Barriers to ultrasound guidance for central venous access
The goal of this study was to investigate current practice for central venous catheterization in anaesthesiology and intensive care in the Netherlands, identify barriers for
Conservative fluid management after sepsis resuscitation
The feasibility and clinical outcomes of conservative fluid management after sepsis resuscitation remain unknown” Semler et al (2019). Abstract: RATIONALE: The feasibility and clinical outcomes
Central venous catheter outcomes in critically ill children
This data suggests that the femoral site may be an important risk factor that should be considered in prevention strategies for catheter-associated VTE in children”
Long peripheral IV catheters for deep arm vein venous access
Long peripheral catheters (LPCs) offer a quick, simple and cost-effective alternative for venous access in intensive care patients with difficult venous access, but the decision
Focal myositis and contracture secondary to amiodarone extravasation
Amiodarone extravasation is well recognised to cause local injection site reactions. Involvement of deeper tissues is rare. To our knowledge, this is only the second
Complications associated with central venous access for hemodialysis in cancer patients
Central venous catheter implantation for hemodialysis is commonly performed in large centers and its complications are sometimes associated with insufficient training of those who perform
Impact of perioperative dextrose infusion and postoperative nausea and vomiting
In this meta-analysis, we investigated the use of an intraoperative or postoperative infusion of dextrose for the prevention of postoperative nausea and vomiting” Zorrilla-Vaca et
Buttonhole versus stepladder cannulation for home hemodialysis
Our primary objective was to determine the feasibility of randomizing patients with ESKD training for home hemodialysis to buttonhole versus stepladder cannulation of the AVF.
Skin complications associated with vascular access devices
To estimate the incidence of vascular access-associated skin complications, and to identify patient, catheter and healthcare-related characteristics associated with skin complication development” Ullman et al
A narrative review of the success of intramuscular gluteal injections
This paper is a review of the variables that affect the success of intramuscular injections and the implications that these success rates have in psychiatry
Outpatient ertapenem therapy in an ESBL-high-prevalence area
So far there are no reports on the efficacy of outpatient antimicrobial therapy in Mexico. Our objective was to determine the outcomes, safety, and cost
Cost of hospital administration of multiple myeloma drugs in Finland
To estimate the drug administration, travelling, and productivity costs associated with infusion or subcutaneous proteasome inhibitor (PI) treatments (specifically carfilzomib and bortezomib) for multiple myeloma
Chlorhexidine anaphylaxis in a perioperative context
Epidermal tests with 0.5 % chlorhexidine and serum chlorhexidine-specific immunoglobulin E (IgE) were performed, both with positive results” Calle et al (2018). Abstract: BACKGROUND: During
Outpatient parenteral antibiotic treatment of infective endocarditis
Outpatient parenteral antibiotic treatment (OPAT) has proven efficacious and safe for treating infective endocarditis (IE). However, the 2001 IDSA criteria for OPAT in IE are
Review of complications from tunneled hemodialysis catheters
Approximately one-third of hemodialysis patients who used tunneled CVCs during 1 to 2 years experienced complications” Poinen et al (2019). Abstract: RATIONALE & OBJECTIVE: Clinical
Spontaneous coiling of the distal tip of the implantable port
In this text a case is presented in which after installing a complete and intact port, some malfunction was detected in the chemotherapy procedure after
Variability of intravenous fluid administration during exploratory laparotomy
We sought to determine the types of crystalloid used during trauma laparotomies and the potential effects on resuscitation” Baker et al (2018). Abstract: BACKGROUND: Approximately
MRSA sepsis following clandestine intravenous infusion
Intravascular devices aid in drug administration and fluid replacement for hospitalized patients and are thus an integral part of modern medical care; however, poor aseptic
Presentation of a central venous catheter misplacement case
Placement was performed under ultrasound guidance, with confirmation of the wire within the venous lumen. Radiographs suggested that the introducer had perforated the innominate vein.
Peripheral intravenous access for extracorporal photopheresis
Extracorporal photopheresis (ECP) was shown to be effective without severe side effects in the treatment of cutaneous T cell lymphoma (CTCL) and graft versus host
Treatment of cancer-related venous thromboembolism
Cancer patients develop a hypercoagulable state with a four- to seven-fold higher thromboembolic risk compared to non-cancer patients” Grandoni and Alberio (2019). Abstract: Cancer patients
Financial impact of approaches to reduce bacterial contamination of platelet transfusions
Bacterial contamination of platelets remains the leading infectious risk from blood transfusion. Pathogen reduction (PR), point-of-release testing (PORt), and secondary bacterial culture (SBC) have been
Point of care analysis of intraosseous blood samples
IO samples can be used with a bedside point of care analyzer to rapidly obtain certain laboratory information during resuscitations when IV access is difficult”
Mechanisms of subcutaneous fluid administration in advanced illness
Despite considerable attention given to the topic including two recent Cochrane reviews, there has been no focus in systematically identifying papers that report the mechanisms
Incidence of serious central venous catheter procedural complications
This trainee-led snapshot study aimed to identify the number of central venous catheter insertions and the incidence of serious complications across multiple hospital sites within
What is the clinical evidence and usage patterns of intravenous fosftomycin?
We conducted a systematic review and meta-analysis to summarise the clinical evidence and usage patterns of intravenous fosfomycin from its development to the present time”
3D near infrared and ultrasound imaging of peripheral blood vessels
This paper presents a portable imaging device designed to detect peripheral blood vessels for cannula insertion that are otherwise difficult to visualize beneath the skin”
Stability of tacrolimus injection diluted in 0.9% sodium chloride injection
The chemical stability and physical compatibility of tacrolimus i.v. infusion solutions prepared in Excel bags and stored at 23 or 4 °C for up to
What are the risk factors for central venous catheter related thrombosis in children?
This study aims to be the first prospective, observational, multi-center, pediatric study to compare the VTE incidence between peripherally inserted central catheters (PICCs) and centrally
Are nerve conduction studies safe in patients with central venous catheters?
Nerve conduction studies of the upper extremities, including both proximal stimulations and repetitive stimulation, do not appear to confer increased risk of cardiac conduction abnormality
What are the non-intravenous routes for Benzodiazepines in epilepsy?
This is a narrative review of data about delivery methods for benzodiazepines alternative to the intravenous and oral routes for the acute treatment of seizures”
How to safely select patients for home hemodialysis
Often the main barrier to home haemodialysis remains suitable accommodation, particularly in inner cities. Once established at home, it is important to ensure that patient
Are chest X-ray required prior to the administration of tPA for VAD occlusion
Current practice at many institutions is to assess VAD position with a chest X-ray (CXR) prior to intraluminal administration of tissue plasminogen activator (tPA). We
Vascular access education in developing countries
We report our activities training doctors on vascular access procedures at International University (IU) Hospital in Cambodia through a program facilitated by Ubiquitous Blood Purification
What are the CLABSI risk factors in an adult intensive care unit?
To evaluate the incidence, risk factors and associated mortality of central line-associated bloodstream infection (CLABSI) in an adult intensive care unit (ICU) in India” Mishra
Clinical practice guideline for blood culture use in critically ill children
To determine whether a novel, 2-part, clinical practice guideline could decrease the rates of total blood cultures and cultures collected from central venous catheters in
Future trends in vascular access for hemodialysis
In summary, this chapter reflects on the shortcomings of current access modalities and discusses potential avenues to improve VA outcomes in the future” Shenoy (2017).
Intravenous versus oral antibiotics for outpatient treatment of pneumonia
Postdischarge treatment of complicated pneumonia includes antibiotics administered intravenously via a peripherally inserted central venous catheter (PICC) or orally” Shah et al (2016). Abstract: BACKGROUND
Impact of CHG washcloths on CLABSI rates in intensive care units
We assessed the impact of 2% daily patient bathing with chlorhexidine gluconate (CHG) washcloths on the incidence of hospital-acquired (HA) and central line-associated (CLA) bloodstream
Which is the best vein for vascular access port implantation?
The aim of the present study was to clarify the optimal access vein for CVAP implantation when performed by residents rather than attending surgeons” Matsushima
Example of augmented reality for central line insertion
This study evaluates the usability and feasibility of a first-person point-of-view-augmented reality (AR) trainer on needle insertion as a component of central venous catheter placement”
Is ultrasound useful to locate lost guide wires following central line placement?
This unique case highlights the importance of this technology in management of a complication arising from a central line placement in an intensive care unit
Postmortem diagnosis of fatal intravenous injection of potassium
Fatal cases of potassium overdoses have traditionally been considered indemonstrable due postmortem biochemical investigation limits (mainly potassium determination in postmortem serum and vitreous humor)” Palmiere
Pharmacokinetics of vancomycin during the initial loading dose
To characterize the pharmacokinetics (PK) of vancomycin in patients in the initial phase of septic shock” Katip et al (2016). Abstract: OBJECTIVE: To characterize the
Full text review examines the issue of central line bundles
The choice of an optimal catheter insertion site, use of all barrier precautions, and removal of catheters when they are no longer needed are essential
Teaching nurses ultrasound guided venipuncture
as the use of this technology represents an innovation aimed to facilitate difficult venipuncture and to provide subsidies to the most appropriate clinical decision-making, it
Using single-dose intravenous iron for iron deficiency
It is clear that in many clinical situations IV iron is a new and improved standard of care offering advantages over oral iron in efficacy,
Chemotherapy-induced implantable port extravasation
The lesion was slowly progressive with ulceration and bullae formation. A dye study showed that the catheter was intact and it was in position” Das
Missing guide wire after placement of peripherally inserted central catheter
Here we present a case of a missing guide wire after placement of peripherally inserted central catheter (PICC), which was incidentally picked up by bedside
Ultrasound for confirmation of central venous catheter position and exclusion of pneumothorax
Bedside ultrasound is faster than radiography at identifying pneumothorax after central venous catheter insertion. When a central venous catheter malposition exists, bedside ultrasound will identify
Case study describes PICC line placement alongside cardiac pacemakers
We share a case of two successful PICC insertions in a 97-year-old patient with bilateral pacemaker placement, that have not been reported previously” Sun et
Internal jugular dimensions and common carotid overlapping mapped
This preclinical study was designed to determine by ultrasound technique relative topographic characteristics in humans of the internal jugular veins and common carotid arteries at