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Central venous line associated deep vein thrombosis in children

vascular access

The presence of central venous line (CVL) is a major contributing risk factor with conflicting data on the relative risk of DVT with various types of central lines” Dhir et al (2019). Abstract: An increase in the incidence of deep vein thrombosis (DVT) has been reported in pediatric patients over the past decade. The presence […]

Clinical evaluation of two central venous catheter stabilization systems

CVC

We report a comparison of a suture-free system with standard sutures for securing short-term CVC in an international multicentre, prospective, randomized, non-blinded, observational feasibility study” Karpanen et al (2019). Abstract: Background: Central venous catheters (CVCs) are commonly secured with sutures which are associated with microbial colonization and infection. We report a comparison of a suture-free […]

Spinal infections among patients with long-term central venous catheters

CLABSI

Spinal infections are a rare yet serious metastatic complication of bacteremia among patients with long-term central venous catheters (CVCs) for which clinicians must remain vigilant” Topan et al (2017). Abstract: Spinal infections are a rare yet serious metastatic complication of bacteremia among patients with long-term central venous catheters (CVCs) for which clinicians must remain vigilant. […]

Mobilized peripheral blood stem cell apheresis via Hickman catheter

Disinfection caps

These data indicate the reliable feasibility and efficacy of mobilized apheresis via an indwelling Hickman catheter” Doberschuetz et al (2-19). Abstract: BACKGROUND: Autologous stem cell transplantation remains an integral treatment tool for certain childhood malignancies. In children, a central venous catheter is typically necessary to provide adequate flow rates for preparative apheresis. In this study, […]

Central venous access with accelerated seldinger technique

CVC training

In the simulated setting, the accelerated Seldinger technique using combination CVC devices is a faster and easier method for CVC placement compared to the modified Seldinger technique” Thaut et al 920180. Abstract: BACKGROUND: Central vein catheter (CVC) placement using the modified Seldinger technique is a common procedure in the emergency department, but can be time […]

Interventions to treat obstructive long-term central venous catheter in cancer patients

IV Flush

The aim of this systematic review was to identify the interventions used to treat obstructive events, whether thrombotic or non-thrombotic, in long-term central venous catheters (LT-CVC) in cancer patients” da Costa et al (2018). Abstract: PURPOSE: The aim of this systematic review was to identify the interventions used to treat obstructive events, whether thrombotic or […]

ASPEN guidelines for the selection and care of CVAD

parenteral nutrition

This document represents the American Society for Parenteral and Enteral Nutrition (ASPEN) clinical guidelines to describe best practices in the selection and care of central venous access devices (CVADs) for the infusion of home parenteral nutrition (HPN) admixtures in adult patients” Kovacevich et al (2018). Abstract: This document represents the American Society for Parenteral and […]

Interventions to reduce unnecessary central venous catheter use

PICC

To identify, describe, and evaluate interventions to reduce unnecessary central venous catheter (CVC) use to prevent central-line-associated bloodstream infections (CLABSIs) in adults” Xiong and Chen (2018). Abstract: OBJECTIVE: To identify, describe, and evaluate interventions to reduce unnecessary central venous catheter (CVC) use to prevent central-line-associated bloodstream infections (CLABSIs) in adults. DESIGN: Systematic review. METHODS: The […]

Patient satisfaction following insertion of tunnelled central venous catheter

IVSafety

We performed a randomised control trial comparing the effects of pain, sedation, amnesia and overall patient satisfaction between PCS and RCS, by enrolling forty patients undergoing insertion of a tunnelled central line” Clements et al (2018). Abstract: INTRODUCTION: Interventional Radiology procedures can provoke anxiety and may be painful. Current practice, Radiologist Controlled Sedation (RCS), involves […]

Central venous catheter placement in a persistent left-sided superior vena cava

picc tip

This case report describes placement of a dialysis catheter in a 55-year-old patient with PLSVC and subsequent complications following the uncertainty of the placement” Bak and Nørskov (2018). Abstract: Persistent left-sided superior vena cava (PLSVC) is a central venous anomaly in up to 0.5% of the population. It is usually asymptomatic due to drainage into […]

Study represents largest analysis of ultrasound-guided access for children

CLABSI

This study represents the largest analysis of ultrasound-guided access for children. A complete practice transition to the ultrasound-guided approach was feasible within a two-year period” Criss et al (2018). Abstract: BACKGROUND: Use of ultrasound-guidance for central venous access in adults is the standard of care. There is, however, less clarity in the role of routine […]

Taiwan must promote the central venous catheter bundle approach more effectively

Intravenous catheter securement

Despite recent efforts in Taiwan to reduce the risk and incidence of central venous catheter associated bloodstream infections (CABSI), the results as reported by the Taiwan Centers for Disease Control, when compared with the results achieved in the USA, indicate that Taiwan must promote the central venous catheter bundle approach more effectively” Sun and Chen […]

Tunneled central venous catheters hemodialysis patient mortality and morbidity

PICC uedvt

We examined the association between catheter use for maintenance hemodialysis (HD) and mortality/hospitalization in a cohort of patients with prevalent HD” Chiu et al (2018). Abstract: PURPOSE: We examined the association between catheter use for maintenance hemodialysis (HD) and mortality/hospitalization in a cohort of patients with prevalent HD. METHODS: In this study, 70 HD patients […]

Cuffed-tunnelled central venous catheter insertion in pediatric patients

cvad

To summarize the characteristics of cuffed-tunneled catheters insertion and investigate the values of cuffed-tunneled catheters in pediatric patients” Wang et al (2018). Abstract: Objective: To summarize the characteristics of cuffed-tunneled catheters insertion and investigate the values of cuffed-tunneled catheters in pediatric patients. Methods: Between March 2015 and July 2017, all the pediatric patients who received […]

Extensive overview of central venous access device complications

Intravenous catheter securement

Central venous catheterization is a skill frequently needed in the acute care setting. Patients who have multiple, noncompatible intravenous (IV) medications with limited peripheral access, or who are being given vasoactive or phlebosclerotic agents may not be suitably cared for with a peripheral IV alone” England and Bhimji (2018). Excerpt: Central venous catheterization is a […]

Air embolism following removal of central venous catheter

shock

We report a case of cerebral air embolism with loss of consciousness after removal of CVC caused by pulmonary arteriovenous malformation (PAVM)” Kugiyama et al (2018). Abstract: Cerebral air embolism following central venous catheter (CVC) removal is extremely rare. We report a case of cerebral air embolism with loss of consciousness after removal of CVC […]

Narrative review of long-term central venous access devices for the intensivist

ECMO catheter

Long-term central venous access devices are increasingly prevalent and consequently often encountered by intensivists” Moir and Bodenham (2018). Abstract: Long-term central venous access devices are increasingly prevalent and consequently often encountered by intensivists. This review introduces the different types of long-term central venous access devices, outlines their potential utility, examines potential complications associated with their […]