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"Intravenous Cannula" OR "Intravenous Cannulation" OR "Intravenous Access" OR "Vascular Access"

Caterina Magnani, Diana Giannarelli, Alice Calvieri, Ana Dardeli, Giovanni Eusepi, Maria Rosa Restuccia, Chiara Mastroianni, Giuseppe Casale
BACKGROUND: Various options for the pharmacological treatment of breakthrough cancer pain (BTcP) are available. International guidelines on BTcP treatment are not univocal. A tailored treatment should be based on the assessment of different variables such as BTcP characteristics, oral mucositis, chronic rhinitis and a patient's ability to take medication. OBJECTIVE: The goal of this study is to assess the relationship between these variables and the medication treatment for BTcP in a sample of patients with terminal cancer...
October 13, 2018: Postgraduate Medical Journal
Amit N Vora, William Schuyler Jones, Adam D DeVore, Adrian Ebner, William Clifton, Manesh R Patel
BACKGROUND: There are limited options for percutaneous mechanical circulatory support (pMCS) in patients requiring high-risk percutaneous coronary intervention. OBJECTIVES: This first-in-human, single-center study aimed to evaluate the safety and feasibility of a novel pMCS device in high-risk percutaneous coronary intervention patients. METHODS: Aortix (Procyrion, Houston, Texas) is a pMCS device deployed in the descending aorta via the femoral artery that uses axial flow to provide cardiac unloading and augment renal and systemic perfusion...
October 11, 2018: Catheterization and Cardiovascular Interventions
Megann Young, Thomas Kim, Eli Lessard, Danielle Campagne, Susanne Spano, Leyla Farshidpour, Geoff Stroh
INTRODUCTION: The University of California San Francisco Fresno Department of Emergency Medicine provides base hospital support for the Sequoia and Kings Canyon National Parks (SEKI) emergency medical services (EMS) system. This descriptive epidemiologic study reports reasons the park EMS system is used and interventions provided, detailing the nature of patient encounters, type and frequency of injuries and interventions, reasons for base hospital contact, and patient dispositions. METHODS: Patient charts for all EMS encounters in SEKI from 2011 to 2013 were included, and relevant data were extracted by a single reviewer...
October 8, 2018: Wilderness & Environmental Medicine
Hyung Seok Lee, Young Rim Song, Jwa Kyung Kim, Sun Ryoung Choi, Narae Joo, Hyung Jik Kim, Pyoungju Park, Sung Gyun Kim
INTRODUCTION: The number of elderly patients requiring hemodialysis has increased, along with the need for multiple vascular access placements. Thus, the frequency of access creation using the upper arm veins, including transposed basilic arteriovenous fistula, has also increased. The purpose of this study was to identify the prevalence of anatomical variations in the upper arm veins on preoperative mapping venography and to investigate the implications of such variants on access creation...
October 11, 2018: Journal of Vascular Access
Han Zhang, Sumeet Kumar
Computed tomography angiography (CTA) is widely used to evaluate intracranial vascular disease. We report a case of intracranial CTA with unintended intra-arterial (IA) injection of contrast due to IA placement of an intravenous cannula, which results in a selective left vertebral artery IA CTA. Knowledge of anatomy is essential in analyzing the whole study and identifying the error. In clinical practice, it is important to avoid and recognize a wrongly placed intravenous cannula. And bolus tracking protocol might play a role as a gatekeeper...
January 2019: Radiology Case Reports
Barbara Wilson, Lori Harwood
There is a lack of consensus on what constitutes successful arteriovenous fistula (AVF) cannulation. The purpose of this study was to describe outcomes of successful cannulation of the AVF from both patient and healthcare provider perspectives. This was a mixed method study. Results reflecting the patient's description of success through interviews were reported previously. A sample of nursing and physician experts in vascular access completed a one-time survey. Results from healthcare providers suggest they consider cannulator ability to assess the AVF, knowledge of AVF anatomy, and patient-centered care as most important to cannulation success...
July 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
Gethsy Jayaseelan, Paul N Bennett, Wendi Bradshaw, Wei Wang, Helen Rawson
Negative perceptions of people receiving hemodialysis towards exercise have been proposed as barriers to exercise. The aims of this study were to explore perceptions of patients on hemodialysis concerning exercise and to investigate whether exposure to an exercise program was associated with patients' perceptions. Participants (n=274) from 10 hemodialysis clinics completed an adapted English-language version of the Dialysis Patient-Perceived Exercise Benefits and Barriers Scale. Most patients agreed that exercise was positive towards preventing muscular wasting, bone disease, keeping body weight at a steady level, improving mood and quality of life, and enhancing their selfcare activities...
March 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
Giorgina Barbara Piccoli, Louise Nielsen, Lurilyn Gendrot, Antioco Fois, Emanuela Cataldo, Gianfranca Cabiddu
There is no simple way to prescribe hemodialysis. Changes in the dialysis population, improvements in dialysis techniques, and different attitudes towards the initiation of dialysis have influenced treatment goals and, consequently, dialysis prescription. However, in clinical practice prescription of dialysis still often follows a "one size fits all" rule, and there is no agreed distinction between treatment goals for the younger, lower-risk population, and for older, high comorbidity patients. In the younger dialysis population, efficiency is our main goal, as assessed by the demonstrated close relationship between depuration (tested by kinetic adequacy) and survival...
October 8, 2018: Journal of Clinical Medicine
Yoni Grossman, Daniel Siverberg, Anat Berkovitch, Fernando Chernomordik, Arwa Younis, Elad Asher, Israel Barbash, Moshe Halak, Victor Guetta, Amit Segev, Paul Fefer
PURPOSE: To report long-term results of iliofemoral stent placement after transcatheter aortic valve replacement (TAVR). MATERIALS AND METHODS: TAVR access-related complications treated with iliofemoral stent placement were recorded in 56 patients (mean age, 81 years; range; 53-93 years; 48% male) of 648 patients who underwent TAVR at a single center. Fifty-six patients treated with stent placement (40 patients with stent grafts and 16 patients with bare metal stents) underwent clinical and ultrasonographic follow-up after a mean of 676 days (range, 60-1840 days)...
October 5, 2018: Journal of Vascular and Interventional Radiology: JVIR
Leelach Rothschild, Jessica K Goeller, Polina Voronov, Alexandra Barabanova, Peter Smith
BACKGROUND: Osteogenesis imperfecta is the collective term for a heterogeneous group of connective tissue syndromes characterized by bone fragility with multisystem involvement and perioperative implications. AIMS: Literature review of anesthetic management of patients with osteogenesis imperfecta revealed a paucity of data on the incidence of perioperative challenges. We sought to determine the rates of these challenges in our study cohort. METHODS: Data were collected in a specialty orthopedic hospital from 2008 to 2015 for 83 osteogenesis imperfecta patients undergoing 205 surgeries: 203 orthopedic surgeries and 2 mid-face reconstructive surgeries...
October 8, 2018: Paediatric Anaesthesia
Ning Ma, Yong Zhang, Jie Shuai, Changchun Jiang, Qiyi Zhu, Kangning Chen, Li Liu, Baomin Li, Xiangqun Shi, Lianbo Gao, Yajie Liu, Feng Wang, Yongli Li, Tieyan Liu, Hongbo Zheng, Dapeng Mo, Feng Gao, Yilong Wang, Yongjun Wang, Lei Feng, Zhongrong Miao
Background and purpose: A multicentre prospective registry study of individually tailored stenting for a patient with symptomatic intracranial atherosclerotic stenosis (ICAS) combined with poor collaterals in China showed that the short-term safety and efficacy of stenting was acceptable. However, it remained uncertain whether the low event rate could be of a long term. We reported the 1-year outcome of this registry study to evaluate the long-term efficacy of individually tailored stenting for patients with severe symptomatic ICAS combined with poor collaterals...
September 2018: Stroke and Vascular Neurology
Bastiaan P Vierhout, Robert A Pol, M Alewijn Ott, Maurice E N Pierie, Ties M G van Andringa de Kempenaer, Rutger J Hissink, O R Marald Wikkeling, Jan T Bottema, Mostafa El Moumni, Clark J Zeebregts
BACKGROUND: In endovascular valve and aortic repair, vascular access through a percutaneous approach has become the competing technique to an open surgical approach. The effect on postoperative complications and surgical site infections (SSIs) has been investigated, but randomized evidence is lacking. The objective was to investigate whether percutaneous access of the common femoral artery (CFA) with a percutaneous closure device would decrease the number of SSIs compared with open surgical access of the CFA in endovascular aneurysm repair (EVAR)...
October 3, 2018: Journal of Vascular Surgery
Ilir Hysi, Antoine Gommeaux, Max Pécheux, Philippe Hochart, Géry Hannebicque, Marc Pâris, Aurélie Manchuelle, Olivier Fabre
OBJECTIVE: The axillary artery seems an interesting alternative in non-femoral TAVR patients. This study describes our experience with this technique and its short-term follow-up results. METHODS: This is a retrospective single center study. All axillary TAVR performed in our department between 2015 and 2017 were included in the study. Mean follow-up was 13.2 ± 9.5 months. All reporting was done according to the VARC-2 criteria. RESULTS: During the period covered, 43 patients had an axillary TAVR...
October 3, 2018: Seminars in Thoracic and Cardiovascular Surgery
Vassilios Liakopoulos, Stefanos Roumeliotis, Sotirios Zarogiannis, Theodoros Eleftheriadis, Peter R Mertens
Oxidative stress (OS) is the result of prooxidant molecules overwhelming the antioxidant defense mechanisms. Hemodialysis (HD) constitutes a state of elevated inflammation and OS, due to loss of antioxidants during dialysis and activation of white blood cells triggering production of reactive oxygen species. Dialysis vintage, dialysis methods, and type and condition of vascular access, biocompatibility of dialyzer membrane and dialysate, iron administration, and anemia all can play a role in aggravating OS, which in turn has been associated with increased morbidity and mortality...
October 4, 2018: Seminars in Dialysis
Timothy R Spencer, Mauro Pittiruti
Ultrasound technology has revolutionized the practice of safer vascular access, for both venous and arterial cannulation. The ability to visualize underlying structures of the chest, neck, and upper/lower extremities provides for greater success, speed, and safety with all vascular access procedures. Ultrasound not only yields superior procedural advantages but also provides a platform to perform a thorough assessment of the vascular structures to evaluate vessel health, viability, size, and patency, including the location of other important and best avoided anatomical structures-prior to performing any procedures...
October 4, 2018: Journal of Vascular Access
Veena Chatrath, Rajan Kumar, Upasna Sachdeva, Milind Thakur
Background: Surgery is a very stressful experience for patients. Children are the most susceptible to fear, anxiety, and stress due to their limited cognitive capabilities and dependency. In children, pharmacologic agents are frequently used as premedication to relieve the fear of surgery, to make child-parental separation easy, and to carry out a smooth induction of anesthesia. We conducted this study to compare the efficacy of intranasal fentanyl, midazolam, and dexmedetomidine as premedication in pediatric patients...
July 2018: Anesthesia, Essays and Researches
Fernando Moura, Felipe Leite Guedes, Yuri Dantas, Ana Helena Maia, Rodrigo Azevedo de Oliveira, Artur Quintiliano
INTRODUCTION: Vascular access (VA) in hemodialysis (HD) is essential to end-stage renal disease (ESRD) patients survival. Unfortunately, after some years in HD program, a significant number of patients may develop VA failure for many reasons. In this situation, arterial venous fistula (AVF) confection or catheters placement in traditional vascular sites (jugular, femoral or subclavian) are not feasible. In this scenario, translumbar tunneled dialysis catheter (TLDC) may be a salvage option...
September 21, 2018: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
Gabriele Luigi Gasparini, Roberto Garbo, Andrea Gagnor, Jacopo Oreglia, Pietro Mazzarotto
AIMS: to assess the feasibility and safety of the left distal transradial artery (LDTRA) approach using a 7 Fr Glidesheath Slender for chronic total occlusion (CTO) percutaneous coronary interventions (PCIs). METHODS AND RESULTS: From March to May 2018 a total of 41 consecutive CTO PCIs were performed through LDTRA access using a 7 Fr Glidesheath Slender. Technical and procedural success, defined as achievement of technical success using the initially selected LDTRA access with no in-hospital mayor adverse cardiovascular events (MACE), were respectively 90,3% and 78%...
October 2, 2018: EuroIntervention
Lucia Barbieri, Monica Verdoia, Harry Suryapranata, Giuseppe De Luca
BACKGROUND: Contrast induced nephropathy (CIN) is a common complication of procedures that foresee the use of contrast media. Several risk factors have been identified as independent predictors of CIN, but, to date, no definitive data are available about the association between the angiographic approach and its development. METHODS AND RESULTS: Our population included 4199 patients undergoing coronary angiography and/or PCI. CIN was defined as an absolute ≥0.5 mg/dl or a relative ≥25% increase in creatinine level at 24-48 h after the procedure without another clear cause for the acute kidney injury...
August 10, 2018: International Journal of Cardiology
Kyung Hune Cho, Jong-Hak Park, Sung Woo Moon, Seong-Keun Yun, Jin-Young Kim
OBJECTIVE: In South Korea, the Gyeonggi Fire Services introduced a multi-tiered dispatch system for out-of-hospital cardiac arrest (OHCA) cases in July 2015. In this study, we investigated whether the multi-tiered dispatch system improved the pre-hospital return of the spontaneous circulation (ROSC) rate. METHODS: All non-traumatic adult OHCAs treated and transported by the 119 emergency medical system from July 2015 to December 2015 were included in the study. Demographic and pre-hospital Utstein element-data were collected from the emergency medical system OHCA database...
September 2018: Clinical and Experimental Emergency Medicine
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