The equations of the inserted length of percutaneous central venous catheters on neonates in NICU
In neonatal intensive care units, a percutaneous central venous catheter (PCVC) is inserted peripherally and threaded into a central venous location, when intravenous access is anticipated for an extended period of time. The tip location of PCVCs should be checked by an X-ray after the procedure. The present study aimed to determine an equation to estimate the optimal insertion length of PCVCs in neonates prior to the procedure.
AbstractBackgroundChildren with Fontan circulation are at risk of developing hepatic fibrosis/cirrhosis. Reliable noninvasive monitoring techniques are lacking or under development.ObjectiveTo investigate surrogate indicators of hepatic fibrosis in adolescents with Fontan circulation by evaluating hepatic magnetic resonance (MR) T1 mapping and extracellular volume fraction measurements compared to US shear-wave elastography.Materials and methodsWe analyzed hepatic native T1 times and extracellular volume fractions with modified Look-Locker inversion recovery. Liver stiffness was analyzed with shear-wave elastography. We co...
Conclusions: Somatostatin concentrations were associated with CVP and CI in patients with HF. The pathophysiological mechanism may be related to congestion and/or hypoperfusion of the intestine. Somatostatin was an independent predictor of mortality in advanced HF.Cardiology
ConclusionCandida thrombophlebitis is a rare but likely underdiagnosed infectious complication in pediatric critically ill patients. It is closely connected to risk factors such as central venous catheter, hospitalization in intensive care unit, prematurity, assisted ventilation, chronic inflammatory diseases. Antifungal therapy and anticoagulant drugs should be optimized for each patient and surgical resection is considered in the persistence of illness.
Background/purpose.Long-term central venous access is a safe and common procedure in children. However, complications with devices are a reality. Smaller children are thought to have a higher rate of complication after port placement, and some surgeons avoid placing ports with an arbitrary weight cutoff out of concern for surgical site morbidity.
CONCLUSION: HD patients aged>75 years had significantly higher annual VA-related costs. However, the annual VA-related costs did not differ across the diabetes groups or the gender groups. AVF was the most cost-effective permanent VA type in China, partly due to the inexpensive materials used compared to AVG or tcCVC. PMID: 33016167 [PubMed - as supplied by publisher]
CONCLUSION: The observed high rate of AVF at the start of hemodialysis and of the switch from CVC to AVF in the first year, although declining since 2008, is a positive outcome. However, over one-third of patients maintain the CVC as vascular access for the first year because of unmodifiable factors, such as gender, age, comorbidity. The present study suggests that logistics/management and assistance/welfare problems may contribute to the delay or lack of AVF placement in incident hemodialysis patients or within the first year of dialysis. PMID: 32993439 [PubMed - as supplied by publisher]
We describe a case series of HeRO graft use in patients with IF and end-stage vascular access. Four HeRO grafts were inserted into IF patients with end-stage vascular access to facilitate or support intestinal transplantation. In all patients the HeRO facilitated immediate vascular access, supporting different combinations of parenteral nutrition, intravenous medications, fluids or renal replacement therapy with no bloodstream infections. In a highly complex group of IF patients with central venous stenosis/occlusion limiting conventional venous access or at risk of life-threatening catheter-related complications, a HeRO&r...
To decrease the complications related to central catheters there has been an increasing utilization of peripherally inserted central catheters and ultrasound-guided long peripheral intravenous catheters (ie Midlines). While the complications of peripherally inserted central venous catheters are well described, there is less reported data on complications related to midline catheters. Our study aims to compare the incidences of deep venous thrombosis and sepsis related to PICCs and DVTs.
Historically, concerns about increased risk of complication in pediatric oncology patients with thrombocytopenia have led to delay in central venous catheter (CVC) placement. However, the ideal platelet count for insertion is unknown. We hypothesized that placement of CVCs in thrombocytopenic patients is not associated with increased complication.
Many pediatric patients undergo placement of tunneled central venous catheters (TCVCs) to facilitate critical treatment, such as chemotherapy, parental nutrition, and antibiotics. Both infectious- and mechanical-related complication can lead to premature catheter removal, resulting in increased healthcare cost and treatment delay. We attempted to identify preoperative factors correlating with an increased risk of central-line-associated bloodstream infection (CLABSI) and early catheter removal.