journal
https://read.qxmd.com/read/38610111/implementation-of-advanced-vascular-access-physiological-monitoring-and-goal-directed-resuscitation-during-ohca-in-a-helicopter-emergency-medical-service
#1
JOURNAL ARTICLE
Shadman Aziz, Kate Lachowycz, Rob Major, Paul Rees, Jon Barratt
Outcomes after out-of-hospital cardiac arrest (OHCA) remain poor in the UK. In order to increase the chances of successful resuscitation, international society guidelines on cardiopulmonary resuscitation quality have recommended titration of chest compression parameters and vasopressor administration to arterial diastolic blood pressure if invasive catheters are in situ at the time of cardiac arrest. However, prehospital initiation of arterial and central venous catheterisation is seldom undertaken due to the risks and significant technical challenges in the context of ongoing resuscitation in this environment...
April 12, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38602233/minimizing-delays-to-hemodialysis-access-maturation-a-quality-improvement-analysis
#2
JOURNAL ARTICLE
Andrew S Warren, Hannah Wolf, Charles J Hillenbrand, Gale L Tang
INTRODUCTION: Pre-operative process optimization can expedite time-to-intervention and reduce overall health care costs. We hypothesized that the longest delay to hemodialysis (HD) access creation would be from pre-operative vessel mapping (mandatory in our practice), and that this would be correlated with increased catheter days. METHODS: One hundred thirty patients (24 inpatients, 106 outpatients) who received initial hemodialysis (HD) access from 01/01/2017 to 12/31/2021, at the Veterans Affairs Puget Sound, Seattle, Washington, were identified...
April 11, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38600613/effect-of-early-cannulation-with-metal-needles-on-arteriovenous-fistula-patency-in-patients-undergoing-hemodialysis
#3
JOURNAL ARTICLE
Zuanhong Jiang, Manman Liu, Lingling Zhou, Weizhen Chen, Lili Lou, Liyun Xu
BACKGROUND: Autogenous arteriovenous fistula (AVF) is the preferred vascular access mode. However, the earliest possible time for AVF puncture and whether premature puncture affects the AVF patency rate remain unclear. METHODS: In this multicenter retrospective cohort study, adult uremic patients who underwent AVF surgery for the first time at Taizhou Hospital or Enze Hospital of Zhejiang Province between September 1, 2018 and August 31, 2021 were enrolled. All patients were followed up for 1 year after puncture, and the status of fistula establishment and puncture, subsequent patency, loss to follow-up, renal transplantation, conversion to peritoneal dialysis, abandonment of the fistula, and death, were recorded...
April 10, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38600611/validating-the-anatomical-landmark-technique-for-bedside-tunneled-central-venous-catheter-placement-in-the-medical-intensive-care-unit
#4
JOURNAL ARTICLE
Hanny Sawaf, James Lane, Roman Shingarev, Matthew Siuba, Alvin G Kwon, Tarik Hanane, Tushar J Vachharajani
BACKGROUND: A non-tunneled dialysis catheter (nTDC) is often the vascular access of choice to initiate dialysis in an intensive care unit (ICU). In the absence of contraindications, if a patient remains dialysis dependent beyond 2-weeks, the options are either to replace the nTDC with another nTDC or convert to a tunneled dialysis catheter (TDC). As a standard of care, TDCs are placed under fluoroscopic guidance. OBJECTIVES: To determine if TDCs and other tunneled central venous catheters (tCVC) can be placed safely using anatomical landmark techniques without the use of fluoroscopy...
April 10, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38581270/challenges-of-picc-placement-via-the-popliteal-vein-under-ultrasound-guidance-in-a-patient-with-severe-burns-a-case-report
#5
JOURNAL ARTICLE
Lihua Shi, Qiyu Chen, Rongrong Yang, Lihong Liao, Jianfang Zhang, Yingchun Liu
Peripherally inserted central catheters are widely used in patients with extensive burns, with the guidelines recommending insertion through unburned skin. This case report describes a patient who was burned over 88% of their surface area and suffered severe inhalation injury. For him, the popliteal vein was the only vein on unburned skin available for catheter catheterization. Based on evidence, we successfully placed a peripherally inserted central catheter through the popliteal vein under ultrasound while the patient was in the prone position and avoided associated complications...
April 6, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38581266/zero-upper-arm-hemodialysis-fistulas-utopian-or-realistic-goal
#6
JOURNAL ARTICLE
Napoli Marcello, Fontò Giulia, Lefons Maria Luisa, Ria Paolo, Zito Anna, Barbarini Silvia, Protopapa Paolo, De Pascalis Antonio
BACKGROUND: Although distal native fistula is the best first-line vascular access (VA), upper arm fistula (UAF) prevalence is increasing worldwide, except in Japan. Our previous survey on 50% of hemodialysis patients (HP) revealed a prevalence of UAF of less than 5%, which is lower than the findings published by the DOPPS 5 study in our country. We analyzed the VA prevalence on 100% of HPs from our department. METHODS: In December 2021, we investigated the prevalence of vascular access of 1295 hemodialysis patients from 17 dialysis factories...
April 6, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38539085/evaluating-the-outcome-of-a-bundle-with-11-components-and-the-inicc-multidimensional-approach-in-decreasing-rates-of-central-line-associated-bloodstream-infections-across-nine-asian-countries
#7
JOURNAL ARTICLE
Victor Daniel Rosenthal, Ruijie Yin, Sheila Nainan Myatra, Jigeeshu Vasishth Divatia, Sanjay K Biswas, Anjana Mahesh Shrivastava, Valentina Perez, Qi Yuee Wang, Subhash Kumar Todi, Swee Fong Tang, Chian Wern Tai, Pei-Chuen Lee, Deep Sengupta, Smita Sarma, Kavita Sandhu, Camilla Rodrigues, Bikas Nag, Mat Nor Mohd-Basri, Yatin Mehta, Mohit Kharbanda, Sudha Kansal, Aakanksha Chawla Jain, Narangarav Davaadagva, Soo Lin Chuah, Michelle Siu Yee Low, Chin Seng Gan, Marissa Bt Madzlan Kushairi, Mahuya Bhattacharyya, Arpita Bhakta, Tsolmon Begzjav, Batsuren Bat-Erdene, Roseleen Kaur Bali, Binesh Badyal, Ankush Arora, Rajalakshmi Arjun, Lili Tao, Zhilin Jin, Rajesh Chawla
BACKGROUND: Central line-associated bloodstream infection (CLABSI) rates in intensive care units (ICUs) across Latin America exceed those in high-income countries significantly. METHODS: We implemented the INICC multidimensional approach, incorporating an 11-component bundle, in 122 ICUs spanning nine Asian countries. We computed the CLABSI rate using the CDC/NSHN definition and criteria. The CLABSI rate per 1000 CL-days was calculated at baseline and throughout different phases of the intervention, including the 2nd month, 3rd month, 4-16 month, and 17-29 month periods...
March 27, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38539062/successfully-removing-a-knotted-epicutaneo-caval-catheter-inserted-in-a-neonate-a-case-report-and-literature-review
#8
JOURNAL ARTICLE
Zeyao Shi, Zhaolan Zeng, Xiaowen Li, Yan Song
Epicutaneo-caval catheter (ECC) has been widely used in neonatal intensive care units (NICUs). ECC line Knots in intravascular is an unexpected complication and has been reported in adults mostly. Few cases reported knot formation during ECC insertion and removal in neonates. In this case, we introduced a spontaneous knot formation during the insertion of the central catheter, which was finally successfully removed.
March 27, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38539059/comment-on-similar-outcomes-of-arteriovenous-fistulae-created-under-general-or-regional-anaesthesia
#9
LETTER
Chitta Ranjan Mohanty, Amiya Kumar Barik, Subhasree Das, Rakesh Vadakkethil Radhakrishnan
No abstract text is available yet for this article.
March 27, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38539052/incidental-avf-creation-during-unrelated-hospitalization-is-associated-with-worse-outcomes-compared-with-outpatient-avf-creation
#10
JOURNAL ARTICLE
Muhammad Saad Hafeez, Othman M Abdul-Malak, Katherine M Reitz, Catherine Go, Mohammad H Eslami, Rabih A Chaer, Theodore H Yuo
INTRODUCTION: Arteriovenous fistula (AVF) creation during an inpatient hospitalization is often performed for patient convenience and to ensure compliance. We sought to evaluate whether this approach has comparable outcomes to outpatient AVF creation. METHODS: We identified patients undergoing index AVF creation from the United States Renal Data System dataset (2012-2017). Patients were grouped into outpatient and inpatient. Outpatient included patients that were operated in either an outpatient setting, ambulatory surgical center or were admitted inpatient on the day of AVF creation...
March 27, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38539039/systematic-application-of-sica-ped-protocol-for-central-venous-catheterization-in-neonates-a-prospective-clinical-study-on-104-cases
#11
JOURNAL ARTICLE
Ferdinando Spagnuolo, Anna Maietta, Umberto Pugliese, Emanuele Lettieri, Fabrizio Minopoli, Nicola Coppola, Marco La Verde, Margherita Macera, Caterina Monari, Lorenzo Onorato, Mauro Carpentieri
BACKGROUND: Catheterization of central vessels can be associated with early and late, potentially fatal complications. A proactive approach is imperative to reduce the frequency and magnitude of adverse events. Recently, the GAVeCeLT has proposed a protocol called SICA-PED (i.e. Safe Insertion of Central Access in Pediatric patients) and includes seven evidence-based strategies. METHODS: Through a single-center prospective observational study, the authors wanted to consolidate the efficacy and safety of these protocol in newborns...
March 27, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38516868/benefits-of-simulation-for-ultrasound-guided-midline-placement-training-mc-in-sim-pilot-study
#12
JOURNAL ARTICLE
Côme Slosse, Anaïs Roche, Gabriela Hossu, Luca Fantin, Noémie Amouyal, Hind Hani, Hervé Bouaziz, Gaëlle Ambroise-Grandjean
INTRODUCTION: Ultrasound-guided placement of Midlines catheters (MCs) is a standard procedure with many benefits for patients. Even if there are some guidelines worldwide, this invasive technique is still taught at the patient's bed and relies on mentoring in many care centers. The performance of this care by novice practitioners raises ethical and quality of care issues mainly because of its risk of complications. This study aimed to propose and assess a simulation-based learning method for the placement of MCs in novice practitioners...
March 22, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38515354/picc-insertion-and-veins-of-the-arm-size-variation-during-dialysis-treatment-a-prospective-observational-study
#13
JOURNAL ARTICLE
Elena Ajello, Antonio Arresta, Riccardo Rutili, Salvatore Aronica, Rigo Lorenzo, Elia Monti, Martina Galletti, Luigi Cannizzo, Luciano Giannini, Alberto Lucchini, Federico Pieruzzi, Stefano Elli
BACKGROUND: Peripherally Inserted Central Catheters play an increasingly important role in Central Venous Access Devices. However, the use of these devices should be carefully considered in specific situations such as central catheterisation in patients with chronic kidney disease. When evaluating the feasibility of placement for a patient undergoing dialysis, the relationship between changes in circulating volume before and after dialysis treatment, and potential variations in the size of deep veins in the upper limbs, should be considered...
March 22, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38511240/successful-management-of-fatal-cardiac-tamponade-resulting-from-intravascular-intervention-for-central-vein-occlusion-in-hemodialysis-patients-a-case-report
#14
JOURNAL ARTICLE
Wenhui Lei, Weidong Huang, Jun Xin
This case report highlights the successful management of fatal cardiac tamponade caused by intravascular intervention for central vein occlusion in hemodialysis patients. Prompt diagnosis and treatment are essential for patient prognosis in such cases. We present a case involving a challenging surgical procedure to address multiple complications, emphasizing the importance of early detection and appropriate interventions. The patient, who had a history of long-term central venous catheter use for hemodialysis, was diagnosed with central vein stenosis in addition to superior vena cava occlusion, hemodialysis catheter rupture, hypertension, and end-stage renal disease...
March 21, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38506890/risk-of-infections-related-to-endovascular-catheters-and-cardiac-implantable-devices-in-hemodialysis-patients
#15
REVIEW
Gaetano Alfano, Niccolò Morisi, Silvia Giovanella, Monica Frisina, Alessio Amurri, Lorenzo Tei, Maria Ferri, Giulia Ligabue, Gabriele Donati
Patients requiring dialysis are extremely vulnerable to infectious diseases. The high burden of comorbidities and weakened immune system due to uremia and previous immunosuppressive therapy expose the patient on dialysis to more infectious events than the general population. The infectious risk is further increased by the presence of endovascular catheters and implantable cardiologic devices. The former is generally placed as urgent vascular access for dialysis and in subjects requiring hemodialysis treatments without autogenous arteriovenous fistula...
March 20, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38506887/salvage-of-brachiocephalic-aneurysmatic-fistulas-using-eptfe-graft-with-a-minimally-invasive-approach
#16
JOURNAL ARTICLE
Burak Tamtekin, Güler Gülsen Ersoy
BACKGROUND: In this study, we evaluated our surgical approach in requiring surgical treatment of brachiocephalic arteriovenous fistula (AVF) aneurysms for salvage of AVF. METHODS: Between 2012 and 2022, 20 patients (16 men, 4 women; mean age 54.5 years) who were surgically treated for a brachiocephalic AVF aneurysm in our Cardiovascular Surgery Clinic were evaluated retrospectively. These 20 patients were operated on for aneurysm thrombosis and fistula failure in 16 patients, sudden rupture and severe bleeding in 3 patients, cosmetic reasons, and anxiety in 1 patient...
March 20, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38506879/comparison-of-ultrasound-guided-supraclavicular-subclavian-vein-versus-infraclavicular-subclavian-axillary-vein-catheterization-a-systematic-review-and-meta-analysis
#17
JOURNAL ARTICLE
Rajathadri Hosur Ravikumar, Siddhavivek Majage, Mrudula Prasanna, Bikash Ranjan Ray
BACKGROUND: Subclavian vein cannulation is an important technique of central venous cannulation with a supraclavicular and an infraclavicular approach. There are randomized controlled trials (RCTs) which highlight the various differences between these two approaches when accessed via ultrasound. We undertook a meta-analysis to compare the ultrasound guided supraclavicular subclavian and the infraclavicular subclavian/axillary vein cannulation, keeping in mind that the infraclavicular approach may lead to cannulation of either subclavian/axillary vein...
March 20, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38506816/peripheral-arterial-catheter-securement-and-catheter-survival-in-the-pediatric-intensive-care-unit
#18
JOURNAL ARTICLE
Mary S Pilarz, Sarah B Walker, Matthew J Rowland
BACKGROUND: Peripheral arterial catheters (PACs), and their associated complications, are common in the pediatric intensive care unit (PICU). Accidental catheter displacement and non-functional PACs are the most common complications, and this may be related to inadequate catheter securement. There is mixed guidance on the best way to secure PACs to prevent complications. The authors hypothesized that sutures would not be associated with a decreased risk of malfunction or accidental removal...
March 20, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38506793/percutaneous-interventional-thrombectomy-of-an-endovascular-av-fistula-a-case-report
#19
JOURNAL ARTICLE
Martin Brzoska, Tung Pham Son, Christian Dorbath, Roland Veith, Gunnar Henrik Heine
Dialysis access thrombosis is a common complication in the process of care. With the introduction of endovascular AV-fistulas [AVF]s the situation gained complexity with new potential thrombosis localizations. Several thrombectomy methods are available for recanalization of thrombosed AVFs ranging from invasive surgical methods to minimal invasive endovascular approaches. Early assessment, diagnosis and treatment is crucial for prolonging the life span of an AVF and preventing the need for placement of central venous catheters...
March 20, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38501338/quality-assurance-in-surgical-trials-of-arteriovenous-grafts-for-haemodialysis-a-systematic-review-a-narrative-exploration-and-expert-recommendations
#20
REVIEW
David B Kingsmore, Ben Edgar, Emma Aitken, Francis Calder, Marco Franchin, Colin Geddes, Nick Inston, Andrew Jackson, Rob G Jones, Nikolaos Karydis, Ram Kasthuri, Gaspar Mestres, Georgios Papadakis, Rajesh Sivaprakasam, Mike Stephens, Karen Stevenson, Callum Stove, Lazslo Szabo, Peter C Thomson, Matteo Tozzi, Richard D White
BACKGROUND: Introducing new procedures and challenging established paradigms requires well-designed randomised controlled trials (RCT). However, RCT in surgery present unique challenges with much of treatment tailored to the individual patient circumstances, refined by experience and limited by organisational factors. There has been considerable debate over the outcomes of arteriovenous grafts (AVG) compared to AVF, but any differences may reflect differing practice and potential variability...
March 19, 2024: Journal of Vascular Access
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