tip Position: Fluoroscopy vs Intravasal Electrogram -- Part III Immediate Complication: Prevention and Treatment -- Pneumothorax.-Hemothorax -- Air Embolism -- Accidental Arterial Puncture -- Cardiac Arrhythmia -- Heart Tamponade -- Brachial Plexus Injury -- Part IV Early Complications: Diagnosis and Treatment -- Hemoptysis -- Pocket Hematoma -- Wound Dehiscence -- Reversal -- Part V Late Complications -- Catheter-related Bloodstream Infection.-Thrombosis -- Superior Vena Cava Erosion and Perforation.-Catheter Obstruction -- Catheter Rupture -- Catheter Migration -- Catheter Embolization -- Withdrawal Obstruction.-Skin Necrosis -- Extravasation -- Pocket Infection -- Nursing of Vascular Access: Highlights of Hot Issues -- Power Technology: How to Safely Use Ports and Central Catheters to Deliver Contrast Medium in Radiology Procedures -- Removal of Totally ImplantableVenous Access Device -- Cost Issues -- Quality of Life and Patients Satisfaction -- Legal Aspects -- Future Investigation.
520			_aSince 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.
650		0	_aMedicine.
650		0	_aRadiology, Medical.
650		0	_aInternal medicine.
650		0	_aSurgery.
650	1	4	_aMedicine & Public Health.
650	2	4	_aSurgery.
650	2	4	_aInternal Medicine.
650	2	4	_aImaging / Radiology.
700	1		_aCarlo, Isidoro. _eeditor.
700	1		_aBiffi, Roberto. _eeditor.
710	2		_aSpringerLink (Online service)
773	0		_tSpringer eBooks
776	0	8	_iPrinted edition: _z9788847023727
856	4	0	_uhttp://dx.doi.org/10.1007/978-88-470-2373-4
912			_aZDB-2-SME
999			_c104121 _d104121