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    <pre style="white-space:pre-line"><code>Accessi Vascolari

		3.3 VENIPUNTURA

               Raccomandato lâ€™utilizzo di tecnica ecografica in tempo reale; câ€™Ã¨ unanimitÃ  nella
               comunitÃ  scientifica nellâ€™indicare le tecniche di venipuntura ecoguidata in grado di
               aumentare il successo di posizionamento al primo tentativo, rendere la procedura
               di impianto piÃ¹ sicura riducendo il rischio di complicanze (puntura arteriosa;
               ematoma; pneumotorace; emotorace; puntura nervosa; infezioni; trombosi)5,6,7.

		3.4 ACCESSI VASCOLARI
             		VENOSI PERIFERICI
               	 (Cannule periferiche corte e lunghe; Midline)8,9,1
                    *	 Si definisce accesso periferico un catetere la cui parte terminale si localizzi in
                        qualunque vaso tributario della vena cava superiore o inferiore.
                    *	 Lâ€™accesso vascolare periferico non Ã¨ indicato per la somministrazione di
                        infusioni con OsmolaritÃ  &gt;900mOsm, pH &lt;5 o &gt;9, farmaci vescicanti ed irritanti.
                    *	 Al di fuori del contesto perioperatorio e di emergenza, Ã¨ indicato lâ€™utilizzo di
                        cannule con il minor calibro possibile, secondo lo schema in Tabella 1.
                    *	 Ruolo ausiliario di tecnologie di visualizzazione (ultrasuoni, infrarossi,
                        transilluminazione).
                    *	 Tutti gli accessi periferici devono essere irrigati con soluzione salina (flushing)
                        dopo ogni utilizzo (vedi 3.8).
                    *	 La rimozione dellâ€™accesso periferico Ã¨ indicata in caso di:
                        â—Š	 Malfunzionamento
                        â—Š	 Flebite
                        â—Š	 Infezione Locale
                        â—Š	 Cessata necessitÃ 

   Venosi periferici   Agocannula       Agocannula lunga                       Midline

Lunghezza cm           2-6 6-15                                                     &gt;15
Inserimento                                                                     Ecoguida
Indicazione            Tradizionale     Tradizionale/Ecoguida
                                                                          Terapie &gt;30 giorni
Uso Extra Ospedaliero  Terapie 5-7 giorni e Pa- Terapie fino a 29 giorni
                       trimonio Venoso Super- o Patrimonio Venoso                    SÃ¬
                       ficiale Integro  Superficiale Esaurito

                       No Possibile

Tabella 1: caratteristiche Devices Venosi Periferici</code></pre>
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