Funda Büyükyılmaz, Merdiye Şendir, Betül Kuş, Hacer Yaman
Background: In an older population, insertion of peripheral intravenous catheterizations (PIVCs) are more difficult because of specific problems, such as physiological changes (particularly in veins and subcutaneous tissue), age-related diseases, malnutrition, or insufficient hydration. For older patients, it has been determined that best practices are to use a small gauge needle, avoid using a tourniquet, insert the needle almost flat to the skin (at a 10 to 20-degree angle), stabilize the vein, and monitor the patient's signs and symptoms in order to reduce risk (e...
July 25, 2020: Contemporary Nurse
David Barth, Rosaleen M Nemec, Dennis D Cho, Adam Slomer, Eduard Cojocari, Kyuho Kim, Lianne D McLean, Christopher J Patriquin
BACKGROUND: Apheresis treatments require adequate venous access using peripheral intravenous (PIV) catheterization or central venous catheters (CVC). Ultrasound-guided PIV (USGPIV) can be used to decrease the need of CVC insertions for apheresis procedures. METHOD: A hybrid model of USGPIV and standard of care (SOC) for PIV access was developed. Nurses performed USGPIV on all patients considered for PIV access if felt SOC PIV access was not possible. Information was collected regarding nurses' confidence with access, number of attempts required, site of access, complications, and need for CVC...
July 2, 2020: Journal of Clinical Apheresis
Manan H Desai, Syed M Peer, Syed M Bukhari, Richard A Jonas, Can Yerebakan
Extracorporeal membrane oxygenation (ECMO) is the most common mechanical circulatory support strategy used to treat pediatric patients presenting with low cardiac output or cardiogenic shock. While transthoracic central cannulation is feasible and mostly utilized for early postoperative support, peripheral cannulation is preferred as a primary strategy in the late postoperative period. Redo-sternotomy and venous cannulation are difficult to achieve in patients with occluded peripheral veins or complex venous anatomy like Glenn circulation...
May 11, 2020: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
Gregory J Schears, Nicole Ferko, Imran Syed, John-Michael Arpino, Kimberly Alsbrooks
BACKGROUND: Peripherally inserted central catheters and centrally inserted central catheters have numerous benefits but can be associated with risks. This meta-analysis compared central catheters for relevant clinical outcomes using recent studies more likely to coincide with practice guidelines. METHODS: Several databases, Ovid MEDLINE, Embase, and EBM Reviews were searched for articles (2006-2018) that compared central catheters. Analyses were limited to peer-reviewed studies comparing peripherally inserted central catheters to centrally inserted central catheters for deep vein thrombosis and/or central line-associated bloodstream infections...
May 1, 2020: Journal of Vascular Access
Dilek Yılmaz, Nurcan Özyazıcıoğlu, Gülseren Çıtak Tunç, Ayla İrem Aydın, Meryem Atak, Şengül Duygulu, Zeliha Demirtaş
BACKGROUND: The use of a peripheral intravenous cannula is a common clinical practice, and it is known to be a major source of pain and anxiety in children. The aim of this study was to examine the effect of the use of the Buzzy® on pain and anxiety in children during peripheral cannula application. METHODS: The research sample consisted of 60 children between the ages of 8 and 16. For children in the experimental group, external cold and vibration was applied by means of the Buzzy® device...
April 20, 2020: Pediatrics International: Official Journal of the Japan Pediatric Society
Josh M Leipheimer, Max L Balter, Alvin I Chen, Enrique J Pantin, Alexander E Davidovich, Kristen S Labazzo, Martin L Yarmush
Obtaining venous access for blood sampling or intravenous (IV) fluid delivery is an essential first step in patient care. However, success rates rely heavily on clinician experience and patient physiology. Difficulties in obtaining venous access result in missed sticks and injury to patients, and typically require alternative access pathways and additional personnel that lengthen procedure times, thereby creating unnecessary costs to healthcare facilities. Here, we present the first-in-human assessment of an automated robotic venipuncture device designed to safely perform blood draws on peripheral forearm veins...
September 2019: Technology
Yash Javeri, Ganshyam Jagathkar, Subhal Dixit, Dhruva Chaudhary, Kapil Gangadhar Zirpe, Yatin Mehta, Deepak Govil, Rajesh C Mishra, Srinivas Samavedam, Rahul Anil Pandit, Raymond Dominic Savio, Anuj M Clerk, Shrikanth Srinivasan, Deven Juneja, Sumit Ray, Tapas Kumar Sahoo, Srinivas Jakkinaboina, Nandhakishore Jampala, Ravi Jain
Background and Purpose: Short-term central venous catheterization (CVC) is one of the commonly used invasive interventions in ICU and other patient-care areas. Practice and management of CVC is not standardized, varies widely, and need appropriate guidance. Purpose of this document is to provide a comprehensive, evidence-based and up-to-date, one document source for practice and management of central venous catheterization. These recommendations are intended to be used by critical care physicians and allied professionals involved in care of patients with central venous lines...
January 2020: Indian Journal of Critical Care Medicine
Guorong Wang, Yinfeng Li, Chunlin Wu, Lin Guo, Liqiong Hao, Hongyi Liao, Xue Xiao, Shanshan Liu, Lei Luo
Peripherally inserted central venous catheter (PICC) is the main venous access for cancer patients when they receive chemotherapy and nutritional support, but PICC-related venous thrombosis has become one of the most common and serious complications. It is very important to further explore the relationship among these features, so that prevent and treat the PICC-related thrombosis.To investigate the clinical features and the related factors of PICC-related upper extremity asymptomatic venous thrombosis in cancer patients, and to provide theoretical basis for the prevention of venous thrombosis...
March 2020: Medicine (Baltimore)
Sukyung Kwon, Soo Mi Son, Seul Hee Lee, Joung Hee Kim, Hyangkyoung Kim, Jang Yong Kim, Ji Il Kim, In Sung Moon
BACKGROUND: Bedside insertion of peripherally inserted central catheters (PICCs) has higher rates of malposition than fluoroscopic-guided PICC placement. This study evaluated the success rate of bedside PICC placement, variations in tip location, and risk factors for malposition. METHODS: This retrospective study included patients who underwent bedside PICC placement from January 2013 to September 2014 in a single institution. The procedure was conducted under ultrasound guidance or by a blind method...
February 2020: Acute and critical care
Miguel Angel Rodríguez-Calero, Ian Blanco-Mavillard, José Miguel Morales-Asencio, Ismael Fernández-Fernández, Enrique Castro-Sánchez, Joan Ernest de Pedro-Gómez
Peripheral venous catheterization is a common technique in hospitals which is not always successful, resulting in multiple punctures and degradation of the vessels. This scenario, which we have termed 'difficult peripheral venous access', is associated to delays in care, obtention of samples or diagnosis, as well as a higher use of central catheters. This study intends to identify risk factors associated to the incidence of 'difficult peripheral venous access' in adults at hospital. We designed a systematic review of published studies (protocol PROSPERO 2018 CRD42018089160)...
February 11, 2020: Heart & Lung: the Journal of Critical Care
Mari Abe-Doi, Ryoko Murayama, Chieko Komiyama, Hiromi Sanada
AIMS: Following chemotherapy, induration may occur. This study was conducted to survey induration incidence and risk factors, and investigation for actual condition of induration. METHODS: A cohort study was conducted for survey of incidence and risk factors, and a cross-sectional observation study was conducted to examine actual condition of induration. The sites of chemotherapy administration were recorded, and these were observed on the next treatment day. Clinical nurses judged the presence or absence of induration by palpation...
February 9, 2020: Japan Journal of Nursing Science: JJNS
X Q Luo, Y L Gong, C Zhang, M X Liu, Y L Shi, Y Z Peng, N Li
Objective: To analyze the distribution and drug resistance of pathogens isolated from patients with catheter-related bloodstream infection (CRBSI) in burn intensive care unit (BICU). Methods: From January 2011 to December 2018, among 2 264 patients who were peripherally inserted central venous catheter at the BICU of the First Affiliated Hospital of Army Medical University (the third Military Medical University), hereinafter referred to as the author's unit, 159 patients were diagnosed CRBSI, including 131 males and 28 females, aged 43 (1, 79) years...
January 20, 2020: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
Linfang Zhao, Xiuzhu Cao, Yapping Wang
PURPOSE: Patients needing medium- to long-term infusion therapy with limited catheterization via the superior vena cava system is a challenging condition. The conventional catheterization via the femoral vein in the groin has a high complication rate, discomfort, and short indwelling time. Since changing the insertion site can avoid the disadvantage of conventional catheterization via the femoral vein in the groin, the present study aimed to investigate the effects of femoral inserted central catheters insertion via the superficial femoral vein at the mid-thigh to resolve the issue of limited superior vena cava system catheterization...
December 25, 2019: Journal of Vascular Access
Claudia Maria de Freitas Floriano, Ariane Ferreira Machado Avelar, Maria Angélica Sorgini Peterlini
OBJECTIVE: To verify characteristics related to critical children, the catheter, and the professionals that will influence the time for the success of the puncture. METHOD: Descriptive, prospective, and correlation study, collected with an unique instrument, and a sample consisting of 89 children cared for in the emergency room. Statistical analysis of the association between time and explanatory variables was performed, considering a significance of 5%. RESULT: The median time for success was 193...
December 2019: Revista Brasileira de Enfermagem
Xingwei Sun, Xuming Bai, Jiaofeng Shen, Ziyang Yu, Zhixiang Zhuang, Yong Jin
BACKGROUND: To compare the efficacy and safety of right internal jugular vein (IJV) approach and right innominate vein (INV) approach for US-guided totally implantable venous access devices (TIVADs), and to explore the advantages and disadvantages of the two approaches. METHODS: Six hundred and nineteen adult patients had long-term infusion and chemotherapy needs and inconvenience of peripheral venous infusion. Right INV approach was used to implant 339 cases of TIVADs, and right IJV approach was used to implant 280 cases of TIVADs...
December 11, 2019: BMC Surgery
Adina F Turcu, Taweesak Wannachalee, Alexander Tsodikov, Aya T Nanba, Jianwei Ren, James J Shields, Patrick J O'Day, Donald Giacherio, William E Rainey, Richard J Auchus
Adrenal vein sampling (AVS) is required to distinguish unilateral from bilateral aldosterone sources in primary aldosteronism (PA), and cortisol is used for AVS data interpretation, but cortisol has several pitfalls. In this study, we present the utility of several other steroids in PA subtyping, both during AVS, as well as in peripheral serum. We included patients with PA who underwent AVS at University of Michigan between 2012 and 2018. We used mass spectrometry to simultaneously quantify 17 steroids in adrenal veins (AV) and periphery, both at baseline and after cosyntropin administration...
January 2020: Hypertension
(no author information available yet)
Central venous catheterization is a basic skill applicable in various medical fields. However, because it may occasionally cause lethal complications, we developed this practical guide that will help a novice operator successfully perform central venous catheterization using ultrasound guidance. The focus of this practical guide is patient safety. It details the fundamental knowledge and techniques that are indispensable for performing ultrasound-guided internal jugular vein catheterization (other choices of indwelling catheters, subclavian, axillary, and femoral venous catheter, or peripherally inserted central venous catheter are also described in alternatives)...
April 2020: Journal of Anesthesia
Jesse C Craig, Ryan M Broxterman, D Taylor La Salle, James Cerbie, Stephen M Ratchford, Jayson R Gifford, Kanokwan Bunsawat, Ashley D Nelson, Amber D Bledsoe, David E Morgan, D Walter Wray, Russell S Richardson, Joel D Trinity
KEY POINTS: •Exercise in patients with hypertension can be accompanied by an abnormal cardiovascular response that includes attenuated blood flow and an augmented pressor response. •Endothelin-1, a very potent vasoconstrictor, is a key modulator of blood flow and pressure during in health and has been implicated as a potential cause of the dysfunction in hypertension. •We assessed the role of endothelin-1, acting through endothelin A (ETA ) receptors, in modulating the central and peripheral cardiovascular responses to exercise in patients with hypertension via local antagonism of these receptors during exercise...
November 9, 2019: Journal of Physiology
Paula Krempser, Cristina Arreguy-Sena, Pedro Miguel Dos Santos Dinis Parreira, Anabela de Sousa Salgueiro-Oliveira
OBJECTIVE: to create, apply and analyze in clinical practice the effectiveness of a bundle to prevent peripheral vascular trauma to approach the peripheral venous puncture process. METHOD: action research with 435 adult participants in an emergency service from 2011 to 2013. Creation of the bundle for prevention of vascular trauma based on scientific evidence, ease of operation, observation and measurement with implantation through an educational intervention of the team of nursing...
2019: Revista Brasileira de Enfermagem
Ricardo Franco-Sadud, Daniel Schnobrich, Benji K Mathews, Carolina Candotti, Saaid Abdel-Ghani, Martin G Perez, Sophia Chu Rodgers, Michael J Mader, Elizabeth K Haro, Ria Dancel, Joel Cho, Loretta Grikis, Brian P Lucas, Nilam J Soni
PREPROCEDURE: 1) We recommend that providers should be familiar with the operation of their specific ultrasound machine prior to initiation of a vascular access procedure.2) We recommend that providers should use a high-frequency linear transducer with a sterile sheath and sterile gel to perform vascular access procedures.3) We recommend that providers should use two-dimensional ultrasound to evaluate for anatomical variations and absence of vascular thrombosis during preprocedural site selection...
September 6, 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
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