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Central venous pressure is a measure of pressure in the superior vena cava

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Central venous pressure is a measure of pressure in the superior vena cava which can be used as an estimation of preload and right atrial pressure” Shah and Louis (2018). Excerpt: Central venous pressure is a measure of pressure in the superior vena cava which can be used as an estimation of preload and right […]

Peripheral parenteral nutrition osmolality algorithm

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Osmotic stress is a physical risk factor for adverse events related to peripheral parenteral nutrition (PN) administration, such as infiltration. We sought to improve prediction of compounded PN osmolality utilizing basic nutrient solutions available to North American neonatal intensive care units” Borenstein et al (2018). Abstract: BACKGROUND: Osmotic stress is a physical risk factor for […]

Technique for removing a fibrin sheath from implantable port

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We describe a novel technique for removing a fibrin sheath by exteriorizing the catheter through the neck entry site, stripping the fibrin sheath from the catheter manually under sterile conditions and replacing the catheter via a peel-away sheath introduced through the same skin incision as an alternative to complete port replacement or attempted catheter stripping” […]

Implantable port misplacement as a cause of catheter malfunction

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However, port CVC misplacement may lead to catheter malfunction (such as partial or total catheter blockade), which might be complicated by thrombosis and catheter superinfections, and these in turn may lead to pulmonary embolism and bloodstream infections” Mauri et al (2018). Abstract: The use of port central venous catheters (CVCs) for chemotherapeutical use has seen […]

PICC placement in medical-surgical neonatal intensive care units

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To compare outcomes of peripherally inserted central catheters (PICCs) placed in the upper extremity (UE) versus the lower extremity (LE) in a quaternary medical-surgical neonatal intensive care unit (NICU)” Elmekkawi et al (2018). Abstract: OBJECTIVE: To compare outcomes of peripherally inserted central catheters (PICCs) placed in the upper extremity (UE) versus the lower extremity (LE) […]

Air embolism following removal of central venous catheter

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We report a case of cerebral air embolism with loss of consciousness after removal of CVC caused by pulmonary arteriovenous malformation (PAVM)” Kugiyama et al (2018). Abstract: Cerebral air embolism following central venous catheter (CVC) removal is extremely rare. We report a case of cerebral air embolism with loss of consciousness after removal of CVC […]

Sodium citrate versus heparin as IV locking solution for central venous catheters

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Citrate 4% lock solution is equally effective as heparin in maintaining catheter patency in dialysis patients. It may have a favorable effect on prevention of catheter-related infection due to its additional antiseptic properties as compared to heparin” Abdel Azim et al (2018). Abstract: BACKGROUND: Limited reports are available on the role of 4% citrate as […]

Narrative review of long-term central venous access devices for the intensivist

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Long-term central venous access devices are increasingly prevalent and consequently often encountered by intensivists” Moir and Bodenham (2018). Abstract: Long-term central venous access devices are increasingly prevalent and consequently often encountered by intensivists. This review introduces the different types of long-term central venous access devices, outlines their potential utility, examines potential complications associated with their […]

Vascular access thrombosis contributory factors in hemodialysis patients

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The aim of this study was to assess von Willebrand factor (VWF), and a disintegrin and metalloproteinase with eight thrombospondin-type 1 motif (ADAMTS13) levels in HD patients and their association with vascular access thrombosis (VAT)” Elzorkany et al (2018). Abstract: Vascular access complications are major issues in hemodialysis (HD) patients, which increase their morbidity and […]

How to use adrenaline in the acute treatment of anaphylaxis

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The immediate treatment of patients with anaphylaxis is held to be adequate, yet major deficiencies remain in their further diagnostic evaluation, in the prescribing of emergency medications, and in patient education” Ring et al (2018). Abstract; BACKGROUND: Anaphylaxis is the most serious manifestation of an immediate allergic reaction and the most common emergency event in […]