Revista de enfermería (Barcelona, Spain)
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Current clinical practice is characterised for importance of the patient's quality of life and the need to reduce the costs of their treatment. We search intravenous therapy alternatives that meet the needs of the patient, reducing the complications associated with the use of venous catheters. Scientific evidence shows that there are midline venous catheters that offer patients and professionals the possibility of extending the duration of infusion therapy, using more venous compatibility materials, and with less risk of infection. ⋯ Unlike PICC lines, Midline catheters offer peripheral, not central venous access. Midlines should be considered early in treatment instead of serial short peripheral IVs. These devices permit the infusion of most or all infusates that are appropriate for short peripheral IVs with the added advantage that Midlines can last much longer; at least six weeks and perhaps for months.
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The first device was supraglottic laryngeal mask. These tools help us to handle a normal and difficult airway, other than direct laryngoscopy. ⋯ Address and resolve the disadvantages of the endotracheal ventilation. There are different types of laryngeal mask: Classical, Proseal, Flexible, Fastrach, Disposable: Supreme; i-gel.
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We describe the process of implementation of improvements for patient safety in the administration of medication in the operating room. ⋯ We identified as areas of greatest risk the providers, the prescription and the processing, as well as the weaknesses of the professional culture of patient safety and improvement proposals.