• Corpus ID: 74292504

Central Line Insertion and Maintenance

@inproceedings{April2012CentralLI,
  title={Central Line Insertion and Maintenance},
  author={G. April},
  year={2012}
}

References

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Central venous catheter use in the pediatric patient: Mechanical and infectious complications
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  • Medicine
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
  • 2005
TLDR
Differences between adults and children regarding CVC use and its potential complications will be focused on, and full sterile barrier precautions during CVC insertion and strict protocols for catheter care are recommended.
Surgical hand preparation: state-of-the-art.
A Hospital-wide Quality-Improvement Collaborative to Reduce Catheter-Associated Bloodstream Infections
TLDR
A hospital-wide QIC resulted in a significant reduction in the incidence of CA BSI at the authors' children's hospital and proves a collaborative model based on improvement science methodology is both feasible and effective in reducing the incidence.
Femoral vs jugular venous catheterization and risk of nosocomial events in adults requiring acute renal replacement therapy: a randomized controlled trial.
TLDR
Jugular venous catheterization access does not appear to reduce the risk of infection compared with femoral access, except among adults with a high BMI, and may have a higher risk of hematoma.
Why Are We Stuck on Tape and Suture?: A Review of Catheter Securement Devices
  • A. M. Frey, G. Schears
  • Medicine
    Journal of infusion nursing : the official publication of the Infusion Nurses Society
  • 2006
TLDR
The data demonstrate that the device, specifically engineered for catheter securement, significantly reduces overall catheter-associated complications and appears to be the result of improved securement and reduced catheter motion.
Higher Incidence of Catheter-Related Bacteremia in Jugular Site with Tracheostomy than in Femoral Site
TLDR
From the Division of Infectious Diseases, Thammasat University Hospital, Pratumthani, Thailand, and Kindergarten Division, Satit School of Rangsit University (B.C.) to the Department of Radiology, Siriraj Hospital, Bangkok, Thailand.
Recognition and prevention of nosocomial vascular device and related bloodstream infections in the intensive care unit
TLDR
Detailed diagnostic methods discussed include how to obtain blood cultures, when to culture catheter tips, how to interpret culture results, and the best methods for diagnosis of central venous catheters in the intensive care unit.
Routine Changing of Intravenous Administration Sets Does Not Reduce Colonization or Infection in Central Venous Catheters
TLDR
Logistic regression found that burns diagnosis and increased ICU stay significantly predicted colonization, and IV administration sets can be used for 7 days in patients with short-term, antiseptic-coated CVCs.
Chlorhexidine-impregnated sponges and less frequent dressing changes for prevention of catheter-related infections in critically ill adults: a randomized controlled trial.
TLDR
Reducing the frequency of changing unsoiled adherent dressings from every 3 days to every 7 days modestly reduces the total number of dressing changes and appears safe.
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