BACKGROUND Central venous catheters (CVCs) are widely used for children with cancer and are a major risk factor for bloodstream infection. Early and specific diagnosis of CVC-associated bloodstream infection allows early targeted treatment, reducing the risk of CVC removal and avoiding the operative risks and trauma of reinsertion, but peripheral vein sampling, as used in adults, improves speci...

Central line associated bloodstream infections (CLABSIs) are a serious cause of morbidity and mortality induced by the use of central venous catheters (CVCs). Nobel metal alloy (NMA) coating is an advanced surface modification that prevents microbial adhesion and growth on catheters and thereby reduces the risk of infection. In vitro microbiological analyses have shown up to 90% reduction in mi...

OBJECTIVE To determine the extent to which evidence-based practices for the prevention of central venous catheter (CVC)-associated bloodstream infections are incorporated into the policies and practices of academic intensive care units (ICUs) in the United States and to determine variations in the policies on CVC insertion, use, and care. DESIGN A 9-page written survey of practices and polici...

BACKGROUND Residing remotely from health care resources appears to impact quality of care delivery. It remains unclear if there are differences in vascular access based on distance of one's residence to dialysis centre at time of dialysis initiation, and whether region or duration of pre-dialysis care are important effect modifiers. METHODS We studied the association of distance from a patien...

tive technique for the percutaneous insertion of large-bore catheters into blood vessels that allowed for the application of angiocatheters for angiography. The Seldinger technique for central venous catheter (CVC) placement is ubiquitous in medical practice and the procedure is well known. Briefly, the procedure involves introducing a percutaneous needle into the vessel, passing a guidewire th...

BACKGROUND A central venous catheter (CVC) currently represents the most frequently adopted intravenous line for patients undergoing infusional chemotherapy and/or high-dose chemotherapy with hematopoietic stem-cell transplantation and parenteral nutrition. CVC insertion represents a risk for pneumothorax, nerve or arterial punctures. The aim of this prospective observational study was to explo...

conclusions the us-guided method for cvc placement was superior to the traditional landmark method in terms of access time, number of attempts, success rate, and fewer complications. objectives this study aimed to compare the traditional landmark method vs. us-guided method of cvc placement in terms of complications and success rate. patients and methods in this randomized controlled trial, pat...

conclusions despite close concordance between ultrasonography and chest radiography, ceus is not a suitable alternative for standard chest radiography in detecting cvc location; however, considering its high sensitivity and acceptable specificity in our study, its usefulness as a triage method for detecting cvc location on a real-time basis in the operating room cannot be ignored. results chest...