The Scrotal Displacement of the Catheter After Femoral Venous Cutdown: A Neonatal Case Report from Iran DOI Open Access

Shirin Shamel,

Mohammad Reza Zarkesh

Nephro-Urology Monthly, Год журнала: 2024, Номер 16(2)

Опубликована: Июль 7, 2024

Introduction: One of the most preferred cutdown access sites in neonates is femoral vein; however, medical staff should be aware associated complications. In this study, we present a case where displacement catheter tip after vein resulted scrotal hematoma. Case Presentation: A neonate with gestational age 39 weeks and birth weight 3740 grams was born an academic hospital Tehran, Iran, 2022. The newborn gradually showed symptoms respiratory distress immediately transferred to neonatal intensive care unit (NICU). Within first minutes NICU admission, developed acute distress, chest X-ray revealed congenital pneumonia. patient promptly intubated, endotracheal surfactant administered. Simultaneously, peripheral vascular established. On day 3, failed, multiple attempts at percutaneous venipuncture were unsuccessful. consultation expert pediatric surgeon led decision perform surgical venous cutdown. 22-gauge inserted into external iliac through right initiate intravenous fluid antibiotics. next four hours, edema, discoloration, localized erythema, clear leakage from scrotum. Intravenous infusion urgently clamped. recommended removal, suspecting catheter. sonography examination hypoechoic 11 × 10 4 mm region, indicating hematoma inferior pole testis. placed under serial follow-up monitor vital signs local manifestations. managed conservative treatment discharged good condition on 10th admission. Conclusions: presented demonstrated damage following catheterization. This unexpected complication effectively by immediate removal catheter, close monitoring, therapy, follow-ups, which prevented progression signs. potential for testicular injuries such cases.

Язык: Английский

A GAVeCeLT consensus on the indication, insertion, and management of central venous access devices in the critically ill DOI
Fulvio Pinelli, Mauro Pittiruti, Maria Giuseppina Annetta

и другие.

The Journal of Vascular Access, Год журнала: 2024, Номер unknown

Опубликована: Авг. 3, 2024

Central venous access devices are essential for the management of critically ill patients, but they potentially associated with many complications, which may occur during or after insertion. Many evidence-based documents—consensus and guidelines—suggest practical recommendations reducing catheter-related have some limitations. Some documents not focused on patients; other address only special strategies, such as use ultrasound; biased by obsolete concepts, inappropriate terminology, lack considerations new technologies methods. Thus, Italian Group Venous Access Devices (GAVeCeLT) has decided to offer an updated compendium main strategies—old new—that should be adopted minimizing complications in adult patient. The project been planned a consensus, rather than guideline, since issues this field relatively recent, few high-quality randomized clinical studies currently available, particularly area indications choice device. Panelists were chosen between vascular experts who had published papers peer-reviewed journals about topic last years. consensus process was carried out according RAND/University California at Los Angeles (UCLA) Appropriateness Methodology, modification Delphi method, that is, structured collecting knowledge from groups through series questionnaires. final document statements answer four major sets questions regarding central ill: (1) before insertion (seven questions), (2) (eight (3) (three (4) removal questions).

Язык: Английский

Процитировано

6
Assessment of Long-Term Complications in Adult Oncology Patients with Superior Vena Cava Syndrome Receiving Tunnelled Femoral Catheters: A Prospective Cross-sectional Study DOI Creative Commons
Zhen‐Ming Wu,

Chun-Li Huang,

Zeyin Hu

и другие.

Research Square (Research Square), Год журнала: 2025, Номер unknown

Опубликована: Янв. 15, 2025

Abstract Background Superior vena cava syndrome (SVCS) is a critical condition that often linked to malignancies and requires prolonged vascular access for therapeutic palliative care. This prospective cohort analysis evaluated the long-term complications associated with tunneled femoral inserted central catheters (TFICCs) in adult oncology patients SVCSs. Methods cross-sectional study was performed at major cancer centre China. The involved SVCSs requiring venous via TFICC from March 2022 June 2022. A total of 89 SVCS who received placement were enrolled. primary outcomes rates TFICC-related complications, such as dislodgment, occlusion, blood reflux, catheter-related skin injury, thrombosis, unplanned removal. secondary included identification risk factors these complications. Univariate binary logistic regression analyses used assess Results Nearly half (n = 42/89, 47.2%) experienced significant related TFICC, dislodgment emerging most prevalent issue an alarming rate 23.6%. It’s crucial note only mere 5 (56%) had their removed due use Power PICC-SOLO identified factor occlusion. An increased catheter length reduces whereas longer indwelling time increases this risk. larger thigh circumference greater chance reflux. Conclusion particularly concerning dislodgment. POWER Catheter influence These findings have implications patient selection, choice, management strategies minimize Trial registration registered Chinese Clinical Trial Registry on 21/02/2022 (registration number: ChiCTR2200055864).

Язык: Английский

Процитировано

0
Physicochemical Characteristics of Cardiological Drugs and Practical Recommendations for Intravenous Administration: A Systematic Review DOI Creative Commons

Massimiliano Quici,

Elena Martini,

Davide Giustivi

и другие.

Scientia Pharmaceutica, Год журнала: 2025, Номер 93(1), С. 13 - 13

Опубликована: Март 12, 2025

Most cardiological drugs need intravenous administration to have a fast effect in an emergency. Intravenous is linked complications, such as tissue infiltration and thrombophlebitis. Aiming supply effective tool for the development of appropriate policies, this systematic review provides practical recommendations about diluent, pH, osmolarity, dosage, vesicant properties, phlebitis rate most commonly used evaluated randomized controlled trials (RCTs) till 31 August 2024. The authors searched available IV RCTs PUBMED EMBASE®, EBSCO-CINAHL®, Cochrane Controlled Clinical trials. Drugs’ chemical features were obtained online, drug data sheets, scientific papers, establishing that with pH <5 or >9, osmolarity > 600 mOsm/L, high incidence reported literature, well drugs, require utmost caution during administration. A total 857 papers 316 studies included. 84 identified, which only (37%) can be safely infused via peripheral route. Thrombolytics anticoagulants are considered safest classes one flagged “red flag” medication. However, higher percentage other categories meet criteria, including antiarrhythmics (52%), antiplatelet agents (67%), diuretics antihypertensives (70%), (77%), vasoconstrictors inotropics (89%). Understanding physicochemical properties essential significantly improving patient safety preventing errors local side effects.

Язык: Английский

Процитировано

0
Trans femoral tunnelled central venous catheter DOI

Sunil Kalmath

Radiopaedia.org, Год журнала: 2025, Номер unknown

Опубликована: Март 20, 2025

Язык: Английский

Процитировано

0
Short Femoral Central Lines in Critically Ill Children: How Often and Do They Result in More Complications? DOI

H. Michael Ushay

Pediatric Critical Care Medicine, Год журнала: 2025, Номер unknown

Опубликована: Апрель 2, 2025

Язык: Английский

Процитировано

0
The NAVIGATE project: A GloVANet–WoCoVA position statement on the nomenclature for vascular access devices DOI Creative Commons
Matheus F. P. T. van Rens, Robin van der Lee, Timothy R. Spencer

и другие.

The Journal of Vascular Access, Год журнала: 2024, Номер unknown

Опубликована: Окт. 24, 2024

The field of vascular access has witnessed significant advancements in recent years, improving healthcare delivery across various patient populations through the use diverse intravascular devices. Despite these innovations, a critical issue remains: lack globally standardized set descriptors for This gap impedes clear communication and coordination within community. Recognizing necessity terminology, Global Vascular Access Network (GloVANet), collaboration with World Congress (WoCoVA), initiated NAVIGATE project (NomenclAture Via Integrated Advancements Terminology Efficiencies). aim is to propose practical nomenclature current devices, encompassing both central, peripheral venous, arterial A panel international experts from several clinical domains was selected by Scientific Committee WoCoVA develop position statement around device nomenclature. Following comprehensive literature review, consensus reached using modified Delphi process. outcome this collaborative effort WoCoVA/GloVANet statement, which provides adoption unified terminology brings benefits, firstly, it ensures clarity, reproducibility, comparability when reporting studies, secondly, reduces ambiguous or imprecise terms between professionals practice.

Язык: Английский

Процитировано

3
Totally implanted central venous access devices inserted by the femoral route: A narrative review and the proposal of a novel approach, the FICC-port DOI
Maria Giuseppina Annetta,

Bruno Marche,

Gloria Ortiz Miluy

и другие.

The Journal of Vascular Access, Год журнала: 2024, Номер unknown

Опубликована: Май 6, 2024

Background: Femoral ports are used in patients with indication to a totally implanted venous access device but contraindication chest-ports and brachial because of obstruction the superior vena cava. In last three decades, femoral have been almost exclusively by cannulation common vein at groin, while position tip has assessed X-ray. Methods: We report our experience new approach ports, which includes recent methods techniques developed few years. These novel we call “FICC-ports,” characterized (a) long 5 Fr polyurethane catheter inserted ultrasound-guided puncture superficial mid-thigh; (b) intraprocedural location sub-diaphragmatic inferior cava, using ultrasound visualization transhepatic and/or subcostal view; (c) low-profile or very low-profile reservoir above quadriceps muscle, mid-thigh. Results: 3 years, 47 FICC-ports young adults mediastinal lymphoma compressing had no immediate/early complication, only late complications (one kinking subcutaneous tissue; one migration secondary thrombosis; persistent withdrawal occlusion due fibroblastic sleeve). Conclusion: If there is port, implantation “FICC-port”—as described above—is be strongly considered terms safety, effectiveness, cost-effectiveness: immediate-early complications, minimal X-ray exposure, low invasiveness, cost.

Язык: Английский

Процитировано

1
Epidemiology and Clinical Insights of Catheter-Related Candidemia in Non-ICU Patients with Vascular Access Devices DOI Creative Commons
Giovanni Luca Scaglione, Marta Colaneri,

Martina Offer

и другие.

Microorganisms, Год журнала: 2024, Номер 12(8), С. 1597 - 1597

Опубликована: Авг. 6, 2024

Vascular access devices (VADs), namely peripheral VADs (PVADs) and central venous (CVADs), are crucial in both intensive care unit (ICU) non-ICU settings. However, VAD placement carries risks, notably catheter-related bloodstream infections (CRBSIs).

Язык: Английский

Процитировано

1
Reply to: Femoral site for implantation of a port-a-catheter in a cancer patient DOI
Sergio Bertoglio

European Journal of Surgical Oncology, Год журнала: 2024, Номер 50(2), С. 107970 - 107970

Опубликована: Янв. 21, 2024

Язык: Английский

Процитировано

0
The Scrotal Displacement of the Catheter After Femoral Venous Cutdown: A Neonatal Case Report from Iran DOI Open Access

Shirin Shamel,

Mohammad Reza Zarkesh

Nephro-Urology Monthly, Год журнала: 2024, Номер 16(2)

Опубликована: Июль 7, 2024

Introduction: One of the most preferred cutdown access sites in neonates is femoral vein; however, medical staff should be aware associated complications. In this study, we present a case where displacement catheter tip after vein resulted scrotal hematoma. Case Presentation: A neonate with gestational age 39 weeks and birth weight 3740 grams was born an academic hospital Tehran, Iran, 2022. The newborn gradually showed symptoms respiratory distress immediately transferred to neonatal intensive care unit (NICU). Within first minutes NICU admission, developed acute distress, chest X-ray revealed congenital pneumonia. patient promptly intubated, endotracheal surfactant administered. Simultaneously, peripheral vascular established. On day 3, failed, multiple attempts at percutaneous venipuncture were unsuccessful. consultation expert pediatric surgeon led decision perform surgical venous cutdown. 22-gauge inserted into external iliac through right initiate intravenous fluid antibiotics. next four hours, edema, discoloration, localized erythema, clear leakage from scrotum. Intravenous infusion urgently clamped. recommended removal, suspecting catheter. sonography examination hypoechoic 11 × 10 4 mm region, indicating hematoma inferior pole testis. placed under serial follow-up monitor vital signs local manifestations. managed conservative treatment discharged good condition on 10th admission. Conclusions: presented demonstrated damage following catheterization. This unexpected complication effectively by immediate removal catheter, close monitoring, therapy, follow-ups, which prevented progression signs. potential for testicular injuries such cases.

Язык: Английский

Процитировано

0