Current status of dialysis vascular access in Japan
At the second Dialysis Access Symposium held in Nagoya, Japan, a proposal was made to investigate the differences in vascular access methods used in different countries” Fukasawa (2019). Abstract: At the second Dialysis Access Symposium held in Nagoya, Japan, a proposal was made to investigate the differences in vascular access methods used in different countries. […]
Review of coated and uncoated central venous catheters
The objective of this review is to assess the comparative clinical effectiveness, as well as harms and safety, between coated CVCs and uncoated CVCs for critically ill adult patients” Yeung and Loshak (2019). Excerpt: The Canadian Agency for Drugs and Technologies in Health (CADTH) previously published a summary of abstracts report on the clinical effectiveness […]
Randomized controlled trial examines ultrasound-guided central venous catheterization
The combined short-axis-and-long-axis approach for ultrasound-guided central venous catheterization had a lower posterior wall puncture rate than the SA-OOP approach, but there was no significant difference with the long-axis in-plane approach” Takeshita et al (2019). Abstract: OBJECTIVE: The authors compared the occurrence of posterior wall puncture using the short-axis out-of-plane and long-axis in-plane approaches with […]
Monitoring of long-term parenteral nutrition in children
This narrative review summarizes the current knowledge and practices related to monitoring of children with IF. The authors also share their 20-year experience at the Royal Children’s Hospital in Melbourne Australia on this topic” Zemrani et al (2019). Abstract: Pediatric intestinal failure (IF) is a rare and complex condition associated with significant morbidity and mortality. […]
Jugular vein catheterization with the assistance of Y-shape imaging technique
We aimed to present a case in which the location of the guidewire was verified by Y-shape visualization with an endocavity micro-convex probe after a cannulation attempt. Successful internal jugular vein catheterization was achieved with the assistance of the Y-shape imaging technique and the patient was avoided from multiple cannulation attempts” Aydın et al (2019). […]
Nontunneled central venous catheter bloodstream infections in pediatric surgery
Despite the limits encountered, this report is the first to describe the incidence and risk factors of temporary central-line infections (nontunneled CVC and PICC) in pediatric patients that have undergone invasive surgery” Denina et al (2019). Extract The study has several limitations. It was performed in a single center, and only clinical CLABSIs were observed. […]
Skin complications associated with pediatric central venous access devices
This study aimed to identify the incidence and prevalence of CVAD-associated skin complications current management, and characteristics associated with complication development, in pediatrics” Ullman et al (2019). Abstract: Central venous access devices (CVADs) are vital to enable treatment for children with cancer and other complex health conditions. However, complications effecting the CVAD wound are commonly […]
Landmark technique versus ultrasonography guidance for jugular vein catheterization
The purpose of this study was to evaluate the effectiveness of needle-guiding ultrasound for internal jugular venous cannulation” Kayir et al (2019). Abstract: Background: Central venous catheterization is an invasive procedure that must be performed during cardiovascular surgery. The addition of ultrasound guidance to the catheterization technique has shown effectiveness in reducing complications because it […]
Recommendations for preservation of central venous access in children
Children with chronic illness often require prolonged or repeated venous access. They remain at high risk for venous catheter-related complications (high-risk patients), which largely derive from elective decisions during catheter insertion and continuing care. These complications result in progressive loss of the venous capital (patent and compliant venous pathways) necessary for delivery of life-preserving therapies” […]
Idiopathic jugular and subclavian vein thrombosis
While lower extremity deep venous thrombosis is common, upper torso thrombosis is a rare clinical condition and usually a complication of central venous catheterization or malignancy-related paraneoplastic syndromes” Agrawal et al (2019). Abstract: Venous thrombosis is a vascular disorder which is a consequence of Virchow’s triad: hypercoagulability, venous stasis, and endothelial injury. While lower extremity […]
Current state of dialysis vascular access management in Korea
Recently, the number of central venous hemodialysis catheter insertion has decreased, and tunneled hemodialysis catheter has been inserted more than non-tunneled hemodialysis catheter, indicating that vascular access has been created timely and the vascular access team has been educated about and following international guidelines” Kim et al (2019). Abstract: The prevalence rate and the incidence […]
Effectiveness of ECG PICC tip location in patients with AF
The observational study evaluated the effectiveness in terms of reliability of the intracavitary tip location system (ITLS) method, better known as the ECG method, for the correct positioning of the catheter tip in patients with atrial fibrillation (AFIB); the method exploits the recording of the electrical potential produced by the f waves, expression of the […]
Simulation-based central venous catheter insertion training
To reduce costs and increase the availability of training, a randomized controlled study evaluated central venous catheter (CVC) insertion training in the simulation laboratory with nonphysician competent facilitators (NPCFs) as instructors” Musits et al (2019). Abstract: INTRODUCTION: Healthcare simulation supports educational opportunities while maintaining patient safety. To reduce costs and increase the availability of training, […]
Removal of entrapped central venous catheter guide wire
Guide wire entrapment due to fraying during central venous catheter placement using the Seldinger technique is a rare complication” Bruthans et al (2019). Abstract: Extravasal guide wire entrapment due to fraying during central venous catheter placement using the Seldinger technique is a rare complication, which should be resolved as soon as possible. A 68-year-old male […]
Drawing blood from peripheral intravenous cannula compared with venepuncture
To synthesise the evidence evaluating if blood samples are similar if obtained from peripheral intravenous cannula compared with venepuncture” Coventry et al (2019). Abstract: AIMS: To synthesise the evidence evaluating if blood samples are similar if obtained from peripheral intravenous cannula compared with venepuncture. DESIGN: A systematic review and meta-analysis was undertaken. DATA SOURCES: Searches […]
Review of web-based learning for vascular access skills
The aim of this study was to explore the perception and effectiveness of web-based learning in facilitating the development of clinical skills in undergraduate nursing students” Barisone et al (2019). Abstract: Web-based learning, on its own or in combination with traditional teaching methods, has become a consolidated practice in many countries, and has been described […]
Central venous catheter digital education tool to deliver instructions to parents
The goal was to investigate whether the use of a DVD education intervention reduced adverse complications and improved parent education for homecare management of CVADs for pediatric patients with cancer” Raybin et al (2019). Abstract: BACKGROUND: Research on parent understanding of homecare management of external central venous access devices (CVADs) for children with cancer is […]
Superior vena cava syndrome associated with central venous catheter insertion
We present the first case of hyperacute SVC syndrome that developed within 6 hours of insertion of a CVC into a patient’s right internal jugular vein alongside a pre-existing right internal jugular tunnelled dialysis line. With removal of the line, the patient’s symptoms resolved completely within hours” Edginton and Fundytus (2019). Abstract: Superior vena cava […]
Needlestick injury prevention training among health care workers
The rate of human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) infections among health care workers that is caused by sharps injuries is higher in the Caribbean and Latin America than in other regions of the world” Akpinar-Elci, et al (2018). Abstract: The rate of human immunodeficiency virus (HIV), hepatitis […]
Central venous line associated deep vein thrombosis in children
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 […]
CLABSI reduction following implementation of an oral care bundle
Since the oral care and hygiene bundle was implemented, laboratory-confirmed bloodstream infection rates decreased from 1.05 to 0.54 per 1,000 catheter days, while mucosal barrier injury rates decreased from 2.98 to 1.27 per 1,000 catheter days” Kemp et al (2019). Abstract: Children with cancer often undergo treatments that render them severely immunocompromised. Side effects of […]
Systematic review examines chlorhexidine-impregnated dressings for CLABSI prevention
Chlorhexidine-impregnated dressing is beneficial to prevent CVC-related complications. Future studies are warranted to assess the role and cost-effectiveness of Chlorhexidine-impregnated dressings” Wei et al (2019). Abstract: BACKGROUND: Several randomized controlled trials (RCTs) evaluated the role of Chlorhexidine-impregnated dressing for prophylaxis of central venous catheter (CVC) related complications, but the results remained inconsistent, updated meta-analyses on […]
Outcomes of femoral and jugular tunneled hemodialysis catheters
Regarding this, the present study aimed to assess the success, patency, as well as early and late complications of cuffed femoral and jugular hemodialysis catheters” Sepas et al (2019). Abstract: The design of a suitable catheter to achieve a permanent, economical, and efficient vascular pathway for hemodialysis has been always accompanied by difficult and potential […]
Evaluation of the quality of sterile compounding videos available on YouTube
The objective of this study was to evaluate the quality of instructional sterile compounding videos posted on a popular video-sharing website (YouTube)” Sluggett et al (2019). Abstract: The objective of this study was to evaluate the quality of instructional sterile compounding videos posted on a popular video-sharing website (YouTube). YouTube was systematically searched using relevant […]
Procalcitonin as a predictive marker for CLABSI in children
In this study, we sought to determine the diagnostic accuracy of procalcitonin in predicting bacteremia in children with a central line and fever” Damman et al (2019). Abstract: OBJECTIVES: Unnecessary use of antibiotics is an increasing problem. In this study, we sought to determine the diagnostic accuracy of procalcitonin in predicting bacteremia in children with […]
Management of candidaemia with reference to the ECMM quality indicators
The European Confederation of Medical Mycology (ECMM) has recently proposed the ECMM Quality of Clinical Candidemia Management (EQUAL) scoring criteria which provide an objective measure of adherence to various good practice recommendations” Nemer et al (2019). Abstract: BACKGROUND: Candidaemia is associated with high mortality. The European Confederation of Medical Mycology (ECMM) has recently proposed the […]
Usefulness of fenestrated intravenous catheters for coronary CT angiography
We suggest that fenestrated IV catheter is useful in terms of higher vascular attenuation and lower injection pressure for coronary computed tomography angiography” Kim et al (2019). Abstract: PURPOSE: To compare the fenestrated intravenous (IV) catheter and nonfenestrated conventional IV catheter in terms of contrast enhancement and injection pressure for coronary computed tomography angiography. METHODS: […]
Prescribing intravenous fluid therapy in acutely ill patients
Prescribing intravenous fluids is a complex process involving a decision on the type, composition, dose, rate and possible toxicity of the particular solution” Matějovič et al (2019). Abstract: Intravenous fluid therapy is the most frequent therapeutic intervention in acutely hospitalized patients. They are administered in order to resuscitate the circulation in hypovolemia-associated shock states, to […]
Vertebral artery injury following misplaced internal jugular vein catheter withdrawal
The following is an unusual case of delayed presentation of a right vertebral artery injury due to central venous cannulation which resulted in a posterior circulation stroke” Pau and Aini (2019). Abstract: Central venous cannulation is a common procedure done for various medical indications. The use of the central venous cannula is associated with various […]
Training family members in home parenteral nutrition care
To report the experience of the training in home parenteral nutrition (PN) directed to family members of children and adolescents participating in a multidisciplinary intestinal rehabilitation program of a tertiary public hospital” Witkowski et al (2019). Abstract: OBJECTIVE: To report the experience of the training in home parenteral nutrition (PN) directed to family members of […]