split sheath catheter

Portuguese translation: cateter com bainha dividida

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
English term or phrase: split sheath catheter
Portuguese translation:cateter com bainha dividida
Entered by: Maria Pereira

10:12 Nov 30, 2017
English to Portuguese translations [PRO]
Medical - Medical (general)
English term or phrase: split sheath catheter
Contexto: . If the catheter requires support when being inserted through the split sheath catheter, ...
Maria Pereira
Portugal
Local time: 19:19
cateter com bainha dividida
Explanation:
Seria a minha sugestão em PT(pt), ver:

4. Make a small incision at the desired exit site of the tunneled catheter on the chest wall. The incision
should be wide enough to accommodate the cuff, approximately 1 cm.
5. Use blunt dissection to create the subcutaneous tunnel opening at the catheter exit site for the white
tissue ingrowth cuff, midway between the skin exit site and the venous entry site, approximately 2-3 cm
(minimum) from the catheter exit site.
WARNING: Do not over-expand the subcutaneous tissue during tunneling. Over-expansion may delay or
prevent cuff in-growth.
6. Make a second incision above and parallel to the first, at the venous insertion site. Enlarge the
cutaneous site with a scalpel and create a small pocket with blunt dissection to accommodate the small
remaining catheter loop (“knuckle”) of the catheter after the peel-away sheath is removed.
7. Attach the tunneler to the catheter’s venous lumen. Slide the tip of the catheter over the tri-ball
connection until it rests adjacent to the sheath stop.
8. Slide the tunneler sheath over the catheter making certain that the sleeve covers the arterial lumen. This
will reduce the drag in the subcutaneous tunnel as the apparitional bump and arterial port pass
through the tissue.
9. With the blunt tunneler, gently lead the catheter and tunneler connection into the exit site and create a
subcutaneous tunnel from the catheter exit site to emerge at the venous entry site.
CAUTION: The tunnel should be made with care to avoid damage to surrounding vessels. Avoid
tunneling through muscle.
CAUTION: Do not pull or tug the catheter tubing. If resistance is encountered, further blunt
dissection may facilitate insertion. The catheter should not be forced through the tunnel.
10. After tunneling the catheter, the tunneler can be removed by sliding the tunneler sheath away from the
catheter and pulling the tunneler from the distal tip of the catheter.
CAUTION: Avoid damage to the catheter by using a slight twisting motion.
CAUTION: To avoid damage to the catheter tip, keep the tunneler straight and do not pull it out at an angle.
CAUTION: Inspect catheter tip for damage before proceeding with procedure
INTRODUCTION OF THE VALVED PEELAWAY INTRODUCER
CAUTION: The sheath is not intended to create a complete two-way seal nor is it intended for
arterial use.
CAUTION: The sheath is designed to reduce blood loss but it is not a hemostasis valve. The valve may
substantially reduce the rate of blood flow but some blood loss through the valve may occur.
1. Insert the dilator through the valve and lock in place using the
rotating collar.
NOTE - Optional dilation:
• To ease insertion of the peelaway introducer, some physicians
prefer to dilate the vein before inserting the introducer.
• Thread the dilator(s) over the end of the guide wire and
advance into the vein using a rotating motion to assist passage
through the tissue.
CAUTION: As the dilator(s) pass through the tissue and into the
vasculature, ensure that the guide wire does not advance further
into the vein.
2. While maintaining guide wire position in the vein, advance the
locked peelaway introducer and dilator assembly over the
exposed guide wire and into the vein.
WARNING: Never leave the sheath in place as an indwelling catheter. Damage to the vein will occur.
3. Hold the sheath in place and unlock the dilator assembly by turning the rotating collar. Gently withdraw the dilator and wire from the sheath leaving the valved introducer in place.
NOTE: Leaving the guide wire in place after removing the dilator may cause the valve to leak.
CAUTION: Care should be taken not to advance the split sheath too far into the vessel as a potential kink would create an impasse to the catheter.

3. Mantenha a bainha no lugar e destrave o conjunto do dilatador ao rodar a braçadeira rotativa. Retire cuidadosamente o dilatador e o fio-guia da bainha, deixando o introdutor com válvula no lugar.
ATENÇÃO: é necessário usar de cuidado para não avançar em demasia a bainha dividida para o interior do vaso, dado que uma eventual dobra pode criar um obstáculo para o cateter.
https://meritemea.com/wp-content/uploads/2014/06/157523699-P...
Selected response from:

Teresa Borges
Portugal
Local time: 19:19
Grading comment
Grata!
4 KudoZ points were awarded for this answer



Summary of answers provided
3 +1cateter com bainha dividida
Teresa Borges


Discussion entries: 7





  

Answers


5 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +1
cateter com bainha dividida


Explanation:
Seria a minha sugestão em PT(pt), ver:

4. Make a small incision at the desired exit site of the tunneled catheter on the chest wall. The incision
should be wide enough to accommodate the cuff, approximately 1 cm.
5. Use blunt dissection to create the subcutaneous tunnel opening at the catheter exit site for the white
tissue ingrowth cuff, midway between the skin exit site and the venous entry site, approximately 2-3 cm
(minimum) from the catheter exit site.
WARNING: Do not over-expand the subcutaneous tissue during tunneling. Over-expansion may delay or
prevent cuff in-growth.
6. Make a second incision above and parallel to the first, at the venous insertion site. Enlarge the
cutaneous site with a scalpel and create a small pocket with blunt dissection to accommodate the small
remaining catheter loop (“knuckle”) of the catheter after the peel-away sheath is removed.
7. Attach the tunneler to the catheter’s venous lumen. Slide the tip of the catheter over the tri-ball
connection until it rests adjacent to the sheath stop.
8. Slide the tunneler sheath over the catheter making certain that the sleeve covers the arterial lumen. This
will reduce the drag in the subcutaneous tunnel as the apparitional bump and arterial port pass
through the tissue.
9. With the blunt tunneler, gently lead the catheter and tunneler connection into the exit site and create a
subcutaneous tunnel from the catheter exit site to emerge at the venous entry site.
CAUTION: The tunnel should be made with care to avoid damage to surrounding vessels. Avoid
tunneling through muscle.
CAUTION: Do not pull or tug the catheter tubing. If resistance is encountered, further blunt
dissection may facilitate insertion. The catheter should not be forced through the tunnel.
10. After tunneling the catheter, the tunneler can be removed by sliding the tunneler sheath away from the
catheter and pulling the tunneler from the distal tip of the catheter.
CAUTION: Avoid damage to the catheter by using a slight twisting motion.
CAUTION: To avoid damage to the catheter tip, keep the tunneler straight and do not pull it out at an angle.
CAUTION: Inspect catheter tip for damage before proceeding with procedure
INTRODUCTION OF THE VALVED PEELAWAY INTRODUCER
CAUTION: The sheath is not intended to create a complete two-way seal nor is it intended for
arterial use.
CAUTION: The sheath is designed to reduce blood loss but it is not a hemostasis valve. The valve may
substantially reduce the rate of blood flow but some blood loss through the valve may occur.
1. Insert the dilator through the valve and lock in place using the
rotating collar.
NOTE - Optional dilation:
• To ease insertion of the peelaway introducer, some physicians
prefer to dilate the vein before inserting the introducer.
• Thread the dilator(s) over the end of the guide wire and
advance into the vein using a rotating motion to assist passage
through the tissue.
CAUTION: As the dilator(s) pass through the tissue and into the
vasculature, ensure that the guide wire does not advance further
into the vein.
2. While maintaining guide wire position in the vein, advance the
locked peelaway introducer and dilator assembly over the
exposed guide wire and into the vein.
WARNING: Never leave the sheath in place as an indwelling catheter. Damage to the vein will occur.
3. Hold the sheath in place and unlock the dilator assembly by turning the rotating collar. Gently withdraw the dilator and wire from the sheath leaving the valved introducer in place.
NOTE: Leaving the guide wire in place after removing the dilator may cause the valve to leak.
CAUTION: Care should be taken not to advance the split sheath too far into the vessel as a potential kink would create an impasse to the catheter.

3. Mantenha a bainha no lugar e destrave o conjunto do dilatador ao rodar a braçadeira rotativa. Retire cuidadosamente o dilatador e o fio-guia da bainha, deixando o introdutor com válvula no lugar.
ATENÇÃO: é necessário usar de cuidado para não avançar em demasia a bainha dividida para o interior do vaso, dado que uma eventual dobra pode criar um obstáculo para o cateter.
https://meritemea.com/wp-content/uploads/2014/06/157523699-P...

Teresa Borges
Portugal
Local time: 19:19
Specializes in field
Native speaker of: Native in PortuguesePortuguese
PRO pts in category: 1252
Grading comment
Grata!

Peer comments on this answer (and responses from the answerer)
agree  Margarida Ataide
22 hrs
  -> Obrigada, Margarida!
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