Document Detail


Variability in infection control measures for the percutaneous lead among programs implanting long-term ventricular assist devices in the United States.
MedLine Citation:
PMID:  23187051     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Ventricular assist devices (VADs) are a surgical treatment for heart failure. These devices may be implanted as a bridge to transplant or as destination therapy. After surgical recovery and education regarding device care, patients are discharged home. Meticulous care of the driveline must be taken to prevent infection and trauma of the site throughout the perioperative event and for the duration of support. Currently a standardized protocol for care of the driveline and exit site does not exist. VAD coordinators from across the country discussed the variability in care at different centers in the United States through a series of conference calls. A survey consisting of 16 questions was developed. The survey included questions on preoperative antibiotic recommendations, driveline placement and exit site suturing, frequency of dressing changes, and showering practices. VAD coordinators shared center-specific dressing protocols and any driveline success stories. This survey was sent to 73 centers; 38 centers (52%) responded. The purpose of the survey was to define current practice in order to move toward a standard of practice or protocol based on expert opinion for VAD driveline care and to assess the need for future studies.
Authors:
Anne Cannon; Tonya Elliott; Carole Ballew; Julie Cavey; Genevieve O'Shea; Jennifer Franzwa; Mark Puhlman; Jami Bennett; Timothy Ryan; Kathleen Lockard; Neshama Avrahami; Pamela Brennan; Sudha Kurien; Shauna Andrus; Sara Dick; Erin Davis
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Progress in transplantation (Aliso Viejo, Calif.)     Volume:  22     ISSN:  1526-9248     ISO Abbreviation:  Prog Transplant     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100909380     Medline TA:  Prog Transplant     Country:  United States    
Other Details:
Languages:  eng     Pagination:  351-9     Citation Subset:  N    
Affiliation:
University of Colorado Hospital, Aurora.
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