conclusions we think one of the influential factors for leading a guidewire and catheter into a nominated vein may be the left sided bevel of the needle at the time of internal jugular vein needle and catheter insertion. we were required to continue going towards the subclavian vein and accidentally turned into the left internal mammary vein. introduction central venous catheter placement is a ...

Background It is believed that healthcare staff play an important role in minimizing complications related to urethral catheterization. The purpose of this study was to determine whether or not healthcare staff complied with the standards for urethral catheterization.   Methods This study was conducted in Imam Reza teaching hospital, Tabriz, Iran, from July to September 2013. A total of 109 cat...

BACKGROUND Home parenteral nutrition (HPN) was introduced in Spain in the late 1980s. Our hospital was a pioneering medical centre in this field. AIM Analyze outcomes of our HPN program. METHODS Retrospective study of patients receiving HPN between 1986-2012. Study variables are expressed as frequency, mean ± SD (range), median [interquartile range]. Parametrics, non-parametrics test and su...

Background: The mortality rate of sepsis and pneumonia is higher in end-stage renal disease (ESRD) patients than in the general population. Bacterial infections are the most common cause of hospitalization in dialysis patients and the most common source of bacteremia is vascular access in these patients. The aim of this study was to determine the prevalence of infectious causes of hospitalizati...

background: central venous (cv) catheters play an essential role in the management of critically ill patients in the intensive care unit (icu). cv lines are, however, allied to catheter-associated blood stream infections. bacterial colonization of cv lines is deemed the main cause of catheter-associated infection. the purpose of our study was to compare bacterial colony counts in the catheter s...

neonatal sepsis is an important cause of death and morbidity in newborns and is diagnosed by isolation of organism in blood culture. in several reports,reliablity of blood cultures were done from umbi lical catheters,have been demonstrated. the objective of the present study was to determine,wether an inde welling umbilical catheter, could be an alternative site for blood culture. in a prospect...

the purpose of this study is to show the effect of extraamniotic administration of corticosteroids to shorten the times to either active labor and/or delivery. this is a double blind randomized study. 65 patients who were candidates for the termination of pregnancy between the ages of 16-45, with intact membranes and unripe cervix were randomly divided into two groups, a study group (n=34) and ...

BACKGROUND The addition of thoracic epidural anesthesia (TEA) to general anesthesia (GA) during cardiac surgery may have a beneficial effect on clinical outcomes. TEA in cardiac surgery, however, is controversial because the insertion of an epidural catheter in patients requiring full heparinization for cardiopulmonary bypass may lead to an epidural hematoma. The clinical effects of fast-track ...

BACKGROUND The incidence of acute kidney injury (AKI) is estimated at 10 to 20% in patients admitted to intensive care units (ICU) and often requires renal replacement therapy (RRT). ICU mortality in AKI patients can exceed 50%. Venous catheters are the preferred vascular access method for AKI patients requiring RRT, but carry a risk of catheter thrombosis or infection. Catheter lock solutions ...