Vascular Access

Ensuring optimal care for DIVA patients

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...

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SIP-2 Protocol: Making PICC Insertions Easier

In modern healthcare, multiple professionals are responsible of inserting vascular access devices in patients. Within the same hospital, different categories of professionals end up using the same type of catheters. However, when each of these professionals employs...

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3 tips for proper PICC-port placement

PICC-port is gaining prominence as a primary vascular access device for oncology patients, surpassing traditional chest ports and outdated brachial ports. Dr. Bertoglio's recently published multicentre study, which examined over 4000 PICC-ports, demonstrates the...

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What are the advantages of PICC-port?

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,...

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5 key advantages of midlines you should know of

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...

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Extravasation: Causes and treatment

Extravasation can be defined as the accidental leakage of a chemotherapy infusion into the subcutaneous tissues, and exceptionally into the pleura or mediastinum. It can be an absolute therapeutic emergency depending on the product that was used. Of all the possible...

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5 midline complications to know

5 midline complications to know

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...

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5 things to know about thrombosis in PICCs

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...

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Therapeutic Apheresis

We are currently witnessing an increase in the use of therapeutic apheresis (TA) with indications not only in oncohaematology, but also in nephrology, cardiology, dermatology, gastroenterology, rheumatology, neurology, metabolic diseases... The list of diseases with...

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ZIM method and tunnelling in PICC placement

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...

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A safe axillary-subclavian venous access

Recommendations of Dr Jean-Jacques Simon, Vascular Surgeon   The subclavian vein puncture, area of the axillary-subclavian junction, is known for its possible complications such as pinch-off syndrome and pneumothorax. These are perfectly avoidable when the...

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Acute Vascular Injuries during CICC placements

  Photo 1: Case Report   Introduction   Central venous catheterization (CVC) is a technique commonly used to obtain short and long-term vascular access. There are many potential risks associated with CVC insertion and that can lead to vascular injuries....

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The routes of vascular access device infections

The routes of vascular access device infections

Introduction The need for vascular access to administer intravenous medicines and fluids is an essential part of healthcare delivery in acutely ill patients.1 It is suggested that most patients admitted to acute hospitals will have at least one vascular access device...

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Midline Catheter at home

This pandemic has confirmed a reality for us: hospitals are for acute patients. Although this is not new, we are now able to put it into action: now more than ever our home is our shelter. Home health care, specifically in the field of vascular access, IS feasible....

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When should I remove a PICC if it is infected?

  An increasing number of hospitalised patients require the use of venous access devices (VADs). Intravenous therapy has therefore been a topic of high clinical relevance in recent decades. There are currently several types of catheters, and the choice between them...

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What you need to know about infusors

What is an infusor? In recent decades, infusors have been used for continuous drug administration. The development of these devices is a major breakthrough in this field, as maintaining stable plasma concentrations allows better control of the disease and its...

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How to locate the tip of a PICC

How to locate the tip of a PICC

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....

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Complications in ports: pinch off syndrome

Ports, fully implanted venous devices, are the longest lasting vascular accesses and offer excellent performance in chronic ill patients, particularly oncological patients. However, the reservoir can lead to certain complications, some well known such as obstruction...

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AFIC-VYGON Cancer Nurses Survey

Summary: Scientific studies show that the risks of exposure of healthcare workers lead to long-known side effects. The most recent recommendations and regulations strongly encourage the use of suitable PPE and safe closed systems, which significantly reduce the risk...

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The PICC-port revolution

The PICC-port revolution

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...

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Short Peripheral Catheter: Four Common Problems

As nurses, do we know how invasive it is and what the consequences are of inserting a short peripheral catheter into a vein? In May/June 2015, the “Journal of Infusion Nursing” dedicated an article to short catheters that states: “The insertion of short peripheral...

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Midline Catheters in Paediatrics

I. General Concepts The characteristics that define midline catheters are well established. However, in recent years a new group of peripheral vascular access devices has appeared on the market: long peripheral catheters (long peripheral IV catheters), also known as...

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