<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2254-2884</journal-id>
<journal-title><![CDATA[Enfermería Nefrológica]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm Nefrol]]></abbrev-journal-title>
<issn>2254-2884</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Nefrológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2254-28842024000100007</article-id>
<article-id pub-id-type="doi">10.37551/s2254-28842024007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Implementación de un programa de terapia intravenosa en pacientes nefrológicos: análisis de los resultados]]></article-title>
<article-title xml:lang="en"><![CDATA[Implementation of an intravenous therapy program in nephrological patients: analysis of results]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amarilla-Tostado]]></surname>
<given-names><![CDATA[Yolanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomà-Freixes]]></surname>
<given-names><![CDATA[Emma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gastelo-Anhuamán]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Bombín]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llauradó-González]]></surname>
<given-names><![CDATA[María Angels]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sampedro-Sanchis]]></surname>
<given-names><![CDATA[Blanca]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universitat de Barcelona Hospital Clínic Servicio de Nefrología y Trasplante Renal]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universitat de Barcelona Hospital Clínic Equipo de Infusión y Acceso Vascular]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<volume>27</volume>
<numero>1</numero>
<fpage>56</fpage>
<lpage>61</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2254-28842024000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2254-28842024000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2254-28842024000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Evaluar la prevalencia y el impacto del uso de líneas medias canalizadas por el Equipo de Infusión y Accesos Vasculares mediante punción eco-guiada comparada con la estrategia endovenosa convencional (punción de catéter venoso periférico por enfermeras de hospitalización) en una unidad de nefrología y trasplante renal.  Material y Método: Estudio observacional retrospectivo. Se compararon 3 periodos: pre-implantación, implantación y consolidación del Equipo de Infusión y Accesos Vasculares. Se incluyeron todos los pacientes ingresados en las unidades de hospitalización de Nefrología y Trasplante Renal que requirieron de la colocación de catéteres vasculares periféricos y línea media. Se analizó la prevalencia de acceso venoso, el tiempo de permanencia y los motivos de retirada (complicaciones).  Resultados: La incidencia de los catéteres vasculares periféricos fue decreciente mientras que el de las líneas medias se incrementó progresivamente en los tres períodos. Así mismo, no se observaron diferencias en el tiempo medio de permanencia de los catéteres vasculares periféricos mientras que la permanencia de días de la línea media se incrementó. Se confirma en todos los periodos una tasa de complicaciones más elevada y variable en los catéteres vasculares periféricos; mientras que en la línea media la tasa de complicaciones fue menor y más estable.  Conclusiones: La implementación de un programa de terapia intravenosa en pacientes nefrológicos ha permitido minimizar el número de dispositivos venosos por paciente, con la consecuente reducción de punciones durante el ingreso, así como la disminución de las complicaciones asociadas a la canalización venosa (menor morbilidad).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: To evaluate the prevalence and impact of midline catheters inserted by the Infusion and Vascular Access Team using echo-guided puncture compared to conventional intravenous strategies (peripheral venous catheter insertion by hospitalization nurses) in a nephrology and kidney transplant unit.  Material and Method: This is a retrospective observational study. Three periods were compared: pre-implementation, implementation, and consolidation of the Infusion and Vascular Access Team. All patients admitted to the Nephrology and Kidney Transplantation hospitalization units requiring the placement of peripheral vascular catheters and midline were included. The prevalence of venous access, dwell time, and reasons for removal (complications) were analyzed.  Resultados: The incidence of peripheral vascular catheters decreased while that of midlines progressively increased in all three periods. Moreover, there were no differences in the mean dwell time of peripheral vascular catheters, whereas the dwell time of midlines increased. A higher and variable rate of complications was confirmed in peripheral vascular catheters in all periods, while in midlines, the complication rate was lower and more stable.  Conclusions: Implementing an intravenous therapy program in nephrology patients has allowed for minimizing the number of venous devices per patient, resulting in a reduction in punctures during hospitalization and a decrease in complications associated with venous cannulation (lower morbidity).]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Equipo de Infusión y Accesos Vasculares (EIAV)]]></kwd>
<kwd lng="es"><![CDATA[Líneas Medias (LM)]]></kwd>
<kwd lng="es"><![CDATA[Catéteres Vasculares Periféricos (CVP)]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="es"><![CDATA[paciente nefrológico]]></kwd>
<kwd lng="en"><![CDATA[Infusion and Vascular Access Team (IVAT)]]></kwd>
<kwd lng="en"><![CDATA[Midlines (ML)]]></kwd>
<kwd lng="en"><![CDATA[Peripheral Vascular Catheters (PVC)]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
<kwd lng="en"><![CDATA[nephrology patient]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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<publisher-name><![CDATA[Ediciones Mayo]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
