Peripherally inserted central catheters (PICCs) are a well-established method of providing medium to long-term vascular access. While device design plays an important role, successful outcomes are closely linked to insertion technique, vessel preservation and...
The Seldinger technique remains one of the most significant innovations in vascular access, providing the foundation for safe, reliable and minimally invasive catheter placement across a wide range of clinical applications. From central venous catheterisation to PICC...
What the Evidence Tells Us About Risk, Reality and Current Practice Enteral feeding tubes are a mainstay of neonatal intensive care, particularly for very preterm and critically unwell infants who may rely on tube feeding for weeks or months. While these devices are...
Throughout this article series, we have explored what needle‑free connectors are, how they differ in design and function, and why factors such as fluid displacement, disinfection, and standardisation matter. At the centre of all these considerations is a simple but...
Since its introduction in the early 1970s, continuous positive airway pressure (CPAP) has become a cornerstone of neonatal respiratory support. A 2003 review by De Paoli et al. highlighted its physiological benefits while emphasising significant uncertainty around...
Maintaining catheter patency is one of the most persistent challenges in vascular access management. While device innovation has introduced valved catheters designed to reduce reflux and occlusion, real-world experience continues to show that occlusion remains a...
Lessons from clinical practice and the evidence base Accurate cardiac output (CO) monitoring is a cornerstone of early post‑operative management following coronary artery bypass grafting (CABG). In this group of patients, small differences in haemodynamic...
Spinal anaesthesia is a cornerstone technique for lower abdominal, pelvic, and lower limb surgeries. While generally reliable, clinicians occasionally encounter partial blocks despite correct needle placement and drug administration. These events raise critical...
Short on time? Read the clinical takeaway: Clinical Takeaway Sustainability in critical care catheter selection is not about defaulting to the fewest lumens, but about choosing the right device for the clinical context. In fast‑paced critical care environments,...
Vascular access devices (VADs) are a cornerstone of modern healthcare, supporting the delivery of intravenous therapies across acute, community, and outpatient settings. From peripheral cannulas to central venous catheters, these devices vary significantly in design,...
This article summarises a case study poster presented at AVA 2025, highlighting work led by the Vascular Access Service Team at Michigan Medicine to reduce Peripherally Inserted Central Venous Catheter (PICC) line dislodgement in adult patients through the...
Reducing Contamination Risk Through Better Practice and Better Device Design Cleanliness in neonatal enteral feeding is not simply a procedural requirement; it is a fundamental safeguard for some of the most fragile patients in healthcare. A single lapse in hygiene...
Building Safety, Resilience, and Protective Feeding Behaviours from the Very Start Before the first tube feed is ever delivered, the neonatal feeding journey has already begun. Early sensory exposures, parental closeness, and the timely introduction of colostrum play...
Radial arterial catheters are foundational to haemodynamic monitoring and blood sampling across anaesthesia, intensive care, and emergency medicine. Yet preventable complications, mechanical instability after wrist flexion, catheter kinking due to steep insertion...
The question of whether neonatal peripherally inserted central catheters (nPICCs) can safely be cut to length continues to arise in clinical practice. Although some clinicians shorten lines to assist with dressing application or reduce external looping, available...
In critical care, timely and reliable vascular access underpins every aspect of patient stabilisation, treatment escalation, and therapeutic maintenance. Patients in the ICU often require multiple medications, vasoactive infusions, hydration, nutrition, and blood...
Endotracheal intubation in neonates is a high‑stakes procedure where millimetres matter, and the margin for error is incredibly small. Optimal outcomes depend on correct tube selection, precise insertion depth, operator experience, and meticulous ongoing airway...
This is a summary of VYVAExperts2025. Watch in full here: https://learning.campusvygon.com/search?b=vyvaexperts Early Challenges Vascular access in oncology originally relied almost entirely on peripheral lines, beginning with steel, Teflon, and more recently,...
Author: Neus Monmeneu Salavert In cancer patients, choosing an appropriate venous access device is crucial for effective treatment, minimising complications, and reducing healthcare costs. Key management decisions, such as the timing of device removal after therapy,...
Ultrasound-guided vascular access has become a cornerstone of modern clinical practice, offering a safer, more accurate alternative to traditional landmark-based techniques. First described in 19781, the use of ultrasound for central venous catheterisation has evolved...
Optimising Outcomes Through Proper Device Selection Arterial cannulation is not just about technique—it's also about choosing the correct device for the right patient. The type, size, and design of the arterial catheter can significantly influence the accuracy of...
Introduction This educational framework, developed by Maciej Latos and Linda Kelly and published in the European Journal of Infusion Nursing, is highly relevant in today's healthcare landscape, where nurses and health professionals are increasingly taking on advanced...
Needle Free Connectors with a Bi-directional Valve have become a cornerstone in intravenous (IV) therapy. Their innovative design prevents blood reflux and significantly reduces catheter occlusions. This advancement brings numerous benefits to patients, clinicians,...
Arterial cannulation for continuous blood pressure monitoring is not a technique free from complications; most of the time, these are minor and do not pose a major problem for the patient, but in some cases, they can have serious consequences. Furthermore, in...
Neonatal peripherally inserted central catheters (PICC) are commonly used in neonatal intensive care units to administer vasoactive drugs and hyperosmotic solutions such as parenteral nutrition1. These catheters are often maintained in place for 2 to 3 weeks and play...
Peripherally Inserted Central Catheters (PICCs) are essential in modern medical practice, providing reliable venous access for patients requiring long-term intravenous therapy. Below, we highlight an overview of our latest PICC Care and Maintenance Guide. Download...
Nurses are the first clinical aid at the bedside, monitoring and responding to changes in patient conditions. Providing nurses with tools to make more informed decisions can significantly enhance patient care as early detection of preventable outcomes is crucial for...
In this article, we present the case of a triple-negative breast carcinoma T2N0M0 with negative genetic testing and a Ki67 proliferation index of 80%, indicating an aggressive cancer. Despite the initial recommendation to use a peripherally inserted central catheter...
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...