The journal of vascular access
-
Abstracts from the Annual Meeting of the Vascular Access Society of Britain and Ireland, 24-25 September 2015, Manchester - UK.
-
Letter Case Reports
Fibrin sheath endocarditis: a new entity via echocardiography.
-
Effective postinsertion management of central venous access devices (CVADs) is important to prevent CVAD-associated complications, including catheter-associated bloodstream infections. Although there is a wealth of evidence-based guidelines available to guide the care of CVADs, applying their recommendations to the clinical setting across variable patient groups, CVAD types and international healthcare settings is challenging. This may result in patients receiving suboptimal care. ⋯ These inconsistencies are reflective of the complex and heterogeneous populations requiring CVADs, the evidence available to support practice in this area, the skills and knowledge of the clinicians caring for them and the resources of the healthcare setting. Further research and education is necessary to ensure that CVAD site care is undertaken effectively to minimise preventable complications.
-
Review
Use of long-term catheters in Japan: implant procedures, maintenance methods, and future aspects.
The Japanese society for dialysis therapy (JSDT) launched the second edition of 'Guidelines for Vascular Access Construction and Repair for Chronic Hemodialysis' concerning the vascular access in 2011. The indication of long-term catheters is strictly limited in these guidelines because of possible high risks of infections including sepsis and obstruction of catheters with thrombus. In Japan, the long-term catheters would be needed more frequently to prepare the very rapid demographic change within a decade, under the condition that the material and structure of these catheters will be more resistant against the complications.