Technique for removing a fibrin sheath from implantable port
We describe a novel technique for removing a fibrin sheath by exteriorizing the catheter through the neck entry site, stripping the fibrin sheath from the catheter manually under sterile conditions and replacing the catheter via a peel-away sheath introduced through the same skin incision as an alternative to complete port replacement or attempted catheter stripping” […]
Implantable port misplacement as a cause of catheter malfunction
However, port CVC misplacement may lead to catheter malfunction (such as partial or total catheter blockade), which might be complicated by thrombosis and catheter superinfections, and these in turn may lead to pulmonary embolism and bloodstream infections” Mauri et al (2018). Abstract: The use of port central venous catheters (CVCs) for chemotherapeutical use has seen […]
PICC placement in medical-surgical neonatal intensive care units
To compare outcomes of peripherally inserted central catheters (PICCs) placed in the upper extremity (UE) versus the lower extremity (LE) in a quaternary medical-surgical neonatal intensive care unit (NICU)” Elmekkawi et al (2018). Abstract: OBJECTIVE: To compare outcomes of peripherally inserted central catheters (PICCs) placed in the upper extremity (UE) versus the lower extremity (LE) […]
Air embolism following removal of central venous catheter
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 […]
Sodium citrate versus heparin as IV locking solution for central venous catheters
Citrate 4% lock solution is equally effective as heparin in maintaining catheter patency in dialysis patients. It may have a favorable effect on prevention of catheter-related infection due to its additional antiseptic properties as compared to heparin” Abdel Azim et al (2018). Abstract: BACKGROUND: Limited reports are available on the role of 4% citrate as […]
Narrative review of long-term central venous access devices for the intensivist
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 […]
Vascular access thrombosis contributory factors in hemodialysis patients
The aim of this study was to assess von Willebrand factor (VWF), and a disintegrin and metalloproteinase with eight thrombospondin-type 1 motif (ADAMTS13) levels in HD patients and their association with vascular access thrombosis (VAT)” Elzorkany et al (2018). Abstract: Vascular access complications are major issues in hemodialysis (HD) patients, which increase their morbidity and […]
How to use adrenaline in the acute treatment of anaphylaxis
The immediate treatment of patients with anaphylaxis is held to be adequate, yet major deficiencies remain in their further diagnostic evaluation, in the prescribing of emergency medications, and in patient education” Ring et al (2018). Abstract; BACKGROUND: Anaphylaxis is the most serious manifestation of an immediate allergic reaction and the most common emergency event in […]
Technique for placement of tunneled cuffed central venous catheter
We retrospectively compared the Micropuncture kit with the standard 18-gauge Angiocath IV catheter for tunneled cuffed catheter insertion in the right jugular vein” Lee et al (2018). Abstract: Introduction: Tunneled cuffed catheters provide stable, instantaneous, long-term intravenous access for hemodialysis. Because catheterization is often performed in emergency situations, speed and accuracy are emphasized. Methods: We […]
IV lock solution for central venous catheter salvage
We report several cases of catheter salvage using antibiotic lock solution in staphylococcal bacteremia with the purpose of stimulating the interest in randomized clinical trials. Evaluating the risk and benefits of catheter salvage in this patient subset in light of optimized systemic antibiotic dosing, improved lock solution use, and multidisciplinary involvement, balanced with the critical […]
Predicting and preventing needlestick and sharp injuries
The aim of the present study was to use a systematic approach for predicting and reducing these injuries” Akbari et al (2018). Abstract: PURPOSE: Recent studies have shown that the rate of needlestick and sharp injuries (NSIs) are unacceptably high in Iranian hospitals. The aim of the present study was to use a systematic approach […]
HIV postexposure prophylaxis among professional health-care workers
Accidental transmission of HIV infection to HCWs during occupational exposure is a real threat today. The study aimed to assess the knowledge, attitude, and practice of postexposure prophylaxis (PEP) among HCWs in a tertiary health institution in Sokoto, Northwestern Nigeria” Oche et al (2018). Abstract: INTRODUCTION: The prevention of human immunodeficiency virus (HIV/AIDS) among health-care […]
What is the stability of intravenous vitamin C solutions
Our findings suggest that vitamin C solutions of 1.5 g per 50 mL of 0.9% saline and 2.5 g per 50 mL of D5W remain stable for up to 96 hours and do not need to be protected from light” Carr et al (2018). Abstract: BACKGROUND: There has recently been a surge of interest in […]
Difficult vascular access solution in a patient on chronic hemodialysis
atients with central venous catheters (CVCs) are prone for recurrent infections, vascular thrombosis, and vascular stenosis, which contribute to significant morbidity and mortality. We present a case of a 31-year-old male who had a transhepatic hemodialysis catheter lasting for 4.5 years” Kumar et al (2018). Extract: Long-term chronic hemodialysis in patients with end-stage renal failure […]
Non-antibiotic antimicrobial catheter lock solutions in patients on home parenteral nutrition
Recently, however, with the advent of non-antibiotic antimicrobial catheter lock solutions, this approach is gaining popularity as a promising method to decrease rates of CRBSI in HPN patients” Noelting et al (2018). Abstract: Patients on home parenteral nutrition (HPN) are dependent on central venous access for long-term sustenance, and catheter-related bloodstream infections (CRBSIs) are a […]
Frequency of surveillance for central-line-associated bloodstream infections
Sampling over 2 fixed days per week provides a valid alternative to daily collection of CLABSI denominator data” Kourkouni et al (2018). Abstract: BACKGROUND: Active daily surveillance of central-line days (CLDs) in the assessment of rates of central-line-associated bloodstream infections (CLABSIs) is time-consuming and burdensome for healthcare workers. Sampling of denominator data is a method […]
Repair of damaged central venous catheters is safe and doubles catheter survival
The aim of this study was to evaluate the effectiveness and safety of catheter repair in our cohort of intestinal failure patients” Wouters et al (2018). Abstract: BACKGROUND & AIMS: Repeated central venous catheter loss due to complications, including material breakage, compromises the options to obtain adequate vascular access in home parenteral nutrition (HPN) patients. […]
Patient self-management of PICC assisted with WeChat smartphone application
It appears that WeChat follow-up can help improve the incidence of complications, self-care ability, PICC maintenance dependence, and patient satisfaction. However, the WeChat application itself cannot improve patients’ self-management ability. Abstract: WeChat is a smartphone application that may help patients self-manage peripherally inserted central catheters (PICC), although additional data are needed regarding this topic. This […]
Needlestick injuries are the main cause of biological injuries to health care workers
Three hundred and thirty-five injuries were reported from 2010 to 2016, occurring mainly in the morning (54%) and frequently caused by needlestick (70%)” Cofini et al (2018). Abstract: BACKGROUND: Biological injuries are the most common and serious among health care workers. OBJECTIVES: This study aims to estimate the injuries’ incidence, job distribution and temporal trend […]
Preventing central venous catheter protein adsorption with water infused surface protection
We present further analysis of the previously proposed water infused surface protection (WISP) technology, an active method to reduce protein adsorption and effectively disrupt adsorbed protein sheaths on the inner surface of CVCs” Sutherland et al (2018). Abstract: Central venous catheters (CVCs) are implanted in the majority of dialysis patients despite increased patient risk due […]
How does hypovolemia change the size of the jugular vein in adult patients
The present study is aimed at establishing the values of internal jugular vein (IJV) anterior-posterior and medial-lateral sizes in patients with hypovolemia” Urakov et al (2018). Abstract: The present study is aimed at establishing the values of internal jugular vein (IJV) anterior-posterior and medial-lateral sizes in patients with hypovolemia. A total of 25 adult Intensive […]
Pasteurella multocida central venous catheter infection
Pasteurella Multocida bacteremia in the presence of a long-term central venous catheter is potentially curable using 2 weeks of intravenous antibiotics and line retention” Martin et al (2018). Abstract: BACKGROUND: There are as many as 300,000 visits to the emergency department in the USA with animal bites every year. The most common infection after cat […]
Infusion or intermittent bolus administration of IV furosemide in dogs and cats
The aim of this study was to determine whether the addition of constant rate infusion (CRI) to intermittent intravenous bolus (IVB) administration of furosemide resulted in an improvement in medical outcomes in dogs and cats with acute left-sided congestive heart failure (L-CHF)” Ohad et al (2018). Abstract: The aim of this study was to determine […]
Insulin pumps and continuous glucose monitoring systems
Summarize safety issues related to patients using insulin pump therapy and continuous glucose monitoring systems (CGMS) in the outpatient setting” Thompson et al (2018). Abstract: PURPOSE OF REVIEW: Summarize safety issues related to patients using insulin pump therapy and continuous glucose monitoring systems (CGMS) in the outpatient setting when they are hospitalized and to review […]
Optimal infusion rate for a range of IV antibiotic therapy
Sporadic studies in antimicrobial therapy have evaluated the effects of infusion rates on therapeutic and economic outcomes, and new findings may challenge the regular infusion regimen” Zhu and Zhou (2018). Abstract: BACKGROUND: Sporadic studies in antimicrobial therapy have evaluated the effects of infusion rates on therapeutic and economic outcomes, and new findings may challenge the […]
Outcomes associated with use of peripherally inserted central catheters in cancer patients
The focus of this prospective observational research is to study the various indications of a peripherally inserted central catheter (PICC) in different solid and hematological malignancies and the various complications and outcomes in the pediatric and adult cancer patients” Madabhavi et al (2018). Abstract: Effective and reliable venous access is one of the cornerstones of […]
Hemodialysis catheters in patients with bilateral internal jugular vein occlusion
This a prospective cross-sectional follow-up study of the alternative approaches for placement of cuffed hemodialysis catheters in end-stage renal disease patients with bilateral internal jugular vein occlusion from the interventional nephrology point of view” Gouda et al (2018). Abstract: INTRODUCTION: Internal jugular vein occlusion often makes necessary the use of less desirable routes as external […]
Cyanoacrylate catheter securement has an additional hemostatic effect
The purpose of this study is to use novel in vitro and in vivo testing methods to analyze the hemostatic effect of a catheter securement cyanoacrylate (cyanoacrylate)” Zhang et al (2018). Abstract: Purpose: The use of cyanoacrylate for intravenous catheter securement is of interest to clinicians and patients, because of the superior adhesive strength and […]
What is the usability of intraosseous blood samples in emergency care patients
The aim of this study was to systematically review the existing literature on the usability of IO blood samples for analysing the parameters relevant to emergency care. We performed a data search from the Medline and Embase databases, the Cochrane Library and the Clinical trials registry” Jousi et al (2018). Abstract: Intraosseous (IO) access is […]
Mid-thigh femoral central venous catheter placement case studies
An alternative location was selected for the insertion of a femoral vein central venous catheter in the midthigh to reduce the risk of infection” Ostroff and Moureau (2018). Abstract: Background: Bedside vascular access options have been limited to the short peripheral intravenous, midline catheter, peripherally inserted central catheter, and central venous catheter (CVC) insertion sites […]