Intravenous (IV) access is a common and essential emergency department procedure, which may be challenging in certain patients. Populations notorious for difficult IV access include injection drug users, diabetics, obese patients, or those in hypoperfusion states. Central venous catheter placement becomes the default solution when attempts at peripheral access prove unsuccessful. Yet, many pati...

background the presence of arterio-venous (a-v) fistula recirculation among hemodialysis (hd) patients markedly decrease adequacy of dialysis. objectives the present article summarize some of observations about clinical significance, causes, the most common techniques for measurement, and main source of pitfall in calculation of access recirculation. materials and methods a variety of literatur...

central venous catheter (cvc) insertion is a practical way to assess patients hemodynamic specially in cardiovascular surgery but this relatively simple junior level procedure is not risk free and its common reported complications include; pneumothorax, hydrothorax, hemothorax, local hematoma, cardiac tamponade, vascular injury, thrombosis, embolism, and catheter disruption. here in this articl...

conclusions the management was successful and this is an avoidable complication and several precautions are explained to avoid this. case presentation an 11-year-old male presents with inadvertent retention of guidewire during cvc. introduction retention of a guidewire is one of the rare but potentially serious complications of central venous catheterization (cvc).

Persistent left superior vena cava (PLSVC) represents the most common congenital venous anomaly of the thoracic systemic venous return, occurring in 0.3% to 0.5% of individuals in the general population, and in up to 12% of individuals with other documented congential heart abnormalities. In this regard, there is very little in the literature that specifically addresses the potential importance...

The current literature on venous access in infants and children for acute intravascular access in the routine situation and in emergency or intensive care settings is reviewed. The various techniques for facilitating venous cannulation, such as application of local warmth, transillumination techniques and epidermal nitroglycerine, are described. Preferred sites for central venous access in infa...

The current literature on venous access in infants and children for acute intravascular access in the routine situation and in emergency or intensive care settings is reviewed. The various techniques for facilitating venous cannulation, such as application of local warmth, transillumination techniques and epidermal nitroglycerine, are described. Preferred sites for central venous access in infa...

Central venous stenosis is a well-described sequel to the placement of hemodialysis catheters in the central venous system. The presence of an ipsilateral arteriovenous fistula or graft often leads to severe venous dilatation, arm edema and recurrent infections. Vascular access thrombosis, compromised blood flow and inadequate dialysis delivery are dreaded complications that eventually render t...