Tunneled Pleural Catheter: Treatment for Recurrent Pleural Effusion.

Miller, Chelsea; Bridges, Elizabeth; Laxmanan, Balaji; Cox-North, Paula; Thompson, Hilaire

Miller, Chelsea; Bridges, Elizabeth; Laxmanan, Balaji; Cox-North, Paula; Thompson, Hilaire.

Afiliación

Miller C; Chelsea Miller is Advanced Practice Provider Clinical Resident, Emory Healthcare, 1364 Clifton Road, Atlanta, GA 30322 (chelsea.b.miller@emoryhealthcare.org). Elizabeth Bridges is Professor, University of Washington School of Nursing, Seattle, Washington. Balaji Laxmanan is Director, Interventional
Bridges E; Chelsea Miller is Advanced Practice Provider Clinical Resident, Emory Healthcare, 1364 Clifton Road, Atlanta, GA 30322 (chelsea.b.miller@emoryhealthcare.org). Elizabeth Bridges is Professor, University of Washington School of Nursing, Seattle, Washington. Balaji Laxmanan is Director, Interventional
Laxmanan B; Chelsea Miller is Advanced Practice Provider Clinical Resident, Emory Healthcare, 1364 Clifton Road, Atlanta, GA 30322 (chelsea.b.miller@emoryhealthcare.org). Elizabeth Bridges is Professor, University of Washington School of Nursing, Seattle, Washington. Balaji Laxmanan is Director, Interventional
Cox-North P; Chelsea Miller is Advanced Practice Provider Clinical Resident, Emory Healthcare, 1364 Clifton Road, Atlanta, GA 30322 (chelsea.b.miller@emoryhealthcare.org). Elizabeth Bridges is Professor, University of Washington School of Nursing, Seattle, Washington. Balaji Laxmanan is Director, Interventional
Thompson H; Chelsea Miller is Advanced Practice Provider Clinical Resident, Emory Healthcare, 1364 Clifton Road, Atlanta, GA 30322 (chelsea.b.miller@emoryhealthcare.org). Elizabeth Bridges is Professor, University of Washington School of Nursing, Seattle, Washington. Balaji Laxmanan is Director, Interventional

AACN Adv Crit Care ; 29(4): 432-441, 2018.

Article en En | MEDLINE | ID: mdl-30523014

RESUMEN

Recurrent pleural effusion is a symptom of several end-stage diseases and is associated with limited life expectancy. Patients with this condition have disabling symptoms resulting in reduced quality of life and often receive inconsistent treatment due to delayed recognition of pleural effusion, repeat procedures, and lengthy hospitalizations. Placement of a tunneled pleural catheter allows the patient to manage his or her symptoms at home, yet this treatment remains underused because of provider misconceptions and unfamiliarity with the intervention. This article provides an overview of the indications for placement of a tunneled pleural catheter, possible complications, and management strategies, and introduces evidence-based clinical decision support tools to enhance provider knowledge. In addition, the article describes the implementation and evaluation of a performance improvement initiative on the use of tunneled pleural catheters in a multifaceted health care system.

Asunto(s)

Cateterismo/normas; Cuidados Críticos/normas; Drenaje/normas; Insuficiencia Cardíaca/complicaciones; Derrame Pleural/terapia; Pleurodesia/normas; Guías de Práctica Clínica como Asunto; Cateterismo/métodos; Cuidados Críticos/métodos; Drenaje/métodos; Humanos; Derrame Pleural/etiología; Pleurodesia/métodos; Recurrencia

Palabras clave

intrapleural catheter; knowledge-to-action framework; recurrent pleural effusion; tunneled pleural catheter

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Derrame Pleural / Cateterismo / Drenaje / Guías de Práctica Clínica como Asunto / Pleurodesia / Cuidados Críticos / Insuficiencia Cardíaca Tipo de estudio: Etiology_studies / Guideline / Prognostic_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: AACN Adv Crit Care Asunto de la revista: ENFERMAGEM / TERAPIA INTENSIVA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos

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