Indications for central venous cannulation in critically ill patients have increased dramatically, but central venous access has the drawbacks of morbidity and a scarcity of experienced operators. Ultrasound-guided peripheral venous access offers a solution, in that it reduces morbidity and can be performed by a dedicated nursing team. The aim of this book is to teach the fundamentals of this emerging technique. Advice is provided on choice of materials; maneuvers for positioning of peripherally inserted central venous catheters (PICCs), techniques for evaluation of PICC tip placement; prevention, diagnosis, and management of complications; and organization of a dedicated team within a hospital or a supportive care program. Legal and economic issues are also considered. The book will be of interest to a wide range of professionals, including nutritionists, oncologists, anesthesiologists, surgeons, registered nurses, nurse practitioners, physicians, physician assistants, and radiologists.

Indications for central venous cannulation in critically ill patients have increased dramatically in recent years owing to the use of more complex therapies unsuitable for delivery via peripheral veins. The main drawbacks of central venous access are morbidity and the growing scarcity of experienced operators. Ultrasound-guided peripheral venous access offers a solution, in that it reduces morbidity and can be performed by a dedicated nursing team. The aim of this book is to teach the fundamentals of this emerging technique. Advice is provided on the choice of materials and on vein selection. The advantages and disadvantages of peripherally inserted central venous catheters (PICC) in relation to other types of central venous catheter are discussed, and the principles of use and practical applications of ultrasound for venipuncture are explained. Maneuvers for PICC positioning, techniques for the evaluation of PICC tip placement, and the prevention, diagnosis, and management of complications are all described in detail. Advice is also provided on the organization of a dedicated PICC team within a hospital or a supportive care program, and psychological, legal, and economic issues are considered. Peripherally Inserted Central Venous Catheters will be of interest to a wide range of professionals, including nutritionists, oncologists, anesthesiologists, surgeons, registered nurses, nurse practitioners, physicians, physician assistants, and radiologists.

I chirurghi oncologici nella loro pratica clinica quotidiana spesso sono chiamati ad affrontare situazioni particolari o molto complesse che devono quindi essere in grado di individuare e di saper gestire. L aggiornamento qui offerto sulle piu recenti evoluzioni tecniche in chirurgia oncologica e necessario per raggiungere i migliori risultati possibili in termini di remissione e di qualita della vita del paziente. L introduzione delle nuove tecniche presentate nel volume e fondamentale per superare i limiti imposti dalle procedure standard. Nuove tecnologie chirurgiche in oncologia e un efficace strumento di aggiornamento che copre tutte le opzioni terapeutiche nel trattamento delle neoplasie e sottolinea la centralita del coordinamento interdisciplinare nella cura delle patologie oncologiche. Chirurghi, oncologi, radiologi, chirurghi estetici e personale infermieristico sono chiamati a lavorare in squadra e ad adottare un approccio integrato alla cura del paziente."