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central venous catheter technique

Jana Basas, Marta Palau, Xavier Gomis, Benito Almirante, Joan Gavaldà
OBJECTIVE: The aims of this study were as follows. First, we sought to compare the in vitro susceptibility of liposomal amphotericin B (LAmB) and anidulafungin on Candida albicans and Candida glabrata biofilms growing on silicone discs. Second, we sought to compare the activity of LAmB versus anidulafungin for the treatment of experimental catheter-related C. albicans and C. glabrata infections with the antifungal lock technique in a rabbit model. METHODS: Two C...
2019: PloS One
Shingo Mitsuda, Joho Tokumine, Rena Matsuda, Tomoko Yorozu, Takayuki Asao
RATIONALE: A peripherally inserted central catheter (PICC) is typically inserted with the patient in the supine position. Here, we placed a PICC in a patient in the sitting position, in order to treat congestive heart failure. PATIENT CONCERNS: A 65-year-old man was diagnosed with end-stage lung cancer. He had experienced septic shock and was medicated with continuous infusion of noradrenaline through a peripheral vein, in order to maintain sufficient blood pressure...
February 2019: Medicine (Baltimore)
İlker Devrim, Nevbahar Demiray, Yeliz Oruç, Kenan Sipahi, İlknur Çağlar, Ferhat Sarı, Nuriye Turgut, Gülhan Atakul, Nihal Özdamar, Vecihe Dursun, Yelda Sorguç, Nuri Bayram, Hasan Agın
PURPOSE: The optimal scrubbing time for the disinfection of the surface of needleless connectors has not been determined. The evidence for successful needleless connector decontamination with 70% isopropyl alcohol ranges from 5 to 60 s. The aim of this prospective study was to identify colonization on the external surface of needleless connectors on central venous catheters and measure the efficiency of 15 s of scrubbing with 70% alcohol. METHOD: A total of 31 patients were included...
February 5, 2019: Journal of Vascular Access
D S Giraldo Gutiérrez, J Bautista Sánchez, R D Reyes Patiño
The insertion of a central venous catheter is a procedure frequently performed in paediatric anaesthesia. The most frequent approach for this procedure is the internal jugular vein. However, some specific factors in children, such as the short neck and the easy collapse of this vein, which is accentuated in situations such as hypovolaemia and changes in the respiratory pattern, can lead to greater difficulty. The supraclavicular approach of the subclavian vein was described more than 50 years ago. However, it is not often considered nowadays, even after the introduction of ultrasound, and despite the obvious advantages with respect to the internal jugular approach due to the lower incidence of thrombosis and infection...
February 1, 2019: Revista Española de Anestesiología y Reanimación
Fabrizio Brescia, Daniele G Biasucci, Fabio Fabiani, Michela Favarato, Fabio Costa, Ferdinando Longo, Matteo Martuscelli, Michelangelo Vitiello, Mauro Pittiruti
INTRODUCTION: Ultrasound-guided cannulation of the axillary vein in the infraclavicular area has several potential advantages for both short-term and long-term venous access devices. Currently, there are two techniques to approach axillary vein for ultrasound-guided cannulation: out-of-plane puncture in the short-axis view and the in-plane puncture in the long-axis view. We propose a novel ultrasound-guided puncture technique of axillary vein for centrally inserted central catheter placement, which consists in the oblique-axis view of the axillary vein coupled with the in-plane puncture...
January 31, 2019: Journal of Vascular Access
Olga Benavent Casanova, Nuria Benavente Gómez, Jose Ignacio Priego Quesada, Carlos Mauricio Galindo Gonzalez, Rosa María Cibrian Ortiz de Anda, Rosario Salvador Palmero, Francisco Núñez Gómez
Children affected by oncological diseases are often fitted with central venous catheters. Catheter infection is a frequent complication, sometimes accompanied by thrombosis. 
 We designed a case/control-type pilot study of children with oncological diseases fitted with a central venous catheter. The objective of this preliminary study is to use infrared thermography to discern whether there is an infection in patients with a central venous catheter and if so, to undertake a close follow-up of its evolution, after administering a therapy...
January 30, 2019: Physiological Measurement
Maged Labib Boules
Background: Vascular access is a top priority in the critically ill patients. Cannulation - venous and/or arterial - is the first step in any emergency situation. Ultrasound (US)-guided vascular cannulation was found to have a higher success rate and a decreased incidence of mechanical complications as compared with the landmark one. Aim: This study aims to compare subclavian vein (SCV) access through supraclavicular (SC) approach by endocavitary (EC) probe technique versus linear array high-frequency probe technique...
October 2018: Anesthesia, Essays and Researches
Harm J Scholten, Esther Ten Bloemendal, Bente Botter, Hendrikus H M Korsten, R Arthur Bouwman
Accumulating evidence shows that ultrasound (US) guidance improves effectiveness and safety of central venous catheter (CVC) placement. Several international guidelines therefore recommend the use of US for placement of CVCs. However, surveys show that the landmark-based technique is still widely used, while the percentage of physicians using US is increasing less than expected. The goal of this study was to investigate current practice for central venous catheterization in anaesthesiology and intensive care in the Netherlands, identify barriers for further implementation of US guidance and to evaluate whether personality traits are associated with the choice of technique...
January 19, 2019: Journal of Clinical Monitoring and Computing
Shih-Han S Huang, Jennifer MacRae, Dana Ross, Rameez Imtiaz, Brittany Hollingsworth, Gihad E Nesrallah, Michael A Copland, Philip A McFarlane, Christopher T Chan, Deborah Zimmerman
BACKGROUND AND OBJECTIVES: Canadian home hemodialysis guidelines highlight the potential differences in complications associated with arteriovenous fistula (AVF) cannulation technique as a research priority. Our primary objective was to determine the feasibility of randomizing patients with ESKD training for home hemodialysis to buttonhole versus stepladder cannulation of the AVF. Secondary objectives included training time, pain with needling, complications, and cost by cannulation technique...
January 18, 2019: Clinical Journal of the American Society of Nephrology: CJASN
Ricardo Lopez, Randall DeMartino, Mark Fleming, Haraldur Bjarnason, Melissa Neisen
OBJECTIVE: The use of catheter-directed thrombolysis (CDT) may provide clinical benefit in patients with acute deep venous thrombosis (DVT), but significant doubt remains about its indications and risks. We assessed technical success in resolution of acute iliofemoral or central DVT after single-session treatment with a novel mechanical aspiration thrombectomy device as an alternative to initiation of CDT. METHODS: This was a single-center retrospective review of patients with acute iliofemoral or central DVT treated with the Indigo continuous aspiration mechanical thrombectomy 8 system (Penumbra, Inc, Alameda, Calif) from 2016 to 2017...
January 10, 2019: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Maria Calabrese, Luca Montini, Gabriella Arlotta, Antonio La Greca, Daniele G Biasucci, Francesca Bevilacqua, Enrica Antoniucci, Andrea Scapigliati, Franco Cavaliere, Mauro Pittiruti
INTRODUCTION: The intracavitary electrocardiographic method is recommended for assessing the location of the tip of central venous catheter when there is an identifiable P wave. Previous reports suggested that intracavitary electrocardiographic method might also be applied to patients with atrial fibrillation, considering the so-called f waves as a surrogate of the P wave. METHODS: We studied 18 atrial fibrillation patients requiring simultaneously a central venous catheter and a trans-esophageal echocardiography...
December 31, 2018: Journal of Vascular Access
Yu-Jing Liang, Lin-Quan Tang, Xue-Song Sun, Yu-Ying Fan, Jin-Jie Yan, Yu-Yun Du, Shan-Shan Guo, Li-Ting Liu, Hao-Jun Xie, Sai-Lan Liu, Qing-Nan Tang, Xiao-Yun Li, Hai-Qiang Mai, Qiu-Yan Chen
BACKGROUND: Despite increasing use, symptomatic venous thromboembolism (VTE) associated with peripherally inserted central catheter (PICC) is a common complication in nonmetastatic nasopharyngeal carcinoma (NPC) patients. METHODS: A total of 3012 nonmetastatic NPC patients were enrolled in this retrospective study, and we applied Cox regression and log-rank tests to assess the association between PICC-VTE and survival using the propensity score method (PSM) to adjust for gender, age, radiotherapy technique, tumor stage, node stage, UICC clinical stage and pre-treatment EBV DNA...
December 29, 2018: BMC Cancer
Minako Sugiyama, Akihiro Iguchi, Yukayo Terashita, Junjiro Ohshima, Yuko Cho
BACKGROUND: Central venous (CV) catheters are required for the administration of chemotherapy. However, they may become a source of life-threatening infections of the bloodstream. The most effective technique to disinfect the port of a CV catheter has not been established. METHODS: We report the data obtained between April 2008 and March 2010 using 83% ethanol (Period I) and between April 2010 and March 2014 using 10% povidone-iodine (Period II) to sterilize the access port...
December 20, 2018: Pediatrics International: Official Journal of the Japan Pediatric Society
Arun Kumar Krishnan, Priya Menon, K P Gireesh Kumar, T P Sreekrishnan, Manish Garg, S Vijay Kumar
Background: The current standard followed for assessing central venous catheter (CVC) tip placement location is through radiological confirmation using chest X-ray (CXR). Placement of CVCs under electrocardiogram (ECG) guidance may save cost and time compared to CXR. Objective: The objective of this study is to compare the accurate placement of the CVC tip using anatomical landmark technique with ECG-guided technique. Another objective is to compare CVC placement time and postprocedural complications between the two techniques...
October 2018: Journal of Emergencies, Trauma, and Shock
M Cajozzo, V D Palumbo, V Mannino, G Geraci, A I Lo Monte, F P Caronia, F Fatica, G Romano, V Puzhlyakov, R D'Anna, G Cocchiara
OBJECTIVES: Port-a-cath catheterization is often required for those patients who need long-term therapies (malnutrition, neoplasm, renal failure, other severe diseases). The use of ports for a wide range of indications is not exempt from complications. Ultrasound-guided central venous catheterization (CVC) is a safe and fast technique for the introduction of the catheter inside a central vein. This retrospective study reports our experience with US-guided CVC in patient eligible for port-a-cath implantation...
November 2018: La Clinica Terapeutica
A J Hills, R Y Kannan, M Williams
Injuries to the parotid ducts are difficult to locate, assess, and repair, and traditionally, solid metal dilators and soft plastic tubes have had only limited success. We describe the Seldinger technique with a central venous catheter, which makes repair easier.
December 6, 2018: British Journal of Oral & Maxillofacial Surgery
Lane Thaut, Wells Weymouth, Branden Hunsaker, Daniel Reschke
BACKGROUND: Central vein catheter (CVC) placement using the modified Seldinger technique is a common procedure in the emergency department, but can be time consuming due to the multiple pieces of equipment included in central line kits and the number of steps in the procedure. Preassembled devices combine a needle, guidewire, dilator, and sheath into one unit and potentially simplify the process and reduce time required for CVC placement using the accelerated Seldinger technique. OBJECTIVE: Our aim was to evaluate whether the use of combination central line devices and the accelerated Seldinger technique will reduce the time required to place a CVC and increase the ease of the procedure...
November 29, 2018: Journal of Emergency Medicine
Mariela Dore, S Barrena, Paloma Triana Junco, Alba Sánchez Galán, Javier Jimenez Gomez, Leopoldo Martinez
INTRODUCTION:  Central venous port (CVP) placement is traditionally performed under fluoroscopy guidance. However, efforts for radiation dose reduction in children have allowed the introduction of ultrasound guidance (USG) and anatomic landmarks as an alternative technique for CVP placement. The aim of this study is to determine whether intraoperative fluoroscopy (IF) is required to confirm the correct position of the catheter tip in children. PATIENTS AND METHODS:  A prospective, single-center study was performed between July and December 2017...
November 23, 2018: European Journal of Pediatric Surgery
Mathew Wooster, Blake Fernandez, Kelli L Summers, Karl A Illig
BACKGROUND: Subclavian vein stenosis or occlusion at the thoracic outlet is a problem associated with certain anatomic and environmental stresses (venous thoracic outlet syndrome [VTOS]), the presence of central venous catheters, and the high flows associated with arteriovenous (AV) access in the limb. We describe our experience with open and endovascular techniques for restoring patency in highly symptomatic patients. METHODS: A prospectively collected database of patients was queried for patients treated for central venous obstructive disease in the setting of highly symptomatic VTOS and ipsilateral AV access from October 2011 to August 2016...
January 2019: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Bruno De Oliveira, Malligere Prasanna, Malcolm Lemyze, Laurent Tronchon, Didier Thevenin, Jihad Mallat
BACKGROUND: Central venous oxygen saturation (ScvO2) is often used to help to guide resuscitation of critically ill patients. The standard gold technique for ScvO2 measurement is the co-oximetry (Co-oximetry_ScvO2), which is usually incorporated in most recent blood gas analyzers. However, in some hospitals, those machines are not available and only calculated ScvO2 (Calc_ScvO2) is provided. Therefore, we aimed to investigate the agreement between Co-oximetry_ScvO2 and Calc_ScvO2 in a general population of critically ill patients and septic shock patients...
2018: PloS One
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