7,278 results match your criteria inserted central

Soft tissue infection as a rare cause of neonatal sepsis.

Wien Med Wochenschr 2021 Aug 2. Epub 2021 Aug 2.

Department of Pediatrics and Neonatology, Saarland University Medical Center, Homburg/Saar, Germany.

Umbilical venous and peripherally inserted central venous catheters are often used in preterm infants, but complications include late-onset catheter-associated infections. Conversely, other sites of infection have to be taken into account in the case of clinical deterioration. In this Image in Science and Medicine paper, we report on a preterm infant with a rare cause of neonatal sepsis. Read More

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Successful Treatment of Brevibacterium Bacteremia Solely With Antimicrobial Therapy.

Cureus 2021 Jun 28;13(6):e16004. Epub 2021 Jun 28.

Infectious Diseases, State University of New York Downstate Medical Center, New York, USA.

is a large genus that is not often involved in pathogenesis, however, since 1991 there have been several case reports of -associated illness, most often due to bacteremia in the setting of an immunocompromised patient with a central venous catheter (CVC). Here we detail the case of an elderly woman with many comorbidities and a peripherally inserted central catheter (PICC) line for over four years, who presented with septic shock and bacteremia. In nearly all previous cases of bacteremia it was thought to be due to a CVC which was removed as part of the treatment in conjunction with antibiotics. Read More

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A real-time 3D electromagnetic navigation system for percutaneous pedicle screw fixation in traumatic thoraco-lumbar fractures: implications for efficiency, fluoroscopic time, and accuracy compared with those of conventional fluoroscopic guidance.

Eur Spine J 2021 Jul 31. Epub 2021 Jul 31.

Orthopaedic Department, General Hospital of Central Theater Command of PLA, 627 Wuluo Road, Wuchang District, Wuhan, 43007, China.

Purpose: Navigation is becoming more useful in percutaneous pedicle screw fixation (PPSF). The aim of this study was to compare the efficiency, fluoroscopic time, accuracy, and clinical outcomes of PPSF with a novel electromagnetic navigation (EMN) system for thoraco-lumbar (TL) fractures with those of PPSF with conventional C-arm fluoroscopic (CF) guidance.

Methods: A retrospective study was conducted. Read More

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Bilateral pleural effusion and pneumomediastinum: rare complication resulting from punctured left subclavian vein following insertion of PICC line for total parenteral nutrition.

BMJ Case Rep 2021 Jul 30;14(7). Epub 2021 Jul 30.

Geriatric Medicine, William Harvey Hospital, Ashford, Kent, UK.

This is a rare case of development of bi-lateral chylous pleural effusion (containing parenteral nutrition material) along with pneumomediastinum due to punctured left subclavian vein following insertion of a peripherally inserted central venous catheter (PICC) line. Parenteral nutrition is usually preferred for patients unable to tolerate enteral feeding. Due to hypertonicity of the total parenteral nutrition material, it is usually administered via internal jugular or subclavian vein which have a rapid blood flow; therefore, resulting in adequate mixing. Read More

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A Quality Improvement Project to Increase Frequency of Skin-to-Skin Contact for Extreme Low-Birth-Weight Infants in the Neonatal Intensive Care Unit.

J Perinat Neonatal Nurs 2021 Jul-Sep 01;35(3):247-257

Duke University, Durham, North Carolina, and Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee (Dr Nation); Division of Neonatology, Department of Pediatrics, Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee (Dr Sanlorenzo); Women's and Children's Service Line, Philadelphia, Pennsylvania (Dr Lebar); and Duke University School of Nursing, Durham, North Carolina (Dr Brandon).

Benefits of skin-to-skin contact (SSC) are documented but often delayed in the extremely preterm population due to medical complexity and staff misconceptions about safety. This quality improvement initiative was designed to increase SSC utilization among infants born before 29 weeks' gestation regardless of respiratory support by addressing nursing barriers inhibiting SSC. A pre-/postsurvey evaluated comfort level performing and perceived barriers to SSC utilization. Read More

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[Central neurological complication of an interscalene plexus catheter].

Anaesthesist 2021 Jul 29. Epub 2021 Jul 29.

Klinik für Anästhesie, Intensiv- und Notfallmedizin, ViDia Christliche Kliniken Karlsruhe, Standort St. Vincentius-Kliniken, Steinhäuserstraße 18, 76135, Karlsruhe, Deutschland.

A 78-year-old patient received an interscalene plexus catheter for perioperative pain therapy during implantation of an inverse shoulder prothesis. After stimulation-assisted puncture under sonographic control, 25 ml of local anesthetic (LA) were first administered and then the catheter was placed using the through the needle technique. Immediately after the administration of another 5 ml of local anesthetic via the inserted catheter, the patient showed symptoms of total spinal anesthesia, so that she had to be intubated and ventilated. Read More

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The SIC protocol: A seven-step strategy to minimize complications potentially related to the insertion of centrally inserted central catheters.

J Vasc Access 2021 Jul 29:11297298211036002. Epub 2021 Jul 29.

Catholic Medical Center - Upper Connecticut Valley Hospital, Colebrook, NH, USA.

Insertion of central venous catheters in the cervico-thoracic area is potentially associated with the risk of immediate/early untoward events, some of them negligible (repeated punctures), some relevant (accidental arterial puncture), and some severe (pneumothorax). Furthermore, different strategies adopted during insertion may reduce or increase the incidence of late catheter-related complications (infection, venous thrombosis, dislodgment). This paper describes a standardized protocol (S. Read More

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Atypical use of PICC as centrally inserted central catheter in infants and neonates: Report of a 10-year experience.

J Vasc Access 2021 Jul 28:11297298211034308. Epub 2021 Jul 28.

Department of Vascular and Interventional Radiology, Guy's and St Thomas' Hospitals NHS Foundation Trust, London, UK.

Purpose: The aim was to determine the success, safety and post procedure complications of peripherally inserted central catheters as centrally inserted central catheters (CICC).

Materials And Method: One hundred and sixty-one consecutive infants and neonates, who underwent image guided tunnelled central venous catheter insertion were retrospectively evaluated between April 2008 and April 2018. Patient's demographics, site of access and procedure details were recorded. Read More

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Venous access devices for the delivery of long-term chemotherapy: the CAVA three-arm RCT.

Health Technol Assess 2021 Jul;25(47):1-126

Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.

Background: Venous access devices are used for patients receiving long-term chemotherapy. These include centrally inserted tunnelled catheters or Hickman-type devices (Hickman), peripherally inserted central catheters (PICCs) and centrally inserted totally implantable venous access devices (PORTs).

Objectives: To evaluate the clinical effectiveness, safety, cost-effectiveness and acceptability of these devices for the central delivery of chemotherapy. Read More

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Emergency service results of central venous catheters: Single center, 1042 patients, 10-year experience.

World J Crit Care Med 2021 Jul 9;10(4):120-131. Epub 2021 Jul 9.

Department of Emergency, Gaziantep University Medical Faculty, Gaziantep 27410, Turkey.

Background: Central venous catheterization is currently an important procedure in critical care. Central catheterization has important advantages in many clinical situations. It can also lead to different complications such as infection, hemorrhage, and thrombosis. Read More

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Pooled SARS-CoV-2 antigen tests in asymptomatic children and their caregivers: Screening for SARS-CoV-2 in a pediatric emergency department.

Am J Infect Control 2021 Jul 24. Epub 2021 Jul 24.

Department of Gastroenterology, Hepatology, Pneumology and Infectious diseases, Katharinenhospital, Klinikum Stuttgart, Kriegsbergstraße 60, 70174 Stuttgart, Germany; Department of Hospital Hygiene, Klinikum Stuttgart, Kriegsbergstraße 60, 70174 Stuttgart Germany; Department I of Internal Medicine, Division of Infectious Diseases, University of Cologne, Kerpener Str. 62, 50937 Cologne, Germany. Electronic address:

Background: Universal admission screening for SARS-CoV-2 in children and their caregivers (CG) is critical to prevent hospital outbreaks. We evaluated pooled SARS-CoV-2 antigen tests (AG) to identify infectious individuals while waiting for PCR test results.

Methods: This single-center study was performed from November 5, 2020 to March 1, 2021. Read More

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Cardiac tamponade from peripherally-inserted central venous catheters in neonates: Three case reports.

Med J Malaysia 2021 Jul;76(4):566-568

University of Malaya, Department of Paediatrics, Kuala Lumpur, Malaysia.

Pericardial effusion (PCE) and cardiac tamponade (CT) are rare but life-threatening complications of percutaneouslyinserted central catheter (PICC) use in neonates. There is often a lack in index of suspicion in a neonate with sudden deterioration, resulting in high mortality. We describe a series of three cases of PICC-related PCE/CT in low birth weight infants whose timely diagnosis with echocardiography and pericardiocentesis led to successful resuscitation and survival. Read More

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Analysis of risk factors of PICC-related bloodstream infection in newborns: implications for nursing care.

Eur J Med Res 2021 Jul 23;26(1):80. Epub 2021 Jul 23.

Department of Nursing, Children's Hospital, School of Medicine, Zhejiang University, No. 3333 Binsheng Road, Binjiang District, Hangzhou City, Zhejiang Province, China.

Background: It is necessary to analyze the characteristics and risk factors of catheter-related bloodstream infection (CRBSI) in newborns with peripherally inserted central catheter (PICC).

Methods: Newborns undergoing PICC catheterization in the neonatal department of our hospital from January 1, 2020 to January 31, 2021 were included. The characteristics of newborns with and without CRBSI newborns were compared and analyzed. Read More

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Peripherally Inserted Central Catheter Placement in a Cardiology Ward: A Focus Group Study of Nurses' Perspectives.

Int J Environ Res Public Health 2021 07 17;18(14). Epub 2021 Jul 17.

The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal.

Intravenous therapy administration through peripheral venous catheters is one of the most common nursing procedures performed in clinical contexts. However, peripherally inserted central catheters (PICC) remain insufficiently used by nurses and can be considered a potential alternative for patients who need aggressive intravenous therapy and/or therapy for extended periods. The purpose of this study was to understand nurses' perspectives about PICC implementation in their clinical practice. Read More

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Central venous access devices for the delivery of systemic anticancer therapy (CAVA): a randomised controlled trial.

Lancet 2021 Jul 21;398(10298):403-415. Epub 2021 Jul 21.

Cancer Research UK Glasgow Clinical Trials Unit, Institute of Cancer Sciences, University of Glasgow, Glasgow, UK.

Background: Hickman-type tunnelled catheters (Hickman), peripherally inserted central catheters (PICCs), and totally implanted ports (PORTs) are used to deliver systemic anticancer treatment (SACT) via a central vein. We aimed to compare complication rates and costs of the three devices to establish acceptability, clinical effectiveness, and cost-effectiveness of the devices for patients receiving SACT.

Methods: We did an open-label, multicentre, randomised controlled trial (Cancer and Venous Access [CAVA]) of three central venous access devices: PICCs versus Hickman (non-inferiority; 10% margin); PORTs versus Hickman (superiority; 15% margin); and PORTs versus PICCs (superiority; 15% margin). Read More

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Prevalence of complications associated with the use of a peripherally inserted central catheter in newborns: A systematic review protocol.

PLoS One 2021 23;16(7):e0255090. Epub 2021 Jul 23.

Postgraduate Program in Public Health, Federal University of Rio Grande do Norte-UFRN, Natal, Brazil.

Background: The improper handling of a peripherally inserted central catheter (PICC) in newborns (NBs) may result in mechanical and infectious complications.

Aim: The aim of this systematic review (SR) is to estimate the prevalence of complications associated with the use of PICC in NBs.

Methods: We will utilize PubMed, Embase, CENTRAL, Web of Science, Scopus, Cochrane Library, CINAHL, and Google Scholar for the databases search. Read More

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[Procedure and teaching verses of supraclavicular subclavian catheterization].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2021 Jun;33(6):755-756

Center of Emergency Medicine, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, Fujian, China.

In order to improve the success rate of supraclavicular deep venous catheterization and reduce mechanical complications, we present an auxillary maneuver in regard to supraclavicular subclavian catheterization basing on the relatively fixed anatomy of subclavian vein and its adjacent surroundings, furthermore, we revised the standardized procedure of supraclavicular subclavian catheterization. The maneuver is summarized in the shape of verses (verses: thumb navigation is well designed according to anatomy. Needle penetrated into vein should be parallel to coronal plane. Read More

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Effects of indwelling centrally inserted central catheter on tip location of peripherally inserted central catheter with intracavitary electrocardiogram guidance: A retrospective case-control study.

J Vasc Access 2021 Jul 23:11297298211015088. Epub 2021 Jul 23.

Department of Nursing, Peking Union Medical College Hospital, Beijing, China.

Background: Intracavity electrocardiogram (IC-ECG) guidance is an effective technology for monitoring the tip locations of centrally inserted central catheters (CICCs) and peripherally inserted central catheters (PICCs). However, for patients with an indwelling CICC, there has been no study on whether the CICC affects PICC tip positioning with IC-ECG guidance.

Methods: Thirty people with a CICC requiring PICC insertion, matched with age to controls without a CICC. Read More

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Bibliometric analysis of studies involving e-waste: a critical review.

Environ Sci Pollut Res Int 2021 Jul 22. Epub 2021 Jul 22.

Federal University of Itajubá - UNIFEI, Av. BPS, 1303, Bairro Pinheirinho, Itajubá, MG, Caixa Postal 50 CEP 37500 903, Brazil.

The correct destination of waste is an essential factor for sustainable development. Electronic waste, which is very toxic, is the type of waste with the highest rate of increase in its generation. For these reasons, the amount of research on this topic increases year by year, as shown by the literature review carried out by this study. Read More

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UK Vessel Health and Preservation (VHP) Framework: a commentary on the updated VHP 2020.

J Infect Prev 2021 Jul 14;22(4):147-155. Epub 2020 Dec 14.

The Christie NHS Foundation Trust, Manchester, UK.

Background: In 2016, a UK vessel health and preservation (VHP) framework was developed to support healthcare staff to select the most appropriate vascular access device for patients requiring intravenous therapy. The VHP framework was based on available evidence and expert consensus. The VHP was based on available evidence and expert consensus. Read More

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Tailored approach to the choice of long-term vascular access in breast cancer patients.

PLoS One 2021 22;16(7):e0255004. Epub 2021 Jul 22.

Division of Vascular and Transplantation Surgery, Department of Surgery, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

This study compared the possible options for vascular access in breast cancer patients by analyzing the complications of each method. We retrospectively evaluated the vascular access procedures for intravenous chemotherapy in breast cancer patients from 2016 to 2018. A total of 300 consecutive patients were included, 100 each who received peripherally inserted central catheters (PICCs), arm ports, and chest ports. Read More

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Contrast enhanced ultrasound as a new tool to estimate the performance of midline catheters in the single patient.

J Vasc Access 2021 Jul 21:11297298211034629. Epub 2021 Jul 21.

Department of Biomedical and Clinical Sciences "Luigi Sacco," University of Milan, Luigi Sacco Hospital, Milan, Italy.

Background: Contrast enhanced ultrasound (CEUS) through MicroBubbles Time (MBT) (time from infusion of saline with addition of micro-bubbles of air to visualization of first bubbles in right atrium (RA), visualized by subxiphoid or apical echocardiography) is an alternative to Intracavitary ECG and chest X-ray in evaluation of tip location in central venous catheters.

Objective: To evaluate feasibility and variability of CEUS in peripheral catheters (Midline-MC) in a cohort of patients and in a subgroup where tip location was also performed through chest X-ray. Secondary outcomes were verifying the correlation between MBT and distance between tip of MC and RA (anthropometric and radiological measures), body mass index (BMI), vein diameter at point of insertion. Read More

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Multidisciplinary cooperative mode led by infusion nurse specialists used to ensure the nursing quality of peripherally inserted central catheters in China: A 5-year retrospective study.

J Vasc Access 2021 Jul 21:11297298211033507. Epub 2021 Jul 21.

Chairperson of Infusion Therapy Board in Changhai Hospital, Naval Medical University & Associate Chairperson of Infusion Therapy Committee in Shanghai Nurses Association, Shanghai, China.

Objective: To analyze the effect of multidisciplinary cooperation mode (MCM) led by infusion nurse specialists (INSs) on peripherally inserted central catheters (PICC) catheterization and indwelling nursing quality.

Methods: Participants' demographic information, catheter types, catheterization approaches, puncture site, tip position, professional title of nurses, success rate of catheterization, consultation rate, detection rate of complications and outcome improvement rate of 6576 outpatients and hospitalized patients with PICC were analyzed retrospectively by a software named "questionnaire stars," in a large tertiary general hospital in Shanghai, from January 2015 to December 2019. SPSS 26. Read More

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'Pinholes in my arms': the vicious cycle of vascular access.

Br J Nurs 2021 Jul;30(14):S4-S13

Chair in Mental Health, School of Health and Social Care, Edinburgh Napier University.

Background: Vascular access devices (VADs) are essential for delivery of intravenous therapies. There are notable gaps in the literature regarding a focus on patient experience and meaning-making related to living with a VAD, specifically a central venous access device (CVAD).

Aims: To explore how patients make sense of living with a CVAD. Read More

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The effect of systemic and local risk factors on triggering peripherally inserted central catheter-related thrombosis in cancer patients: A prospective cohort study based on ultrasound examination and structural equation modeling.

Int J Nurs Stud 2021 Jun 18;121:104003. Epub 2021 Jun 18.

Innovation Center of Nursing Research/Nursing Key Laboratory of Sichuan Province, West China School of Medicine, Sichuan University, PO Box No.37 Guo Xue Street, Chengdu, Sichuan 610041, PR China.

Background: The negative synergistic effect of cancer and a peripherally inserted central catheter could significantly increase the incidence of thrombosis. Rather than identifying risk factors for peripherally inserted central catheter-related thrombosis, exploring the effect of these risk factors might be a promising method to improve the outcomes of thrombosis.

Objectives: To analyze the effect of systemic and local risk factors on triggering peripherally inserted central catheter-related thrombosis in the first two weeks post-insertion in cancer patients. Read More

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Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study.


Lancet 2021 07 13;398(10297):325-339. Epub 2021 Jul 13.

Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Read More

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Utility and futility of central venous catheterization.

Ann Card Anaesth 2021 Jul-Sep;24(3):378-380

Department of Anaesthesiology, Pain and Palliative Care and Critical Care Medicine, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

Central venous access is useful for monitoring central venous pressure, inserting pulmonary artery catheter and administering vasoactive drugs in hemodynamically unstable patients. Central venous catheter (CVC) insertion through internal jugular vein may cause major vessel injury, inadvertent arterial catheterization, brachial plexus injury, phrenic nerve injury, pneumothorax, and haemothorax. We describe unusual presentation of hemothorax following CVC placement in a patient undergoing vestibular schwannoma excision. Read More

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Comparison of venous hemoglobin saturation measurements obtained by in vivo oximetry and calculated from blood gas analysis in critically ill dogs.

J Vet Emerg Crit Care (San Antonio) 2021 Jul 16. Epub 2021 Jul 16.

Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA.

Objective: To compare in vivo central venous hemoglobin saturation measurement (ScvO ) using a fiber optic catheter with saturation calculated from blood gas analysis in critically ill dogs.

Design: Prospective observational study.

Setting: University veterinary teaching hospital intensive care unit. Read More

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Clinical Outcomes of a New Type of Continuous Intrastromal Corneal Ring for Treatment of Keratoconus.

Cornea 2021 Jul 15. Epub 2021 Jul 15.

Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran; School of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Rehabilitation Research Center, Department of Optometry, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran; and Translational Ophthalmology Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Purpose: The purpose of this study was to evaluate the efficacy and safety of implantation of a new continuous corneal ring in keratoconic corneas of an Iranian population.

Methods: This study was conducted on 95 contact lens-intolerant keratoconic eyes with clear central corneas. A continuous corneal ring, annular intrastromal corneal inlay (AICI), was inserted using femtosecond laser in all cases. Read More

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