The following article offers an in-depth analysis of the scientific evidence on enteral nutrition in infants, focusing in particular on the methods of administration. Nutrition in infants is a vital component for their development and well-being, and the choice of the...
For the treatment of patients, from adults to infants and premature babies, admitted to health care facilities, it is often necessary to place probes and catheters, the use of which involves the administration of enteral nutrition in addition to the infusion of drugs...
For the treatment of patients, from adults to infants and premature babies, admitted to healthcare facilities, it is often necessary to place probes and catheters whose use includes the administration of enteral nutrition in addition to the infusion of drugs and other...
Enteral nutrition tubes are used in healthcare facilities to administer nutrition, fluids and medication to patients who cannot be fed orally. For years, these patients have been subjected to the risks of misconnections, defined as incorrect administration of an...
Nutritional needs are understood as the amount of each of the nutrients required by an individual at each stage of life to maintain a correct nutritional status and, thus, prevent disease and ensure proper growth. Ensuring that these nutritional needs are met in the...
Pulmonary surfactants along with other therapeutic measures are the treatment of choice for various respiratory conditions. A surfactant deficiency in preterm infants leads to respiratory distress syndrome characterized by poor lung expansion, inadequate gas exchange...
The introduction of ENFit® connectors in neonatology units, with the aim of avoiding connection errors between systems intended for different clinical therapies, has generated much debate among experts in the field. The new connector for enteral nutrition poses a...
Approximately 94 million infants are born each year worldwide. All of these infants are vulnerable to cold stress and thus hypothermia, regardless of their gestational age or weight. It is important to provide them with an adequate and stable environment because of...
Intubation is one of the most common practices for an anaesthetist. However, when this technique is performed, the patient's airways are often not as accessible as we would like. This is why an intubation guide is very often necessary to facilitate intubation into the...
The PERSEUS guidelines, recently released by the European Society of Anaesthesiology and Intensive Care (ESAIC), recommend a global use of ultrasound to assist all steps of central venous catheterization in order to minimize all immediate, early, and late...
As the GAVeCeLT group (1) stated in their manual on PICCs and midlines regarding the evolution of PICC use, the introduction of ultrasound in the 2000s has been a breakthrough in the field. In this article, we delve into the utility of ultrasound in the field of...
Healthcare professionals handling chemotherapy for preparation and administration of HMPs are likely to be exposed to potential contamination risks associated with cytotoxic drugs. These risks can lead to health implications, ranging from minor issues like headaches,...
This article discusses the implementation of electrocardiogram tip location (ECG TLS) for the confirmation of central venous catheter tip position. The author works within a nurse led vascular access service in NHS Scotland and has found that this method of catheter...
In ultrasound-guided procedures, it is possible that an ideal vein isn't found in the optimal catheter exit zone. When confronted with the decision between "immediate placement of a line out of necessity for the patient" and "waiting for potential alternatives,"...
The VAD (vascular access device) insertion experience varies between patients. For individuals with difficult intravenous access (DIVA), the process can become traumatic and notably painful. According to Blanco (2019), DIVA affects up to one-third of critically ill...
PICC-port is an implanted catheter that is undoubtedly gaining ground in the world of vascular access. Its growing success is not surprising: it comes with new indications, cost reduction and patient satisfaction. Even if PICC-port has been in use for several decades,...
Short Peripheral Intravenous Catheters (SPIVCs) are commonly used as default vascular access devices by practicians around the world for short and midterm therapies. However, they can be a problem in case of medium therapies as that would entail the insertion of...
Healthcare professionals working with oncology patients are used to handling fully implanted catheters. In recent years, PICC-port has proven to be very useful in the field. However, any vascular access device can become a problem if its placement has not been optimal...
With the introduction of venous mapping methods prior to the placement of a central venous catheter (RaPeVA, RaCeVA, and RaFeVA), the evolution of ultrasound techniques has given a fundamental role to the choice of vein. In fact, the measurement of this vein (obtained...
The administration of drugs can give rise to problems such as phlebitis and extravasation among others, which can force us to use various peripheral routes. Over time, different devices have emerged, including midlines. Scientific evidence shows us that this class of...
In this article, we will address thrombosis in peripherally inserted central catheters (PICCs) based on the following aspects: incidence, causes, physiology, symptomatology, and prevention. What is thrombosis? Thrombosis is the formation of a clot in a vessel. It can...
The midline catheter growth has been exponential since it is a resource that allows a notable improvement in the management of vascular access for medium-term treatments compatible with peripheral perfusion. Midline catheters must be placed by trained and specialised...
In Intravenous Therapy Teams, PICC placement using standard MST (Modified Seldinger Technique) is common practice and generally well controlled. However, complications can arise if the standard technique is applied, and the insertion site is unsuitable. Failure to...
Recommendations of Dr Diane Weber Two years ago, I met Alicia, a breast cancer patient. After struggling with the disease for a while, she had to undergo a mastectomy. Soon after her surgery, a need for a chest port was identified. She came to me asking for an...
According to the studies by Dr Pittiruti and Dr LaGreca Since the late 1980s, Dr Pittiruti and Dr LaGreca of the Fondazione Policlinico Universitario Agostino Gemelli in Rome have been researching the possibility of using ECG to locate the tip of a PICC. In 1989 (1),...
The reference guidelines on vascular access leave no doubt: it is essential to position and correctly locate the tip of a PICC. Otherwise, healthcare professionals risk encountering complications that can jeopardize the ongoing treatment and even the patient's health....
The PICC-port is the latest breakthrough in Venous Access Devices (VADs) and is now included in the DavExpert app's solution for patients. New studies are showing it is a safe, effective, efficient and goodlooking option for cancer patients. How has this device...