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J Gabriel

Publications and source records attributed to J Gabriel.

86 records · Page 5Linked to original sources
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Care and management of peripherally inserted central catheters.

It is estimated that 85% of all patients admitted to hospitals in the USA in 1991 were recipients of a vascular access device (Barbone, 1995). Down-sizing of hospitals and the shift towards more outpatient and day-care procedures has meant that patients admitted to hospitals in the UK are more likely to be recipients of a vascular access device than they were 10 years ago, as their conditions are more likely to be acute. This article will discuss how, with careful management, peripherally inserted central catheters can improve the reliability and quality of vascular access for many patients.

Bandages↗
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Peripherally inserted central catheters: expanding UK nurses' practice.

Peripherally inserted central catheters (PICCs) are a group of single- and double-lumen central venous access devices, ranging in size from 2 to 6 FG. In the USA, these devices have been used to establish central venous access since the late 1970s, but they are only just beginning to be introduced into the UK. In the USA, suitably skilled nurses assume responsibility for the placement of the majority of PICCs, both in the hospital and home-care settings (Coulter, 1993). This article will explain how suitably skilled nurses in the UK could expand their clinical practice to include the placement of PICCs, and thereby improve the quality of intravenous access for many patients requiring parenteral therapies.

Catheterization, Central Venous↗
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PICC securement: minimising potential complications.

Peripherally inserted central catheters are used for a variety of parenteral therapies. This article discusses the advantages of securing these catheters and different methods of securement.

Adhesives↗
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PICCs: how Doppler ultrasound can extend their use.

Peripherally inserted central catheters were relatively unknown in the UK five years ago. Now, however, they are used in more than 100 centres around the country. PICCs have played a key role in improving vascular access for a wide range of patients and the growth in their use has been nurse led. This article explains how nurses can help to extend the use of PICCs to a group of patients who have traditionally been excluded, those with apparently inaccessible antecubital fossa.

Catheterization, Central Venous↗
PubMedDate not supplied

Pharmacokinetics of paracetamol in patients with stomach cancer.

Pharmacokinetics of paracetamol was investigated in patients with operable stomach cancer, after administration of a single dose of the drug. The course of changes in the paracetamol level in the serum was described by a two-compartment open model for extravascular administration. The pharmacokinetic parameters were calculated using an Odra-1305 computer under George-3 operation system. The area under the curve of concentration changes in patients with stomach cancer was smaller by 47%, and the maximum concentration--by 60%. The distribution volume and the total clearance were increased in these patients. The results suggest that the doses of paracetamol in the patients with stomach cancer should be increased to obtain the required therapeutic effect.

Acetaminophen↗
PubMedDate not supplied

The successful use of a non-open-ended PICC line.

This paper illustrates how the use of a non-open-ended, peripherally inserted central catheter' (PICC) solved the problem of increasingly difficult venous access for a young patient undergoing treatment for Hodgkin's lymphoma.

Adult↗
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Fibrin sheaths in vascular access devices.

Persistent withdrawal occlusion associated with vascular access devices is a common problem with most intravenous devices that are left in place for more than seven days. This paper discusses the possible causes and describes how the most usual cause, fibrin sheath formation, can be remedied.

Catheterization, Central Venous↗