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

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

Interventions to manage occluded central venous access devices: An umbrella review
J Vasc Access. 2024 Apr 24:11297298241246092. doi: 10.1177/11297298241246092. Online ahead of print.ABSTRACTThe main objective of this umbrella review is to synthesise available evidence from systematic reviews on the effectiveness of interventions for the management of occlusions in central venous access devices. CVADS have been extensively utilised among the critically ill since the 1950s however have also been linked to an increase in catheter complications. CVAD occlusion can occur in 14%-36% of patients within 1-2 years of catheter placement and is a longstanding complication. Umbrella methodology was applied to revie...
Source: The Journal of Vascular Access - April 24, 2024 Category: Surgery Authors: Jessica Elliott Linda Ng Carolyn Meredith Gordon Mander Murray Thompson Lorraine Reynolds Source Type: research