Publication: Bacteriemia Zero : catéteres venosos centrales (CVC) curados cada 7 días
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2022-04-23
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Universidad Complutense de Madrid
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Abstract
El catéter venoso central (CVC) permite administrar medicamentos, líquidos y productos sanguíneos directamente al compartimento vascular y tomar muestras de sangre para su análisis. Una de las consecuencias negativas del CVC, son las infecciones relacionadas con el catéter (IRC) transmitidas a la sangre, que pueden ser graves o incluso potencialmente mortales. Disminuir la frecuencia de cuándo se cambia el apósito, puede reducir el daño cutáneo, el dolor, el costo, la incidencia de colonización de la piel y la posibilidad de IRC. Los CVC se cubren con un apósito adhesivo que está diseñado para unirse a la piel en diversas condiciones como zonas de flexión, temperaturas cambiantes, en presencia de transpiración y de humedad externa, pero también deben ser fáciles de despegar para asegurar un malestar y traumatismo mínimos. Hay que inspeccionar visualmente la entrada y salida del CVC todos los días, en busca de signos de infección, que pudieran requerir la extracción del apósito. Si el vendaje se afloja, se ensucia o se moja, debe reemplazarse. Los cambios frecuentes del apósito afectarán en la integridad de la piel de la entrada y salida del CVC. Para minimizar las IRC, la enfermería, a menudo, utiliza soluciones antisépticas para limpiar la piel perilesional al mismo, ya sea antes de la inserción o cuando el catéter ya está colocado...
The central venous catheter (CVC) allows drugs, fluids, and blood products to be administered directly into the vascular compartment and to obtain blood samples for analysis. One of the negative consequences of CVC is catheter-associated infections (CAI) transmitted to the blood, which can be serious or even life-threatening. Decreasing the frequency of dressing changes can reduce skin damage, pain, cost, incidence of skin colonization and the possibility of CAI.CVCs are covered with a dressing, and they are secured with another safety device or skin adhesive such as a tape or transparent adhesive film, which are designed to bond to the skin in a variety of conditions such as bending areas, changing temperatures, in the presence of perspiration and external moisture; but must also be easy to peel off to ensure minimal discomfort and trauma.The entrance and exit of the CVC should be visually inspected daily for signs of infection, which may require removal of the dressing. If the dressing becomes loose, soiled, or wet, it must be replaced. Frequent dressing changes will affect the integrity of the skin at the entrance and exit of the CVC.To reduce catheter-associated infections, the nurse frequently uses antiseptic solutions to clean the skin around the insertion site, both before insertion and while the catheter is implanted...
The central venous catheter (CVC) allows drugs, fluids, and blood products to be administered directly into the vascular compartment and to obtain blood samples for analysis. One of the negative consequences of CVC is catheter-associated infections (CAI) transmitted to the blood, which can be serious or even life-threatening. Decreasing the frequency of dressing changes can reduce skin damage, pain, cost, incidence of skin colonization and the possibility of CAI.CVCs are covered with a dressing, and they are secured with another safety device or skin adhesive such as a tape or transparent adhesive film, which are designed to bond to the skin in a variety of conditions such as bending areas, changing temperatures, in the presence of perspiration and external moisture; but must also be easy to peel off to ensure minimal discomfort and trauma.The entrance and exit of the CVC should be visually inspected daily for signs of infection, which may require removal of the dressing. If the dressing becomes loose, soiled, or wet, it must be replaced. Frequent dressing changes will affect the integrity of the skin at the entrance and exit of the CVC.To reduce catheter-associated infections, the nurse frequently uses antiseptic solutions to clean the skin around the insertion site, both before insertion and while the catheter is implanted...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Enfermería, Fisioterapia y Podología, Departamento de Enfermería, leída el 30-11-2021