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Nursing care and Hickman's catheter: the search for evidence El cuidado de enfermeria y el catéter Hickman: la búquela de evidencias O cuidado de enfermagem e o cateter de Hickman: a busca de evidências

Nursing care and Hickman's catheter: the search for evidence El cuidado de enfermeria y el catéter Hickman: la búquela de evidencias O cuidado de enfe

Nursing care and Hickman's catheter: the search for evidence El cuidado de enfermeria y el catéter Hickman: la búquela de evidencias O cuidado de enfermagem e o cateter de Hickman: a busca de evidências  
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Background: Patients submitted to Bone Marrow Transplantation (BMT) need a safe venous access for the infusion of bone marrow. The implantation of a central venous catheter is a part of therapy, with Hickman's catheter as the most commonly used type; however, its presence entails risks, the most preoccupying of which is infection. Objective: Integrative literature review aimed to look for and evaluate evidence on nursing care related to Hickman's catheter. Method: Articles were selected from the Lilacs, Medline and Cinahl databases and from the journal Bone Marrow Transplantation. The sample consisted of 18 articles. Results: Polyurethane dressings are recommended, to be changed every 7 days. The observed blood collection method was through discarding, in which the cyclosporine dose should not be collected from the same pathway it was infused in. Reducing the number of catheter manipulations is considered an efficient measure for infection prevention and control. Conclusion: The evidence taken from the studies that were analyzed can be of help in the implementation of efficient nursing care related to Hickman's catheter.
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