Background: Because of the high rates Broviac catheter complications, we started an urgent quality process to reduce this morbidity. The aim is assess efficiency main actions have taken in enhancing our practice and improving outcomes. Methods: We included all neonates young infants requiring surgical central venous access using a tunneled catheter. compared catheters’ outcomes before after imp...

Tunneled catheters are widely used for the provision of hemodialysis. Long-term catheter survival is limited by tunneled catheter-related infections (CRI). This study assesses the efficacy of catheter-restricted filling with gentamicin and citrate in preventing CRI in hemodialysis patients. A double-blind randomized study was conducted to compare heparin (5000 U/ml) with gentamicin/citrate (40 ...

Risk Factors Associated with Dysfunction of Permanent Tunneled Cuffed Hemodialysis Catheters; Single Center Experience Introduction: tunneled cuffed catheters are frequently preferred for hemodialysis in patients chronic renal failure (CRF), but the factors associated dysfunction these not well known. Our goal is to investigate risk factors. Materials and Methods: All cases a diagnosis CRF perm...

A 33 month old male with a history of prematurity, developmental delay, intractable epilepsy, chronic lung disease, pulmonary hypertension, tracheotomy, hypotonia, VP shunt, and ECMO in infancy presents for resection of a hepatic mass. He arrives to the operating room with a cuffed tracheostomy tube in place (mechanically ventilated on 30% FiO2), and a tunneled left internal jugular single lume...

BACKGROUND AND OBJECTIVES Tunneled dialysis catheters are prone to frequent malfunction and infection. Catheter thrombosis occurs despite prophylactic anticoagulant locks. Catheter thrombi may also serve as a nidus for catheter infection, thereby increasing the risk of bacteremia. Thus, heparin coating of catheters may reduce thrombosis and infection. This study evaluated whether heparin-coated...

BACKGROUND Catheter-related infection (CRI) is associated with increased all-cause mortality and morbidity in hemodialysis patients and may be reduced by using antimicrobial lock solutions (ALSs). STUDY DESIGN We performed a meta-analysis of studies identified from a search conducted in February 2007 of the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, Cumulative Index to N...

Noninfectious hemodialysis catheter complications include catheter dysfunction, catheter-related thrombus, and central vein stenosis. The definitions, causes, and treatment strategies for catheter dysfunction are reviewed below. Catheter-related thrombus is a less common but serious complication of catheters, requiring catheter removal and systemic anticoagulation. In addition, the risk factors...

These guidelines from the Infectious Diseases Society of America (IDSA), the American College of Critical Care Medicine (for the Society of Critical Care Medicine), and the Society for Healthcare Epidemiology of America contain recommendations for the management of adults and children with, and diagnosis of infections related to, peripheral and nontunneled central venous catheters (CVCs), pulmo...

Central venous catheterization is widely used in the emergency setting. This review aims to assess central venous catheterization from the perspectives of types of catheters, sites of insertion, and techniques. In emergency conditions, non-tunneled catheters are preferred because the technique for its insertion is not complicated and less time-consuming. The size of catheter depends on the purp...