Innovation in Central Venous Access Device Security: A Pilot Randomized Controlled Trial in Pediatric Critical Care

Conclusions: It is feasible to conduct an efficacy randomized control trial of the studied interventions. Further research is required to definitively identify clinical, cost-effective methods to prevent central venous access device failure by examining new dressing and securement technologies and techniques.
Source: Pediatric Critical Care Medicine - Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

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Authors: Yoshimaru K, Matsuura T, Uchida Y, Kajihara K, Toriigahara Y, Kawano Y, Kondo T, Takahashi Y, Matsuoka W, Kaku N, Maki J, Taguchi T Abstract Some patients with intestinal failure, who are dependent on total parenteral nutrition for long periods, suffer from a lack of suitable conventional venous access points, including axillary, external jugular, internal jugular, subclavian, saphenous, and the brachio-cephalic and femoral veins, due to their occlusion. Furthermore, extensive central venous stenosis and/or thrombosis of the superior and inferior vena cava may preclude further catheterization, so uncommon ...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
Authors: Crocoli A, Cesaro S, Cellini M, Rossetti F, Sidro L, Pinelli F, Pittiruti M Abstract Central venous access devices have revolutioned the care of children affected by malignancies, facilitating management of complex and prolonged infusive therapies, reducing pain and discomfort related to repeated blood samples and indiscriminate venipunctures, thus reducing also psychological stress of both patients and families. In this respect, peripherally inserted central catheters have been disseminated for use, even in pediatric oncology patients, for their many advantages: easy and non-invasive placement with no ris...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
Semin Thromb Hemost DOI: 10.1055/s-0040-1702918This is a review of the evidence for the use of different platelet count thresholds prior to invasive procedures and surgery. This review will focus on three procedures that are common in patients with thrombocytopenia—central venous catheter insertion, liver biopsy, and lumbar punctures and epidural catheters—as well as highlighting the lack of evidence for more major surgery. Tunneled or untunneled central venous catheters are low-risk procedures and can be safely performed without any intervention when the platelet count is 20 × 109/L or abov...
Source: Seminars in Thrombosis and Hemostasis - Category: Hematology Authors: Tags: Review Article Source Type: research
Access Vascular, based in Massachusetts, has developed a peripherally inserted central venous catheter (PICC) composed of a thromboresistant hydrogel material. The catheter could reduce the incidence of catheter-related thrombi and resulting adverse ...
Source: Medgadget - Category: Medical Devices Authors: Tags: Anesthesiology Emergency Medicine Exclusive Materials Radiology Surgery Vascular Surgery Source Type: blogs
CONCLUSION: The benefit of a formula for daily practice is very limited due to the problem of choosing the right insertion point. The recommended insertion depth should be considered as an indicator and a verification of the CVC tip position should be done using an imaging technique. PMID: 29736556 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research
We thank Dr. Essandoh for his interest in our published case conference and his thoughtful comments regarding a pulmonary artery catheter (PAC) for hemodynamic monitoring in patients with inferior vena cava tumor thrombus extending into the right atrium.1,2 As Dr. Essandoh has stated, the PAC obtains certain hemodynamic measurements that can be obtained readily with transesophageal echocardiography (TEE), such as cardiac output.2 However, there also are continuous data provided by the PAC that cannot be obtained readily using TEE, such as central venous pressure, pulmonary artery pressure profiles, mixed venous oxygen satu...
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Letter to the Editor Source Type: research
CONCLUSIONS: Our data suggest that PICCs are a safe and effective alternative to conventional central venous catheters even in pediatric patients with high risk of infectious and hemorrhagic complications such as patients receiving stem-cell transplantation. PMID: 29099537 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
Conclusions: Earlier catheter removal may reduce the risk of catheter-related thrombosis and avoid possibly fatal complications after catheter-related thrombosis.
Source: British Journal of Anaesthesia - Category: Anesthesiology Source Type: research
Abstract Thin, slender, filament like structure is common finding in right atrium echocardiographically. These structures generally represent embryological remnants like thebasian valve, eustachian valve and chiari network. Apart from these variants, they can also be initial finding of thrombotic process specially in the presence of central venous catheter. Early detection and removing the catheter can prevent further thromboembolism in such cases. PMID: 28393791 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - Category: Anesthesiology Authors: Tags: Ann Card Anaesth Source Type: research
Abstract ObjectiveTo report a case of successful surgical removal of a guide wire lost during central venous catheterization. Case SummaryA 28 kg, 4‐year‐old female neutered mixed breed dog presented to the primary care veterinarian with diabetic ketosis. During the process of central venous catheterization, the guide wire was accidently released and the entire length of the guide wire slipped into the jugular vein. Due to the absence of nearby interventional radiology facilities, surgical intervention was proposed. An ultrasound was used to determine that the guide wire was located in the caudal vena cava extending ca...
Source: Journal of Veterinary Emergency and Critical Care - Category: Veterinary Research Authors: Tags: Case Report Source Type: research
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