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https://www.readbyqxmd.com/read/27908432/safety-and-utilization-of-peripherally-inserted-central-catheters-versus-midline-catheters-at-a-large-academic-medical-center
#1
Tianyuan Xu, Lawrence Kingsley, Susan DiNucci, Gwen Messer, Jong-Hyeon Jeong, Brian Morgan, Kathleen Shutt, Mohamed H Yassin
BACKGROUND: Peripherally inserted central catheters (PICCs) are a commonly used central intravenous (IV) access device, which can be associated with significant complications. Midline catheters (MCs) are peripheral IV access devices that may reduce the need for central lines and hence decrease central line-associated bloodstream infections. The objective of this study is to compare the utilization and safety of PICCs and MCs. METHODS: This was a retrospective study comparing the use and outcomes of PICCs and MCs at a large academic medical center between January and May 2015...
December 1, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27904815/pneumorrhachis-resulting-in-transient-paresis-after-picc-line-insertion-into-the-ascending-lumbar-vein
#2
Russell Payne, Emily P Sieg, Arabinda Choudhary, Mark Iantosca
Obtaining intravascular access in the neonatal intensive care unit (NICU) is not only critical but also technically challenging. Malposition of the catheter tip is a known and well-documented complication. Specifically, peripherally inserted central venous catheter (PICC) line insertion into the ascending lumbar vein can lead to neurological dysfunction and, in some cases, even death. We present the first reported case of pneumorrhachis (PR) following PICC line insertion into the ascending lumbar vein. Our patient presented with lower extremity weakness and imaging confirmed the presence of air within the spinal canal...
October 17, 2016: Curēus
https://www.readbyqxmd.com/read/27850718/1081-comparing-complication-rates-in-central-lines-versus-peripherally-inserted-central-catheters
#3
Patrick Noonan, Tara Petersen, Sheila Hanson, Pippa Simpson, Mahua Dasgupta
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27831547/recombinant-tissue-plasminogen-activator-to-restore-catheter-patency-efficacy-and-safety-analysis-from-a-multihospital-nicu-system
#4
D M Scott, C Y Ling, B C MacQueen, V L Baer, E Gerday, R D Christensen
OBJECTIVE: In 2001, the US Food and Drug Administration approved recombinant tissue plasminogen activator (alteplase, Cathflo Activase) to reestablish patency of central catheters occluded, presumably, by a fibrin clot. We conducted a multicenter quality improvement study to determine the value of this procedure in our Neonatal Intensive Care Unit (NICUs), including analyses of efficacy, safety and costs. STUDY DESIGN: We conducted a retrospective quality analysis of neonates in level III NICUs, who received alteplase for the purpose of reestablishing patency of occluded central catheters...
November 10, 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/27818170/association-between-delivery-methods-for-red-blood-cell-transfusion-and-the-risk-of-venous-thromboembolism-a-longitudinal-study
#5
Mary A M Rogers, Neil Blumberg, Steven J Bernstein, Scott A Flanders, Vineet Chopra
BACKGROUND: Mechanisms of red blood cell delivery and their contribution to the incidence of venous thromboembolism are not well understood in the clinical setting. We assessed whether red blood cell transfusion through peripherally inserted central catheters (PICCs) affects the risk of venous thromboembolism compared with transfusion through non-PICC devices. METHODS: We implemented a prospective study between Jan 1, 2013, and Sept 12, 2015, in patients (age ≥18 years) admitted to a general medicine ward or intensive care unit who received a PICC for any reason during clinical care in 47 hospitals in Michigan, USA, with a maximum follow-up of 70 days...
November 3, 2016: Lancet Haematology
https://www.readbyqxmd.com/read/27807489/bacteremia-with-an-unusual-pathogen-mycobacterium-neoaurum
#6
Hesham Awadh, Munthir Mansour, Mahmoud Shorman
Mycobacterium neoaurum (M. neoaurum) is an infrequently encountered cause of infection in humans. It is a member of the rapidly growing mycobacteria family. It predominately afflicts those with a compromised immune status and a chronically indwelling vascular access. Isolation of this organism is challenging yet the advent of 16s ribosomal sequencing paved the way for more sensitive detection. No treatment guidelines are available and treatment largely depends on the experience of the treating physician and nature of the isolate...
2016: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/27716699/perioperative-management-of-patients-with-left-ventricular-assist-devices-undergoing-noncardiac-surgery
#7
Meredith Degnan, Jessica Brodt, Yiliam Rodriguez-Blanco
AIM: The aim of this study was to describe our institutional experience, primarily with general anesthesiologists consulting with cardiac anesthesiologists, caring for left ventricular assist device (LVAD) patients undergoing noncardiac surgery. MATERIALS AND METHODS: This is a retrospective review of the population of patients with LVADs at a single institution undergoing noncardiac procedures between 2009 and 2014. Demographic, perioperative, and procedural data collected included the type of procedure performed, anesthetic technique, vasopressor requirements, invasive monitors used, anesthesia provider type, blood product management, need for postoperative intubation, postoperative disposition and length of stay, and perioperative complications including mortality...
October 2016: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/27649977/can-a-virtual-reality-assessment-of-fine-motor-skill-predict-successful-central-line-insertion
#8
Hossein Mohamadipanah, Chembian Parthiban, Jay Nathwani, Drew Rutherford, Shannon DiMarco, Carla Pugh
BACKGROUND: Due to the increased use of peripherally inserted central catheter lines, central lines are not performed as frequently. The aim of this study is to evaluate whether a virtual reality (VR)-based assessment of fine motor skills can be used as a valid and objective assessment of central line skills. METHODS: Surgical residents (N = 43) from 7 general surgery programs performed a subclavian central line in a simulated setting. Then, they participated in a force discrimination task in a VR environment...
October 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27647824/evaluating-safety-of-tunneled-small-bore-central-venous-catheters-in-chronic-kidney-disease-population-a-quality-improvement-initiative
#9
Gauri Bhutani, Mireille El Ters, Walter K Kremers, Joe L Klunder, Sandra J Taler, Amy W Williams, Andrew H Stockland, Marie C Hogan
Introduction Peripherally inserted central venous catheters (PICCs) may adversely impact future successful arteriovenous fistulae (AVF). As part of a quality improvement project, the performance of tunneled small bore tunneled central venous catheters (TSB-CVCs), as alternatives to PICCs, was evaluated. Methods A retrospective observational study, involving individuals ≥18 years of age who underwent TSB-CVC placement by Interventional Radiology at Mayo Clinic, Rochester, MN between 1/1/2010 and 8/30/2013...
September 20, 2016: Hemodialysis International
https://www.readbyqxmd.com/read/27640661/a-fractured-peripherally-inserted-central-catheter-line-a-rare-but-serious-complication
#10
Bryan Renton
No abstract text is available yet for this article.
September 2, 2016: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/27590475/insertion-of-peripherally-inserted-central-catheters-in-neonates-less-than-1-5%C3%A2-kg-using-ultrasound-guidance
#11
Kevin N Johnson, Tina Thomas, Jason Grove, Marcus D Jarboe
BACKGROUND: Neonates commonly require central access, and in those with very low or extremely low birthweight this can be challenging. Described here is a technique that uses ultrasound guidance in the placement of peripherally inserted central catheters (PICC) in neonates and an analysis of outcomes. METHODS: A retrospective chart review was conducted of all patients below 1500 g that underwent placement of a peripherally inserted central catheter under ultrasound guidance between January 1, 2012, and December 31, 2014 at a single center...
November 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27495892/cardiac-tamponade-a-rare-but-preventable-complication-of-central-venous-catheter-in-neonates
#12
R W Atmawidjaja, M Azri, I H Ismail
Pericardial effusion with cardiac tamponade is a rare and life-threatening complication of peripherally inserted central catheter (PICC) in a neonate. We report a 33-week preterm neonate who had sudden clinical deterioration at day seven of total parenteral nutrition regime via PICC. Recognition of pericardial effusion with cardiac tamponade in neonates with a PICC requires a high index of suspicion and steps in prevention include proper catheter tip placement and continuous monitoring of line position and function...
June 2016: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/27436222/distal-superficial-femoral-vein-cannulation-for-peripherally-inserted-central-catheter-placement-in-infants-with-cardiac-disease
#13
Robert P Richter, Mark A Law, Santiago Borasino, Jessica A Surd, Jeffrey A Alten
OBJECTIVE: To describe a novel real-time ultrasound (US)-guided distal superficial femoral vein (DSFV) cannulation technique for insertion of peripherally inserted central catheters (PICC) in critically ill infants with congenital heart disease. DESIGN: Descriptive retrospective cohort study SETTING: Pediatric cardiac intensive care unit in a pediatric tertiary hospital PATIENTS: First 28 critically ill infants that received DSFV PICCs via this new technique. RESULTS: Thirty-seven US-guided DSFV PICCs were attempted on 31 infants from September 2012 to November 2014; 34 PICCs were placed in 28 patients (success rate 92%)...
December 2016: Congenital Heart Disease
https://www.readbyqxmd.com/read/27429024/intravenous-versus-oral-antibiotics-for-the-prevention-of-treatment-failure-in-children-with-complicated-appendicitis-has-the-abandonment-of-peripherally-inserted-catheters-been-justified
#14
Shawn J Rangel, Brett R Anderson, Rajendu Srivastava, Samir S Shah, Paul Ishimine, Mythili Srinivasan, Matthew Bryan, Wu Gong, Matt Hall, Russell Localio, Xianqun Luan, Seema Anandalwar, Ron Keren
OBJECTIVE: To compare treatment failure leading to hospital readmission in children with complicated appendicitis who received oral versus intravenous antibiotics after discharge. BACKGROUND: Antibiotics are often employed after discharge to prevent treatment failure in children with complicated appendicitis, although existing studies comparing intravenous and oral antibiotics for this purpose are limited. METHODS: We identified all patients aged 3 to 18 years undergoing appendectomy for complicated appendicitis, who received postdischarge antibiotics at 35 childrens hospitals from 2009 to 2012...
July 15, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27312764/novel-endovascular-technique-for-removal-of-adherent-picc
#15
Julie Le, Areg Grigorian, Samuel Chen, Isabella J Kuo, Roy M Fujitani, Nii-Kabu Kabutey
INTRODUCTION: Peripherally inserted central catheters (PICCs) are a popular alternative to central venous lines. PICCs can provide reliable long-term access for intravenous fluids, antibiotics and total parenteral nutrition. Multiple factors can contribute to difficult PICC removal including adherent fibrin and thrombus formation around the catheter. We discuss a novel endovascular retrieval technique to remove tightly adherent PICCs. CASE PRESENTATION: A 42-year-old male with history of chronic pancreatitis requiring intravenous pain medications, presented with right upper extremity single lumen PICC that could not be removed by standard techniques...
June 1, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27298814/ultrasound-guided-central-line-insertion-and-standard-peripherally-inserted-catheter-placement-in-preterm-infants-comparing-results-from-prospective-study-in-a-single-center
#16
Dany Antanios Al Hamod, Smart Zeidan, Ayah Al Bizri, Georges Baaklini, Yolla Nassif
BACKGROUND: Among preterm infants, the peripherally inserted central catheter (PICC) is the standard line for central venous access; however, its placement exposes them to hypothermia and pain. Ultrasound (US)-guided central line insertion may be less morbid than standard PICC line. AIMS: To determine the ease, success rate, and morbidity associated with US-guided central line insertion in the internal jugular vein (IJV) by comparing it to the standard PICC line placement...
May 2016: North American Journal of Medical Sciences
https://www.readbyqxmd.com/read/27272928/variables-decreasing-tip-movement-of-peripherally-inserted-central-catheters-in-pediatric-patients
#17
Ralph Gnannt, Bairbre L Connolly, Dimitri A Parra, Joao Amaral, Rahim Moineddin, Avnesh S Thakor
BACKGROUND: The position of the tip of a peripherally inserted central catheter (PICC) is crucial; malposition can lead to malfunction of the line or life-threatening events (e.g., arrhythmias, perforation). OBJECTIVE: To determine what factors other than arm position and accessed vein might influence the tip position of a PICC. MATERIALS AND METHODS: Inclusion criteria were upper limb PICC placement, body weight <20 kg, intraoperative imaging with the arm in 0°, 45° and 90° abduction and an arm view marking the skin entry site relative to the shoulder...
October 2016: Pediatric Radiology
https://www.readbyqxmd.com/read/27261538/high-dose-corticosteroid-associated-with-catheter-related-thrombosis-after-allogeneic-hematopoietic-stem-cell-transplantation
#18
Xiao-Hui Zhang, Fei-Er Feng, Wei Han, Feng-Rong Wang, Jing-Zhi Wang, Yu Wang, Yao Chen, Hai-Xia Fu, Xiao-Dong Mo, Yuan-Yuan Zhang, Chen-Hua Yan, Huan Chen, Yu-Hong Chen, Yang Liu, Lan-Ping Xu, Kai-Yan Liu, Xiao-Jun Huang
BACKGROUND: Allogeneic hematopoietic stem cell transplantation (allo-HSCT) recipients are at an increased risk of thrombotic complications, most of which are catheter-related and present a substantial challenge. The incidence of CRT varies considerably depending on clinical factors. However, the underlying pathogenesis and risk factors remain unclear. METHODS: We performed a retrospective nested case-control study in patients following allo-HSCT. Thrombotic episodes were diagnosed based on the clinical suspicion of the physician (pain, swelling, etc...
August 2016: Thrombosis Research
https://www.readbyqxmd.com/read/27240799/a-comparative-evaluation-of-antimicrobial-coated-versus-nonantimicrobial-coated-peripherally-inserted-central-catheters-on-associated-outcomes-a-randomized-controlled-trial
#19
Susan Storey, Jamie Brown, Angela Foley, Erica Newkirk, Jan Powers, Julie Barger, Karen Paige
BACKGROUND: Central line-associated bloodstream infections (CLABSIs) are a common life-threatening risk factor associated with central venous catheters (CVCs). Research has demonstrated benefit in reducing CLABSIs when CVCs coated with antimicrobials are inserted. The impact of chlorhexidine (CHG)-impregnated versus non-CHG peripherally inserted central catheters (PICCs) on risk of CLABSI is unknown. Venous thromboembolism (VTE) is also a complication associated with CVCs. This study compares the impact of both PICC lines on these outcomes...
June 1, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27198806/central-line-associated-blood-stream-infections-in-pediatric-hematology-oncology-patients-with-different-types-of-central-lines
#20
Jeffrey D Hord, John Lawlor, Eric Werner, Amy L Billett, David G Bundy, Cindi Winkle, Aditya H Gaur
BACKGROUND: Central line associated bloodstream infections (CLABSIs) are a significant cause of morbidity and mortality in pediatric hematology/oncology (PHO) patients. Understanding the differences in CLABSI rates by central line (CL) type is important to inform clinical decisions. PROCEDURE: CLABSI, using similar definitions, noted with three commonly used CL types (totally implanted catheter [port], tunneled externalized catheter [TEC], peripherally inserted central catheter [PICC]) and CL-specific line days were prospectively tracked across 15 US PHO centers from May 2012 until April 2015 and CLABSI rates (CLABSI per 1,000 CL-specific line days) were calculated...
September 2016: Pediatric Blood & Cancer
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