HHE Cardiovascular supplement 2018 - Page 26

patients are critical, so they need continuous infusion of noradrenaline, morphine, midazolam, several antibiotics, etc. Using a multi-lumen device allows for just one device for multiple simultaneous infusions.” To help improve vascular access management, Cortés and her colleagues decided to learn to insert PICCs and midline catheters. She and two other ICU nurse colleagues completed private training courses in Spain and abroad. C ܝ0\[\˜XYY\[\XYH][\[\]Y\YP܈\H[HPKP\H[BPH\YۚYX[ ܝ0\PH\\XۋX[ۋ[\[x&\\P0K[B[X\و\[\ۛ[Z[Y[[]BP[ZY[H]]\\XY[Hܛۋ] M\\Z[Y[[[][ۋܝ0\&B[Y][ۈ[X[ۜY\][ۜ[[H[ܝ0\[[]H]P\H\YH]]HXۛZXš[\X[Z\][’PH\\[ ]KXݙ\YHق\ۛ[Z[Y܈P[[][ۋܝ0\œX\]Y[HXZ]YY][ۘ[[\XHZ[[™H˔\ X\ۙYHXۋX[ۈ[\[JH[\]]H\\[\[ٙXX[[X܈܈[[][ۂZ[[ˈH][\[\X\ۙ\[\›ZH՘H ܛۙܙ\\[\X\H[]\Y\[\XXH\]H]B]\[QXH[XX\˂ܝ0\&HYܝ[\[ۈPY[ۈ\›]]\\]\8']HY[[HY\[[^HHYYYZ[\HB\\ˈ܈X[H[K]8&\YX[[K›X\][ˈYH\\H[ZH8&^B [\[X\[\[]8&\[\؈܈\˸&H^HY]\[[ܙX\H\ܚˈHYۙ۝][ۜ]YH[HX]\Hو] ]]\[ [و[H]H[YZ\Z[ˈH[X[[Y]وPH\HY]][BܚY[[H\X[H\\]H[YZ\Z[ˈ^H\H\H\H]H\HوP˸'B[X[Y[Y\وPܝ0\[[[H\Hۙۙ[قP\H[\X]H]Y[\\[Z\\X]H][ˈ[Y][ۈHX[]Hš[\H][\HYYX][ۜX[\\œ[][[[\H[HX[]HXHP]HYYH]Y[\[X[Y[X\]YKܝ0\[[[H][H]\[\[X[Y[Y\وP˂\\HZ[[Yܚ]NYXYۙ]\H[\B]Y[Z[‘܈ܝ0\H[[\ܝ[[Y]وPš\\\[HZ[وH]Y[ [8'8)ݛ[[ܙH\H[X\\KۘH[B]H[\YHZ[]Z\[YHX[ Y][Y\H[XYH\]\K[]X^BX[ H[[\ܝ[[YH\][H\Hݛ[Z[[H\Hݛ[›[ܙH[\H[X\\K'BY]Y[X\[KY\[H YXY]Y[\YܝYH]\[\\B]H۝[\وQX[Y[ ܝ0\\ܝ][\^\Y[HX[H]Y[]HHYX\[Hو[Y\[H܈Pݙ\\QˈH۝[Z]HوH[HQXܛB]Y[\^H[H]Z[X[]Hو][K[[Y[PX^HYXHH\وYY\X܈B]Y[ [X[H[Z][ݙ\[\Yܝ Z[]Y\]][\H[[\][ۜ˂[X[[Z]][ۜوP“ZH[HQ \H\H[X[[Z]][ۜ[۝Z[X][ۜP\K܈[[KPœ[H\Y[[[Y\[]X][ۋ\”P\H\YۙYH[[]Y\œ]ZXH\\Q˂[[H[Y[[ۜ]P[B\Y[]Y[][Z]Y\H[ؚ[]K8'[BYY]H]Y[[[ݙH\\\KۚXY^H\X\H\[X]B۝Z[X][ۈX]\H]]Y[[YY\H]\H\[X[\\ˈH\›وX\YH]Y[[&][ݙHZ\\B\Y 'HP[[^\H\Y[Xܙ[H]Z\[X][ۈ܈\K ‘XۛZXۜY\][ۜ’[Y][ۈ[X[ۜY\][ۜ[[H[ܝ0\[[]H]P\H\YB]]HXۛZX[\X[Z\][ˈBH\\H\X]K[[H[ܝ0\\ܝ]\[H[HP[XYو]\[\QX^H]H[YH[\\\][BYYYXH][\HQˈ [[H\\Y]QX[Y[HY[\[\š][\K[HYYYHPœX[Y[\[][\YY[ܙX]\][ˈ[\^\Y[K[[H^\8'\BY\YوP\H\\YHœ[X[\X][ۜYHP\\Y B[][]]Hو]\[]X\[Y[YKHP\[ܙH^[]H[HP]Y[BۜY\H[X[و8)YX[X[\X][ۜZHH][[ܘ^ [Hو[YH[H[\[Y\[]X\[]\H[[H]H[ۙ^H]H[ 'B]\H\X]\‘[[[[H[\H[pHܝ0\]HX\ٝ[HYYP][\][ۈ[Z\]\Y^HXXK[[H]ۘH]Y[œXZ][[[\\H[ܝ0\]]Y[š[HPKݚY\]H؜\YYۚYX[[Y][[\ݚ[ܝ ]\H[ۙ]\H]Y[\HXܛ\[\]Y[\\˜[[X[]X][ۜˈ\H\[ [[H[ܝ0\]HXYHۙ[\[ۜوP˜Y[ۈ[Y]H܈ܙX]\[X[B\X]HP\H][Z\][[Z\\X]H\\و[Y[K\Hܝ0\&B^\Y[H[[[ۜ]\Hܝ[]H܂\\][\H[X[QX[Y[Y[ [[H[ܝ0\[Y\HZ\^\Y[B]P[H\]\[]][ۜ[\H\HX\[Z\ܙ[\][ۜ[[[X][H[Y][ܙH]Y[[H]\KH N][X[\KBY\[\ŒH[HH][ X\Y][X\XN\\\[U]]\Z[\K[\\Œ MN NNx$̌ ˂ܜH][ YK[\[ۂ\[[\وXXK\[\X\]XH Q B[X[ۈ[X[Y[ [\“\ MJ TNLK\X\\[\ M[X[ۜ܈\N\P𫂐]]\][ˈ[X[؛[\\X]Y]H\Hو\\\[[\˜\X\Έ[X[ۜˈ[[XH]\H YB\\\[H[\Y[[[\]]\ˈ\Y][XN[\̌ MMx$͋H]\]HH][ B[X]]\HPY]܂ ][ۚ[H\و[[[\]]\Έ\[و[][X[][X[\YK\X\ LL NM$͍KNNKIHX\XHZ[H\YۈH [X\]YHو LMY[]Y[][\YBXZ][H\ P˂X\ޙ]H҈][ [YB[\\\و\\\[B[\Y[[]]\[\[ۈY\\ΈB\\\ۈ]Y[[[\[ۋ\ \^H[HX[[YH\]Y][ۂ[ۙ\X][ۈ\[K[XXۈ]Y\\Œ M̌ MJNLMx$̍K