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Tidsskrift For Den Norske Laegeforening... May 2018
Topics: Aged; Breast Diseases; Conservative Treatment; Female; Humans; Middle Aged; Thrombophlebitis; Veins
PubMed: 29808659
DOI: 10.4045/tidsskr.18.0091 -
Journal of Vascular Surgery. Venous and... Jul 2020
Topics: Cyanoacrylates; Humans; Phlebitis; Saphenous Vein
PubMed: 32553656
DOI: 10.1016/j.jvsv.2020.02.009 -
Journal of Evaluation in Clinical... Apr 2014Phlebitis is a common and painful complication of peripheral intravenous cannulation. The aim of this review was to identify the measures used in infusion phlebitis... (Review)
Review
RATIONALE, AIMS AND OBJECTIVES
Phlebitis is a common and painful complication of peripheral intravenous cannulation. The aim of this review was to identify the measures used in infusion phlebitis assessment and evaluate evidence regarding their reliability, validity, responsiveness and feasibility.
METHOD
We conducted a systematic literature review of the Cochrane library, Ovid MEDLINE and EBSCO CINAHL until September 2013. All English-language studies (randomized controlled trials, prospective cohort and cross-sectional) that used an infusion phlebitis scale were retrieved and analysed to determine which symptoms were included in each scale and how these were measured. We evaluated studies that reported testing the psychometric properties of phlebitis assessment scales using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines.
RESULTS
Infusion phlebitis was the primary outcome measure in 233 studies. Fifty-three (23%) of these provided no actual definition of phlebitis. Of the 180 studies that reported measuring phlebitis incidence and/or severity, 101 (56%) used a scale and 79 (44%) used a definition alone. We identified 71 different phlebitis assessment scales. Three scales had undergone some psychometric analyses, but no scale had been rigorously tested.
CONCLUSION
Many phlebitis scales exist, but none has been thoroughly validated for use in clinical practice. A lack of consensus on phlebitis measures has likely contributed to disparities in reported phlebitis incidence, precluding meaningful comparison of phlebitis rates.
Topics: Catheterization, Peripheral; Cross-Sectional Studies; Humans; Incidence; Phlebitis; Psychometrics; Reproducibility of Results
PubMed: 24401116
DOI: 10.1111/jep.12107 -
Revista Gaucha de Enfermagem Jun 2017to determine the incidence of phlebitis during and after the use of peripheral intravenous catheter (PIC), and analyse the association of this complication with risk...
OBJECTIVE
to determine the incidence of phlebitis during and after the use of peripheral intravenous catheter (PIC), and analyse the association of this complication with risk factors.
METHODS
cohort study with 165 adult patients admitted to a university hospital in Porto Alegre, totalling 447 accesses, from December 2014 to February 2015. Data were collected on a daily basis and analysed by means of descriptive and analytical statistics.
RESULTS
The incidence of phlebitis during PIC was 7.15% and the incidence of post-infusion phlebitis was 22.9%. Phlebitis during catheter use was associated with the use of Amoxicillin + Clavulanic Acid. The grade of post-infusion phlebitis was associated with age and use of Amoxicillin + Clavulanic Acid, Tramadol Hydrochloride, and Amphotericin.
CONCLUSION
The incidence of post-infusion phlebitis proved to be an important indicator to analyse the quality of the healthcare setting.
Topics: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Amoxicillin-Potassium Clavulanate Combination; Amphotericin B; Anti-Bacterial Agents; Catheter-Related Infections; Catheterization, Peripheral; Cross Infection; Female; Hospitals, University; Humans; Incidence; Infusions, Intravenous; Inpatients; Male; Middle Aged; Phlebitis; Tramadol; Young Adult
PubMed: 28678899
DOI: 10.1590/1983-1447.2017.02.58793 -
European Annals of Otorhinolaryngology,... Apr 2016Lemierre syndrome is a complication of oropharyngeal infection and consists of a combination of internal jugular vein septic thrombophlebitis with septicaemia and...
INTRODUCTION
Lemierre syndrome is a complication of oropharyngeal infection and consists of a combination of internal jugular vein septic thrombophlebitis with septicaemia and distant septic emboli (mainly in the lungs). We describe an atypical case with facial vein and anterior jugular vein thrombophlebitis.
CASE SUMMARY
A 34-year-old woman attended the emergency room with tonsillitis, left head and neck cellulitis, left facial vein thrombosis and lung abscesses. A diagnosis of atypical Lemierre syndrome was proposed and the patient was treated surgically (neck incision and tonsillectomy) and medically (antibiotics, hyperbaric oxygen therapy and anticoagulation) allowing cure without sequelae.
DISCUSSION
Lemierre syndrome, a rare but serious complication requiring immediate treatment, should be investigated (by blood cultures and chest CT scan) in the presence of neck vein thrombosis complicating oropharyngeal infection.
Topics: Adult; Face; Female; Humans; Jugular Veins; Lemierre Syndrome; Thrombophlebitis
PubMed: 26718846
DOI: 10.1016/j.anorl.2015.12.001 -
Annales de Biologie Clinique 2009The authors report an suicide attempt by a 43 years old woman treated by Previscan, Effexor, Rivotril, and Stilnox for phlebitis anteriority and anxious-depressive...
The authors report an suicide attempt by a 43 years old woman treated by Previscan, Effexor, Rivotril, and Stilnox for phlebitis anteriority and anxious-depressive disorders. On arrival to the emergency unit, the medical status and the patient history required a cardiovascular reanimation and gastric washing. The haemostasis analysis demonstrates an anticoagulant overdose and the prescription of vitamine K1 and PPSB was necessary. Later, the multidrug poisoning was demonstrated thanks to blood, urinary and gastric fluid high performance liquid chromatography toxicological analyses. This case report points out that biological and toxicological analyses are complementary. The first ones are useful to determine the emergency symptomatic cares, and to check the drugs' efficiency. The second ones, although longer, are necessary to identify with certainty incriminated drugs.
Topics: Anti-Anxiety Agents; Anticoagulants; Antidepressive Agents; Antipsychotic Agents; Clonazepam; Cyclohexanols; Electrocardiography; Female; Humans; Hypnotics and Sedatives; Middle Aged; Phenindione; Phlebitis; Pyridines; Suicide, Attempted; Venlafaxine Hydrochloride; Zolpidem
PubMed: 19297297
DOI: 10.1684/abc.2009.0316 -
Internal Medicine (Tokyo, Japan) Sep 2018Mondor's disease (MD) is a rare disease that manifests with a palpable cord-like induration on the body surface. In general, MD is a self-limited, benign... (Review)
Review
Mondor's disease (MD) is a rare disease that manifests with a palpable cord-like induration on the body surface. In general, MD is a self-limited, benign thrombophlebitis that resolves in four to eight weeks without any specific treatment. Cases of MD can be roughly categorized into three different groups based on the site of the lesion as follows: original MD of the anterolateral thoracoabdominal wall, penile MD with dorsum and dorsolateral aspects of the penis, and axillary web syndrome with mid-upper arm after axillary surgery. The diagnosis of MD is rather straightforward and based on a physical examinations. However, some case occur "secondary" with another underlying disease, including malignancy, a hypercoagulative state, and vasculitis. Therefore, it is critical to identify MD precisely, evaluate any possible underlying disease, and avoid any unnecessary invasive tests or treatment. In this paper, we comprehensively review the clinical characteristics of MD.
Topics: Arm; Humans; Male; Penile Diseases; Rare Diseases; Thrombophlebitis
PubMed: 29780120
DOI: 10.2169/internalmedicine.0495-17 -
Archives of Pathology & Laboratory... Jul 2007Enterocolic lymphocytic phlebitis (ELP) is a recently described entity and is of unknown etiology and pathogenesis. It is characterized by phlebitis of the bowel wall... (Review)
Review
Enterocolic lymphocytic phlebitis (ELP) is a recently described entity and is of unknown etiology and pathogenesis. It is characterized by phlebitis of the bowel wall and mesentery, without arterial involvement or evidence of systemic vasculitis. The clinical presentation of ELP is varied, but it most commonly manifests with signs of an acute abdomen. Clinical, radiologic, and endoscopic findings are often conflicting and misdiagnosis is common as venous thrombosis is not suspected. The diagnosis of ELP is obtained histologically. There is a spectrum of histologic features associated with ELP, which includes lymphocytic phlebitis, necrotizing phlebitis, granulomatous phlebitis, and myointimal hyperplasia. Other features include venous thrombi and acute ischemic changes of the intestine. Surgical resection of the affected bowel is usually curative and recurrences are rare. The clinical and histopathologic features of ELP are reviewed.
Topics: Diagnosis, Differential; Humans; Intestinal Diseases; Intestines; Lymphocytes; Phlebitis
PubMed: 17617004
DOI: 10.5858/2007-131-1130-ELPCFA -
Polskie Archiwum Medycyny Wewnetrznej 2014Postthrombotic syndrome (PTS) is the most frequent complication of deep vein thrombosis (DVT). From 20% to 50% of the patients will develop PTS after DVT, and from 5% to... (Review)
Review
Postthrombotic syndrome (PTS) is the most frequent complication of deep vein thrombosis (DVT). From 20% to 50% of the patients will develop PTS after DVT, and from 5% to 10%, severe PTS. PTS is diagnosed on clinical grounds, based on the presence of signs and symptoms of venous insufficiency in the leg ipsilateral to DVT. The Villalta scale, a clinical scale that incorporates venous symptoms and signs, is a recommended standard for the diagnosis of PTS. Identifying which patients are at high risk of developing PTS would help improve the management of patients with DVT and allow physicians to provide patients with individualized information on their expected prognosis. Clinical predictors of PTS have been progressively characterized, but the ability to predict which patient with DVT is likely to develop PTS remains limited. A number of risk factors for PTS have been identified; of these, proximal location of DVT and a previous ipsilateral DVT are the most important. This review discusses the knowledge gained over the last decade on the diagnosis and predictors of PTS.
Topics: Humans; Leg; Postphlebitic Syndrome; Prognosis; Risk Assessment; Risk Factors; Syndrome; Venous Thrombosis
PubMed: 24859496
DOI: 10.20452/pamw.2353 -
Revista Latino-americana de Enfermagem 2018to determine the incidence rate and risk factors for the nursing-sensitive indicators phlebitis and infiltration in patients with peripheral venous catheters (PVCs).
OBJECTIVE
to determine the incidence rate and risk factors for the nursing-sensitive indicators phlebitis and infiltration in patients with peripheral venous catheters (PVCs).
METHOD
cohort study with 110 patients. Scales were used to assess and document phlebitis and infiltration. Socio-demographic variables, clinical variables related to the PVC, medication and hospitalization variables were collected. Descriptive and inferential analysis and multivariate logistic models were used.
RESULTS
the incidence rate of phlebitis and infiltration was respectively 43.2 and 59.7 per 1000 catheter-days. Most PVCs with these vascular traumas were removed in the first 24 hours. Risk factors for phlebitis were: length of hospital stay (p=0.042) and number of catheters inserted (p<0.001); risk factors for infiltration were: piperacillin/tazobactan (p=0.024) and the number of catheters inserted (p<0.001).
CONCLUSION
the investigation documented the incidence of nursing-sensitive indicators (phlebitis and infiltration) and revealed new risk factors related to infiltration. It also allowed a reflection on the nursing care necessary to prevent these vascular traumas and on the indications and contraindications of the PVC, supporting the implementation of the PICC as an alternative to PVC.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Catheterization, Peripheral; Cohort Studies; Extravasation of Diagnostic and Therapeutic Materials; Female; Humans; Incidence; Male; Middle Aged; Phlebitis; Risk Factors; Veins; Young Adult
PubMed: 29791668
DOI: 10.1590/1518-8345.2377.3002