The journal of vascular access
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Randomized Controlled Trial Multicenter Study Comparative Study
Central vascular catheters versus peripherally inserted central catheters in nurse anesthesia. A perspective within the Greek health system.
We present a study comparing the insertion of central vascular catheter (CVC) and peripherally inserted central catheter (PICC) by an anesthesia nurse at 2 Greek University Hospitals. ⋯ PICCs under ultrasound guidance constitute the solution of choice for patients and they definitely surpass the CVCs focusing mainly on the improvement of the quality of life and the satisfaction of patients.
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Randomized Controlled Trial Comparative Study
Subclavian central venous catheters and ultrasound guidance: policy vs practice.
Policy statements recommend the use of ultrasound guidance (USG) to improve patient safety during placement of central venous catheters (CVCs). Studies have conclusively demonstrated greater success rates and fewer complications with the use of USG in catheter placement using the internal jugular vein approach. Data supporting the use of USG for the subclavian vein (SCV) approach, however, have been less conclusive, and USG for SCV cannulation is rarely used in clinical practice. We compared USG placement versus anatomic placement during subclavian insertion of a CVC. ⋯ The use of USG to access the SCV utilizing a task trainer did not improve time to cannulation or success rates. Further study is required to delineate why USG for SCV cannulation has not been widely adopted in clinical practice.
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Randomized Controlled Trial Comparative Study
The effect of peripherally inserted central catheter (PICC) valve technology on catheter occlusion rates--the 'ELeCTRiC' study.
Peripherally Inserted Central Catheters (PICCs) are increasingly being used to provide short to medium-term central venous access. The current study was designed to test the hypothesis that PICC valve technology does not influence PICC occlusion rates. ⋯ Valved PICCs do not appear to influence PICC occlusion rates.
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Randomized Controlled Trial Comparative Study
Comparison between local and regional anesthesia in arteriovenous fistula creation.
Assessment of the effectiveness of brachial plexus block (BPB) via axillary approach compared to regional anesthesia for arteriovenous fistula surgery in patients affected by end-stage renal disease. ⋯ The axillary-approached BPB was more advantageous than local anesthesia. Its effectiveness was because of venous dilation and the decrease in the PI, consequent to the reduction in peripheral resistances and the increase in local blood flow, thus offering an ideal background for fistula creation and short-term patency.
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Comment Letter Randomized Controlled Trial Comparative Study
Central and peripheral venous port catheters: evaluation of patients' satisfaction under local anesthesia.