Vessel Health and Preservation: The Right Approach for Vascular Access

Vessel Health and Preservation: The Right Approach for Vascular Access

Author: Nancy L. Moureau

Publisher: Springer

Published: 2019-06-10

Total Pages: 303

ISBN-13: 3030031497

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This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.


Vessel Health and Preservation

Vessel Health and Preservation

Author: Nancy L Moureau

Publisher:

Published: 2020-10-09

Total Pages: 302

ISBN-13: 9781013275708

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This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals. This work was published by Saint Philip Street Press pursuant to a Creative Commons license permitting commercial use. All rights not granted by the work's license are retained by the author or authors.


Vessel Health and Preservation: The Right Approach for Vascular Access

Vessel Health and Preservation: The Right Approach for Vascular Access

Author: Nancy L. Moureau

Publisher: Springer

Published: 2024-05-12

Total Pages: 0

ISBN-13: 9783031485756

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This second edition offers updated and revised information on vessel health and preservation (VHP). It presents a model of care and systematic application of vascular access and administration of intravenous treatment to show how establishing and maintaining a route to the bloodstream with optimal methods is essential for patients in acute care today. This model concept was first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book has become a strong point of reference appealing to vascular access specialists, bedside nurses, physicians and other health professionals. Few authoritative guides provide the depth and descriptive evidence included in this VHP model of care, suitable for hospital administrators, directors, educators and others to apply within their services.


Vascular Access

Vascular Access

Author: Samuel E. Wilson

Publisher: Lippincott Williams & Wilkins

Published: 2010

Total Pages: 328

ISBN-13: 1605472034

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This practical and comprehensive book provides "how-to" information on all aspects of access to the vascular system for hemodialysis, parenteral nutrition, chemotherapy, and resuscitation. Preoperative evaluation, operations, noninvasive procedures, complications, and other aspects are detailed. This edition provides increased coverage of non-interventional techniques and includes new chapters on management of thrombophilia in hemodialysis patients; modulation of the immune system to prevent myointimal hyperplasia; synthetic grafts; venous outflow stenting for salvage of vascular access procedures; and ultrasound in vascular access procedures. This book is essential for all clinicians treating patients who require vascular access, including vascular surgeons, general surgeons, nephrologists, dialysis technicians and nurses, radiologists, and cardiologists.


Peripherally Inserted Central Venous Catheters

Peripherally Inserted Central Venous Catheters

Author: Sergio Sandrucci

Publisher: Springer

Published: 2014-07-25

Total Pages: 0

ISBN-13: 9788847056640

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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.


Regulation of Tissue Oxygenation, Second Edition

Regulation of Tissue Oxygenation, Second Edition

Author: Roland N. Pittman

Publisher: Biota Publishing

Published: 2016-08-18

Total Pages: 117

ISBN-13: 1615047212

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This presentation describes various aspects of the regulation of tissue oxygenation, including the roles of the circulatory system, respiratory system, and blood, the carrier of oxygen within these components of the cardiorespiratory system. The respiratory system takes oxygen from the atmosphere and transports it by diffusion from the air in the alveoli to the blood flowing through the pulmonary capillaries. The cardiovascular system then moves the oxygenated blood from the heart to the microcirculation of the various organs by convection, where oxygen is released from hemoglobin in the red blood cells and moves to the parenchymal cells of each tissue by diffusion. Oxygen that has diffused into cells is then utilized in the mitochondria to produce adenosine triphosphate (ATP), the energy currency of all cells. The mitochondria are able to produce ATP until the oxygen tension or PO2 on the cell surface falls to a critical level of about 4–5 mm Hg. Thus, in order to meet the energetic needs of cells, it is important to maintain a continuous supply of oxygen to the mitochondria at or above the critical PO2 . In order to accomplish this desired outcome, the cardiorespiratory system, including the blood, must be capable of regulation to ensure survival of all tissues under a wide range of circumstances. The purpose of this presentation is to provide basic information about the operation and regulation of the cardiovascular and respiratory systems, as well as the properties of the blood and parenchymal cells, so that a fundamental understanding of the regulation of tissue oxygenation is achieved.


Conserving Health in Early Modern Culture

Conserving Health in Early Modern Culture

Author: Sandra Cavallo

Publisher: Social Histories of Medicine

Published: 2017

Total Pages: 328

ISBN-13: 9781526113474

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Conserving health in early modern culture explores the impact of ideas about healthy living in early modern England and Italy. The attention of medical historians has largely been focussed on the study of illness and medical treatment, yet prevention was one of the cornerstones of early modern medicine. According to Galenic-Hippocratic thought, the preservation of health depended on the careful management of the so-called six ?Non-Naturals?: the air one breathed; food and drink; excretions; sleep; movement and rest; and emotions. Drawing on visual, material and textual sources, the contributors show the pervasiveness of the preventive paradigm in early modern culture and society. In particular it becomes apparent that concern for the non-naturals informed lay people?s daily lives and routines as well as stimulating innovation in material culture and painting, and influencing discourses in fields as diverse as geology, natural philosophy and religion. At the same time the volume challenges the common assumption that health advice was a uniform and stable body of knowledge, showing instead that models of healthy living were tailored to different genders, age-groups and categories of patients; they also varied over time and depended on the geographical context. In particular, significant differences emerge between what was regarded as beneficial or harmful to health in England and Italy. As well as showing the value of a comparative perspective of study, this interdisciplinary volume will appeal to a wide readership, interested not just in health practices, but in print culture, histories of women, infancy, the environment and of art and material culture.


The Well of Ascension

The Well of Ascension

Author: Brandon Sanderson

Publisher: Tor Books

Published: 2010-04-01

Total Pages: 816

ISBN-13: 1429961813

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Now with over 10 million copies sold, The Mistborn Series has the thrills of a heist story, the twistiness of political intrigue, and the epic scale of a landmark fantasy saga. The impossible has been accomplished. The Lord Ruler -- the man who claimed to be god incarnate and brutally ruled the world for a thousand years -- has been vanquished. But Kelsier, the hero who masterminded that triumph, is dead too, and now the awesome task of building a new world has been left to his young protégé, Vin, the former street urchin who is now the most powerful Mistborn in the land, and to the idealistic young nobleman she loves. As Kelsier's protégé and slayer of the Lord Ruler she is now venerated by a budding new religion, a distinction that makes her intensely uncomfortable. Even more worrying, the mists have begun behaving strangely since the Lord Ruler died, and seem to harbor a strange vaporous entity that haunts her. Stopping assassins may keep Vin's Mistborn skills sharp, but it's the least of her problems. Luthadel, the largest city of the former empire, doesn't run itself, and Vin and the other members of Kelsier's crew, who lead the revolution, must learn a whole new set of practical and political skills to help. It certainly won't get easier with three armies – one of them composed of ferocious giants – now vying to conquer the city, and no sign of the Lord Ruler's hidden cache of atium, the rarest and most powerful allomantic metal. As the siege of Luthadel tightens, an ancient legend seems to offer a glimmer of hope. But even if it really exists, no one knows where to find the Well of Ascension or what manner of power it bestows. Other Tor books by Brandon Sanderson The Cosmere The Stormlight Archive The Way of Kings Words of Radiance Edgedancer (Novella) Oathbringer The Mistborn trilogy Mistborn: The Final Empire The Well of Ascension The Hero of Ages Mistborn: The Wax and Wayne series Alloy of Law Shadows of Self Bands of Mourning Collection Arcanum Unbounded Other Cosmere novels Elantris Warbreaker The Alcatraz vs. the Evil Librarians series Alcatraz vs. the Evil Librarians The Scrivener's Bones The Knights of Crystallia The Shattered Lens The Dark Talent The Rithmatist series The Rithmatist Other books by Brandon Sanderson The Reckoners Steelheart Firefight Calamity At the Publisher's request, this title is being sold without Digital Rights Management Software (DRM) applied.