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Regionally acquired intestinal failure data suggest an underestimate in national service requirementsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Survival for IF at 56% was lower than reported from non-UK supra-regional centres, and nationally collected data, possibly reflecting pre-selected referral populations. Data from regional centres with complete ascertainment may be important both when counselling parents and when planning regional and national HPN and IF specialist services. (Source: Archives of Disease in Childhood)
Source: Archives of Disease in Childhood - November 20, 2009 Category: Pediatrics Authors: Barclay, A R, Paxton, C E, Gillett, P, Hoole, D, Livingstone, J, Young, D, Menon, G, Munro, F, Wilson, D C Tags: Liver disease, Epidemiologic studies, Immunology (including allergy), Childhood nutrition, Childhood nutrition (paediatrics), Child health, Artificial and donated transplantation Original articles Source Type: journals

Clarification of Issues Regarding Manometry for Central Venous Catheterization.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19923538 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - November 20, 2009 Category: Anesthesiology Authors: Ibinson JW, Oravitz TM, Ezaru CS, Mangione MP Tags: Anesth Analg Source Type: journals

Pressure Waveform Monitoring During Central Venous Catheterization.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19923541 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - November 20, 2009 Category: Anesthesiology Authors: Bowdle A, Kharasch E, Schwid H Tags: Anesth Analg Source Type: journals

Communication Between Two Channels of Central Venous Catheter: A Rare Manufacturing Defect.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19923543 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - November 20, 2009 Category: Anesthesiology Authors: Hegde HV, Sachidananda R, Rao RP, Deshapande SS Tags: Anesth Analg Source Type: journals

Prospective surveillance of drain associated meningitis/ventriculitis in a neurosurgery and neurological intensive care unitEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: To the best of the authors' knowledge, this study represents the first to provide data on EVD as well as LD associated meningitis rates calculated per 1000 DD; a parameter that is well established for other invasive devices such as central venous and urinary tract catheters. However, further prospective studies are needed to investigate the possible risk factors for meningitis. (Source: Journal of Neurology, Neurosurgery & Psychiatry)
Source: Journal of Neurology, Neurosurgery & Psychiatry - November 16, 2009 Category: Neurosurgery Authors: Scheithauer, S, Burgel, U, Ryang, Y-M, Haase, G, Schiefer, J, Koch, S, Hafner, H, Lemmen, S Tags: Meningitis, Infection (neurology) Research papers Source Type: journals

Health Care–Associated Bloodstream Infections Associated with Negative‐ or Positive‐Pressure or Displacement Mechanical Valve Needleless ConnectorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. We found strong evidence that MV‐NCs were associated with increased HA‐BSI rates, despite similar BSI surveillance, definitions, and prevention strategies. Hospital personnel should monitor their HA‐BSI rates and, if they are elevated, examine the role of newer technologies, such as MV‐NCs. (Source: Clinical Infectious Diseases Latest Issue)
Source: Clinical Infectious Diseases Latest Issue - November 13, 2009 Category: Infectious Diseases Tags: article MAJOR ARTICLE Source Type: journals

Cluster of Cases of Salmonella enterica Serotype Rissen Infection in a General Hospital, Italy, 2007Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In 2007, three strains of Salmonella enterica serotype Rissen (S. Rissen) were isolated in the laboratory of diagnostic microbiology of the General Hospital of Prato, Tuscany, Italy, over a 1 month and half interval of time. The first isolate was recovered on January 26 from an outpatient with enteritis. Then, two strains were isolated on February 16 and March 11 respectively, from central venous catheters of patients who were being hospitalized in two departments of the Hospital. An epidemiologically linked cluster of cases of salmonellosis was suspected. The three strains were submitted to single enzyme-amplified fragmen...
Source: Zoonoses and Public Health - November 13, 2009 Category: Infectious Diseases Authors: T. Boschi, D. Aquilini, R. Degl'Innocenti, A. Aleo, C. Romani, P. Nicoletti, M. I. Buonomini, P. Marconi, S. Bilei, C. Mammina, A. Nastasi Source Type: journals

Outcome of antibiotic lock technique for persistent central venous catheter-associated coagulase-negative Staphylococcus bacteremia in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract  The purpose of this study was to assess the long-term effectiveness of the antibiotic lock technique (ALT) in conjunction with systemic antibiotics for the salvage of long-term central venous catheter (CVC)-associated coagulase-negative Staphylococcus (CONS) bloodstream infections (BSIs) in children. A retrospective study of children with CVC-associated CONS BSIs treated with systemic vancomycin and ALT with vancomycin was carried out. The primary outcome was the immediate and 3-month success rate of salvage of the CVC. During the study period, 23 patients had persistent CONS bacteremia and were trea...
Source: European Journal of Clinical Microbiology & Infectious Diseases - November 12, 2009 Category: Microbiology Tags: European Journal of Clinical Microbiology & Infectious Diseases Source Type: journals

Deep Vein Thrombosis in Orthopedic SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, despite having fewer comorbid conditions, orthopedic patients with deep vein thrombosis remain particularly vulnerable to calf deep vein thrombosis. Rates of venous thromboembolism prophylaxis were inadequate. (Source: Clinical and Applied Thrombosis/Hemostasis)
Source: Clinical and Applied Thrombosis/Hemostasis - November 12, 2009 Category: Hematology Authors: Calfon, M., Seddighzadeh, A., Piazza, G., Goldhaber, S. Z. Tags: Articles Source Type: journals

Invasive candidiasis in pediatric intensive care unitsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract  Candidemia and disseminated candidiasis are major causes of morbidity and mortality in hospitalized patients especially in the intensive care units (ICU). The incidence of invasive candidasis is on a steady rise because of increasing use of multiple antibiotics and invasive procedures carried out in the ICUs. Worldwide there is a shifting trend from C. albicans towards non albicans species, with an associated increase in mortality and antifungal resistance. In the ICU a predisposed host in one who is on broad spectrum antibiotics, parenteral nutrition, and central venous catheters. There are no patho...
Source: Indian Journal of Pediatrics - November 11, 2009 Category: Pediatrics Tags: Indian Journal of Pediatrics Source Type: journals

A case of endocarditis of difficult diagnosis in dialysis: could "pest" friends be involved?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of A. xylosoxidans endocarditis of larvate clinical presentation in a central venous catheter-dependent hemodialysis patient of difficult diagnosis and poor evolution despite a high index of suspicion and consequent assessment. A 50-year-old man on hemodialysis presented with inflammatory-malnutrition parameters during the months prior to diagnosis of endocarditis, whilst he was otherwise asymptomatic. No vegetations were detectable on his cardiac valves at repeated echocardiography until third transesophageal echocardiography was performed, and confirmed intraoperatively. On the occasion of positive perip...
Source: Clinical Nephrology - November 1, 2009 Category: Urology & Nephrology Authors: Malek-Marín T, Arenas MD, Perdiguero M, Salavert-Lleti M, Moledous A, Cotilla E, Gil MT, Tags: Clin Nephrol Source Type: journals

AJCC patient care page. Central venous catheters in pediatric patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19880954 [PubMed - in process] (Source: American Journal of Critical Care)
Source: American Journal of Critical Care - November 1, 2009 Category: Nursing Authors: Bell L Tags: Am J Crit Care Source Type: journals

Evaluating central venous catheter care in a pediatric intensive care unit.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The results of this project suggest that infection control efforts may be most appropriately focused on processes rather than on products. PMID: 19880953 [PubMed - in process] (Source: American Journal of Critical Care)
Source: American Journal of Critical Care - November 1, 2009 Category: Nursing Authors: Hatler C, Buckwald L, Salas-Allison Z, Murphy-Taylor C Tags: Am J Crit Care Source Type: journals

Educational interventions to reduce the rate of central catheter-related bloodstream infections in the NICU: a review of the research literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Catheter-related bloodstream infections (CR-BSIs) are a significant cause of morbidity and mortality in the NICU, occurring at rates ranging from 11.3 per 1,000 catheter days in infants <1,000 g to 4 per 1,000 catheter days in infants >2,500 g. Cost-effective and successful educational interventions aimed at nurses have been shown to decrease CR-BSIs with adults, but no such studies address neonatal nurses. This literature review examined how educational interventions could help neonatal nurses reduce infection rates in patients with central venous catheters. Four databases were searched: PubMed, CINAHL, Cochrane...
Source: Neonatal Network - November 1, 2009 Category: Perinatology & Neonatology Authors: Semelsberger CF Tags: Neonatal Netw Source Type: journals

Ultrasound-guided arterial catheterization: a narrative reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract  Arterial catheterization is the second most common invasive procedure performed in the intensive care unit. Despite the ubiquity of the procedure, complications including failure to place the catheter occur. While many clinicians are familiar with the use of ultrasound (US) guidance to decrease complication rates of central venous catheter insertion, fewer are familiar with the use of ultrasound to guide arterial catheterization. This manuscript reviews the evidence for the utility of ultrasound for this indication. Technical aspects of the procedure and limitations of the existing evidence are revi...
Source: Intensive Care Medicine - October 31, 2009 Category: Intensive Care Tags: Intensive Care Medicine Source Type: journals

Supraventricular tachycardia following insertion of a central venous catheter.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Placement of central venous catheters (CVCs) in patients is associated with several risks including endocardial injury and dysrhythmias. In addition, CVC extending into intracardiac chambers can provoke premature atrial and ventricular complexes, which have been reported to initiate supraventricular tachycardia (SVT). A 15-year-old boy with end-stage renal failure developed SVT after insertion of a CVC. PMID: 19861871 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - October 30, 2009 Category: Urology & Nephrology Authors: Yavascan O, Mir S, Tekguc H Tags: Saudi J Kidney Dis Transpl Source Type: journals

Safety and efficacy of hematopoietic stem cell collection from mobilized peripheral blood in unrelated volunteers: 12 years of single-center experience in 3928 donorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, 7.5 µg/kg per day lenograstim proved to be safe and effective for mobilizing hematopoietic stem cells for allogeneic transplantation. Long-term monitoring of healthy PBSC donors remains important to guarantee the safety standards of PBSC mobilization and collection. (Source: Blood)
Source: Blood - October 29, 2009 Category: Hematology Authors: Holig, K., Kramer, M., Kroschinsky, F., Bornhauser, M., Mengling, T., Schmidt, A. H., Rutt, C., Ehninger, G. Tags: Hematopoiesis and Stem Cells, Transfusion Medicine, Transplantation, Free Research Articles, Clinical Trials and Observations Source Type: journals

Chest Port Placement with Use of the Single-incision Insertion TechniqueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Use of a single-incision technique for chest port implantation in adult and pediatric oncology patients is feasible. This may be the preferred method of subcutaneous port placement, as it has a very low complication rate and a high success rate. Prospective evaluation is needed to compare it versus the conventional two-incision technique. (Source: Journal of Vascular and Interventional Radiology : JVIR)
Source: Journal of Vascular and Interventional Radiology : JVIR - October 27, 2009 Category: Radiology Authors: Hearns W. Charles, Tiago Miguel, Sandor Kovacs, Arash Gohari, Joseph Arampulikan, Jeffrey W. McCann Tags: Clinical Studies Source Type: journals

Embolization of hydrophilic catheter coating to the lungs: report of a case mimicking granulomatous vasculitis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of embolization of hydrophilic coating of a central venous catheter to the lung that resulted in cavitary lung nodules in a 34-year-old woman. The microscopic features of this unusual complication warrant emphasis so that pathologists will not overlook the embolic foreign material and make a faulty diagnosis of noniatrogenic granulomatous vasculitis. PMID: 19846823 [PubMed - in process] (Source: American Journal of Clinical Pathology)
Source: American Journal of Clinical Pathology - October 24, 2009 Category: Pathology Authors: Allan RW, Alnuaimat H, Edwards WD, Tazelaar HD Tags: Am J Clin Pathol Source Type: journals

An in vitro analysis of central venous drug delivery by continuous infusion: the effect of manifold design and port selection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Using a traditional stopcock manifold, port selection significantly affects drug delivery dynamics for continuous infusions. The findings provide quantitative support for the concept that the most critical infusion should join the system at the manifold port closest to the patient. Port selection was less important for the microinfusion manifold and dynamics were faster compared with the second and fourth ports of the stopcock manifold. The smaller dead volumes of the microinfusion manifold minimize unwanted delays in drug delivery onset and offset allowing more precise control over drug delivery by continuous...
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Moss DR, Bartels K, Peterfreund GL, Lovich MA, Sims NM, Peterfreund RA Tags: Anesth Analg Source Type: journals

When drugs disappear from the patient: elimination of intravenous medication by hemodiafiltration.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Twenty-three hours after heart transplantation, life-threatening acute right heart failure was diagnosed in a patient requiring continuous venovenous hemodiafiltration (CVVHDF). Increasing doses of catecholamines, sedatives, and muscle relaxants administered through a central venous catheter were ineffective. However, a bolus of epinephrine injected through an alternative catheter provoked a hypertensive crisis. Thus, interference with the central venous infusion by the dialysis catheter was suspected. The catheters were changed, and hemodynamics stabilized at lower catecholamine doses. When the effects of IV drugs are...
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Stricker KH, Takala J, Hullin R, Ganter CC Tags: Anesth Analg Source Type: journals

Ultrasound guided internal jugular vein access in children and infant: A meta-analysis of published studiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion: This current meta-analysis does not found the utility of ultrasound during IJV access in children and infants in increasing the success rate and in decreasing complications. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: STEPHANIE SIGAUT, ALIA SKHIRI, IDA STANY, JONATHAN GOLMAR, YVES NIVOCHE, ISABELLE CONSTANT, ISABELLE MURAT, SOUHAYL DAHMANI Source Type: journals

Successful unrelated donor cord blood transplantation for Glanzmann's thrombastheniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Kitko CL, Levine JE, Matthews DC, Carpenter PA. Successful unrelated donor cord blood transplantation for Glanzmann's thrombasthenia. Pediatr Transplantation 2009. © 2009 John Wiley & Sons A/S.Abstract: GT, a rare disorder of platelet function, can lead to life-threatening bleeding, particularly following the development of antiplatelet antibodies. Curative therapy includes HCT but previous reports are limited predominantly to matched siblings and have excluded CBT. Delayed or non-engraftment of platelets because of antiplatelet antibodies might be particularly concerning after CBT for GT. Here, we report two successful u...
Source: Pediatric Transplantation - October 21, 2009 Category: Transplant Surgery Authors: Carrie L. Kitko, John E. Levine, Dana C. Matthews, Paul A. Carpenter Source Type: journals

Dialysis initiation and survival in patients with refractory congestive heart failure.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In uremic patients starting dialysis, RCHF appears to be a frequent condition, comorbidity is high and they require urgent treatment by CVC because of fluid overload. Since RCHF is time- and resource- consuming, nephrologists need to ameliorate its management. PMID: 19844893 [PubMed - as supplied by publisher] (Source: The International Journal of Artificial Organs)
Source: The International Journal of Artificial Organs - October 20, 2009 Category: Transplant Surgery Authors: Fabbian F, Cantelli S, Molino C, Pala M, Longhini C Tags: Int J Artif Organs Source Type: journals

Use of a Peripherally Inserted Central Catheter as a Conduit for Central Venous Access Across Thrombosed Great VeinsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes a technique of inserting an implantable venous access port (portacath) through a thrombosed and occluded vein employing a pre-existing peripherally inserted central catheter (PICC) as the route of access. The PICC was used as a conduit for venous access in a way that has not been described previously in the literature. This procedure was performed in a young patient with cystic fibrosis in an effort to prevent the use of his virgin contralateral veins, which might be used in the future. Content Type Journal ArticleCategory Technical NoteDOI 10.1007/s00270-009-9723-3Authors Prasad Guntur Ramku...
Source: CardioVascular and Interventional Radiology - October 20, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Use of Simulation-based Mastery Learning to Improve The Quality of Central Venous Catheter Placement in a Medical Intensive Care UnitEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To decrease the rate of complications from too many needle passes, simulation-based mastery learning on CVC insertion skill was assessed. Journal of Hospital Medicine (Source: Medscape Radiology Headlines)
Source: Medscape Radiology Headlines - October 15, 2009 Category: Radiology Tags: Internal Medicine Source Type: info

ICD Implantation after Crossing a Totally Occluded Subclavian Vein Via Collaterals from the Superior Vena CavaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case where venous access was obtained by passing a hydrophilic wire from the superior vena cava through collaterals to the infraclavicular region. (PACE 2009; e1[ndash]e3) (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - October 11, 2009 Category: Cardiology Authors: RAVI RANJAN, CHARLES A. HENRIKSON Source Type: journals

Hemodynamic Changes in a Model of Chronic Heart Failure Induced by Multiple Sequential Coronary Microembolization in SheepEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although a large variety of animal models for acute ischemia and acute heart failure exist, valuable models for studies on the effect of ventricular assist devices in chronic heart failure are scarce. We established a stable and reproducible animal model of chronic heart failure in sheep and aimed to investigate the hemodynamic changes of this animal model of chronic heart failure in sheep. In five sheep (n = 5, 77 ± 2 kg), chronic heart failure was induced under flouroscopic guidance by multiple sequential microembolization through bolus injection of polysterol microspheres (90 µm, n = 25.000) into the left main coronar...
Source: Artificial Organs - October 9, 2009 Category: Transplant Surgery Authors: Jan Dieter Schmitto, Kasim Oguz Coskun, Sinan Tolga Coskun, Philipp Ortmann, Tobias Vorkamp, Florian Heidrich, Samuel Sossalla, Aron-Frederik Popov, Theodor Tirilomis, José Hinz, Jan Heuer, Michael Quintel, Frederick Yen-Ching Chen, Friedrich Albert Sch� Source Type: journals

2008 SOR Guidelines for the Prevention and Treatment of Thrombosis Associated With Central Venous Catheters in Patients With Cancer: Report From the Working Group of the SOREmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Using Standards, Options and Recommendations methodology, the authors of this article established guidelines on central venous catheter (CVC)-associated thrombosis in cancer patients. Annals of Oncology (Source: Medscape Radiology Headlines)
Source: Medscape Radiology Headlines - October 9, 2009 Category: Radiology Tags: Hematology-Oncology Source Type: info

Antimicrobial central venous catheters in adults: a systematic review and meta-analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: DARE Area: Evidence > Disease Focused Reviews CRD Summary: This review assessed the efficacy of antimicrobial central venous catheters in adults, concluding that chlorhexidine-silver sulfadiazine or minocycline-rifampicin central venous catheters can be considered when the baseline incidence of catheter-related bloodstream infections is above institutional goals. The authors' conclusions reflect the limitations of the evidence and are likely to be reliable. CRD Commentary: This review addressed a clear question and undertook a thorough search for studies with no language restrictions. No evidence of publication ...
Source: NeLM - Disease Focused Reviews - October 8, 2009 Category: Internal Medicine Source Type: organizations

Catheter-Associated Thrombosis in Patients With Malignancy [REVIEW ARTICLES]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will review the incidence, pathogenesis, clinical presentation, diagnosis, treatment, and prophylaxis of catheter-assocated thrombosis in patients with malignancy. The care of pediatric patients with malignancy and catheter-associated thrombosis will also be addressed. (Source: Journal of Clinical Oncology)
Source: Journal of Clinical Oncology - October 8, 2009 Category: Cancer & Oncology Authors: Shivakumar, Anderson, Couban Tags: Supportive Care, Supportive Care REVIEW ARTICLES Source Type: journals

Diagnosis and Initial Treatment of Venous Thromboembolism in Patients With Cancer [REVIEW ARTICLES]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Optimal initial management of VTE in patients with cancer entails maintaining a high index of suspicion for thrombotic disease, confirming diagnostic suspicions with objective testing and evidence-based use of anticoagulation, and adjunctive therapeutic modalities (thrombolysis, vena cava interruption, venous stenting). Further investigation of initial diagnostic and treatment strategies for VTE focusing on patients with cancer are warranted. (Source: Journal of Clinical Oncology)
Source: Journal of Clinical Oncology - October 8, 2009 Category: Cancer & Oncology Authors: Streiff Tags: Supportive Care, Paraneoplastic Syndrome: Diagnosis & Staging, Quality of Care, Quality of Care, Supportive Care REVIEW ARTICLES Source Type: journals

Venous Thromboembolism Prophylaxis and Treatment in Cancer: A Consensus Statement of Major Guidelines Panels and Call to Action [REVIEW ARTICLES]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion We call for a sustained research effort to investigate the clinical issues identified here to reduce the burden of VTE and its consequences in patients with cancer. (Source: Journal of Clinical Oncology)
Source: Journal of Clinical Oncology - October 8, 2009 Category: Cancer & Oncology Authors: Khorana, Streiff, Farge, Mandala, Debourdeau, Cajfinger, Marty, Falanga, Lyman Tags: ASCO Guidelines, Supportive Care REVIEW ARTICLES Source Type: journals

Pilot trial to compare tolerance of chlorhexidine gluconate to povidone-iodine antisepsis for central venous catheter placement in neonatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
& M C Harris (Source: Journal of Perinatology)
Source: Journal of Perinatology - October 7, 2009 Category: Perinatology & Neonatology Authors: J S GarlandC P AlexM R UhingI E PetersideA RentzM C Harris Source Type: journals

Is the intraosseous access route fast and efficacious compared to conventional central venous catheterization in adult patients under resuscitation in the emergency department? A prospective observational pilot study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Preliminary data demonstrate that IO access is a reliable bridging method to gain vascular access for in-hospital adult emergency patients under trauma or medical resuscitation with impossible peripheral IV access. Furthermore, IO cannulation requires significantly less time to enable administration of drugs or infusion solutions compared to CVC. Because CVC was slower and less efficacious, IO access may improve the safety of adult patients under resuscitation in the emergency department. PMID: 19814822 [PubMed - as supplied by publisher] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - October 7, 2009 Category: Surgery Authors: Leidel BA, Kirchhoff C, Bogner V, Stegmaier J, Mutschler W, Kanz KG, Braunstein V Tags: Patient Saf Surg Source Type: journals

Incidence of and Risk Factors for Nosocomial Bloodstream Infections in Adults in the United States, 2003 • Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. The Nationwide Inpatient Sample was useful for estimating national incidence and case‐fatality rates, as well as examining independent predictors of nosocomial BSI. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 7, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Empirical Antimicrobial Therapy for Bloodstream Infection Due to Methicillin‐Resistant Staphylococcus aureus: No Better than a Coin Toss • Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Only half of patients with MRSA BSI received appropriate empirical therapy. Factors associated with receiving appropriate empirical antibiotics included the presence of a central venous catheter at admission and a history of joint arthroplasty. Surprisingly, prior MRSA infection was not predictive of receipt of appropriate antimicrobial therapy. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 7, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Ethanol Lock Technique: Review of the Literature • Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 11, Page 1096-1108, November 2009. Central venous catheters (CVCs) are commonly used among adult and pediatric patients for administration of fluids, medications, and nutrition. Central line–associated (CLA) bloodstream infection (BSI) is a serious complication following CVC insertion. The aim of this review is to summarize available data regarding the ethanol lock technique, which is a proposed method for sterilizing the lumen of the catheter by instilling an ethanol solution and allowing it to dwell in the catheter for a certain amount of time. Studies...
Source: Infect Control Hosp Epidemiol Latest Issue - October 7, 2009 Category: Epidemiology Tags: article Review Article Source Type: journals

Health-care associated infections rates, length of stay, and bacterial resistance in an intensive care unit of Morocco: Findings of the International Nosocomial Infection Control Consortium (INICC)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: HAI rates, LOS, mortality, and bacterial resistance were high. Even if data may not reflect accurately the clinical setting of the country, programs including surveillance, infection control, and antibiotic policy are a priority in Morocco. (Source: International Archives of Medicine)
Source: International Archives of Medicine - October 6, 2009 Category: Global & Universal Authors: Naoufel MadaniVictor RosenthalTarik DendaneKhalid AbidiAmine Ali ZeggwaghRedouane Abouqal Source Type: journals

Acute transient thyroid swelling after catheterization of the subclavian veinEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report, we present a remarkable case of acute diffuse edematous swelling of the thyroid gland as an unexpected and rare complication after attempted subclavian vein catheterization. Acute thyroid swelling rarely occurs after fine needle aspiration, and to our knowledge, we are the first to describe acute thyroid swelling after central venous catheter insertion. (Source: Critical Care)
Source: Critical Care - October 6, 2009 Category: Intensive Care Authors: R. Arthur BouwmanMartijn MeijerinkAlbertus Beishuizen Source Type: journals

Radiology: Coagulation disorder not deterrent for US-guided CVCEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The placement of nontunneled central venous catheters (CVC)--using ultrasound (US) for guidance--in patients with cancer who had coagulation disorders is safe and feasible, according to a study in this month's Radiology. (Source: Health Imaging News)
Source: Health Imaging News - October 6, 2009 Category: Radiology Tags: Latest News Source Type: news

Empirical Antimicrobial Therapy for Bloodstream Infection Due to Methicillin‐Resistant Staphylococcus aureus: No Better than a Coin TossEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Only half of patients with MRSA BSI received appropriate empirical therapy. Factors associated with receiving appropriate empirical antibiotics included the presence of a central venous catheter at admission and a history of joint arthroplasty. Surprisingly, prior MRSA infection was not predictive of receipt of appropriate antimicrobial therapy. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 5, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Ethanol Lock Technique: Review of the LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 0, Issue 0, Page 000, Latest Articles. Central venous catheters (CVCs) are commonly used among adult and pediatric patients for administration of fluids, medications, and nutrition. Central line–associated (CLA) bloodstream infection (BSI) is a serious complication following CVC insertion. The aim of this review is to summarize available data regarding the ethanol lock technique, which is a proposed method for sterilizing the lumen of the catheter by instilling an ethanol solution and allowing it to dwell in the catheter for a certain amount of time. Studies on et...
Source: Infect Control Hosp Epidemiol Latest Issue - October 5, 2009 Category: Epidemiology Tags: article Review Article Source Type: journals

Infection in multiple myelomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Infections are significant causes of morbidity and the leading cause of death in patients with MM. Therapeutic strategies impact differently on the immune system, predisposing patients to various opportunistic infections. Myeloma and treatment-associated organ dysfunctions and co-morbidities also increase the risk of infection. Prospective epidemiologic studies of infections of myeloma patients from six centers from Brazil and one from Chile were performed. A total of 228 infectious episodes (median of 1; range: 1-13) were observed in 156 patients during one year. Median age was 57 years (range: 33-89), and 112 were men. S...
Source: Revista Brasileira de Hematologia e Hemoterapia - October 2, 2009 Category: Hematology Source Type: journals

A Vascular Access Team Can Increase AV Fistula Creation in Pediatric ESRD Patients: A Single Center ExperienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report outcomes of arteriovenous fistula (AVF) creation by a single surgeon in pediatric HD patients dialyzed at a single center. We further describe our experience and outcomes with the use of the operating microscope in the United States in children receiving HD under 15 kg in weight and as young as 4 years of age. AVF usage rates as well as short- and long-term patency rates can be quite high with proper management. We further illustrate that the Fistula First principles can be applied to the pediatric population in the setting of a single surgeon with single center experience. As such, we have surpassed the current ...
Source: Seminars In Dialysis - October 1, 2009 Category: Hematology Authors: Deepa H. Chand, Dale Bednarz, Matthew Eagleton, Leonard Krajewski Source Type: journals

Patency Rates for Angioplasty in the Treatment of Pacemaker-Induced Central Venous Stenosis in Hemodialysis Patients: Results of a Multi-Center StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study finds PTA to be a viable option in the management of PM/ICD lead-induced CVS. Additional studies with appropriate design and sample size are required to conclusively establish the role of PTA in the management of this problem. (Source: Seminars In Dialysis)
Source: Seminars In Dialysis - October 1, 2009 Category: Hematology Authors: Arif Asif, Loay Salman, Roger G. Carrillo, Juan D. Garisto, Gustavo Lopera, Urwa Barakat, Oliver Lenz, Alexander Yevzlin, Anil Agarwal, Florin Gadalean, Bharat Sachdeva, Tushar J. Vachharajani, Steven Wu, Ivan D. Maya, Ken Abreo Source Type: journals

Management of Inadvertent Arterial Catheterisation Associated with Central Venous Access Procedures.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Inadvertent arterial catheterisation during central venous cannulation is associated with obesity, emergency puncture and lack of ultrasonic guidance and should be suspected on retrograde/pulsatile catheter flow or local haematoma. If arterial catheterisation is recognised, the catheter should be left in place and the patient be referred for percutaneous/endovascular or surgical management. PMID: 19800822 [PubMed - as supplied by publisher] (Source: PubMed: Eur J Vasc Endovasc ...)
Source: PubMed: Eur J Vasc Endovasc ... - October 1, 2009 Category: Surgery Authors: Pikwer A, Acosta S, Kölbel T, Malina M, Sonesson B, Akeson J Tags: Eur J Vasc Endovasc Surg Source Type: journals

Analysis of risk factors for central venous port failure in cancer patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Increasing age, male gender, open-ended catheters and hematogenous malignancy were risk factors for TIVAD failure. Close-ended catheters had lower thrombosis rates and hematogenous malignancy had higher infection rates. PMID: 19787834 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)
Source: World Journal of Gastroenterology : WJG - October 1, 2009 Category: Gastroenterology Authors: Hsieh CC, Weng HH, Huang WS, Wang WK, Kao CL, Lu MS, Wang CS Tags: World J Gastroenterol Source Type: journals

Is External Jugular Venous Pressure a Good Predictor of Volume Status in Kidney Graft Recipients?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: To ensure appropriate function of the transplanted organ, it is necessary to adequately maintain vascular volume during the kidney transplantation procedure. For this purpose, central venous pressure (CVP) is monitored through a catheter inserted into the superior vena cava (SVC). Central venous cannulation is associated with a risk of serious complications. An objective of this study was to investigate whether there was a correlation between pressures measured in the SVC and in the external jugular vein (EJV). We studied 33 chronically dialyzed patients who had a short catheter placed in the EJV because of diffi...
Source: Transplantation Proceedings - October 1, 2009 Category: Transplant Surgery Authors: J. Trzebicki, E. Flakiewicz, P. Nowakowski, M. Kosieradzki, W. Lisik, A. Chmura Tags: Renal Transplantation Source Type: journals