Inadvertent traumatic fracture of central venous catheter
We report a traumatic inadvertent transection of central venous catheter that migrated through a donor transplanted liver and was found to be lodged in the recipient’s right ventricle. The catheter was retrieved under fluoroscopy using a trilobed snare device” Obaid et al (2018). Abstract: Central venous catheters play a pivotal role in the perioperative support […]
Patients with diabetes are at higher risk of recurrent catheter-related thrombosis
Fibrinolysis is one of the methods extending the use of vascular access in patients with tunneled venous catheters thrombosis. The aim of this study was to assess one-year maintenance of tunneled catheters patency after first effective thrombolysis with urokinase and identify its predictors” Wójtowicz et al (2018). Abstract: INTRODUCTION: Fibrinolysis is one of the methods […]
Guidelines ensure phlebotomy is a safe and patient-centered procedure
It offers guidance on the requirements for ensuring that blood collection is a safe and patient-centered procedure and provides practical guidance on how to successfully overcome potential barriers and obstacles to its widespread implementation” Simundic et al (2018). Abstract: This document provides a joint recommendation for venous blood sampling of the European Federation of Clinical […]
Lightly embalmed cadavers for simulation in US-guided procedures
As a feasible alternative, we describe the innovative use of a lightly embalmed cadaver for realistic practice of common interventional radiology (IR) procedures prior to direct patient care” Meek et al (2018). Abstract: RATIONALE AND OBJECTIVES: Competency in ultrasound (US) imaging and US-guided procedures is often difficult for medical students and residents to master. The […]
In vitro study of 0.01% hypochlorous acid as an alternative skin antiseptic
Compare the in vitro efficacy of hypochlorous acid 0.01% (HA), povidone iodine 5% (PI), chlorhexidine gluconate 4% (CHG), and isopropyl alcohol 70% (IPA) against common skin microorganisms” Anagnostopoulos et al (2018). Abstract: OBJECTIVE: Compare the in vitro efficacy of hypochlorous acid 0.01% (HA), povidone iodine 5% (PI), chlorhexidine gluconate 4% (CHG), and isopropyl alcohol 70% […]
Internal jugular venous valve as a cause of difficult central venous access
We report the case of a patient in whom the presence of a valve in the internal jugular vein did not permit a vascular access to be obtained through this vessel” Ciércoles Ramírez et al (2018). Abstract: Central venous cannulation is a commonly performed procedure in the hospital setting, while the internal jugular vein is […]
Totally implantable port with a Mycobacterium fortuitum infection
However, Mycobacterium fortuitum, a predominant organism, in catheter-associated infections, has rarely been documented in totally implantable venous access port (TVIAP)-associated bloodstream infections” Ye et al (2018). Abstract: RATIONALE: Rapidly growing mycobacteria (RGM) are well-known causative agents of human infections, particularly in immunocompromised hosts. However, Mycobacterium fortuitum, a predominant organism, in catheter-associated infections, has rarely been […]
Eye tracking offers the possibility of reducing the incidence of needlestick injuries
Novice health care students suffer more needlestick injuries (NSIs) than experts. NSIs may be prevented by learning experts’ behavior during this procedure. Eye tracking offers the possibility to study both experts’ and novices’ eye behavior during this task” Sanchez et al (2018). Abstract: BACKGROUND: Novice health care students suffer more needlestick injuries (NSIs) than experts. […]
Ultrasound-guided liposuction for hidden arteriovenous fistulas in obese patients
To achieve reliable puncturability, there are several surgical solutions. Superficialization with mobilization is common. With some newer options (lipectomy and liposuction) subcutaneous adipose tissue is surgically reduced. There are only a few authors who have published their experience with liposuction and we want to add our own results” Cs Nagy et al (2018). Abstract: BACKGROUND: […]
Large pseudoaneurysm of the neck related to central venous catheter placement
A 33-year old woman with suspected pulmonary embolism, developed a pseudoaneurysm of the neck three days after a CVC placement in the right internal jugular vein, determining compression to adjacent neck structures” Palermo et al (2018). Abstract: RATIONALE: Central venous catheter (CVC) placement, particularly in emergency setting, may be associated with significant morbidity and mortality. […]
Approaches to infection prevention in the neurointensive care unit
We conducted a systematic review of studies targeting adult patients in neuro-intensive care units (neuro-ICUs) with an intervention designed to prevent ICU-acquired infections” Lord et al (2018). Abstract: Hospital-acquired infections are common in neurointensive care units. We sought to review interventions which may reduce infection rates in neurocritically ill populations. We conducted a systematic review […]
Percutaneous vascular access system for hemodialysis catheters
The DermaPort™ system can be effectively implanted and facilitates catheter interventions in hemodialysis patients requiring long-term catheter use and has a lower infection rate than historical catheter infection rates” Rajan et al (2018). Abstract: INTRODUCTION: Dysfunctional or infected hemodialysis polyester-cuffed catheters often require removal and are dissected out. The DermaPort™, percutaneous vascular access system (PVAS) […]
Direct cost of maintenance of totally implanted central venous catheter patency
To identify the average direct cost of maintaining the patency of totally implanted central venous catheter with heparin at a Day Hospital of a public hospital of high complexity specialized in the treatment of cancer patients, and estimate the average direct cost of replacing heparin with sodium chloride 0.9%” Homo and Lima (2018). Abstract: OBJECTIVE: […]
Arteriovenous shunts as venous access in children with haemophilia
Arteriovenous shunts provide a good alternative to CVAD and carry a lower risk of complications. AVSs allow earlier start of prophylaxis and home therapy with an improved quality of life for patients and families” Them et al (2018). Abstract: INTRODUCTION: Venous access is essential in patients with haemophilia for administration of factor concentrates. Peripheral venipuncture […]
Post-exposure prophylaxis following occupational exposure to HIV and hepatitis B
We aim to examine the utilisation and outcome of post-exposure prophylaxis (PEP) for both HIV and hepatitis B (HBV) among HCWs” Abubakar et al (2018). Abstract: BACKGROUND: Healthcare workers (HCWs) have an increased risk of occupational exposure to blood-borne pathogens. AIMS/OBJECTIVES: We aim to examine the utilisation and outcome of post-exposure prophylaxis (PEP) for both […]
Loss of guide wire as a complication of central venous catheterization
Here we report a case of lost guide wire following central venous line insertion” Najari et al (2018). Abstract: Many critically ill patients need aggressive procedures, such as central venous catheterization. The complication rate of central venous line placement is estimated to be 15%. Common complications include arterial puncture, hematoma, pneumothorax, hemothorax, arrhythmia, thoracic duct […]
Utility of central venous pressure measurement in renal transplantation
Our work sheds some light on the available published data in renal transplantation, together with data from other disciplines evaluating the utility of central venous pressure measurement” Aref et al (2018). Abstract: Adequate intravenous fluid therapy is essential in renal transplant recipients to ensure a good allograft perfusion. Central venous pressure (CVP) has been considered […]
Establishing catheter-related bloodstream infection surveillance to drive improvement
This article describes the journey of one hospital trust to set up a surveillance process for CRBSI across all specialties of the trust and to reduce CRBSI” Hallam et al (2018). Abstract: BACKGROUND: Catheter-related blood stream infections (CRBSI) are an important complication of central venous access devices but are often poorly measured. This article describes […]
Cardiac tamponade by peripherally inserted central catheter in preterm infants
To determine the incidence of pericardial effusion with cardiac tamponade in preterm infants in a pediatric intensive care unit, with emphasis on the relationship between pericardial effusion and peripherally inserted central catheter, and to evaluate the role of bedside ultrasound in approaching these cases” Barreiros et al (2018). Abstract: OBJECTIVE: to determine the incidence of […]
Adverse events related to extended-dwell peripheral intravenous access
Midline catheters (MCs) may be useful to avoid repeated venipuncture in patients requiring prolonged intravenous infusions with limited adverse events (AEs)” Campagna et al (2018). Abstract: Midline catheters (MCs) may be useful to avoid repeated venipuncture in patients requiring prolonged intravenous infusions with limited adverse events (AEs). We analyzed 2 Italian hospital databases to ascertain […]
Incidence of symptomatic upper limb venous thrombosis associated with midline catheters
The evaluation of the incidence of symptomatic upper limb venous thrombosis (ULVT) associated with midline catheters in patients admitted to the hospital” Lisova et al (2018). Abstract: AIM: The evaluation of the incidence of symptomatic upper limb venous thrombosis (ULVT) associated with midline catheters in patients admitted to the hospital. METHODS: The frequency of symptomatic […]
Persistent left-sided SVC is present in approximately 0.3% to 0.5% of the population
A review of a computed tomography (CT) scan of the chest with contrast done on a prior admission revealed a duplicated SVC on the left side that had not been reported in the original CT scan interpretation” Paik et al (2018). Abstract: Central venous catheters are placed in approximately five million patients annually in the […]
Incidence of infusion therapy related complications in home-based settings
Home-based medical care is rapidly expanding in Japanese health care settings. We aimed to clarify the implementation status of drip injection with peripheral venous catheters (PVCs) and the incidence of related complications” Nakayama et al (2018). Abstract: BACKGROUND/AIMS: Home-based medical care is rapidly expanding in Japanese health care settings. We aimed to clarify the implementation […]
The “rapid atrial swirl sign” for assessing central venous catheter tip location
Central venous catheter (CVC) placement is a standard procedure in critical care. Ultrasound guidance during placement is recommended by current guidelines, but there is no consensus on the best method for evaluating the correct CVC tip position. Recently, the “rapid atrial swirl sign” (RASS) has been investigated in a limited number of studies” Korsten et […]
Risk factors related to peripherally inserted central catheter removal in neonates
We aimed to investigate the incidence and risk factors associated with nonselective removal of peripherally inserted central venous catheter (PICC) in neonates” Yu et al (2018). Abstract: We aimed to investigate the incidence and risk factors associated with nonselective removal of peripherally inserted central venous catheter (PICC) in neonates. In this prospective cohort study, neonates […]
How to manage intravenous fluid therapy in sepsis
Among critically ill adults, sepsis remains both common and lethal. In addition to antibiotics and source control, fluid resuscitation is a fundamental sepsis therapy. The physiology of fluid resuscitation for sepsis, however, is complex” Brown and Semler (2018). Abstract: Among critically ill adults, sepsis remains both common and lethal. In addition to antibiotics and source […]
Collaborative establishment of difficult vascular access approach
Our case report focuses on the complex establishment of iliac artery access for invasive blood pressure monitoring by initially cannulating the carotid artery” Horn et al (2018). Abstract: Tetra-amelia is a rare congenital disorder characterized by the absence of limbs. We describe the anesthetic management of a 29-year-old woman with tetra-amelia who underwent general anesthesia […]
Exploring the causes of peripheral intravenous catheter failure
This study examined catheter shape just after removal to evaluate the causes of catheter failure according to site” Murayama et al (2018). Abstract: The risk of peripheral intravenous catheter failure varies according to the insertion site. This study examined catheter shape just after removal to evaluate the causes of catheter failure according to site. This […]
Phlebitis-related peripheral venous catheterization and the associated risk factors
The phlebitis in individuals receiving intravenous (IV) treatment was higher than the rate defined by both the centers for disease control and prevention and IV nurses society. It may be recommended to assess phlebitis by VIP assessment scale and to take preventive measures specifically for development of phlebitis” Atay et al (2018). Abstract: BACKGROUND AND […]
Comparison of flow pressures in different 3-way infusion devices
In this study, we aim to determine the pressures generated in common 3-way infusion devices, using simple low-cost equipment available and currently in use in the operating theatre environment” Chua and Ratnavadivel (2018). Abstract: BACKGROUND: The use of multiple infusions through one cannula is an increasingly common practice in anaesthesia. High pressures in the line […]