Highlights ■ Assessing how vascular access devices affect quality of life is essential to effectively manage chemotherapy patients. ■ The translation and validation of the QoLVAD questionnaire demonstrated that the Brazilian Portuguese version can be applied to the Brazilian population. ABSTRACT Background: The use of long-term devices for chemotherapy in neoplastic diseases is very common. The CAVA trial was an extensive study that prospectively evaluated more than 1000 patients undergoing chemotherapy and randomly allocated them to three groups based on […]

Highlights The highest cost is for materials, followed by the staff’s labor costs. The total cost of peripherally inserted central catheterization is US$ 217.14. Measuring the estimated average direct cost allows financial visibility of the inputs used. ABSTRACT Objective: This study aimed to estimate the direct costs of peripherally inserted central catheterization by nurses for hospitalized patients. Methods: A cost estimation study using a quantitative approach was conducted in a public teaching hospital in northern Paraná to calculate the direct […]

Highlights Long-term catheter flushing for >90 days has preserved function. Ports cleaned after 90 days have the same colonization rate as those flushed early. Long-term catheters may be colonized in asymptomatic patients. The longer port cleaning interval reduces costs. ABSTRACT Objective: To evaluate the incidence of malfunction and colonization rates of fully implantable long-term catheters left unflushed during the COVID-19 pandemic; and to evaluate the average cost of transporting each patient to the hospital for flushing. Methods: During the COVID-19 […]

RESUMO Punções vasculares são muitas vezes necessárias em pacientes gravemente enfermos. São seguras, mas não isentas de complicações. A ultrassonografia associada à técnica de punção gera diminuição do número de tentativas, de complicações e de custos. O presente artigo revisou importantes publicações sobre o tema, bem como técnicas de punções, trazendo parte da experiência do centro de terapia intensiva de adultos do Hospital Israelita Albert Einstein, em São Paulo (SP) e discutindo tópicos que devem ser melhor explorados em estudos […]