CENTRALNI VENSKI KATETER KAO VASKULARNI PRISTUP KOD PACIJENATA SA AKUTNOM HEPATIČNOM INSUFICIJENCIJOM

  • Željko M Vlaisavljević Klinika za gastroenterologiju i hepatologiju Klinički centar Srbije
  • Ivan Ranković Dr Ivan Ranković
  • Tanja Prodović dr Tanja Prodović
  • Nina Zdravković
Ključne reči: central venous catheter||, ||centralni venski kateter, acute hepatic insufficiency||, ||akutna isuficijencija jetre, educating nurses||, ||edukovane medicinske sestre,

Sažetak


Ciroza jetre je bolest  koja se karakteriše kao sveobuhvatno patološko stanje koje može nastati usled različitih etioloških faktora.  Usled nepravilnog rada jetre svi ostali procesi u organizmu su narušeni a i samim tim komplikacije ciroze jetre su mnogobrojne i ugrožavaju život. Kod zbrinjavanja obolelih sa cirozom jetre značajnu ulogu imaju dobro obučene medicinske sestre – tehničari  zajedno sa lekarom  u pružanju pomoći  i nezi, posebno kada je potrebna stabilizacija hitnog stanja kao što je akutna isuficijencija jetre (AIJ).  Lečenje ovakvih pacijenata je kompleksno, potrebno je obezbediti stalni venski pristup, te se plasira centralni venski kateter (CVK). Adekvatna primena CVK doprinosi boljem oporavku obolelih od AIJ kao i skraćnju boravka u jedinici intenzivne nege.

Biografije autora

Željko M Vlaisavljević, Klinika za gastroenterologiju i hepatologiju Klinički centar Srbije
Klinika za gastroenterologiju i hepatologiju Klinički centar Srbije
Ivan Ranković, Dr Ivan Ranković
Klinika za gastroenterologiju i hepatologiju Klinički centar Srbije
Tanja Prodović, dr Tanja Prodović
Centar za anesteziologiju i reanimaciju , Klinički centar Niš
Nina Zdravković
Clinic foror Clinical Gastroenterology and Hepatology Center of Serbia, Belgrade

Reference

Ge X, Cavallazzi R, Li C, Pan SM, Wang YW, Wang FL. Central venous access sites for the prevention of venous thrombosis, stenosis and infection. Cochrane Database Syst Rev. 2012;14;3:CD004084.

Marković D, Bradić Ž, Grković S, Tutuš V, Stojanović M, Sabljak V. Kateterizacija centralnih vena i sistemi za brzu nadoknadu tečnosti. Serbian Journal of Anesthesia and Intensive Therapy2013: 35(3-4): 135-40.

Udall, R. Haemodialysis acces, part A. Temporarv in Replacemenl ofrenal functionby dialysis,4rded.KIuwer AcademicPublishers. Dordecht, 1996. 277-92.

Radišić M, Jovičić J, Đorđević V. Centralni venski ka-teter kao vaskularni pristup zahemodijalizu. Acta medica Medianae. 2001; (40):2: 55-60.

Gowardman R, Robertson K, Parkes S, RickardM: Influence of insertion site on central venous catheter-colonization and bloodstream infection rates. Inten-siveCare Med 2008; 34: 1038 – 45.

Practice Guidelines for Central Venous Access. ARe-port by the American Society of Anesthesiologists TaskForce on Central Venous Access. Anesthesiology 2012;116:539–73.

Bong J, Kite P, Wilco H, McMahon J. Preventionof catheter related bloodstream infection by silverionto-phoretic central venous catheters: A randomisedcon-trolled trial. J Clin Pathol 2003; 56: 731–5.

Reich D, Alexander C, Mittnacht M, Manecke G,Kaplan J. Monitoring of the heart and vascular system. InKaplan´s cardiac anesthesia: the echo era. 6th ed. ElsevierInc. 416-51.

Лалевић П. Централни венски притисак. У: Анестезиологија. Завод за уџбенике и наставна средства 1999; 143-5.

Hand L. CDC: supplement linked to hepatitis, liver failure. Medscape Medical News. October 15, 2013. Available at http://www.medscape.com/viewarticle/ 812581.Accessed October 22, 2013.

Arroyo V, Moreau R, Kamath PS, Jalan R, Ginès P, Nevens F1, Fernández J, To U, García-Tsao G. Acute-on-chronic liver failure in cirrhosis. Nat Rev Dis Primers. 2016; 9;2:16041.

Than NN, Tomlinson CL, Haldar D, King AL, Moore D, Newsome PN. Clinical effectiveness of cell therapies in patients with chronic liver disease and acute-on-chronic liver failure: a systematic review protocol. Syst Rev. 2016; 14;5(1): 100.

Vlaisavljevic Z. Rankovic I. Specific Nursing Care Rendered In Hepatic Encephalopathy: Contemporary Review and New Clinical Insights. J Nurs Care 2015: 4:(4): 264-71.

Yang PH, Hsu HC, Chiang CC, Tseng YS. Improving the Care Accuracy of Percutaneously Inserted Central Catheters Using Objective Structured Clinical Examination. Hu Li ZaZhi. 2016;63(3):112-8.

Salgado M, Cortes Y. Hepatic encephalopathy: diagnosis and treatment. Compend Contin Educ Vet. 2013; 35(6):E1-E10.

Matthay M, Dorinsky P. Managing the patientwith hemodynamic insufficiency, shock andmultiple organ failure. In: George RB et al.eds. Chest Medicine: Essentials of Pulmonaryand Critical Care Medicine. Philadelphia, Pa:Lippincott Williams & Wilkins; 2000; 627.

Stravitz RT, Kramer AH, Davern T, Shaikh AO, Caldwell SH, Mehta RL, et al. Intensive care of patients with acute liver failure: recommendations of the U.S. Acute Liver Failure Study Group. Crit Care Med.2007; 35(11): 2498-508.

Polson J, Lee WM. AASLD position paper: the management of acute liver failure. Hepatology. 2005; 41(5): 1179-97.

Vlaisavljevic Z. Rankovic I. Interventional smlls, Crafts end knowledge of nurse in acute liver surviva: State of the Art nursise in intesive care units. Conference: European federation of Critical Care Nursing, At Belgrade. 2013:102.

McAlearney AS, Hefner JL. Facilitating central line-associated bloodstream infection prevention: a qualitative study comparing perspectives of infection control professionals and frontline staff.Am J Infect Control. 2014;42(10 Suppl):S216-22.

Vandijck DM, Labeau SO, Secanell M, Rello J, Blot SI. The role of nurses working in emergency and critical care environments in the prevention of intravascular catheter-related bloodstream infections. Int Emerg Nurs. 2009; 17(1): 60-8.

Conley SB.Central Line-Associated Bloodstream Infection Prevention: Standardizing Practice Focused on Evidence-Based Guidelines. Clin J Oncol Nurs. 2016; 20(1): 23-6.

Allen AM, Kim WR.Epidemiology and Healthcare Burden of Acute-on-Chronic Liver Failure. Semin Liver Dis. 2016;36(2):123-6.

Luo CF, Hei ZQ, Luo GJ, Li SR, Ma WH, Chi XJ.Significance of hemodynamic changes and monitoring value of patients with severe hepatitis during perioperative orthotopic liver transplantation. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 2004; 16(12): 727-9.

Pere P, Höckerstedt K, Isoniemi H, Lindgren L.Cerebral blood flow and oxygenation in liver transplantation for acute or chronic hepatic disease without venovenous bypass. Liver Transpl. 2000; 6(4): 471-9.

Soni NJ, Reyes LF, Keyt H, Arango A, Gelfond JA, Peters JI. et al. Use of ultrasound guidance for central venous catheterization: a national survey of intensivists and hospitalists.J Crit Care. 2016: 36:277-283.

Patel PA, Boehm S, Zhou Y, Zhu C, Peterson KE, Grayes A.et al. Prospective observational study on central line-associated bloodstream infections and central venous catheter occlusions using a negative displacement connector with an alcohol disinfecting cap. Am J Infect Control. 2017: 45(2): 115-20.

A. Templeton, M. Schlegel, F. Fleisch, G. Rettenmund, B. Schöbi, S. Henz, G. Eich. Multilumen Central Venous Catheters Increase Risk for Catheter-Related Bloodstream Infection: Prospective Surveillance Study. Infection (2008) 36: 322.

Sarin SK, Choudhury A.Acute-on-chronic liver failure: terminology, mechanisms and management. Nat Rev Gastroenterol Hepatol. 2016; 13(3): 131-49.

Objavljeno
2017/11/14
Rubrika
Originalni naučni članak