Intracavitary electrocardiography-guided positioning of central vascular access device can spare unnecessary ionizing radiation exposure in pediatric patients.
CONCLUSION: When electrocardiography-guided positioning is uneventful and a valid P-Wave pattern is seen, postprocedure radiograph imaging for verification is unnecessary. Any effort should be made to upgrade hospital policies according to evidences and newest guidelines to spare pediatric patients harmful exposure to radiation by limiting the use of radiography only to selected cases. PMID: 32452241 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 27, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Evaluation of the risk factors on time to phlebitis- and nonphlebitis-related failure when peripheral venous catheters were replaced as clinically indicated.
CONCLUSION: We observed no difference on the time to phlebitis or nonphlebitis symptoms with clinically indicated replacement of peripheral venous catheters. We found a significant difference in survival rates between locally manufactured and imported peripheral venous catheters. Our identified risk factors should be taken into account to reduce peripheral venous catheter-related complications and to increase dwell time. PMID: 32452268 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 27, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Surgical intervention for upper extremity nerve compression related to arteriovenous hemodialysis accesses.
CONCLUSION: Vascular access-related nerve compression is an uncommon cause for pain, sensory and motor deficits after vascular access surgery. Surgical nerve release and access revision have good clinical outcome with relief of symptoms and maintenance of the access site in the majority of patients. PMID: 32436420 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Endovascular versus surgical creation of arteriovenous fistula in hemodialysis patients: Cost-effectiveness and budget impact analyses.
CONCLUSION: Endovascular arteriovenous fistula creation performed with WavelinQ could be a cost-saving strategy in comparison with the surgical approach for patients in hemodialysis. Future studies comparing different devices for endovascular arteriovenous fistula creation versus the surgical option would be needed to confirm or reject the validity of this preliminary evaluation. In the meantime, decision-makers can use these results to take decisions on the diffusion of endovascular procedures in Italy. PMID: 32425096 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 20, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Iatrogenic jugulo-subclavian fistula.
We report a case that we treated recently in our department. PMID: 32425097 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 20, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Comparison of dynamic arterial and venous pressure between metal needles and plastic cannulas in incident hemodialysis patients with arteriovenous graft.
Authors: Choi SR, Park P, Han S, Kim C, Joo N, Kim JK, Song YR, Kim HJ, Kim SG, Lee HS Abstract BACKGROUND AND OBJECTS: We hypothesized that plastic cannulae with 17-gauge inner needle compared to 16-gauge metal needles can have stable dynamic venous and arterial pressure maintaining prescribed blood flow safely during a hemodialysis treatment. DESIGN, SETTING, PARTICIPANTS, AND MEASUREMENTS: A single-center, prospective, randomized, open-label clinical trial was conducted involving 16 incident hemodialysis patients who had arteriovenous graft placed as their first arteriovenous access. Subjects were randomized...
Source: The Journal of Vascular Access - May 20, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

How to manage catheter-related right atrial thrombosis: Our conservative approach.
CONCLUSION: The combination therapy here described is safe, quick, and effective, achieving the goal of not removing catheters. PMID: 32410490 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 17, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Six-year study on peripheral venous catheter-associated BSI rates in 262 ICUs in eight countries of South-East Asia: International Nosocomial Infection Control Consortium findings.
CONCLUSIONS: Infection prevention programs must be implemented to reduce the incidence of peripheral venous catheter-associated bloodstream infections. PMID: 32406328 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 16, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Balancing the Covid-19-motivated vascular access guidelines and patient-centred care of pre-dialysis candidates.
Authors: Georgiadis GS, Argyriou C, Baktiroglu S, Lazarides MK, Mallios A, Tordoir JH Abstract The recommendations recently proposed by the European and American Vascular Societies in this new 'Covid-19' era regarding the triage of various vascular operations into urgent, emergent and programmed based on the nature of their pathology aim at reserving health care expenses and hospital staff towards managing the current unexpected worldwide pandemic to the highest possible degree. The suggestion for implementation of these changes into real-world practice, however, does not come without a cost. In particular, the rec...
Source: The Journal of Vascular Access - May 13, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Predicting arterio-venous fistula failure by urea method-derived access blood flow in chronic hemodialysis patients.
This study enrolled a total of 16 patients, with 63% being male, 75% with lower-arm arterio-venous fistula and around 43% with previously done angioplasty. 59-Qa measurements were done, and 6 patients underwent angioplasty (one patient for severe upper limb edema, one for access thrombosis, and four for access dysfunction). Qa determination by the urea method had non-significantly lower Qa, (745 mL/min (interquartile range: 509-1143) and 779 mL/min (interquartile range: 530-1160), (p = 0.58)) and high correlation (r = 0.83, p
Source: The Journal of Vascular Access - May 13, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Efficacy of the transjugular approach in endovascular intervention for hemodialysis access comparing with conventional approach.
Authors: Lee CH, Gwon JG, Jung CW, Cho SB Abstract PURPOSE: Compared with the conventional approach, the benefits of the transjugular approach in endovascular intervention for hemodialysis access avoids complications due to direct puncture and reduces direct radiation exposure to the hands of operator. The aim of this non-inferiority study was to evaluate the efficacy of the transjugular approach in endovascular intervention for hemodialysis access comparing with conventional approach. METHODS: We retrospectively assessed endovascular intervention for hemodialysis access performed in our hospital from 2012 to 2...
Source: The Journal of Vascular Access - May 13, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Intraoperative use of transit time flow measurement improves patency of newly created radiocephalic arteriovenous fistulas in patients requiring hemodialysis.
Authors: Cyrek AE, Bernheim J, Juntermanns B, Husen P, Pacha A, Hoffmann JN Abstract BACKGROUND: The autologous arteriovenous fistula is the primary choice to establish hemodialysis access without high failure rates. Intraoperative ultrasound flow measurements of newly created autologous arteriovenous fistulas represent a possibility of quality control and may therefore be a tool to assess their functionality. The aim of our study was to correlate intraoperative blood flow with access patency. METHODS: Between March 2012 and March 2015, intraoperative transit time flow measurements were collected on 89 patients...
Source: The Journal of Vascular Access - May 9, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Vascular access in COVID-19 patients: Smart decisions for maximal safety.
Authors: Scoppettuolo G, Biasucci DG, Pittiruti M Abstract The 2020 COVID pandemic has forced everyone to update the usual medical procedures and adapt them to a new situation characterized by a high risk of contamination of the health operator. The placement of a venous access device is no exception. In the experience of the vascular access team of our hospital, hit by the COVID epidemic in March 2020, the safety of both the patient and the staff can be ensured by an insertion bundle of few smart strategies, which include choice of long dwelling peripheral catheters (midline catheters) rather than short venous can...
Source: The Journal of Vascular Access - May 7, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Use of a novel immediate access dialysis graft designed to prevent needle-related complications: A first-in-man case report.
Authors: Gage SM, Illig KA, Ross JR Abstract Currently, there is no vascular access that possesses all ideal qualities for hemodialysis access, but attributes particularly lacking include: ease of identification (cannulation zone), ease of access, resistance to stenosis, durable to repetitive cannulation, resistance to infection, resistance to acute needle-related injuries, and instant hemostasis. The overall value of these attributes could be appreciated in the reduction of complications (patient burden and suffering, which can also result in increased healthcare costs), and improved safety and durability. In this...
Source: The Journal of Vascular Access - May 7, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Experimental study of the POP technique: focus on the physical basis of the process.
CONCLUSIONS: The experiments bring to light the importance of practical features such as the orientation of the syringe and the nature of the polyurethane or silicone catheters. Then the analysis enables the definition of practical rules for safe practice of the POP technique. This study will impact clinicians as many may be tempted to use the technique in hope to resolve the occlusion safely, in a timely manner. PMID: 32370664 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 7, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

An observational study of the securement of central venous access devices with a subcutaneous anchor device in a paediatric population at a tertiary level hospital.
In this study, we evaluate the use of a subcutaneous securement device, securAcathTM, in minimising rates of central venous access device dislodgement and unintended early removal within a paediatric population. Data were collected on 52 consecutive paediatric patients, aged less than 18 years old, who required peripherally inserted central catheters and non-cuffed tunnelled centrally inserted central catheters. We found that the rate of securement failure with securAcathTM was 2.01 per 1000 catheter days. This compared to 2.58 in our previous practice without securAcathTM. With the use of securAcathTM, no securemen...
Source: The Journal of Vascular Access - May 7, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Chinesization of the quality of life assessment, venous device-port, and its reliability and validity tests for patients with breast cancer.
Authors: Liu Y, Xu L, Jiang M, Chen B, Jing L, Zhang L, Su P, Jin F, Mao X Abstract OBJECTIVE: To translate the assessment item sets of the Canadian version of the quality of life assessment, venous device-port for breast cancer patients with chest and arm ports (i.e. different implanting sites) into Chinese version, and to conduct a test of reliability and validity for it. METHODS: According to the Brislin translation model, quality of life assessment, venous device-port underwent literal and back translations, and the Chinese version of quality of life assessment, venous device-port was preliminarily revised ...
Source: The Journal of Vascular Access - May 7, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Venous distensibility is more important than venous diameter in primary survival of autogenous radiocephalic arteriovenous fistulas.
CONCLUSION: When cephalic veins with diameter ≤2 mm are found, venous distensibility should be used to aid in the surgery decision-making process. The outcome of wrist radio-cephalic arteriovenous fistula survival would be significantly improved through the use of cephalic vein with venous distensibility>0.52 mm. PMID: 32372684 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 7, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

A short bevel needle with a very thin tip improves vein puncture performance of peripheral intravenous catheters: An experimental study.
Authors: Tanabe H, Kawasaki M, Ueda T, Yokota T, Zushi Y, Murayama R, Abe-Doi M, Sanada H Abstract BACKGROUND: Peripheral intravenous catheter placement is frequently unsuccessful at the first attempt. One suggested risk factor is a small vein size, because of the consequences of mechanical forces generated by the needle tip. We developed short bevel needles with a very thin tip and evaluated their puncture performance in two in vitro models. METHODS: Peripheral intravenous catheters with a new needle ground using the lancet method (experimental catheter (L)) or backcut method (experimental catheter (B)) were c...
Source: The Journal of Vascular Access - May 7, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Outcomes of arteriovenous fistula creation: A Jordanian experience.
CONCLUSION: The primary failure rate was relatively low in this study but the long-term functionality of the arteriovenous fistulae needs to be improved. PMID: 32372704 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 7, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Quantitative assessment of required separator fluid volume in multi-infusion settings.
Authors: Doesburg F, Middendorp D, Dieperink W, Bult W, Nijsten MW, Touw DJ Abstract BACKGROUND: Administering a separator fluid between incompatible solutions can optimize the use of intravenous lumens. Factors affecting the required separator fluid volume to safely separate incompatible solutions are unknown. METHODS: An intravenous tube (2-m, 2-mL, 6-French) containing methylene blue dye was flushed with separator fluid until a methylene blue concentration ⩽2% from initial was reached. Independent variables were administration rate, dye solvent (glucose 5% and NaCl 0.9%), and separator fluid. In the second...
Source: The Journal of Vascular Access - May 6, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Peritoneal dialysis catheter intraluminal fibrin cast: A complication after prolonged placement. Case series with a review of literature and the management of this complication.
We describe three cases of peritoneal dialysis catheter obstruction with complete fibrin casts, its surgical management and a review of the literature in management techniques and have proposed an algorithm to guide clinical practise when a complete intraluminal peritoneal dialysis catheter obstruction is suspected. PMID: 32364814 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 6, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Peripherally inserted central catheters inserted with current best practices have low deep vein thrombosis and central line-associated bloodstream infection risk compared with centrally inserted central catheters: A contemporary meta-analysis.
CONCLUSION: When adhering to best practices, this study demonstrated that concerns related to peripherally inserted central catheters and deep vein thrombosis risk are minimized. Dramatic changes to clinical practice over the last 10 years have helped to address past issues with central catheters and complication risk. Given the lower rate of complications when following current guidelines, clinicians should prioritize central line choice based on patient therapeutic needs, rather than fear of complications. Future research should continue to consider contemporary literature over antiquated data, such that it recogn...
Source: The Journal of Vascular Access - May 3, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

A prospective cohort study of predictors of upper extremity arteriovenous fistula maturation.
CONCLUSION: Smaller artery diameter most strongly predicted FUSH failure. Early postoperative nursing assessment was more useful to predict FUSH than FUSH failure, and as such was insufficient in determining which arteriovenous fistulas should be abandoned as many predicted to fail could be salvaged with further intervention. PMID: 32340534 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 30, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Simulation training on bedside veno-arterial extracorporeal membrane oxygenation decannulation.
This article described how this new technique and the team logistics can be trained by simulation. PMID: 32340544 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 30, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Hemodialysis Reliable Outflow graft: A valid option in patients with central venous stenosis.
CONCLUSION: Our experience with the Hemodialysis Reliable Outflow device showed that it was a safe option for patients with central venous stenosis and was associated with good clinical and analytic outcomes. PMID: 32340550 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 30, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

It is time to implement prepump arterial pressure monitoring during hemodialysis: A retrospective multicenter study.
This study aimed to demonstrate the impact of |Pa/Qb| on arteriovenous fistula dysfunction. METHODS: In this retrospective analysis, 490 hemodialysis patients with arteriovenous fistula from three hospitals were enrolled. Data were extracted from the I-Diapro database and hospital case systems. The absolute values for |Pa/Qb| and other data collected in the first month of enrollment were used to predict arteriovenous fistula dysfunction and determine the |Pa/Qb| cutoff value. Based on this value, patients were grouped, and 1-year arteriovenous fistula function was analyzed. Patients were followed until arteriovenous fi...
Source: The Journal of Vascular Access - April 30, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Central venous catheters and arrhythmia: Two unusual cases.
We present two cases of life-threatening arrhythmias triggered by the Tesio catheter eccentric high-velocity jet of blood resolved after reposition of the catheter without further episodes, despite both lines being inserted under real-time ultrasound and fluoroscopic guidance. We believe dialysis lines should be checked for tip position even when long-standing to prevent relevant complications due to catheter sliding. PMID: 32339060 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 29, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Point-of-care ultrasound for assessing arteriovenous fistula maturity in outpatient hemodialysis.
This study examines the effects of point-of-care ultrasound on decreasing the time to arteriovenous fistula cannulation, time spent with a central venous catheter, and the complications and infections that arise. METHODS: Prospective point-of-care ultrasound patients were recruited between January 2015 and January 2018, while retrospective data (non-point-of-care ultrasound) were collected via chart review from patients who had fistula creation between November 2011 and May 2014. Patients had point-of-care ultrasound within 3 weeks after arteriovenous fistula creation and were followed for 1 year. Arterio...
Source: The Journal of Vascular Access - April 29, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Computer-assisted needle navigation for pediatric internal jugular central venous cannulation: A feasibility study.
CONCLUSION: This pilot study suggests that it is feasible to use a novel computer-assisted needle navigation system to safely obtain central venous access under ultrasound guidance in pediatric patients. PMID: 32339064 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 29, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Innovation in hemodialysis: Using the Biodesign process to identify unmet needs.
We describe here how to apply the Biodesign process to identify unmet dialysis-related needs, with the use of specific case-based examples based on observations within a hemodialysis unit. We then explore how to develop these needs using background research, direct clinical observations, interviews, documentation of observations and interview findings, and development of multiple needs statements. We conclude that there is an opportunity for nephrology innovators to use this methodology broadly in order to identify areas for innovation and initiated the development on novel solutions to be introduced into patient care. ...
Source: The Journal of Vascular Access - April 22, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Reliability of cutaneous landmarks for the catheter length assessment during peripherally inserted central catheter insertion: A retrospective observational study.
CONCLUSION: Landmark-based length estimation for preventive catheter length assessment seems to be unreliable, when associated with post-procedural tip location. They are useful for distal trimming catheters to optimize the 'out of skin' portion when associated with electrocardiographic tip location. Models identified for balancing bias are probably not useful. PMID: 32228229 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 3, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Short post-procedural bedrest using a vascular closure device in the femoral artery: Is it possible?
Authors: Jost A, Kouri B PMID: 32228268 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 3, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Nitinol stent-assisted maturation of the dysfunctional cannulation zone in the immature arteriovenous fistula.
DISCUSSION: Forced maturation using nitinol stents allows for long-term haemodialysis access with a low rate of re-intervention. PMID: 32207367 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 25, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Recovery from ischemic monomelic neuropathy after delayed ligation of dialysis access.
We present two cases of recovery from ischemic monomelic neuropathy despite delayed ligation for over 20 days after ischemic monomelic neuropathy development. The gradual change in serial nerve conduction studies over the 15-month follow-up after surgical ligation was noted along with clinical recovery. Our report indicates that the clinical course and prognosis of ischemic monomelic neuropathy may be more diverse than previously known. PMID: 32202464 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 24, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Factors affecting superficial vein visibility at the upper limb in healthy young adults: A cross-sectional observational study.
CONCLUSION: The present results confirmed that vein depth, skin color b*, and gender strongly influenced vein visibility at the upper limb. The cutoff for vein depth was 2.3 mm. PMID: 32189558 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 21, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Ultrasound-guided supraclavicular brachiocephalic vein catheterization in children: Syringe-free in-plane technique with micro-convex probe.
We present a case series of successful cannulation by using this technique. PMID: 32174238 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 18, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

A case of unexpected peripherally inserted central catheter removal from a colorectal cancer patient with cetuximab-induced skin toxicity and contact dermatitis at the peripherally inserted central catheter insertion site: Should we recommend the patient to choose subcutaneous port preferentially?
CONCLUSIONS: We suggest that metastatic colorectal cancer patients treated with cetuximab should be recommended to choose subcutaneous port preferentially to avoid potential risk of unexpected peripherally inserted central catheter removal due to cetuximab-induced skin toxicity or contact dermatitis. Further clinical practices and researches are needed for more profound evidences for better practical suggestions. PMID: 32167004 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 14, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Analysis of factors for post-percutaneous transluminal angioplasty primary patency rate in hemodialysis vascular access.
Authors: Miyamoto K, Sato T, Momohara K, Ono S, Yamaguchi M, Katsuno T, Sakurai H, Imai H, Ito Y Abstract BACKGROUND: Although percutaneous transluminal angioplasty has been established as a first-line therapy for access failure in dialysis, there are few reports on primary patency after percutaneous transluminal angioplasty. We investigated factors associated with primary patency following the first percutaneous transluminal angioplasty performed after vascular access construction in patients with arteriovenous fistula, including blood flow volume before and after percutaneous transluminal angioplasty and previous...
Source: The Journal of Vascular Access - March 14, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

A novel technique to restore access in patients with central venous occlusion using the Surfacer ® Inside-Out® Access Catheter System.
A novel technique to restore access in patients with central venous occlusion using the Surfacer® Inside-Out® Access Catheter System. J Vasc Access. 2020 Mar 07;:1129729820909730 Authors: Baetens TR, Rotmans JI, van der Meer RW, van Rijswijk CS Abstract Exhausted central venous access is a potentially life-threatening situation for patients dependent on haemodialysis. If standard guidewire recanalisation fails, unconventional venous access or central venous needle recanalisation can be considered but are often associated with higher rates of complications and/or dysfunction. Here, we report abo...
Source: The Journal of Vascular Access - March 11, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Centrally inserted tunnelled peripherally inserted central catheter: Off-label use for venous access in oncology patients.
CONCLUSION: Centrally placed tunnelled peripherally inserted central catheter is a promising alternative method, when conventional arm peripherally inserted central catheter placement is not feasible. It is an easy and safe procedure that can be performed under local anaesthesia. PMID: 32133909 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 8, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Effects of passive music therapy on anxiety and vital signs in lung cancer patients undergoing peripherally inserted central catheter placement procedure.
CONCLUSION: Passive music therapy can efficiently relieve the anxiety of lung cancer patients during peripherally inserted central catheter placement. It also can lower the patient's diastolic blood pressure and slow down the heart rate. So, music therapy benefits patients with peripherally inserted central catheter. PMID: 32141365 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 8, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Massive hemoptysis following cannulation of right internal jugular vein for insertion of cuffed hemodialysis catheter: A rare complication of central venous catheterization.
Authors: Ghoddusi Johari H, Lashkarizadeh MM, Mardani P, Shahriarirad R Abstract Here we report an extremely rare presentation of internal jugular vein catheterization, presenting as massive hemoptysis which was noted during right internal jugular vein cuffed hemodialysis catheter insertion of a 39-year-old man known-case of End-Stage Renal Disease. Chest roentgenogram and computerized tomography scan showed pleural effusion and misplacement of the tip of hemodialysis catheter in the posterior mediastinum causing possible damage to the right main bronchus. After chest tube insertion and removing the misplaced hemod...
Source: The Journal of Vascular Access - March 8, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Single-centre experience of an early cannulation graft for haemodialysis access.
CONCLUSION: In our experience, we have found the use of the early cannulation graft Flixene to be safe with a low complication rate and favourable patency rates. We believe these early cannulation grafts provide a useful addition for vascular access surgeons preventing the use of tunnelled lines and providing more flexibility in the timing of placing a graft for dialysis. PMID: 32141378 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 8, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Transthoracic echocardiography as bedside technique to verify tip location of central venous catheters in patients with atrial arrhythmia.
CONCLUSION: Tip location of central venous catheter by transthoracic echocardiography with bubble test is feasible, safe, and accurate in patients with atrial arrhythmia. This method can also be applied in peripherally inserted central catheters; however, further studies may be needed to confirm its use in this type of catheters. PMID: 32126882 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 6, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Changing the syringe pump: A challenging procedure in critically ill patients.
CONCLUSION: The syringe change can be a very critical moment given different influencing variables. Syringe pump position, displaced higher than the patient level, always generates a medication bolus that is higher at the lowering of the central venous pressure value. The presence of a neutral displacement needle-free connector reduces the incidence of boluses. When the pump is placed at the patient level, the presence of neutral displacement needle-free connector reduces the establishment of boluses, even in a central venous pressure of -5 mmHg simulations. PMID: 32126883 [PubMed - as supplied by publisher] (So...
Source: The Journal of Vascular Access - March 6, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Vascular access in lipoprotein apheresis: Save the vein save the life.
Authors: Pianelli M, Luciani R, Sbrana F, Dal Pino B, Bigazzi F, Sampietro T PMID: 32114871 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 4, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Ultrasound-guided proximal versus distal axillary vein puncture in elderly patients: A randomized controlled trial.
This study aims to compare the puncture success rate and anatomical characteristics between these two approaches. METHODS: Senior patients requiring central venous catheterization were enrolled and randomized to the proximal axillary vein group (n = 49) or the distal axillary vein group (n = 50). Proximal axillary vein and distal axillary vein location time, venous depth, maximum diameter, and collapse index (defined as the percentage change in vein width caused by respiration) were recorded for all patients. The rate of puncture success and operation time were compared between groups. R...
Source: The Journal of Vascular Access - March 4, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

(F)utility of "routine" postprocedural chest radiograph after hemodialysis catheter (central venous catheter) insertion.
(F)utility of "routine" postprocedural chest radiograph after hemodialysis catheter (central venous catheter) insertion. J Vasc Access. 2020 Feb 29;:1129729820907259 Authors: Parmar MS Abstract A routine postprocedural chest radiograph had been a safe, checklist-based final step of the procedure, since the start of central venous catheter insertion for hemodialysis to check the position of the catheter tip and to rule out complications. However, the chest radiograph is a suboptimal method to rule out complications like pneumothorax and is not a reliable test to confirm its position. Although ...
Source: The Journal of Vascular Access - March 4, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Syringe-free technique in children: Comment on: Ultrasound-guided supraclavicular brachiocephalic vein catheterization in children: Syringe-free in-plane technique with micro-convex probe.
Authors: Uzumcugil F PMID: 32106755 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 1, 2020 Category: Surgery Tags: J Vasc Access Source Type: research