<b><i>Background and Aims:</i></b> Parenteral nutrition (PN) has become an efficient, safe, convenient treatment over years for patients suffering from intestinal failure. Home PN (HPN) enables the to have a high quality of life in their own environment. The therapy management however implies many restrictions potentially severe lethal complications. Prevention latter ar...

conclusions it is better to remove the unused devices safely to prevent and decrease their possible complications. case presentation a 50-years-old woman, with a history of breast cancer, had a permcath emplacement in right subclavian vein for a course of chemotherapy. the treatment for cancer seemed to be successful and the permcath had remained in its position without complication, for a coup...

conclusions our case highlights the fact that the tip of the pulmonary artery catheter can easily advance into a peripheral branch of the pulmonary artery and cause pulmonary venous blood to be sampled instead of pulmonary arterial blood. a variety of monitoring techniques are needed to confirm accurate catheter placement. background pressure and waveform at the catheter tip are continuously mo...

We reported the case of a 78-year old woman with the inadvertent superior vena cava injury resulting from hemodialysis catheter placement. The catheter was placed through the left internal jugular vein. Hemodynamics were stable. The initial chest film illustrated an extraluminal catheter and mediastinal widening. The patient did not have hemothorax. Computed tomography venography also confirmed...

OBJECTIVES The vast majority of ICU patients require some form of venous access. There are no evidenced-based guidelines concerning the use of either central or peripheral venous catheters, despite very different complications. It remains unknown which to insert in ICU patients. We investigated the rate of catheter-related insertion or maintenance complications in two strategies: one favoring t...

BACKGROUND & AIMS Catheter-related-blood-stream-infection (CRBSI) might be prevented by optimal catheter connector antisepsis in children with intestinal failure on parenteral nutrition (PN). We changed the disinfectant used from isopropanol 70% to chlorhexidine 2% in 70% isopropanol, which leaves a residue of chlorhexidine on the connector. METHODS We conducted this before/after study in chi...

Background: We describe circumstances of dialysis initiation, dialysis prescription and factors affecting survival in elderly patients. Methods: We included all incident patients ≥ 80 years old from a National Registry for which clinical and laboratory data at dialysis initiation could retrospectively be obtained. Results: Of 170 patients included, 24% had diabetes, 30% ischemic heart disease, ...

BACKGROUND It is unclear whether recognition of epidural catheter failures is delayed with combined spinal epidural technique (CSE) compared to traditional epidural technique (EPID) when used for labor analgesia. The authors hypothesized that recognition of failed catheters is not delayed by CSE. METHODS Anesthetic, obstetric, and quality assurance records from 2,395 labor neuraxial procedure...

BACKGROUND Therapeutic hypothermia improves neurologic outcome and survival in patients following out-of-hospital cardiac arrest (OHCA). Endovascular cooling devices are commonly used to rapidly achieve and maintain hypothermia. The use of these devices may be associated with catheter related thrombosis. The objective of this study was to determine the risk of catheter related thrombosis associ...