Central venous catheter related complications are a large burden on our healthcare system. Many of these complications can be prevented by the use of proper technique. One methodology to aid in the teaching nontechnical aspects of procedures, serious games, has not been utilized in our field. The authors therefore set out to design a serious game aimed at teaching proper central venous catheter...

BACKGROUND.Mechanical and infectious complications shorten the effective duration of peripherally inserted central venous catheters. Heparin use to prevent such complications and prolong the usability of peripherally inserted central venous catheters is inconclusive. OBJECTIVE.Our goal was to evaluate the effectiveness of heparin in prolonging the usability of peripherally inserted central veno...

CONTEXT Central venous catheters impregnated with chlorhexidine and silver sulfadiazine have recently been introduced for the prevention of catheter-related infections. However, there remains some uncertainty regarding the efficacy of these catheters because of conflicting reports in the literature. OBJECTIVE To evaluate the efficacy of chlorhexidine-silver sulfadiazine-impregnated central ve...

The neonatal population is at a particularly high risk for catheter-associated bloodstream infections (CABSI). Chlorhexidine for skin antisepsis is well documented to effectively decrease the incidence of bloodstream infections associated with central venous catheters in other populations. The project described in this article demonstrates that chlorhexidine for central venous catheter insertio...

Properly placed central venous catheters have been effective in establishing prolonged access for total parenteral nutrition infusion in ill neonates. However, malposition of the catheter may lead to lethal complications. Malposition and infusion into the epidural venous plexus is most commonly diagnosed on the basis of radiographs and has been confirmed by lumbar puncture. Several studies desc...

BACKGROUND Patients in neurological critical care units often have lengthy stays that require extended vascular access and invasive hemodynamic monitoring. The traditional approach for these patients has relied heavily on central venous and pulmonary artery catheters. The aim of this study was to evaluate peripherally inserted central catheters as an alternative to central venous catheters in n...

AIMS AND OBJECTIVES To evaluate the evidence base and rationale underpinning the various infections control strategies during central venous catheter insertion and to promote discussion about the key, recurring concepts and recommendations in the literature. Logistical and organisational factors relating to central venous catheter insertion are also examined. BACKGROUND Catheter-related blood...

Introduction Central venous catheter (CVC) infections are a major cause of nosocomial infections and patient mortality. Although much has been done in recent years in order to lower the incidence of CVC infections, not all the means are available in poor countries. This research shows that it is possible to get closer to achiving this goal by applying recommendations which do not require signif...

Large numbers of central venous catheters (CVCs) are placed each year in the intensive care units and misplacement occurs frequently. Many critically ill patients require central venous catheterization for multiple and varied reasons. Internal jugular vein (IJV) catheter is one of the most frequent central venous catheters in intensive care units not only in Africa but all over the word. The ri...

OBJECTIVES In emergency departments, emergency physicians frequently have to perform central venous access. In cases where peripheral venous access is not possible, central venous access is required for dialysis, fulfillment of urgent fluid need, or central venous pressure measurement. This study was carried out to evaluate the emergence of complications in the process of and in the 15 days fol...