Becton, Dickinson and Company · NYSE:BDX

Becton, Dickinson and — Technical Presentation (January 2020)

17 slides from Becton, Dickinson and's technical presentation, Jan 15, 2020

  1. Slide 1: Presenter disclaimer

    These presentations were developed by the respective presenter(s), and the findings, interpretations, and conclusions contained or expressed with them do not necessarily reflect the views of BD. To the extent these presentations relate to specific products, such products should always be used in acc

  2. Slide 2: Right choice of device, the role of the surgeon, complications with ports and PICCs

    Right choice of device, the role of the surgeon, complications with ports and PICCs MaCoVa 15th januari 2020 Dr. Boudewijn Moors

  3. Slide 3: Belgian situation

    26/02/2020 Belgian situation 1. Ports → Surgeon 2. Central line → Anesthesiologist 3. PICCs → Surgeon, Anesthesiologist, Radiologist Pagina 2

  4. Slide 4: Shift Central line → PICCs

    26/02/2020 Shift Central line → PICCs Pagina 3

  5. Slide 5: Two issues in long term IV access

    26/02/2020 Two issues in long term IV access 1. Complications 2. Right choice of device Pagina 4

  6. Slide 6: Complications

    26/02/2020 Complications 1. Surgery related 2. User related 3. Unexpected events Pagina 5

  7. Slide 7: Complications

    26/02/2020 Complications Ports PICCs Surgery related Infection Infection Pneumo/hemothorax Puncture site bleeding Bleeding User related Infection Infection Occlusion/malfunction Occlusion/malfunction Damaging Damaging Unexpected events Deep vein thrombosis Deep vein thrombosis Thrombephlebitis Accid

  8. Slide 8: Role of the surgeon

    26/02/2020 Role of the surgeon Pagina 7

  9. Slide 9: Role of the surgeon

    26/02/2020 Role of the surgeon PICC Zone Insertion MethodTM (ZIMTM): A Systematic Approach to Determine the Ideal Insertion Site for PICCs in the Upper Arm Robert B. Dawson Pagina 8

  10. Slide 10: Role of the surgeon

    26/02/2020 Role of the surgeon Pagina 9

  11. Slide 11: Right choice of device

    26/02/2020 Right choice of device Pagina 10

  12. Slide 12: Right choice of device

    26/02/2020 Right choice of device Pagina 11

  13. Slide 13: Perifeer IV / Midline IV decision chart (Dutch)

    26/02/2020 Perifeer IV <7 dagen Midline IV Perifeer IV Midline IV Goede venenkwaliteit ;otoon pHS9 Oedeem, cachexie, antico, <600 mOsm/L plaatjestekort Zwakke venenkwaliteit Comforttherapie thuis / RVT Acute vullingsnood Majeure ingrepen Centraal infuus Oplijnen Spoed/IZ Onafhankelijk van de duur be

  14. Slide 14: Right choice of device

    26/02/2020 Right choice of device Periferal IV < 7 days Midline IV Periferal IV Good vein quality Midline IV > 7 days Isotone solutions Poor vein quality pH 5-9 PICC Variable factors < 600 mOsm/L Comforttherapy PICC (nursery) home Acute fluid replacement Major surgery Central line ICU / ER Pagina 13

  15. Slide 15: Right choice of device

    26/02/2020 Right choice of device Independent in time of use PICC TPN < 7 d, > 7 d, at home Never Port Hypertone solutions pH < 5 of > 9 > 600 mOsm/L Limited therapy sessions PICC Chemotherapy Expended therapy sessions Port Pagina 14

  16. Slide 16: Role of the surgeon

    26/02/2020 Role of the surgeon Variable factors 1. Anticoagulation → PICC 2. Thrombocytopenia → PICC 3. Pacemaker, defibrillator, previous surgery breast/shoulder, radiotherapy? 4. Deep vein thrombosis upper limb? Pagina 15

  17. Slide 17: Role of the surgeon

    26/02/2020 Role of the surgeon Management and reduction complications Right choice of device Pagina 16

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