3,220 results match your criteria long-term indwelling

Usefulness of Hydrastis for the prevention of encrustation of long-term indwelling catheters in persons with neurogenic bladder dysfunction: a case series.

Spinal Cord Ser Cases 2021 Jul 30;7(1):66. Epub 2021 Jul 30.

Homoepathie-pannek, Basel, Switzerland.

Introduction: Virtually every person with a spinal cord injury (SCI) suffers from a neurogenic lower urinary tract dysfunction (NLUTD). In the long term, about 15% of persons with SCI depend on indwelling (suprapubic or transurethral) catheters for bladder management. About 50% of these patients suffer from catheter encrustation and blockage, which may become a vital threat for persons with SCI, as it can lead to septicemia or autonomic dysreflexia. Read More

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A modified urinary catheterisation technique to reduce urine leakage: A prospective randomised study.

Int J Older People Nurs 2021 Jul 29:e12405. Epub 2021 Jul 29.

Department of Cardiothoracic Surgery, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, China.

Background: Long-term indwelling catheters assist people who are unable to use another bladder management method. However, urine leakage is a common problem with an indwelling urinary catheter. This study aims to determine whether a modified catheterisation technique would reduce urine leakage incidence. Read More

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Long-term outcome of indwelling colon observed seven years after radical resection for rectosigmoid cancer: A case report.

World J Clin Cases 2021 Jul;9(19):5252-5258

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Background: Indwelling colon is characterized by an excluded segment of the colon after surgical diversion of the fecal stream with colostomy so that contents are unable to pass through this part of the colon. We report a rare case of purulent colonic necrosis that occurred 7 years after surgical colonic exclusion.

Case Summary: A 73-year-old male had undergone extended radical resection for rectosigmoid cancer. Read More

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A complicated case of Serratia marcescens catheter-related bloodstream infection misdiagnosed as hypersensitivity reactions to bicarbonate dialysate containing acetate.

CEN Case Rep 2021 Jul 24. Epub 2021 Jul 24.

Department of Kidney Disease, Kawashima Hospital, 1-39 Kitasakoichiban-cho, Tokushima, Tokushima, 770-0011, Japan.

Recurrent fever during/post-dialysis can occur due to infectious or non-infectious causes. We present the case of a 79-year-old patient who had persistent post-dialysis fever after long-term tunneled central venous catheterization with acetate-containing bicarbonate dialysate. Drug-induced lymphocyte stimulation test (DLST) was positive for acetate dialysate, and he was suspected of having acetate dialysate-induced hypersensitivity reaction. Read More

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Tailored approach to the choice of long-term vascular access in breast cancer patients.

PLoS One 2021 22;16(7):e0255004. Epub 2021 Jul 22.

Division of Vascular and Transplantation Surgery, Department of Surgery, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

This study compared the possible options for vascular access in breast cancer patients by analyzing the complications of each method. We retrospectively evaluated the vascular access procedures for intravenous chemotherapy in breast cancer patients from 2016 to 2018. A total of 300 consecutive patients were included, 100 each who received peripherally inserted central catheters (PICCs), arm ports, and chest ports. Read More

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Analysis of infection rates and duration of short and long-term hemodialysis catheters in a teaching hospital.

J Vasc Bras 2020 14;19:e20190142. Epub 2020 Sep 14.

Associação de Integração Social de Itajubá - AISI, Hospital de Clínicas de Itajubá - HCI, Departamento de Cirurgia Vascular e Endovascular, Itajubá, MG, Brasil.

Background: Short-term (ST) and long-term tunneled (LTT) central venous catheters for hemodialysis (CVCH) are critical for hemodialysis therapy. However, few studies have been conducted in Brazil to investigate the incidence of complications with these two types of catheters.

Objectives: To analyze complications and duration of CVCH in a hemodialysis center at a teaching hospital. Read More

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September 2020

Primary Thromboprophylaxis in Patients with Malignancies: Daily Practice Recommendations by the Hemostasis Working Party of the German Society of Hematology and Medical Oncology (DGHO), the Society of Thrombosis and Hemostasis Research (GTH), and the Austrian Society of Hematology and Oncology (ÖGHO).

Cancers (Basel) 2021 Jun 10;13(12). Epub 2021 Jun 10.

Department of Hematology, Oncology, Hemostaseology and Stem Cell Transplantation, Faculty of Medicine, RWTH Aachen University, 52074 Aachen, Germany.

Patients with cancer, both hematologic and solid malignancies, are at increased risk for thrombosis and thromboembolism. In addition to general risk factors such as immobility and major surgery, shared by non-cancer patients, cancer patients are exposed to specific thrombotic risk factors. These include, among other factors, cancer-induced hypercoagulation, and chemotherapy-mediated endothelial dysfunction as well as tumor-cell-derived microparticles. Read More

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Hazardous Situation During Conversion of a Long-term Indwelling VenaTech Convertible Inferior Vena Cava Filter.

Ann Vasc Surg 2021 Jun 25. Epub 2021 Jun 25.

Division of Vascular Surgery, Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address:

Background: A lack of high-quality research and data has restricted the comprehensive understanding of the conversion procedure of convertible inferior vena cava filters. The aim of this study was to present an unusual situation with a high risk of causing complication, during conversion of VenaTech convertible inferior vena cava filter and our management procedure.

Methods: Lower extremity deep venous thrombi were detected in a 62-year-old woman before major orthopedic surgery. Read More

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Long-term outcomes after seton placement for perianal fistulas with and without Crohn's disease.

Colorectal Dis 2021 Jun 22. Epub 2021 Jun 22.

Colorectal Surgery Division, Department of Surgery, St Paul's Hospital, Vancouver, BC, Canada.

Aim: Perianal sepsis in Crohn's disease (CD) fistulas is managed with antibiotics and surgical drainage; a noncutting seton is used for an identified transsphincteric fistula tract. The optimal management following seton placement for initial control of perianal sepsis remains to be determined. Our main aim was to assess the success rates of curative surgery, seton removal or long-term indwelling seton in patients with and without CD. Read More

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Infections and patterns of antibiotic utilization in support and comfort care patients: A tertiary care center experience.

J Infect Public Health 2021 Jul 26;14(7):839-844. Epub 2021 May 26.

Department of Health Informatics, CPHHI, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; Data and Business Intelligence Management Department, ISID, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Purpose: Little is known regarding the burden of infections and clinical practice towards hospitalized patients with limits on life-sustaining measures. We aim to describe the infectious syndromes, clinical care, the emergence of multi-drug resistant organisms and outcomes in this population.

Patients And Methods: Retrospective cohort of patients labeled as support or comfort care in a tertiary care center between 2016-2019. Read More

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Portable HEPA Purifiers to Eliminate Airborne SARS-CoV-2: A Systematic Review.

Otolaryngol Head Neck Surg 2021 Jun 8:1945998211022636. Epub 2021 Jun 8.

Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.

Objective: Current epidemiologic predictions of COVID-19 suggest that SARS-CoV-2 mitigation strategies must be implemented long-term. In-office aerosol-generating procedures pose a risk to staff and patients while necessitating examination room shutdown to allow aerosol decontamination by indwelling ventilation. This review summarizes the current state of knowledge on portable high-efficiency particulate air (HEPA) purifiers' effectiveness in eliminating airborne SARS-CoV-2 from indoor environments. Read More

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Successful transcatheter arterial embolization for uretero-inferior epigastric arterial fistula: A rare complication of cutaneous ureterostomy.

Urol Case Rep 2021 Sep 19;38:101726. Epub 2021 May 19.

Department of Diagnostic Radiology, National Cancer Center Hospital East. 6-5-1 kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.

A 70-year-old man presented with pulsatile bleeding upon changing his catheter for cutaneous ureterostomy. He was suspected to have a uretero-arterial fistula. Computed tomography showed an abnormally dilated right inferior epigastric artery, the suspected bleeding source. Read More

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September 2021

Indications and long-term outcomes of preoperative inferior vena caval filters in 111 patients at high risk of pulmonary embolism undergoing major abdominal surgery.

Colorectal Dis 2021 Jun 6. Epub 2021 Jun 6.

Peritoneal Malignancy Institute, Basingstoke and North Hampshire Hospital, Basingstoke, UK.

Aims: Patients with abdominal cancer requiring major surgical intervention are at high risk of venous thromboembolic events (VTE), particularly pulmonary emboli (PE). A proportion of patients with cancer can present with, or have had, major VTEs prior to definitive surgical treatment. Preoperative percutaneous inferior venal caval filters (IVCF) may reduce the risk of PE. Read More

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Urosepsis and the urologist!

Curr Urol 2021 Mar 29;15(1):39-44. Epub 2021 Mar 29.

Department of Urology, Connolly Hospital, Blanchardstown, Dublin, Ireland.

Introduction: Sepsis is a life-threatening organ dysfunction that is caused by a dysregulated host response to the infection. Urosepsis contributes up to 25% of all sepsis cases. An important part of the management of urosepsis is to rule out possible surgical causes such as urolithiasis, obstructive uropathy, or abscess formation along the urogenital tract. Read More

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[Design and application of a new type of oral humidifier].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2021 Apr;33(4):494-496

Department of Emergency, the First Hospital of Jiaxing, Jiaxing 314001, Zhejiang, China. Corresponding author: Yang Dongmei, Email:

Oral feeding of water cannot be accomplished in some critical patients due to coma, mouth-breathing or long-term indwelling of gastric tube, causing dry mouth which results in oral pain, ulcer, or infection, aggravating patients' discomfort and even affecting the prognosis. To solve this problem, the medical staff of the First Hospital of Jiaxing developed a novel oral humidifier and obtained the National Utility Model Patent of China (ZL 2019 2 0066979.0). Read More

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Large papillary fibroelastoma of right atrium, an unusual case of respiratory distress in a young man.

J Cardiothorac Surg 2021 May 29;16(1):151. Epub 2021 May 29.

Department of Cardiothoracic Surgery, Penang General Hospital, Georgetown, Malaysia.

Background: Papillary fibroelastomas are rare but benign cardiac tumour that are often found on cardiac valvular surfaces. Their clinical manifestations ranging from clinically asymptomatic to substantial complications that are usually secondary to systemic embolism. Multiple theories have been proposed to explain the pathophysiology of its formation. Read More

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Incidence of Renal Tract Abnormalities on Ultrasonography in Patients with Spinal Cord Injury: A Retrospective Pilot Study of a Military Cohort Undergoing Long-Term Institutional Rehabilitation.

Asian Spine J 2021 May 20. Epub 2021 May 20.

Department of Orthopaedics and Spine Surgery, Spinal Cord Injury Centre, Military Hospital Kirkee, Pune, India.

Study Design: Retrospective pilot study.

Purpose: To assess the incidence of renal tract abnormalities using ultrasonography (US) in a military cohort with traumatic spinal cord injury (TSCI) at a tertiary level spinal cord injury center.

Overview Of Literature: Neurogenic bladder in TSCI patients results in significant urological morbidity. Read More

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Endothelium-Mimicking Surface Combats Thrombosis and Biofouling via Synergistic Long- and Short-Distance Defense Strategy.

Small 2021 06 14;17(24):e2100729. Epub 2021 May 14.

Key Laboratory of Advanced Technologies of Materials, Ministry of Education, School of Materials Science and Engineering, Yibin Institute of Southwest Jiaotong University, Southwest Jiaotong University, Chengdu, 610031, China.

Thrombosis and infections are the main causes of implant failures (e.g., extracorporeal circuits and indwelling medical devices), which induce significant morbidity and mortality. Read More

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Advanced heart failure patients supported with ambulatory inotropic therapy: What defines success of therapy?

Am Heart J 2021 Sep 10;239:11-18. Epub 2021 May 10.

Department of Medicine, Columbia University Irving Medical Center, New York, NY. Electronic address:

Objective: The objective of this study was to describe the profiles and outcomes of a cohort of advanced heart failure patients on ambulatory inotropic therapy (AIT).

Background: With the growing burden of patients with end-stage heart failure, AIT is an increasingly common short or long-term option, for use as bridge to heart transplant (BTT), bridge to ventricular assist device (BTVAD), bridge to decision regarding advanced therapies (BTD) or as palliative care. AIT may be preferred by some patients and physicians to facilitate hospital discharge. Read More

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September 2021

Carbapenem-Resistant Enterobacterales in Long-Term Care Facilities: A Global and Narrative Review.

Front Cell Infect Microbiol 2021 23;11:601968. Epub 2021 Apr 23.

Division of Infectious Disease, Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.

The emergence of carbapenem-resistant Enterobacterales (CRE) has become a major public health concern. Moreover, its colonization among residents of long-term care facilities (LTCFs) is associated with subsequent infections and mortality. To further explore the various aspects concerning CRE in LTCFs, we conducted a literature review on CRE colonization and/or infections in long-term care facilities. Read More

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Bulbar Urethral Stents for Bulbar Urethral Strictures: Long-Term Follow-Up after Stent Removal.

Urol Int 2021 May 5:1-6. Epub 2021 May 5.

Department of Urology, Kocaeli University School of Medicine, Kocaeli, Turkey.

Background/aim: The aim of this study was to assess long-term clinical efficacy of temporary bulbar urethral stent (BUS) used for treatment of recurrent bulbar urethral stricture (US).

Materials And Methods: A total of 168 patients with recurrent bulbar US who underwent BUS placement after internal urethrotomy between 2009 and 2019 were enrolled. An indwelling time of 12 months was planned for the stents. Read More

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Effects of a Clinically Indicated Peripheral Intravenous Replacement on Indwelling Time and Complications of Peripheral Intravenous Catheters in Pediatric Patients: A Randomized Controlled Trial.

Int J Environ Res Public Health 2021 04 5;18(7). Epub 2021 Apr 5.

Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.

Peripheral intravenous catheters (PVCs) are common treatment modalities for pediatric patients, and may cause infection, infiltration, occlusion, and phlebitis. The purpose of this study was to evaluate the effect of a clinically indicated peripheral intravenous replacement (CIPIR) on PVC indwelling time and complication rates in pediatric patients. This study used a randomized, pre- and post-repeated measures design. Read More

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Therapeutic Plasma Exchange Application in Children Requires Individual Decision.

J Pediatr Intensive Care 2021 Jun 20;10(2):106-109. Epub 2020 Jul 20.

Department of Pediatric Intensive Care, Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Therapeutic plasma exchange (TPE) is a treatment administered with the aim of removing a pathogenic material or compound causing morbidity in a variety of neurologic, hematologic, renal, and autoimmune diseases. In this study, we aimed to assess the indications, efficacy, reliability, complications, and treatment response of pediatric patients for TPE. This retrospective study analyzed data from 39 patients aged from 0 to 18 years who underwent a total of 172 TPE sessions from January 2015 to April 2018 in a tertiary pediatric intensive care unit. Read More

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Safety issues in endoscopy ultrasound-guided interventions using lumen apposing metal stents: a review of the literature.

Minerva Gastroenterol (Torino) 2021 Apr 19. Epub 2021 Apr 19.

Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Center - IRCCS, Rozzano, Milan, Italy -

Lumen-apposing metal stents (LAMS) are recently introduced devices that allow to create anastomoses. The indications for LAMS placement are increasing and currently these stents can be used in multiple clinical situations such as endoscopic drainage of pancreatic fluid collections (PFCs), endoscopic ultrasound-guided choledocho-duodenostomy (EUS-CDS), endoscopic ultrasound gallbladder drainage (EUS-GBD), endoscopic ultrasound gastrojejunostomy (EUS-GJ). Since their introduction, they have revealed to allow a higher rate of technical and clinical success, and potentially lower risk of adverse events (AEs) compared with previously available devices. Read More

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Clinical evaluation of retrievable inferior vena cava filters for the prevention of pulmonary thromboembolism.

Heart Vessels 2021 Apr 15. Epub 2021 Apr 15.

Department of Cardiovascular Medicine, Faculty of Medicine Graduate School of Medicine, Toho University, Tokyo, Ota-ku, Japan.

Background And Aims: Inferior vena cava filters (IVCFs) have been reported to cause chronic complications. Recently, retrievable IVCFs (r-IVCF) have been increasingly used to prevent acute pulmonary thromboembolism (PTE) and allow retrieval upon reduction of PTE risk. However, the outcomes of their use in Japan remain unknown. Read More

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Tract metastasis in patients with long-term pleural catheter-computed tomography diagnosis and longitudinal assessment.

Eur Radiol 2021 Apr 15. Epub 2021 Apr 15.

Department of Internal Medicine, Interventional Respirology Service, The Ottawa Hospital Research Institute, Ottawa, Canada.

Objectives: Long-term indwelling pleural catheters (IPC), used for the management of malignant pleural mesothelioma (MPM), may lead to catheter tract metastasis (CTM). While computed tomography (CT) is valuable for diagnosis, no studies have assessed CT manifestations of CTM. Our goal is to describe the incidence, CT appearances, and temporal evolution of CTM in MPM. Read More

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British Association of Urological Surgeons (BAUS) and Nurses (BAUN) consensus document: management of the complications of long-term indwelling catheters.

BJU Int 2021 Apr 3. Epub 2021 Apr 3.

Nottingham University Hospitals NHS Trust, Nottingham, UK.

Objective: To look at best evidence and expert opinion to provide advice in the form of a consensus statement lead by Female, Neurological and Urodynamic Urology (FNUU) section of the British Association of Urological Surgeons (BAUS) in conjunction with the British Association of Urological Nurses (BAUN).

Methods: Initially a literature search was performed with incorporation of aspects of the existing guidance and further informed by UK best practice by core members of the group. The document then underwent reviews by the FNUU Executive Committee members, the BAUN executive committee, a separate experienced urologist and presented at the BAUS annual meeting 2020 to ensure wider feedback was incorporated in the document. Read More

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Green Light laser enucleation of the prostate with early apical release is safe and effective: single center experience and revision of the literature.

Minerva Urol Nephrol 2021 Mar 29. Epub 2021 Mar 29.

Department of Urology, CURE Group, Hesperia Hospital, Modena, Italy.

Background: Green Light laser enucleation of the prostate (GreenLEP) is an endoscopic treatment to treat bladder outlet obstruction in men with large prostate (>100 cc). Herein, we describe our GreenLEP series and describe its safety and efficacy.

Methods: Between February 2014 and April 2019, 120 patients from a single center underwent en-bloc GreenLEP with early apical release. Read More

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Post-operative septic arthritis after arthroscopy: modern diagnostic and therapeutic concepts.

Knee Surg Sports Traumatol Arthrosc 2021 Mar 23. Epub 2021 Mar 23.

Department of Trauma Surgery, University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.

Purpose: Septic arthritis is a significant complication following arthroscopic surgery, with an estimated overall incidence of less than 1%. Despite the low incidence, an appropriate diagnostic and therapeutic pathway is required to avoid serious long-term consequences, eradicate the infection, and ensure good treatment outcomes. The aim of this current review article is to summarize evidence-based literature regarding diagnostic and therapeutic options of post-operative septic arthritis after arthroscopy. Read More

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Considerations for Improved Technique Survival Following Insertion of a Peritoneal Dialysis Catheter.

Isr Med Assoc J 2021 Mar;23(3):174-179

Department of Surgery B, Meir Medical Center, Kfar Saba, Israel.

Background: Peritoneal dialysis (PD) is a treatment option for patients with end-stage renal disease (ESRD) and cardiorenal syndrome (CRS).

Objectives: To evaluate the outcome of this patient population.

Methods: A retrospective study was conducted of patients who underwent an open or laparoscopic insertion of a PD catheter at our institution between 2009 and 2017. Read More

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