BACKGROUND Millions of peripheral intravenous catheters are used worldwide. The current guidelines recommend routine catheter replacement every 72-96 h. This practice requires increasing healthcare resource use. The clinically indicated catheter replacement strategy is proposed as an alternative. OBJECTIVES To assess the cost effectiveness of clinically indicated versus routine replacement of...

In the basal state, approx. 60-70% of the insulin released from the pancreas is extracted by the liver; the remaining 30-40% is extracted by extrasplanchnic organs. Carbohydrate ingestion is known to stimulate pancreatic insulin release and to inhibit whole-body insulin extraction. The present study was undertaken to obtain a quantitative assessment of the degree to which early postprandial ins...

PURPOSE To develop a clinically relevant porcine model for the study of hepatic metabolism of drugs by means of hepatic vein catheterization. MATERIALS AND METHODS review of literature and elaboration of a hypothesis, design of an experimental method. RESULTS recent clinical studies were conducted by withdrawing cirrhotic patients' blood from right hepatic vein during hepatic vein pressure ...

2014 Right heart catheterization using peripheral venous access is an approach initially used by pioneers of cardiovascular exploration, but subsequently almost forgotten with the popularization of direct puncture techniques of central veins for diagnostic, monitoring and therapeutic needs. Improved equipment and the recognition of the complications of direct central (femoral) artery puncture r...

BACKGROUND Transpedal access is increasingly utilized for peripheral vascular catheterization. There is a paucity of data on the use of radial hemostasis devices as an alternative to manual compression for achievement of hemostasis after this approach. OBJECTIVE To compare safety and efficacy of two hemostasis devices following transpedal catheterization for lower extremity revascularization ...

Risk factors for candidemia were analyzed in a case-control study of 30 cancer patients with candidemia and 58 controls. In a univariate analysis, previous surgery, neutropenia, central catheterization, chemotherapy, specific antibiotic treatments, and peripheral cultures positive for Candida spp. were associated with a significantly increased risk of candidemia. In a multivariate logistic mode...

BACKGROUND Femoral vein (FV) catheterization is required for critically ill patients, patients with difficult peripheral intravenous access, and patients undergoing major surgery. The purpose of this study was to evaluate the effects of hip abduction with external rotation (frog-leg position), and the frog-leg position during the reverse Trendelenburg position on diameter, cross-sectional area ...