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Totally Implantable Venous Access Devices (Hardcover, 2012)
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Totally Implantable Venous Access Devices (Hardcover, 2012)
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Since 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.
General
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