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...

conclusions considering possible side effects of heparin and the increase in treatment charges and the fact that using heparin did not have a significant effect on patency and survival of catheters in the studied patients, it is recommended to use normal saline solution to maintain the patency of central venous catheters. results there was no significant difference in the rate of flushing (p = ...

OBJECTIVES The vast majority of ICU patients require some form of venous access. There are no evidenced-based guidelines concerning the use of either central or peripheral venous catheters, despite very different complications. It remains unknown which to insert in ICU patients. We investigated the rate of catheter-related insertion or maintenance complications in two strategies: one favoring t...

PURPOSE Central venous catheters continue to be a popular means of maintaining vascular access in surgical intensive care units despite well-described complications. With edema, obesity, and difficult to visualize veins potentially affecting the surgically ill, inability to obtain peripheral intravenous (PIV) access may hinder the clinician's ability to avoid the use of central lines. With ultr...

PURPOSE The systemic chest veins may be difficult to show comprehensively by contrast venography, especially if there is limited venous access or contraindications to intravenous contrast. As an alternative, can magnetic resonance angiography (MRA) reliably detect occluded chest veins and predict suitable sites for central venous access? PATIENTS AND METHODS Eighty-four patients were examined...

totally implantable venous access devices (tivad) or implantable catheter ports are devices which can be implanted subcutaneously. they enable prolonged and repeated access to the vascular system, into the peritoneal cavity or intravertebral space. this device is particularly useful for repeated medical injection, for blood sampling or transfusion of blood and blood derivatives and for total pa...