Infection control personnel familiar with the studies underlying recent guideline recommendations for the prevention of intravascular catheter-related infections could conclude that it would be easy to minimize the risk of such infections. Randomized, controlled trials have demonstrated that prepping the skin with chlorhexidine antiseptic can reduce the risk of catheter-related bloodstream infe...

accounted for when calculating the test-dose volume. We chose a test-dose volume of 1 ml. Assuming a catheter dead space of 0.2 ml, this resulted in an actual test-dose volume of approximately 0.22 mlÆkg containing 1.1 lgÆkg epinephrine. This large dose of epinephrine containing local anesthetic allowed to unmistakably identify intravascular catheter position by immediate and dramatic but brief...

BACKGROUND Protection of the catheter site by antimicrobial agents is one of the most important factors in the prevention of infection. Povidone iodine and chlorhexidine gluconate are the most common used agents for dressing. The purpose of this study was to compare the effects of povidone iodine, chlorhexidine gluconate and octenidine hydrochloride in preventing catheter related infections. ...

The AngioVac© system (AngioDynamics, Latham, NY, USA) is a percutaneous catheter-based approach indicated for the removal of unwanted intravascular material from venous circulation and offers safe alternative to conventional surgical extraction. This series describes various pathologies that were high risk management in which proved be suitable alternative.Learning objectives•Demonstrate utilit...

The predominant source of intravascular catheter-related bloodstream infections has been a research and clinical question for more than 30 years. During that time, we've moved from the position of a single source predominating in all clinical scenarios to a more realistic appraisal that both skin at the insertion site and the catheter hub/connector (ie, an extraluminal and an intraluminal sourc...