• Non ci sono risultati.

Balsorano - Storia naturale della trombosi da PICC

N/A
N/A
Protected

Academic year: 2021

Condividi "Balsorano - Storia naturale della trombosi da PICC"

Copied!
25
0
0

Testo completo

(1)

P. Balsorano, MD

DEPARTMENT OF ANESTHESIA AND INTENSIVE CARE MEDICINE Division of Oncological Anesthesia and Intensive Care

AOU CAREGGI, Florence, Italy

Storia naturale delle trombosi

catetere correlate:

(2)
(3)
(4)

CRT: Symptomatic: 0-28%; Asymptomatic: 25-71%

Baumann Kreuziger L et al. Thromb Res. 2017

(5)
(6)

Incidenza: 0-71%

Baumann KL et al. Thromb Res. 2017 Sep;157:64-71

(7)

Magnitude of the problem

0-3%

(8)
(9)
(10)

0.8

0.85

0.9

0.95

1.0

0

5

10

15

20

25

30

30-Day UE VTE for type of line

Days

Up

p

er

E

xt

re

m

it

y

D

V

T

-Fr

ee

S

u

rv

iv

al

None

CVC Only

PICC only

Both

When?

(11)
(12)
(13)

0.8

0.85

0.9

0.95

1.0

0

5

10

15

20

25

30

30-Day UE VTE for type of line

Days

Up

p

er

E

xt

re

m

it

y

D

V

T

-Fr

ee

S

u

rv

iv

al

None

CVC Only

PICC only

Both

0.8

0.85

0.9

0.95

1.0

0

5

10

15

20

25

30

30-Day PE for Any line versus No line

Days

Up

p

er

E

xt

re

m

it

y

D

V

T

-Fr

ee

S

u

rv

iv

al

No line

Yes line

Pulmonary embolism

(14)

Kang J et al. Vasc Access. 2017 Mar 21;18(2):153-157.

(15)

PTS

(16)

PTS

Thiyagarajah K et al. Thromb Res. 2019 Feb;174:34-39

6-37% after UEDVT

Real problem?

Is it relevant?

Long term disability

E.E. Elman et al. Thromb. Res. 117 (6) (2006) 609–614

Not frequent after catheter-related

UEDVT

(17)

Recurrence

(18)
(19)
(20)

..and now?

146 pts

with CVC

placement

22% CRT

1% PTS

2-year follow up

Jones S et al. Blood. 2019 Feb 21;133(8):857-866.

(21)

O'Brien S. Blood. 2019 Feb 21;133(8):776-777

(22)
(23)
(24)
(25)

Riferimenti

Documenti correlati

Department of Medicine, Anesthesia and Intensive Care Clinic, University of Udine, Udine, Italy (L.V., T.B., D.O.) Department of Anesthesia and Intensive Care, University Hospital

The primary end points were the overall rate-per-line (incidence) and rate-per-1000-catheter-days of symptomatic catheter-related deep vein thrombosis (CRDVT) and

Figure: each coloured dot represents the value of the spectral expo- nent colour-coded for patients who recovered from coma (acute brain injury, Group 1; post anoxic, group

Red intersection area: results of the search for “(anesthesia OR intensive care OR surgery OR critically ill) AND (hyperoxia OR oxygen therapy OR high FiO 2 OR hyperoxic)

In order to address this gap, we conducted a systematic review of research studies with the aim to address the following questions: ‘‘What is the psychological impact

Table 2.Studies into the effect ofhand hygiene on the incidence ofnosocomial infections including pneumonia AuthorYearStudy designEndpointOutcome:infectious morbidityEvidence

Dept of Anesthesiology and Intensive Care Medicine San Giovanni Battista Hospital Corso Dogliotti 14. 1026

Department of Intensive Care Medicine Erasme University of Brussels Hospital Route de Lennik 808. 1070