Extensive overview of central venous access device complications
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 […]
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 […]
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 […]
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 […]
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 […]
Rates of central line-associated blood stream infection and venous thromboembolism
The purpose of our study is to compare the rate of central line-associated blood stream infections and venous thromboembolism in central venous catheters versus peripherally inserted central catheters in hospitalized children” Noonan et al (2018). Abstract: OBJECTIVES: The purpose of our study is to compare the rate of central line-associated blood stream infections and venous […]
Knowledge of central line catheter care provided to oncology patients
The aim of the present study was to assess the oncology nurses’ knowledge about central line catheters and their care, complications, and applications” Abu Sharour (2018). Abstract: The aim of the present study was to assess the oncology nurses’ knowledge about central line catheters and their care, complications, and applications. A descriptive cross-sectional design was […]
Ultrasound and saline flush technique for confirmation of central catheter tip
Our study investigated the reliability of appearance of rapid atrial swirl flow (RASF) by ultrasonography (US) in the right atrium (RA), which occurred as a result of rapid isotonic saline infusion (RISI) into the central venous catheter (CVC), in predicting catheter tip position” Yesilbas et al (2018). Abstract: Our study investigated the reliability of appearance […]
Diameter and depth of internal jugular and subclavian veins based on hand dominancy
The central veins’ catheterization, required in critically ill patients, is more successful in larger veins. Some researchers hypothesized that hand preference might be associated with larger ipsi/contra central veins” Salari et al (2018). Abstract: BACKGROUND: The central veins’ catheterization, required in critically ill patients, is more successful in larger veins. Some researchers hypothesized that hand […]
Sedation protocol for short painful procedures in newborns
The aim of this study is to evaluate the use and safety of a sedation protocol with sevoflurane for short painful procedures in newborns” Gomez et al (2018). Abstract: OBJECTIVE: The aim of this study is to evaluate the use and safety of a sedation protocol with sevoflurane for short painful procedures in newborns. STUDY […]
Diagnosis of air embolism from a central venous catheter
Here, we report a case of CAE associated with a central venous catheter in the internal jugular vein that resulted in neurological deficits and generalised epileptic seizures” Khaliq et al (2018). Abstract: Cerebral air embolism (CAE) is a rare, avoidable and potentially fatal iatrogenic complication. Here, we report a case of CAE associated with a […]
Vancomycin levels tested from a central venous catheter
Carryover from prior infusions does not appear to jeopardize measurements of piperacillin-tazobactam, meropenem, or vancomycin in commonly used vascular catheters at our institution” Marsh et al (2018). Abstract: BACKGROUND: Therapeutic drug monitoring is used for aminoglycosides and vancomycin, and has been proposed for β-lactam antibiotics. Clinical blood samples in the ICU are often obtained via […]
Mediastinal haematoma following central venous catheter insertion
Mediastinal haematoma is a rare complication of CVC insertion. It is most commonly due to perforation of the subclavian vein by the guidewire or dilator” Ali et al (2017). Extract: Mediastinal haematoma is a rare complication of CVC insertion. It is most commonly due to perforation of the subclavian vein by the guidewire or dilator. […]
Clostridium difficile infection prevention during CVC antibiotic administration
We hypothesised that daily oral administration of the anion-binding resin colestyramine (cholestyramine) would help prevent infections in those receiving intravenous antibiotic treatment via CVADs” Puri et al (2018). Abstract: Background: The use of indwelling central venous access devices (CVADs) is associated with the development of bloodstream infections. When CVADs are used to administer systemic antibiotics, […]
Assisted tunneled cuffed central catheter placement
We developed a new device to support accurate placement of the tunneled cuffed catheter. In this study, we report our first clinical experience of the device” Ohara et al (2018). Abstract: Introduction: The tunneled cuffed catheter is used in hemodialysis patients for whom an arteriovenous fistula or arteriovenous graft is not suitable or for bridging […]
Central line infection prevention focusing on removal of unnecessary central lines
We demonstrated that a workable MIPT initiative focusing on removal of unnecessary CL and UC can be easily implemented in an LTACH requiring minimal time and resources. A rebound increase in UC-DURs to pre-intervention levels after intervention end indicates that continued vigilance is required to maintain performance” Chandramohan et al (2018). Abstract: BACKGROUND: Prolonged central […]
CRBSI in patients with acute type II intestinal failure admitted to a national centre
Avoidance, prompt recognition and appropriate management of CVC-related infections are crucial components of IF care. However, there are few, if any, data on the occurrence of CVC-related infections in patients with acute, type 2, IF managed on a dedicated IF unit and no data on the salvage outcomes of infected CVCs in this group of […]
The benefit of point-of-care ultrasound in trauma
In this review, we discuss these applications and the supporting evidence for point-of-care ultrasound in trauma” Gleeson and Blehar (2018). Abstract: The use of point-of-care ultrasound in trauma is widespread. Focused Assessment with Sonography for Trauma examination is a prototypical bedside examination used by the treating provider to quickly determine need for intervention and appropriate […]
Central venous access device complication rates in adult critical care settings
Central venous access device complications and device failure is a prevalent and significant problem in the adult ICU, leading to substantial patient harm and increased healthcare costs” Takashima et al (2018). Abstract: OBJECTIVES: To examine the proportion and rate of central venous access device failure and complications across central venous access device types in adult […]
Central venous catheter-related infections caused by Corynebacterium amycolatum
We observed that during cancer treatment, invasive corynebacterial infections occurred independent of certain factors, such as age and gender, underlying diseases and neutropenia” Carvalho et al (2018). Abstract: Bloodstream and venous catheter-related corynebacterial infections in paediatric patients with haematological cancer were investigated from January 2003 to December 2014 at the Brazilian National Cancer Institute in […]
Central venous catheter insertion associated pericardial effusion
In our case, the patent vein of Marshall directly connected the coronary sinus with the left subclavian vein discovered in a cardiac arrest patient because of pericardial effusion during the insertion of a central venous catheter (CVC)” Butt et al (2018). Abstract: BACKGROUND: The persistence of a vein of Marshall (VoM) from the left subclavian […]
Central line-associated thrombosis in critically ill neonates
Our study identified risk factors for the development of clinically identifiable catheter-associated thrombosis (CT)” Lambert et al (2018). Abstract: OBJECTIVE: Our study identified risk factors for the development of clinically identifiable catheter-associated thrombosis (CT). STUDY DESIGN: We performed a retrospective cohort study of neonates in whom a central catheter was present. A total of 1,475 […]
Central venous catheterization in dogs – what is the role of ultrasound-guidance?
To compare time to achieve vascular access (TTVA) between an ultrasound-guided technique (UST) and landmark-based technique (LMT) for central venous catheter (CVC) placement in healthy anesthetized dogs” Hundley et al (2018). Abstract: OBJECTIVE: To compare time to achieve vascular access (TTVA) between an ultrasound-guided technique (UST) and landmark-based technique (LMT) for central venous catheter (CVC) […]
Central veins dilation – Effect of lumbar elevation?
This study aimed to determine a more convenient patient position that can result in the largest central vein diameter” Gu et al (2018). Abstract: Background: Increasing the size of the central veins is required to increase the success rate of central line placement and decrease complication risk. Right-sided approach for the central veins, Valsalva maneuver, […]