The evolution of the Seldinger technique since its development in the 1950s has allowed this method to be used with other types of vascular access devices and in fields outside of interventional radiology. In fact, initially known for the insertion of arterial and...
Campus Vygon
Ensuring optimal care for DIVA patients
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...
Everything you need to know about tunnelling in midlines
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,"...
Ultrasound in the placement of PICCs and midlines
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...
3 keys to choosing the best hemodynamic monitor for our patients
Hemodynamic monitoring provides us with information on cardiovascular performance and has therefore become a fundamental tool in the diagnostic approach and therapeutic orientation. More and more devices are becoming available that allow us to carry out advanced...
CSSAS: Closed Safety Systems for Administration to Reduce Risks of Occupational Exposure to HMPs
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,...
5 things to know about thrombosis in PICCs
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...
Recommendations for the management of difficult airways during COVID-19
As some of the commonly recommended strategies for managing difficult airways are not optimal in the context of COVID-19, the Society for Airway Management (SAM) decided to take action. To this end, it has set up a task force to review existing literature and current...
Midline catheter: placement and maintenance protocol
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...
What are the advantages of PICC-port?
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,...
Is the use of cleaning protocols sufficient to increase the safety of ENFit® connectors in neonates?
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...
Hypothermia in newborns, how to prevent it?
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...
Which intubation guide to choose for which patient?
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...
ZIM method and tunnelling in PICC placement
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...
6 measures to ensure the proper functioning of a PICC-port
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...
5 key advantages of midlines you should know of
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...
PICC placement in patients with Atrial Fibrillation
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),...