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https://www.readbyqxmd.com/read/27604617/12th-winfocus-world-congress-on-ultrasound-in-emergency-and-critical-care
#1
Yahya Acar, Onur Tezel, Necati Salman, Erdem Cevik, Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-Bordomás, Mustafa Z Mahmoud, Abdelmoneim Sulieman, Abbas Ali, Alrayah Mustafa, Ihab Abdelrahman, Mustafa Bahar, Osama Ali, H Lester Kirchner, Gregor Prosen, Ajda Anzic, Paul Leeson, Maryam Bahreini, Fatemeh Rasooli, Houman Hosseinnejad, Gabriel Blecher, Robert Meek, Diana Egerton-Warburton, Edina Ćatić Ćuti, Stanko Belina, Tihomir Vančina, Idriz Kovačević, Nadan Rustemović, Ikwan Chang, Jin Hee Lee, Young Ho Kwak, Do Kyun Kim, Chi-Yung Cheng, Hsiu-Yung Pan, Chia-Te Kung, Ela Ćurčić, Ena Pritišanac, Ivo Planinc, Marijana Grgić Medić, Radovan Radonić, Abiola Fasina, Anthony J Dean, Nova L Panebianco, Patricia S Henwood, Oliviero Fochi, Moreno Favarato, Ezio Bonanomi, Ivan Tomić, Youngrock Ha, Hongchuen Toh, Elizabeth Harmon, Wilma Chan, Cameron Baston, Gail Morrison, Frances Shofer, Angela Hua, Sharon Kim, James Tsung, Isa Gunaydin, Zeynep Kekec, Mehmet Oguzhan Ay, Jinjoo Kim, Jinhyun Kim, Gyoosung Choi, Dowon Shim, Ji-Han Lee, Jana Ambrozic, Katja Prokselj, Miha Lucovnik, Gabrijela Brzan Simenc, Asta Mačiulienė, Almantas Maleckas, Algimantas Kriščiukaitis, Vytautas Mačiulis, Andrius Macas, Sharad Mohite, Zoltan Narancsik, Hugon Možina, Sara Nikolić, Jan Hansel, Rok Petrovčič, Una Mršić, Simon Orlob, Markus Lerchbaumer, Niklas Schönegger, Reinhard Kaufmann, Chun-I Pan, Chien-Hung Wu, Sarah Pasquale, Stephanie J Doniger, Sharon Yellin, Gerardo Chiricolo, Maja Potisek, Borut Drnovšek, Boštjan Leskovar, Kristine Robinson, Clara Kraft, Benjamin Moser, Stephen Davis, Shelley Layman, Yusef Sayeed, Joseph Minardi, Irmina Sefic Pasic, Amra Dzananovic, Anes Pasic, Sandra Vegar Zubovic, Ana Godan Hauptman, Ana Vujaklija Brajkovic, Jaksa Babel, Marina Peklic, Vedran Radonic, Luka Bielen, Peh Wee Ming, Nur Hafiza Yezid, Fatahul Laham Mohammed, Zainal Abidin Huda, Wan Nasarudin Wan Ismail, W Yus Haniff W Isa, Hashairi Fauzi, Praveena Seeva, Mohd Zulfakar Mazlan
A1 Point-of-care ultrasound examination of cervical spine in emergency departmentYahya Acar, Onur Tezel, Necati SalmanA2 A new technique in verifying the placement of a nasogastric tube: obtaining the longitudinal view of nasogastric tube in addition to transverse view with ultrasoundYahya Acar, Necati Salman, Onur Tezel, Erdem CevikA3 Pseudoaneurysm of the femoral artery after cannulation of a central venous line. Should we always use ultrasound in these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular subclavian vein catheterization...
September 2016: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/27512162/a-comparative-study-of-two-techniques-electrocardiogram-and-landmark-guided-for-correct-depth-of-the-central-venous-catheter-placement-in-paediatric-patients-undergoing-elective-cardiovascular-surgery
#2
Neeraj Kumar Barnwal, Sona T Dave, Raylene Dias
BACKGROUND AND AIMS: The complications of central venous catheterisation can be minimized by ensuring catheter tip placement just above the superior vena cava-right atrium junction. We aimed to compare two methods, using an electrocardiogram (ECG) or landmark as guides, for assessing correct depth of central venous catheter (CVC) placement. METHODS: In a prospective randomised study of sixty patients of <12 years of age, thirty patients each were allotted randomly to two groups (ECG and landmark)...
July 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27329967/impact-of-high-risk-thrombophilia-status-on-recurrence-among-children-with-a-first-non-central-venous-catheter-associated-vte-an-observational-multicentre-cohort-study
#3
Verena Limperger, Gili Kenet, Neil A Goldenberg, Christine Heller, Susanne Holzhauer, Ralf Junker, Ulrich C Klostermeier, Ralf Knoefler, Karin Kurnik, Anne Krümpel, Rolf Mesters, Michael Stach, Guy Young, Ulrike Nowak-Göttl
Deficiency of antithrombin (AT), protein C (PC) or protein S (PS) constitutes a major risk factor for venous thromboembolism (VTE). Individuals at high risk for recurrence who benefit from screening need to be identified. The primary study objective was to determine the individual recurrence risk among children with a first non-central-venous-catheter-associated VTE with respect to their thrombophilia status and to evaluate if the clinical presentation at first VTE onset differs between children with AT, PC or PS deficiency versus no thrombophilia...
October 2016: British Journal of Haematology
https://www.readbyqxmd.com/read/27107610/low-bacterial-diet-versus-control-diet-to-prevent-infection-in-cancer-patients-treated-with-chemotherapy-causing-episodes-of-neutropenia
#4
REVIEW
Elvira C van Dalen, Arno Mank, Edith Leclercq, Renée L Mulder, Michelle Davies, Marie José Kersten, Marianne D van de Wetering
BACKGROUND: Neutropenia is a potentially serious side effect of chemotherapy and a major risk factor for infection, which can be life-threatening. It has been hypothesised that a low bacterial diet (LBD) can prevent infection and (infection-related) mortality in cancer patients receiving chemotherapy that causes episodes of neutropenia, but much remains unclear. This review is an update of a previously published Cochrane review. OBJECTIVES: The primary objective of this review was to determine the efficacy of an LBD versus a control diet in preventing infection and in decreasing (infection-related) mortality in adult and paediatric cancer patients receiving chemotherapy that causes episodes of neutropenia...
April 24, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27096303/clinical-practice-audit-perioperative-antibiotic-prophylaxis-in-paediatric-cancer-patients-with-broviac-catheter-implantation
#5
K Weiss, A Simon, N Graf, J Schöpe, C M Meier
BACKGROUND: Perioperative antimicrobial prophylaxis (PAP) is an important target for internal audits, concerning the judicious use of antibiotics. Paediatric oncology patients face an increased risk of surgical site infection (SSI) after implantation of long term central venous catheters (CVAD). PATIENTS: All PATIENTS<18 years admitted to the paediatric oncology centre (POC) with implantation of a CVAD. METHODS: Systematic audit in 2 groups: retrospective (Jan 01, 2012 - March 31, 2014) and prospective (April 01, 2014 - March 31, 2015) referring to an internal PAP guideline, invented in Jan 2014...
May 2016: Klinische Pädiatrie
https://www.readbyqxmd.com/read/26999045/generalisability-and-cost-impact-of-antibiotic-impregnated-central-venous-catheters-for-reducing-risk-of-bloodstream-infection-in-paediatric-intensive-care-units-in-england
#6
Katie Harron, Quen Mok, Dyfrig Hughes, Berit Muller-Pebody, Roger Parslow, Padmanabhan Ramnarayan, Ruth Gilbert
BACKGROUND: We determined the generalisability and cost-impact of adopting antibiotic-impregnated CVCs in all paediatric intensive care units (PICUs) in England, based on results from a large randomised controlled trial (the CATCH trial; ISRCTN34884569). METHODS: BSI rates using standard CVCs were estimated through linkage of national PICU audit data (PICANet) with laboratory surveillance data. We estimated the number of BSI averted if PICUs switched from standard to antibiotic-impregnated CVCs by applying the CATCH trial rate-ratio (0...
2016: PloS One
https://www.readbyqxmd.com/read/26977751/risk-factors-for-central-venous-catheter-related-thrombosis-in-children-a-retrospective-analysis
#7
Kai Chen, Arnav Agarwal, Maria Cristina Tassone, Nadia Shahjahan, Mark Walton, Anthony Chan, Tapas Mondal
Central venous catheter (CVC) placement is associated with increased risk of thrombosis in the paediatric population, particularly in relation to the type of catheter and the manner of its insertion. Here, we investigate risk factors associated with CVC-related thrombosis in children, with particular emphasis on positioning of the catheter tip. Patients aged 0-18 who underwent at least one CVC placement from 2008 to 2013 at a single centre with a subsequent follow-up echocardiogram were included for a total of 104 patients and 147 lines...
June 2016: Blood Coagulation & Fibrinolysis: An International Journal in Haemostasis and Thrombosis
https://www.readbyqxmd.com/read/26946925/impregnated-central-venous-catheters-for-prevention-of-bloodstream-infection-in-children-the-catch-trial-a-randomised-controlled-trial
#8
RANDOMIZED CONTROLLED TRIAL
Ruth E Gilbert, Quen Mok, Kerry Dwan, Katie Harron, Tracy Moitt, Mike Millar, Padmanabhan Ramnarayan, Shane M Tibby, Dyfrig Hughes, Carrol Gamble
BACKGROUND: Impregnated central venous catheters are recommended for adults to reduce bloodstream infections but not for children because there is not enough evidence to prove they are effective. We aimed to assess the effectiveness of any type of impregnation (antibiotic or heparin) compared with standard central venous catheters to prevent bloodstream infections in children needing intensive care. METHODS: We did a randomised controlled trial of children admitted to 14 English paediatric intensive care units...
April 23, 2016: Lancet
https://www.readbyqxmd.com/read/26935961/catheter-infections-in-children-catch-a-randomised-controlled-trial-and-economic-evaluation-comparing-impregnated-and-standard-central-venous-catheters-in-children
#9
Katie Harron, Quen Mok, Kerry Dwan, Colin H Ridyard, Tracy Moitt, Michael Millar, Padmanabhan Ramnarayan, Shane M Tibby, Berit Muller-Pebody, Dyfrig A Hughes, Carrol Gamble, Ruth E Gilbert
BACKGROUND: Impregnated central venous catheters (CVCs) are recommended for adults to reduce bloodstream infection (BSI) but not for children. OBJECTIVE: To determine the effectiveness of impregnated compared with standard CVCs for reducing BSI in children admitted for intensive care. DESIGN: Multicentre randomised controlled trial, cost-effectiveness analysis from a NHS perspective and a generalisability analysis and cost impact analysis...
March 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/26901604/evaluation-of-device-associated-nosocomial-infections-in-a-paediatric-intensive-care-unit
#10
S Cevik, R Tekin, Ö O Gundeslioglu, F Aktar, Ş M Yilmaz, M Ay
OBJECTIVES: The aim of this study was to evaluate the rate of device-associated healthcare-associated infections (DA-HAI) in a paediatric intensive care unit (PICU). In addition, the identities of the responsible micro-organisms and of their antibiotic sensitivities were determined. SUBJECTS AND METHODS: Patients who had been treated and followed-up in a PICU for more than 48 hours between January 2008 and December 2013 were included in the study. Device-associated nosocomial infections were defined by the Centers for Disease Control (CDC) criteria...
May 6, 2015: West Indian Medical Journal
https://www.readbyqxmd.com/read/26760405/correct-positioning-of-central-venous-catheters-with-ecg-guidance-in-paediatric-patients
#11
Michael Hafeneder, Sebastian Schulz-Stübner, Herbert Trautner, Meinrad Beer, Norbert Roewer, Franz Kehl
No abstract text is available yet for this article.
July 2016: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/26451053/impact-of-infection-control-training-for-interns-on-picu-acquired-bloodstream-infections-in-a-middle-income-country
#12
Yun Yun Ng, Mohamed El-Amin Abdel-Latif, Chin Seng Gan, Anis Siham, Hasimah Zainol, Lucy Chai See Lum
INTRODUCTION: The present study aimed to determine the impact of an extended infection control training programme, which was conducted for all interns posted to the Department of Paediatrics, on the incidence of paediatric intensive care unit (PICU)-acquired bloodstream infections (BSIs) in University Malaya Medical Centre, Malaysia. METHODS: The development of nosocomial BSIs during the baseline period (1 January-31 October 2008) and intervention period (1 November-31 December 2009) was monitored...
September 2015: Singapore Medical Journal
https://www.readbyqxmd.com/read/26248471/domiciliary-administration-of-intravenous-albumin-in-congenital-nephrotic-syndrome
#13
Ben Christopher Reynolds, Charles William Pickles, Heather Joan Lambert, Milos Ognjanovic, Jean Crosier, Sally Ann Johnson, Yincent Tse
BACKGROUND: Early management of congenital nephrotic syndrome invariably includes the frequent administration of intravenous human albumin solution. The safety and feasibility of intravenous administration of albumin in the patients' home setting has not previously been reported. CASE-DIAGNOSIS/TREATMENT: We report a series of seven paediatric patients whose parents were trained in the administration of albumin via a central venous catheter at home, with the aim of minimising hospital admission or attendances...
November 2015: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/26224323/complicated-vascular-access-port-removals-incidence-antecedents-and-avoidance
#14
Warwick J Teague, Dina Fouad, Fraser D Munro, Amanda J McCabe
PURPOSE: Port removal is usually a straightforward procedure delegated to trainees. However, some port removals are complicated by central venous catheter (CVC) fragmentation, a challenge for even experienced surgeons. This study aimed to determine the incidence of, and risk factors for, complicated port removal in children. METHODS: A single-centre study assessed the outcome of removal for all paediatric ports inserted from 1996 to 2012. Data were recorded detailing patient, insertion, device and removal characteristics...
September 2015: Pediatric Surgery International
https://www.readbyqxmd.com/read/26188849/prevention-of-central-venous-catheter-associated-bloodstream-infections-in-paediatric-oncology-patients-using-70-ethanol-locks-a-randomised-controlled-multi-centre-trial
#15
RANDOMIZED CONTROLLED TRIAL
Reineke A Schoot, C Heleen van Ommen, Theo Stijnen, Wim J E Tissing, Erna Michiels, Floor C H Abbink, Martine F Raphael, Hugo A Heij, Jan A Lieverst, Lodewijk Spanjaard, C Michel Zwaan, Huib N Caron, Marianne D van de Wetering
BACKGROUND: The prevention of central venous catheter (CVC) associated bloodstream infections (CABSIs) in paediatric oncology patients is essential. Ethanol locks can eliminate pathogens colonising CVCs and microbial resistance is rare. Aim of this study was to determine whether two hour 70% ethanol locks can reduce CABSI in paediatric oncology patients. METHODS: We conducted a randomised, double blind, multi-centre trial in paediatric oncology patients (1-18 years) with newly inserted CVCs...
September 2015: European Journal of Cancer
https://www.readbyqxmd.com/read/26110291/medical-care-related-laboratory-confirmed-bloodstream-infections-in-paediatrics
#16
Silvia Virano, Carlo Scolfaro, Silvia Garazzino, Carlo De Intinis, Valeria Ghisetti, Irene Raffaldi, Carmelina Calitri, Pier Angelo Tovo
The aim of this survey was to describe the incidence, epidemiology, microbiology, risk factors and outcome of medical care related laboratory-confirmed bloodstream infections (LCBIs) observed during a twelve-month prospective study in a Paediatric Teaching Hospital in Turin, Italy. Inclusion criteria were clinical signs of sepsis and positivity of one or more of the following tests: blood culture, polymerase chain reaction for bacterial and fungal DNA on blood, and culture on intravascular device tips. In all, 140 episodes of sepsis were documented in 131 children: 37 (26...
June 2015: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/26044895/av-fistula-creation-in-paediatric-patients-outcome-is-independent-of-demographics-and-fistula-type-reducing-usage-of-venous-catheters
#17
COMPARATIVE STUDY
Vladimir Matoussevitch, Christina Taylan, Klaus Konner, Michael Gawenda, Kathrin Kuhr, Bernd Hoppe, Jan Brunkwall
PURPOSE: Even though early transplantation is still the first-line therapy in paediatric patients with end-stage renal disease (ESRD), up to 30% of these patients still require haemodialysis (HD). Creating an arteriovenous fistula (AVF) is quite challenging, particularly in children, leading to disproportional use of catheters. In this paper, we describe our experience in the creation of AVF with currently no in-dwelling catheters in children and adolescents on HD. METHODS: From January 2009 to December 2013, there were 34 patients rated as unfit for transplantation for at least the next 6 months or who had already been on HD through a central venous catheter (CVC)...
September 2015: Journal of Vascular Access
https://www.readbyqxmd.com/read/26040840/antibiotic-lock-for-the-prevention-of-catheter-related-infection-in-neonates
#18
REVIEW
Jacqueline E Taylor, Kenneth Tan, Nai Ming Lai, Susan J McDonald
BACKGROUND: Use of a central venous catheter (CVC) in neonates is associated with an increase in nosocomial infection. Numerous strategies exist to prevent catheter-related bloodstream infection (CRBSI); however, CRBSI continues to be a major problem. Antibiotic locking catheters is a new and promising treatment that potentially prevents this severe condition. OBJECTIVES: To assess the effectiveness of antibiotic lock versus no antibiotic lock or alternative antibiotic lock in the prevention of catheter-related infections in newborn infants of any gestational age during their initial stay in the neonatal unit and to study any relevant adverse effects from antibiotic lock therapy...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25934326/the-prevention-diagnosis-and-management-of-central-venous-line-infections-in-children
#19
REVIEW
Emily Chesshyre, Zoy Goff, Asha Bowen, Jonathan Carapetis
With advancing paediatric healthcare, the use of central venous lines has become a fundamental part of management of neonates and children. Uses include haemodynamic monitoring and the delivery of lifesaving treatments such as intravenous fluids, blood products, antibiotics, chemotherapy, haemodialysis and total parenteral nutrition (TPN). Despite preventative measures, central venous catheter-related infections are common, with rates of 0.5-2.8/1000 catheter days in children and 0.6-2.5/1000 catheter days in neonates...
June 2015: Journal of Infection
https://www.readbyqxmd.com/read/25804192/bloodstream-infection-in-paediatric-cancer-centres-leukaemia-and-relapsed-malignancies-are-independent-risk-factors
#20
R A Ammann, H J Laws, D Schrey, K Ehlert, O Moser, D Dilloo, U Bode, A Wawer, A Schrauder, G Cario, A Laengler, N Graf, R Furtwängler, A Simon
UNLABELLED: In a prospective multicentre study of bloodstream infection (BSI) from November 01, 2007 to July 31, 2010, seven paediatric cancer centres (PCC) from Germany and one from Switzerland included 770 paediatric cancer patients (58% males; median age 8.3 years, interquartile range (IQR) 3.8-14.8 years) comprising 153,193 individual days of surveillance (in- and outpatient days during intensive treatment). Broviac catheters were used in 63% of all patients and Ports in 20%. One hundred forty-two patients (18%; 95% CI 16 to 21%) experienced at least one BSI (179 BSIs in total; bacteraemia 70%, bacterial sepsis 27%, candidaemia 2%)...
May 2015: European Journal of Pediatrics
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