Evaluation of the efficacy of a novel dermatotomy device for central venous cannulation.
Central venous cannulation (CVC) is one of the most common medical procedures performed in the United States.1 The Seldinger technique, described in 1953, has been widely used for CVC.2 To accomplish CVC using the Seldinger technique, a small dermatotomy is required at the wire entry site to facilitate skin dilatation and subsequent catheter insertion over the guidewire. A precise dermatotomy incision facilitates successful cannulation and minimizes bleeding at the insertion site. Using a conventional scalpel for the dermatotomy may produce an incision that is not contiguous with the wire entry site. (Source: Journal of Ca...
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 4, 2024 Category: Anesthesiology Authors: Worasak Keeyapaj, Albert T. Cheung Tags: Original Article Source Type: research

Adverse Events from Fluoroscopic versus Portable Placement of PICCs and CVCs in Pediatric Patients
To evaluate the outcomes of fluoroscopic versus portable placement of peripherally inserted central catheters (PICCs) and central venous catheters (CVCs) in pediatric patients. (Source: Journal of Vascular and Interventional Radiology : JVIR)
Source: Journal of Vascular and Interventional Radiology : JVIR - May 2, 2024 Category: Radiology Authors: Bao Nguyen, David Harmon, Stefani Krall, Fabiola Weber, Raphael Yoo Tags: Clinical Study Source Type: research

Optimizing Intravenous Access for Long-Term Parenteral Nutrition
AbstractPurpose of ReviewSecuring safe and effective intravenous (IV) access is of utmost importance for administering parenteral nutrition (PN). Sustaining this access can indeed pose challenges, especially when dealing with the risk of complications associated with long-term PN. This review emphasizes best practices to optimize intravenous access and reviews the current evidence-based recommendations and consensus guidelines.Recent FindingsAn individualized approach when selecting central venous catheters (CVC) is recommended, considering the estimated duration of need for IV access and the number of lumens needed. Estab...
Source: Current Nutrition Reports - May 2, 2024 Category: Nutrition Source Type: research

Challenging repair of the left subclavian vein in a pediatric patient
AbstractThis is a case involving a 3-year-old child who presented with an iatrogenic left subclavian/innominate vein lesion, leading to severe bleeding and intravascular catheter rupture during its removal. We successfully performed a very challenging and minimally invasive repair of the vein, along with the removal of the catheter entrapped in the innominate vein. (Source: Updates in Surgery)
Source: Updates in Surgery - April 30, 2024 Category: Surgery Source Type: research

Rate, Risk Factors, and Outcomes of Invasive Fungal Infections in Patients with Hematologic Malignancies
Conclusion: IFI represents a frequent complication for HM patients with high mortality. Aspergillus species are the predominant etiology in these settings. Considering our results, in high-risk patients, manifestations of warning signs in the sinus and lungs, which would not be cleared despite receiving antibiotics, should raise the possibility of IFIs.PMID:38680718 | PMC:PMC11055423 | DOI:10.18502/ijhoscr.v18i1.14746 (Source: Cell Research)
Source: Cell Research - April 29, 2024 Category: Cytology Authors: Shirin Afhami Alireza Adibimehr Seyed Asadollah Mousavi Mohammad Vaezi Mahnaz Montazeri Mohammadreza Salehi Mohsen Meidani Mahshid Saleh Kazem Ahmadikia Emmanuel Roilides Johan Maertens Neda Alijani Source Type: research

Practice Guidelines for Central Venous Access 2020 - Time for German Guidelines
Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Apr;59(4):252-262. doi: 10.1055/a-1690-5730. Epub 2024 Apr 29.ABSTRACTThe American Society of Anesthesiologists released practice guidelines for central venous access in 2020, and the entire world literature was examined for evidence on how to perform the entire process with best practice and minimal risk and harm to the patient. These guidelines may serve as a gold standard for individual procedural steps, allowing practitioners and hospital departments to critically question the own standard and improve upon them.We interpreted the guidelines for individual procedural ...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - April 29, 2024 Category: Intensive Care Authors: Wolf Armbruster R üdiger Eichholz Thomas Notheisen Source Type: research

Practice Guidelines for Central Venous Access 2020 - Time for German Guidelines
Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Apr;59(4):252-262. doi: 10.1055/a-1690-5730. Epub 2024 Apr 29.ABSTRACTThe American Society of Anesthesiologists released practice guidelines for central venous access in 2020, and the entire world literature was examined for evidence on how to perform the entire process with best practice and minimal risk and harm to the patient. These guidelines may serve as a gold standard for individual procedural steps, allowing practitioners and hospital departments to critically question the own standard and improve upon them.We interpreted the guidelines for individual procedural ...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - April 29, 2024 Category: Intensive Care Authors: Wolf Armbruster R üdiger Eichholz Thomas Notheisen Source Type: research

Practice Guidelines for Central Venous Access 2020 - Time for German Guidelines
Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Apr;59(4):252-262. doi: 10.1055/a-1690-5730. Epub 2024 Apr 29.ABSTRACTThe American Society of Anesthesiologists released practice guidelines for central venous access in 2020, and the entire world literature was examined for evidence on how to perform the entire process with best practice and minimal risk and harm to the patient. These guidelines may serve as a gold standard for individual procedural steps, allowing practitioners and hospital departments to critically question the own standard and improve upon them.We interpreted the guidelines for individual procedural ...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - April 29, 2024 Category: Intensive Care Authors: Wolf Armbruster R üdiger Eichholz Thomas Notheisen Source Type: research

Practice Guidelines for Central Venous Access 2020 - Time for German Guidelines
Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Apr;59(4):252-262. doi: 10.1055/a-1690-5730. Epub 2024 Apr 29.ABSTRACTThe American Society of Anesthesiologists released practice guidelines for central venous access in 2020, and the entire world literature was examined for evidence on how to perform the entire process with best practice and minimal risk and harm to the patient. These guidelines may serve as a gold standard for individual procedural steps, allowing practitioners and hospital departments to critically question the own standard and improve upon them.We interpreted the guidelines for individual procedural ...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - April 29, 2024 Category: Intensive Care Authors: Wolf Armbruster R üdiger Eichholz Thomas Notheisen Source Type: research

Incidence and clinical progression of asymptomatic peripherally inserted central catheter < em > - < /em > related thrombosis in solid neoplasm patients: ultrasound insights from a prospective cohort study
CONCLUSION: The majority of CRT present asymptomatically within the first 30 days of venous catheter insertion in patients with solid neoplasms. Ultrasound follow-up is valuable for detecting asymptomatic CRT. The risk of CRT was lower with PICC-PORT than with PICC. Additionally, the risk of CRT was found to be higher in patients with high-risk thromboembolic neoplasms. It is crucial for larger studies to confirm the utility of treating asymptomatic thromboses and isolated superficial thrombosis.PMID:38660454 | PMC:PMC11039392 | DOI:10.1016/j.rpth.2024.102391 (Source: Thrombosis and Haemostasis)
Source: Thrombosis and Haemostasis - April 25, 2024 Category: Hematology Authors: Mattia Cominacini Sergio De Marchi Federica Tosi Elia Piccinno Alessandro Dal Corso Elisa Dalla Grana Francesca Stefani Luca Dalle Carbonare Source Type: research

Complications after peripherally inserted central catheter versus central venous catheter implantation in intensive care unit: propensity score analysis using a nationwide database
CONCLUSIONS: Patients with PICCs had a significantly greater incidence of complications than did those with CVCs. Further research is necessary to explore the factors contributing to these complications.PMID:38661659 | DOI:10.1080/17434440.2024.2346191 (Source: Expert Review of Medical Devices)
Source: Expert Review of Medical Devices - April 25, 2024 Category: Medical Devices Authors: Toshiaki Takahashi Kojiro Morita Kazuaki Uda Hiroki Matsui Hideo Yasunaga Gojiro Nakagami Source Type: research

Survival, cumulative hospital days and infectious complications in urgent-start PD compared with urgent-start HD
CONCLUSIONS: Patient survival, cumulative first-year hospital care days and total KRT-related infection rate at 3 months and 1-year follow-up are similar between urgent-start PD and urgent-start HD patients. Furthermore, CVC insertion rate is associated with incident blood culture-positive bacteraemia and increased cumulative first-year hospital care days.PMID:38661183 | DOI:10.1177/08968608241244939 (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - April 25, 2024 Category: Urology & Nephrology Authors: Jonna Virtanen Maija Heiro Niina Koivuviita Eliisa L öyttyniemi Mikko J J ärvisalo Risto Tertti Kaj Mets ärinne Tapio Hellman Source Type: research

Incidence and clinical progression of asymptomatic peripherally inserted central catheter < em > - < /em > related thrombosis in solid neoplasm patients: ultrasound insights from a prospective cohort study
CONCLUSION: The majority of CRT present asymptomatically within the first 30 days of venous catheter insertion in patients with solid neoplasms. Ultrasound follow-up is valuable for detecting asymptomatic CRT. The risk of CRT was lower with PICC-PORT than with PICC. Additionally, the risk of CRT was found to be higher in patients with high-risk thromboembolic neoplasms. It is crucial for larger studies to confirm the utility of treating asymptomatic thromboses and isolated superficial thrombosis.PMID:38660454 | PMC:PMC11039392 | DOI:10.1016/j.rpth.2024.102391 (Source: Thrombosis and Haemostasis)
Source: Thrombosis and Haemostasis - April 25, 2024 Category: Hematology Authors: Mattia Cominacini Sergio De Marchi Federica Tosi Elia Piccinno Alessandro Dal Corso Elisa Dalla Grana Francesca Stefani Luca Dalle Carbonare Source Type: research

Complications after peripherally inserted central catheter versus central venous catheter implantation in intensive care unit: propensity score analysis using a nationwide database
CONCLUSIONS: Patients with PICCs had a significantly greater incidence of complications than did those with CVCs. Further research is necessary to explore the factors contributing to these complications.PMID:38661659 | DOI:10.1080/17434440.2024.2346191 (Source: Expert Review of Medical Devices)
Source: Expert Review of Medical Devices - April 25, 2024 Category: Medical Devices Authors: Toshiaki Takahashi Kojiro Morita Kazuaki Uda Hiroki Matsui Hideo Yasunaga Gojiro Nakagami Source Type: research

Survival, cumulative hospital days and infectious complications in urgent-start PD compared with urgent-start HD
CONCLUSIONS: Patient survival, cumulative first-year hospital care days and total KRT-related infection rate at 3 months and 1-year follow-up are similar between urgent-start PD and urgent-start HD patients. Furthermore, CVC insertion rate is associated with incident blood culture-positive bacteraemia and increased cumulative first-year hospital care days.PMID:38661183 | DOI:10.1177/08968608241244939 (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - April 25, 2024 Category: Urology & Nephrology Authors: Jonna Virtanen Maija Heiro Niina Koivuviita Eliisa L öyttyniemi Mikko J J ärvisalo Risto Tertti Kaj Mets ärinne Tapio Hellman Source Type: research