Central Venous Access Device Complications in Patients Receiving Parenteral Nutrition in General Ward Settings: A Retrospective Analysis

2019 ◽  
Vol 44 (6) ◽  
pp. 1104-1111 ◽  
Author(s):  
Irena Martincich ◽  
Krystle Cini ◽  
Samuel Lapkin ◽  
Heidi Lord ◽  
Ritin Fernandez
Keyword(s):  
Parenteral Nutrition ◽  
Retrospective Analysis ◽  
Central Venous Access ◽  
Venous Access ◽  
General Ward ◽  
Central Venous ◽  
Central Venous Access Device ◽  
Access Device ◽  
Venous Access Device ◽  
Device Complications

Efficacy of 4% tetrasodium ethylenediaminetetraacetic acid (T-EDTA) catheter lock solution in home parenteral nutrition patients: A quality improvement evaluation

2020 ◽  
pp. 112972982094691
Author(s):  
Jocelyn Hill ◽  
Rachel Garner
Keyword(s):  
Parenteral Nutrition ◽  
Ethylenediaminetetraacetic Acid ◽  
Central Venous Access ◽  
Venous Access ◽  
Home Parenteral Nutrition ◽  
Central Venous ◽  
Post Intervention ◽  
Central Venous Access Device ◽  
Access Device ◽  
Venous Access Device

Introduction: A functioning and reliable central venous access device is fundamental for home parenteral nutrition patients to administer essential nutrition. Complications of central venous access devices including occlusion, microbial colonization, and biofilm formation are problematic and sometimes life-threatening. A novel lock solution, 4% tetrasodium ethylenediaminetetraacetic acid, has properties that may reduce such complications. Purpose: The aim of this study was to determine the safety, efficacy, and cost implications of implementing 4% tetrasodium ethylenediaminetetraacetic acid to prevent catheter-related complications in home parenteral nutrition patients. Methods: A pre- and post-intervention study was carried over 36 months (12 months pre; 24 months post) by the British Columbia Home Parenteral Nutrition Program in Vancouver, Canada, where 4% tetrasodium ethylenediaminetetraacetic acid was implemented for patients at high risk for central venous access device occlusion and catheter-related infection. Patients were included in the study if they had previous central venous access device complications. The outcomes evaluated were central line-associated bloodstream infection, catheter occlusion requiring thrombolytic treatment, and catheter replacements. Results: In total, 22 out of 105 patients met the inclusion criteria. Two patients were excluded from analyses due to non-adherence and concomitant use of other lock solutions. Post intervention, 20 home parenteral nutrition patients experienced significant reduction in the central line-associated bloodstream infection rate (pre = 1.918/1000 catheter days; post = 0.563/1000 catheter days; p = 0.04) There were no occlusion events reported post intervention. Conclusion: For home parenteral nutrition patients, 4% tetrasodium ethylenediaminetetraacetic acid lock solution effectively reduces the risk of central venous access device complications including occlusions and catheter-related infections.

Risk factors determining central venous access device-associated deep vein thrombosis resolution in children: a retrospective study

2021 ◽  
Author(s):  
Miguel García-Boyano ◽  
José Manuel Caballero-Caballero ◽  
Marta García Fernández de Villalta ◽  
Mar Gutiérrez Alvariño ◽  
María Jesús Blanco Bañares ◽  
...  
Keyword(s):  
Risk Factors ◽  
Deep Vein Thrombosis ◽  
Central Venous Access ◽  
Venous Access ◽  
Central Venous ◽  
Central Venous Access Device ◽  
Access Device ◽  
Vein Thrombosis ◽  
Venous Access Device ◽  
Deep Vein

scholarly journals How I treat central venous access device–related upper extremity deep vein thrombosis

Blood ◽  
2017 ◽  
Vol 129 (20) ◽  
pp. 2727-2736 ◽  
Author(s):  
Anita Rajasekhar ◽  
Michael B. Streiff
Keyword(s):  
Central Venous Access ◽  
Vena Cava ◽  
Venous Access ◽  
Postthrombotic Syndrome ◽  
Central Venous ◽  
Central Venous Access Device ◽  
Access Device ◽  
Persistent Symptoms ◽  
Vena Cava Filters ◽  
Venous Access Device

AbstractCentral venous access device (CVAD)-related thrombosis (CRT) is a common complication among patients requiring central venous access as part of their medical care. Complications of CRT include pulmonary embolism, recurrent deep venous thrombosis, loss of central venous access, and postthrombotic syndrome. Patient-, device-, and treatment-related factors can influence the risk of CRT. Despite numerous randomized controlled trials, the clinical benefit of pharmacologic thromboprophylaxis for the prevention of CRT remains to be established. Therefore, minimizing patient exposure to known risk factors is the best available approach to prevent CRT. Venous duplex is recommended for the diagnosis of CRT. Anticoagulation for at least 3 months or the duration of the indwelling CVAD is recommended for treatment of CRT. Thrombolysis should be considered for patients at low risk for bleeding who have limb-threatening thrombosis or whose symptoms fail to resolve with adequate anticoagulation. CVAD removal should be consider for patients with bacteremia, persistent symptoms despite anticoagulation, and if the CVAD is no longer needed. Superior vena cava filters should be avoided. Prospective studies are needed to define the optimal management of patients with or at risk for CRT.

Complications associated with central venous access device in children with haemophilia: a nationwide multicentre study in Finland

Haemophilia ◽  
2015 ◽  
Vol 21 (6) ◽  
pp. 747-753 ◽  
Author(s):  
K. Vepsäläinen ◽  
R. Lassila ◽  
M. Arola ◽  
P. Lähteenmäki ◽  
M. Möttönen ◽  
...  
Keyword(s):  
Multicentre Study ◽  
Central Venous Access ◽  
Venous Access ◽  
Haemophilia A ◽  
Central Venous ◽  
Central Venous Access Device ◽  
Access Device ◽  
Venous Access Device

Implantable central venous access device in infants: Long-term results

2016 ◽  
Vol 58 (10) ◽  
pp. 1027-1031
Author(s):  
Koichi Ohno ◽  
Tatsuo Nakaoka ◽  
Yuichi Takama ◽  
Atsushi Higashio ◽  
Kenji Santo ◽  
...  
Keyword(s):  
Central Venous Access ◽  
Venous Access ◽  
Long Term Results ◽  
Central Venous ◽  
Central Venous Access Device ◽  
Access Device ◽  
Venous Access Device
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