The intravenous port-A catheters are widely used for long-term central venous access in cancer patients. Spontaneous fracture and migration of implanted port catheters is a known complication and necessitates immediate removal. Percutaneous retrieval of intravascular foreign body has become a common practice and is commonly performed through central venous access, mostly using femoral, subclavi...

AIM The technique of ultrasound-guided subclavian cannulation was evaluated in our experience assessing the real effectiveness of such procedure. METHODS We have evaluated 297 subclavian cannulation, performed for the placement of central venous catheter both with landmark method (176 patients) and ultrasound guided technique (121 patients) to assess the real effectiveness of the ultrasound-g...

Background: Trabectedin has shown efficacy against soft tissue sarcomas (STS) and has manageable toxicity. Trabectedin is administered through central venous access devices (VAD), such as subcutaneous ports with tunneled catheters, Hickman catheters and PICC lines. Venous access related adverse events are common, but have not yet been reported in detail. Methods: A retrospective analysis of pat...

BACKGROUND A low fraction of inspired oxygen (FiO(2)) increases venous deoxygenated hemoglobin concentrations, making the color of the blood darker. The present study was aimed to determine the effects of FiO(2) on the ability to discriminate venous from arterial blood. METHODS One-hundred and sixty surgical patients undergoing percutaneous central venous access of the internal jugular vein w...

background: central venous (cv) catheters play an essential role in the management of critically ill patients in the intensive care unit (icu). cv lines are, however, allied to catheter-associated blood stream infections. bacterial colonization of cv lines is deemed the main cause of catheter-associated infection. the purpose of our study was to compare bacterial colony counts in the catheter s...

BACKGROUND Placement of a central venous catheter (CVC) in a pediatric patient is an important skill for pediatric emergency medicine physicians but can be challenging and time consuming. Ultrasound (US) guidance has been shown to improve success of central line placement in adult patients. OBJECTIVES This article aims to review the literature and evaluate the benefit of US guidance in the pl...

BACKGROUND The use of ultrasound during invasive bedside procedures is quickly becoming the standard of care. Ultrasound machine placement during procedures often requires the practitioner to turn their head during the procedure to view the screen. Such turning has been implicated in unintentional hand movements in novices. Google Glass is a head-mounted computer with a specialized screen capab...

Various medical specialty organizations and the Agency for Healthcare Research and Quality (AHRQ) have advocated using ultrasonography to guide central venous cannulation. It is surprising then, that very few instructional models have been described to teach this technique. Consequently, we developed a model to teach ultrasound-guided central venous access. This paper presents a recipe for an u...

CONTEXT The failure and complications of central venous access devices (CVADs) result in interrupted medical treatment, morbidity, and mortality for the patient. The resulting insertion of a new CVAD further contributes to risk and consumes extra resources. OBJECTIVE To systematically review existing evidence of the incidence of CVAD failure and complications across CVAD types within pediatri...