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Abstract
Midlines are medium-length venous access devices that are implanted with an ultrasound-guided technique and emerge as an alternative to short peripheral venous catheters and PICCs.The main objective of this study was to find out the economic repercussions of introducing 10cm all-in-one midline catheters in a tertiary hospital as an alternative to 20cm catheters. As secondary objectives, to assess the mean duration of these venous accesses, to know what medical specialties the patients in whom the catheters were implanted belonged to, and to know what the most fre-quent reasons for withdrawal were. A retrospective descriptive study was carried out by reviewing the venous ac-cesses inserted between March and December 2020. The possibility of inserting 10cm catheters instead of 20cm ones meant a saving of €20,643.15. The mean duration was 8.5 days, and 63% of the devices allowed completion of the planned therapy before removal. The main complication detected was accidental exit.
References
Adams DZ, Little A, Vinsant C, Khandelwal S. 2016.The Midline Catheter: A Clinical Review. The Journal of emergency medicine. 2016; 51 (3):252–8.DOI: 10.1016/j.jemermed.2016.05.029.
Amatriain A. Trombosis relacionada con catéter venoso central. Revista electrónica de portalesmédicos.com. 2019; 14 (9): 123. Disponible en:https://www.revista-portalesmedicos.com/revista-medica/trombosis-relacionada-con-cateter-venoso-central/.
Bodenham A, Babu S, Bennett J, et al. 2016. Safe Vascular Access Guidelines. DOI: 10.1111/anae.13360.
Castells Lao G, Rodríguez Reyes M, Roura Turet J, et al. Compatibilidad de los fármacos administrados en “Y” en las unidades de cuidados intensivos: revisión sistemática. Medicina Intensiva. 2020; 44 (2):80-7.DOI: 10.1016/j.medin.2018.08.004.
Cicolini G, Manzoli L, Simonetti V, Flacco ME, Comparcini D, Capasso L, et al. Phlebitis risk varies byperipheral venous catéter site and increases after96 hours: a large multi-centre prospective study. JAdv Nurs. 2014; 70 (11): 2539-49. DOI: 10.1111/jan.12403.
Cope DG, Elledge CM, Mackey HT, et al. Access Device Standards of Practice for OncologyNursing. Oncology Nursing Society. 2017. ISBN:9781935864905.
Chopra V, Kaatz S, Swaminathan L, et al. Variation in use and outcomes related to midline catheters: results from a multicentre pilot study. BMJQual Saf. 2019; 28(9):714-20. DOI: 10.1136/bmjqs-2018-008554.
Del Rio C, Corredor R, Cubero MA, Lafuente E, Lasso de la Vega, C. Excelencia en la creación de Equipos de Infusión y Acceso Vascular: Becton Dickinson. Ediciones Mayo. 2020. Disponible en: Excelencia en la creación de Equipos de Infusión y Ac-ceso Vascular by Laura Diéguez - Issuu
Ferrer C, Almirante B. Infecciones relacionadas con el uso de los catéteres vasculares. Enfermedades Infecciosas y Microbiología Clínica. 2014; 32 (2):115-124. DOI: 10.1016/j.eimc.2013.12.002.
González JL, Arribi A, Fernández E, Olivares J,Benedicto C, Herrera P. Indwell times, complications and costs of open vs closed safety peripheralintravenous catheters: a randomized study. J Hosp Infect. 2014; 86(2):117-26. DOI: 10.1016/j.jhin.2013.10.008.
Grupo de trabajo de la Guía de Práctica Clínica sobre Terapia Intravenosa con Dispositivos no Permanentes en Adultos. Guía de Práctica Clínica sobre Terapia Intravenosa con Dispositivos no Permanentes en Adultos. Ministerio de Sanidad, Servicios Sociales e Igualdad. Agencia de Evaluación de Tecnologías Sanitarias de Andalucía (AET-SA); 2014. Guías de Práctica Clínica en el SNS. Disponible en: Guía de Práctica Clínica sobre Terapia Intravenosa con Dispositivos no Permanentes en Adultos (guiasalud.es).
Infusion Therapy Standards of Practice (INS). Journal of Infusion Nursing. 2021; 44. DOI: 10.1097/NAN.0000000000000436.
López-Bastida J, Oliva J, Antoñanzas F, et al. Spanish recommendations on economic evaluation of health technologies. Eur J Health Econ. 2010;11: 513–20. https://doi.org/10.1007/s10198-010-0244-4.
Manrique Rodríguez S, Heras Hidalgo I, Pernia López MS, et al. Standardization and Chemical Characterizationof Intravenous Therapy in adult patients: a step further in medication safety. Drugs in R&D. 2021;21:39–64. DOI: 10.1007/s40268-020-00329-w.
Marche B, D’Arrigo S, Annetta MG, et al. Midline catheters for ex-tracorporeal photopheresis in hematological patients. J Vas Access. 2021. DOI:10.1177/11297298211041450.
Mestre Roca G, Berbel Bertolo C, Tortajada Lopez P, et al. Assessing the influence ofrisk factors on rates and dynamics of peripheralvein phlebitis: An observational cohort study. MedClin (Barc). 2012; 139(5):185-91. DOI: 10.1016/j.medcli.2011.12.021.
O’Gardy NP, Alexander M, Burns LA, et al. Guidelines for Prevention of Intravascular Catheter-related Infections. Clin Infect Dis.2011; 52(9). e162-e193. DOI: 10.1093/cid/cir257.
Pittiruti M, Brutti A, Calentano D, Pomponi M,Biasucci DG, Annetta MG, Scorppettoulo G. Clinical experience with power-injectable PICCs in intensive care patients. Crit Care. 2012; 16(1): R21. DOI:10.1186/cc11181.
Pittiruti M, Scoppettuolo G. Manual GAVeCeLT sobre catéteres PICC y midline. Edra. 2017.
Rojas-Sánchez LZ, Parra DI, Camargo-Figuera FA. Incidencia y factores asociados al desarrollo de flebitis: resultados del estudio piloto de una cohorte. Revista de Enfermagem Referência. 2015;4(4):61-67. DOI: 10.12707/RIII13141.
Servicio Vasco de salud – Osakidetza. 2021. Guía para el cuidado del Acceso Vascular en Adultos. https://seinav.org/guia-para-el-cuidado-del-acceso-vascular-en-adultos-2021/.
Sociedad Española de Infusión y Acceso Vascular.2020. Excelencia en la creación de Equipos de Infusión y Acceso Vascular. Disponible en:https://seinav.org/excelencia-en-la-creacion-de-equipos-de-infusion-y-acceso-vascular/.
Warrington WG, Penoyer DA, Kamps T, et al. Out-comes of Using a Modified Seldinger Technique forLong Term Intravenous Therapy in Hospitalized Pa-tients with Difficult Venous Access. JAVA 2012;(17)1;24-31. DOI: 10.2309/java.17-1-3.
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