Evidence‐Based Strategies and Recommendations for Preservation of Central Venous Access in Children

2019 ◽  
Vol 43 (5) ◽  
pp. 591-614 ◽  
Author(s):  
Kevin M. Baskin ◽  
Leonard A. Mermel ◽  
Theodore F. Saad ◽  
Janna M. Journeycake ◽  
Carrie M. Schaefer ◽  
...  
Keyword(s):  
Central Venous Access ◽  
Venous Access ◽  
Evidence Based ◽  
Central Venous

scholarly journals US-guided peripheral vascular interventions, comments on the EFSUMB guidelines

2016 ◽  
Vol 18 (2) ◽  
pp. 231 ◽  
Author(s):  
Christoph Frank Dietrich ◽  
Rudolf Horn ◽  
Susanne Morf ◽  
Liliana Chiorean ◽  
Yi Dong ◽  
...  
Keyword(s):  
Central Venous Access ◽  
Venous Access ◽  
Point Of View ◽  
European Federation ◽  
Evidence Based ◽  
Interventional Ultrasound ◽  
Peripheral Vascular ◽  
Central Venous ◽  
Complication Risk ◽  
General Aspects

Peripheral venous as well as arterial punctures have traditionally been performed on the basis of designated anatomi- cal landmarks. However, due to patients’ individual anatomy and vessel pathology and depending on individual operators’ skill, this landmark approach is associated with a signi cant failure rate and complication risk. This review comments on the evidence-based recommendations on ultrasound (US)-guided vascular access which have been published recently within the framework of Guidelines on Interventional Ultrasound (INVUS) of the European Federation of Societies for US in Medicine and Biology (EFSUMB) from a clinical practice point of view. Part 1 of the review had its focus on general aspects of US- guidance and on central venous access, whereas part 2 refers to peripheral vascular access.US-guided peripheral vascular interventions, comments on the EFSUMB guidelines

Evidence-based Practice: Improving Outcomes for Patients with a Central Venous Access Device

2011 ◽  
Vol 16 (2) ◽  
pp. 64-72 ◽  
Author(s):  
Dorothy Mathers
Keyword(s):  
Health Care ◽  
Continuing Education ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Central Venous Access ◽  
Relevant Literature ◽  
Venous Access ◽  
Positive Pressure ◽  
Evidence Based ◽  
Central Venous

AbstractPurpose: To apply evidence-based practice when flushing central venous access devices (CVADs).Background/Introduction: There is a lack of standardized flushing protocols for CVADs among health care institutions. Identifying best practice and assuring skillful implementation of evidence-based practice protocols is essential to maintaining catheter patency.Review of Relevant Literature: Evidence supports the use of nonheparinized saline flush, positive-pressure valve caps, and proper flushing technique to maintain CVAD patency (Bowers, Speroni, Jones, & Atherton, 2008; Hadaway, 2006; & Jasinsky & Wurster, 2009). Reinforcement of proper flushing techniques has demonstrated improved patency rates of CVADs (Feehery, Allen, & Bey, 2003).Methods: Corporate and individual in-services were conducted to improve nurses' skill and knowledge of evidence-based practice related to flushing CVADs. Outcomes were measured by comparing baseline data with data collected in the same manner post-education. Data was obtained by means of a questionnaire and direct observation of nurses' flushing technique.Outcomes: The evidence-based practice project demonstrated a significant improvement (p <0.05) in both the nurses' knowledge and skill in flushing CVADs.Conclusion: Continuing education and reinforcement of proper flushing technique is an appropriate strategy to increase knowledge of and compliance with evidence-based practice protocols.Implications for practice: Providing continuing education and periodic reinforcement of nursing skills can lead to improved patient outcomes. These strategies, along with changing flushing protocols to non-heparinized saline, can also reduce health care costs. Future studies are needed to determine the appropriate frequency of in-service education.

scholarly journals Epicutaneo-caval catheters in neonates: New insights and new suggestions from the recent literature

2019 ◽  
Vol 21 (6) ◽  
pp. 805-809 ◽  
Author(s):  
Giovanni Barone ◽  
Mauro Pittiruti
Keyword(s):  
Neonatal Intensive Care ◽  
Recent Literature ◽  
Central Venous Access ◽  
Daily Practice ◽  
Venous Access ◽  
Neonatal Intensive Care Units ◽  
Evidence Based ◽  
Central Venous ◽  
Vascular Access Devices ◽  
Venous Access Devices

Epicutaneo-caval catheters have been widely used in neonatal intensive care units since Shaw has described them in 1973. These central venous access devices are usually placed at bedside and they have the purpose of delivering parenteral nutrition and/or drugs that are not compatible with the peripheral route. Even though in the last decade there was a fast advancement in the world of vascular access devices, such changes have only marginally affected the field of neonatal venous access. The aim of this editorial is to give 10 recommendations that correspond to 10 novelties in the field of epicutaneo-caval catheter: some are already evidence-based and should be introduced in our daily practice now, while others are particularly interesting and deserve further clinical studies.

scholarly journals Evidence-based consensus on the insertion of central venous access devices: definition of minimal requirements for training

2013 ◽  
Vol 110 (3) ◽  
pp. 347-356 ◽  
Author(s):  
N. Moureau ◽  
M. Lamperti ◽  
L.J. Kelly ◽  
R. Dawson ◽  
M. Elbarbary ◽  
...  
Keyword(s):  
Central Venous Access ◽  
Venous Access ◽  
Evidence Based ◽  
Central Venous ◽  
Definition Of ◽  
Venous Access Devices

Evidence-Based Consensus on the Insertion of Central Venous Access Devices

2014 ◽  
Vol 58 (1) ◽  
pp. 50
Author(s):  
N. Moreau ◽  
M. Lamperti ◽  
L. J. Kelly ◽  
R. Dawson ◽  
M. Elbarbary ◽  
...  
Keyword(s):  
Central Venous Access ◽  
Venous Access ◽  
Evidence Based ◽  
Central Venous ◽  
Venous Access Devices

Successful Long-Term Central Venous Access

1998 ◽  
Vol 2 (1) ◽  
pp. 38-40
Author(s):  
Franco Tesio ◽  
Hamurabi De Baz ◽  
Giacomo Panarello
Keyword(s):  
Central Venous Access ◽  
Venous Access ◽  
Central Venous
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