Training Papers

Introduction: Persistent left-sided superior vena cava is a rare congenital venous malformation. While often clinically asymptomatic, these variations in normal anatomy may give rise to complications with central venous catheter placement. Case Report: We present a case of a 71-year-old male who presented to the emergency department with sepsis of unknown etiology. A right-sided central […]

Nimble Storage Solutions – October 2020 Written by Rose Davidson for FloMedical   Too many times medical staff have walked into the sterile store and are unable to find everything they need. In fact, the store is in such disarray that it is any wonder they can find anything at all. When they do shop,

“The purpose of this study was to evaluate the feasibility of a new long peripheral catheter (LPC) program at a large academic center in an effort to reduce the use of peripherally inserted central catheters (PICCs) and their related complications” Burek et al (2020). Abstract: Objectives: The purpose of this study was to evaluate the

‘Some patients (Pat 2, 4, 9, 17) revealed that they felt uncomfortable when holding their children and while practicing sports. This unease was related not only to the physical presence of the device but also to the need of having to reflect on whether they could practice the activity or if it entailed a risk

Highlights Electrocardiographic tip confirmation is a relatively new technique to help guide peripherally inserted central catheter tip positioning at the bedside. Real-time electrocardiographic-guided placement was associated with a reduced rate of deep vein thrombosis compared to conventional placement. Electrocardiographic placement of peripherally inserted central catheter is convenient, safe and may prevent thrombosis. ABSTRACT Background Peripherally

Electrocardiography-guided central venous catheter tip positioning is a feasible real-time method for patients with atrial fibrillation. Combined with ultrasound, the electrocardiography-controlled central venous catheter placement may eliminate the need for postinterventional radiation exposure” Steinhagen et al (2018). Abstract: INTRODUCTION: A significant increase of the p-wave of a real-time intracavitary electrocardiography is a reliable and safe

“Amplitude changes in the P-wave of intracavitary electrocardiography have been used to assess the tip placement of central venous catheters. The research assessed the sensitivity and specificity of this sign in comparison with standard radiographic techniques for tip location, focusing on factors influencing its clinical utility” Wang et al (2015). Reference: Wang, G., Guo, L.,

We conclude that the intracavitary electrocardiography method is safe and accurate in neonates as demonstrated in pediatric and adult patients” Capasso et al (2018). Abstract: PURPOSE: The neonatologists of Sant’Anna and San Sebastiano Hospital of Caserta have carried out a pilot study investigating the safety, feasibility, and accuracy of intracavitary electrocardiography for neonatal epicutaneous cava

“This study evaluated whether unnecessary ionizing radiation exposure could be spared in the pediatric population when intracavitary electrocardiography is used to guide catheter placement” Raffaele et al (2020). Abstract: Background: Most hospital protocols-including those of our own institute-require the use of radiography to validate tip position in every central vascular access device placement. This study