BACKGROUND AND OBJECTIVES Permanent hemodialysis vascular access is crucial for RRT in ESRD patients and patients with failed renal transplants, because central venous catheters are associated with greater risk of infection and mortality than arteriovenous fistulae or arteriovenous grafts. The objective of this study was to determine the types of vascular access used by patients initiating hemo...

OBJECTIVE To review the risk factors of central venous catheter-related bloodstream infection and the recommendations for its prevention. SOURCES PubMed, Cochrane Collaboration and Bireme were reviewed using the following inclusion criteria: studies published between 2000 and 2010, study design, hospitalized pediatric population with central venous catheters and studies about central venous c...

Objective: To evaluate the effectiveness of an evidence-based practice educational intervention in preventing peripheral venous catheter complications. Method: observational study with for nursing professionals a hospital Minas Gerais, Brazil, about flushing, push-pause and locking techniques. Convenience sampling: 181 catheters pre-intervention group 157 post-intervention group. The incidence ...

Patients with difficult intravenous access (DIVA) often experience discomfort because of failed attempts to place peripheral venous catheters (PVCs); however, ultrasound guidance may improve this problem with catheter placement. The aim of this study was to evaluate the use of ultrasound when operated by nurse anesthetists for these patients. This prospective observational study with a pre/post...

Abstract Background Peripheral blood vessels, due to availability are used for many years in cancer patients, however in patients with potentially harmful drugs to skin (vesicant drugs) or difficult accessibility to vessels, the use of implantable port (totally implantable venous access port-TIVAP)devices with central vascular access are important.  ...

Background: Central venous catheterization is a procedure that is being performed frequently especially in critical clinical settings. In such conditions, good knowledge of the surface anatomy of venous structures is vital to avoid possible complications which could result in life-threatening situations such as bleeding and pneumothorax. Considering the difference between venous anatomy of chil...

Correspondence: William T Hinchliffe Department of Renal Medicine, sunderland Royal Hospital, Kayll Road, sunderland, Tyne and Wear, UK sR4 7TP Tel +44 0191 5656256 Fax +44 0191 5699208 email [email protected] Dialysis access remains the “Achilles heel” of maintenance hemodialysis. When candidate vessels have been exhausted in pursuit of fashioning native vascular access, alternative vessel...