OBJECTIVE To compare the use of bedside ultrasound and chest radiography to verify central venous catheter tip positioning. DESIGN Prospective observational study. SETTING PICU of a university hospital. PATIENTS Patients aged 0-14 who required a central venous catheter. INTERVENTION None. MEASUREMENTS AND MAIN RESULTS Central venous catheter tip location was confirmed by ultrasound an...

Introduction / objectives Bloodstream infections related to central venous catheter are the most frequent causes of morbidity and mortality in intensive care units. Studies show that education and training of health professionals on the practice of dealing with the central venous catheter is an important tool in preventing and reducing infections related to central venous catheter. The aim of t...

665 The Journal of the American Osteopathic Association August 2014 | Vol 114 | No. 8 An 18-year-old woman presented with a 1-day history of edema and erythema associated with a port central venous access device of the anterior left chest wall. The patient reported difficulty with catheter flushing for 2 days. Medical history included severe gastroparesis requiring placement of the catheter 2 m...

Background: Central venous catheters (CVCs) have been used widely in clinics. These catheters are also recommended for children and infants receiving chemotherapy and total parenteral nutrition (TPN) and etc. In this paper, we present migrated fractured control line of the heart of a girl. Case Presentation: A 2.5 year old girl with migrated of the fractured central line into the heart. In the ...

STUDY OBJECTIVE We examine the central venous catheter placement rate during the implementation of an ultrasound-guided peripheral intravenous access program. METHODS We conducted a time-series analysis of the monthly central venous catheter rate among adult emergency department (ED) patients in an academic urban ED between 2006 and 2011. During this period, emergency medicine residents and E...

Central venous catheters provide long-term available vascular access. They are useful for central venous pressure monitoring, rapid fluid management, massive transfusion and direct cardiovascular medication, especially in operation. Central venous catheterization is usually performed by the landmark bedside technique without imaging guidance. The complications of central venous catheterization ...

BACKGROUND Chlorhexidine bathing has been associated with reductions in healthcare-associated bloodstream infection. To determine the impact and sustainability of the effect of chlorhexidine bathing on central venous catheter-associated bloodstream infection, we performed a prospective, 3-phase, multiple-hospital study. METHODS In the medical intensive care unit and the respiratory care unit ...

Abstract Background Totally implantable central venous access devices (ports) have been available for over 10 years, but have not been achieved widespread use in pediatric oncology patients. Ports facilitate the administration of chemotherapy in children with cancer. Materials and Methods In this study, early complications of implantable central venous access devices in children with diff...

Persistent left superior vena cava is a congenital vascular anomaly, which is possibly arrhythmogenic and thrombogenic, rarely complicated with coronary sinus atresia. We treated a 42-year-old male with Hodgkin's lymphoma requiring central venous catheter placement for intensive chemotherapy. Persistent left superior vena cava was revealed after the insertion of the central venous catheter by t...