249 Distal Femur Site Is a Viable Option for IO Vascular Access in Pediatric Patients

2012 ◽  
Vol 60 (4) ◽  
pp. S90 ◽  
Author(s):  
E.J. Truemper ◽  
C.L. Beamer ◽  
L.J. Miller ◽  
D.F. Montez ◽  
T.A. Puga ◽  
...  
Keyword(s):  
Vascular Access ◽  
Pediatric Patients ◽  
Distal Femur ◽  
Viable Option

Therapeutic Plasma Exchange Application in Children Requires Individual Decision

2020 ◽  
Author(s):  
Gürkan Atay ◽  
Demet Demirkol
Keyword(s):  
Plasma Exchange ◽  
Vascular Access ◽  
Pediatric Patients ◽  
Demyelinating Disease ◽  
Pediatric Intensive Care ◽  
Therapeutic Plasma Exchange ◽  
Transplantation Rejection ◽  
Access Problems ◽  
Uremic Syndrome

AbstractTherapeutic plasma exchange (TPE) is a treatment administered with the aim of removing a pathogenic material or compound causing morbidity in a variety of neurologic, hematologic, renal, and autoimmune diseases. In this study, we aimed to assess the indications, efficacy, reliability, complications, and treatment response of pediatric patients for TPE. This retrospective study analyzed data from 39 patients aged from 0 to 18 years who underwent a total of 172 TPE sessions from January 2015 to April 2018 in a tertiary pediatric intensive care unit. Indications for TPE were, in order of frequency, macrophage activation syndrome (28.2%, n = 11), renal transplantation rejection (15.4%, n = 6), liver failure (15.4%, n = 6), Guillain–Barre's syndrome (15%, n = 6), hemolytic uremic syndrome (7.7%, n = 3), acute demyelinating disease (7.7%, n = 3), septic shock (5.1%, n = 2), and intoxication (5.1%, n = 2). No patient had any adverse event related to the TPE during the procedure. The TPE session was ended prematurely in one patient due to insufficient vascular access and lack of blood flow (2.6%). In the long term, thrombosis due to the indwelling central catheter occurred (5.1%, n = 2). TPE appears to be an effective first-stage or supplementary treatment in a variety of diseases, may be safely used in pediatric patients, and there are significant findings that its area of use will increase. In experienced hands and when assessed carefully, it appears that the rate of adverse reactions and vascular access problems may be low enough to be negligible.

scholarly journals Abstract No. 136 Evaluation of complications associated with tunneled vascular access lines in pediatric patients

2021 ◽  
Vol 32 (5) ◽  
pp. S60-S61
Author(s):  
D. Veyg ◽  
B. Reading ◽  
J. MacDonnell ◽  
N. Underwood ◽  
A. Robinson ◽  
...  
Keyword(s):  
Vascular Access ◽  
Pediatric Patients

Immersive technological approaches to managing perceived pain in pediatric patients undergoing vascular access procedures

2018 ◽  
Vol 19 (3) ◽  
pp. S34-S35
Author(s):  
O. Jang ◽  
A. Joseph ◽  
M. Hernandez ◽  
L. Simons ◽  
T. Caruso ◽  
...  
Keyword(s):  
Vascular Access ◽  
Pediatric Patients ◽  
Perceived Pain

Criterion and Construct Validity and Reliability of the Pediatric IV Difficulty Score

2020 ◽  
Author(s):  
Jane H. Hartman ◽  
James F. Bena ◽  
Shannon L. Morrison ◽  
Nancy M. Albert
Keyword(s):  
Construct Validity ◽  
Vascular Access ◽  
Pediatric Patients ◽  
Peripheral Vascular ◽  
Validity And Reliability ◽  
User Groups ◽  
Validity Criteria ◽  
Placement Success ◽  
Difficulty Score ◽  
Different Levels

Highlights Abstract Background: In pediatric patients, intravenous placement success may be related to predetermined vascular access difficulty. The study purpose was to examine validity and reliability of the 6-item Pediatric Intravenous Difficulty Score. Methods: We determined if a tool that assesses pediatric intravenous difficulty was associated with clinical outcomes of peripheral attempts (criterion validity), hypotheses regarding patients’ age, race, and medical diagnosis (construct validity), and reliability of difficulty levels. Results: In 596 episodes of peripheral intravenous attempts, first-attempt success, overall success, and number of staff attempting access were associated with level of intravenous access difficulty by tool score. The tool met hypothesized construct validity criteria, and in multivariable modeling, the tool was reliable based on difficulty levels of 2 user groups. Conclusions: The 6-item Pediatric Intravenous Difficulty Score has criterion and construct validity and is reliable over time among clinicians with different levels of expertise in peripheral vascular access.

Assessing Pediatric Patients for Vascular Access and Sedation

2007 ◽  
Vol 30 (4) ◽  
pp. 226-231 ◽  
Author(s):  
Ann Earhart ◽  
Christine Jorgensen ◽  
Darlene Kaminski
Keyword(s):  
Vascular Access ◽  
Pediatric Patients

Which Kind of Vascular Access for Hemodialysis in Pediatric Patients?

2003 ◽  
Vol 4 (2) ◽  
pp. 68-72 ◽  
Author(s):  
O. Manca ◽  
G.F. Pili ◽  
M.G. Murgia ◽  
A. Martorana ◽  
C. Setzu ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Surgical Procedures ◽  
Vascular Access ◽  
Surgical Procedure ◽  
Pediatric Patients ◽  
Small Diameter ◽  
Clinical Criteria ◽  
Arteriovenous Fistulas ◽  
First Choice

The choice of vascular access in hemodialysis pediatric patients can be challenging, due to the small diameter of vessels. In the last 19 years, 38 arteriovenous fistulas (AVF) for hemodialysis have been created on 21 patients; 25 of them were radio-cephalic AVF. The evaluation of the vessels was, in the majority of cases, done by clinical criteria. A local anesthesia was used in all surgical procedures. The percentage of early AVF failure was 24%. Long-term AVF survival was 97%, 65% and 55% at respectively 1, 3 and 5 years. Our data indicate that even in pediatric patients the radio-cephalic fistula is the first choice surgical procedure.

scholarly journals Persistent low albumin and temporary vascular access in pediatric patients with SLE on hemodialysis

2009 ◽  
Vol 24 (10) ◽  
pp. 1981-1987 ◽  
Author(s):  
Sangeeta D. Sule ◽  
Jeffrey J. Fadrowski ◽  
Barbara A. Fivush ◽  
Alicia M. Neu ◽  
Susan L. Furth
Keyword(s):  
Vascular Access ◽  
Pediatric Patients

The Importance of Child Life and Pain Management During Vascular Access Procedures in Pediatrics

2006 ◽  
Vol 11 (3) ◽  
pp. 144-151 ◽  
Author(s):  
Gail A. Heckler-Medina
Keyword(s):  
Quality Of Care ◽  
Pain Management ◽  
Vascular Access ◽  
Pediatric Patients ◽  
Child Life ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Child Life Specialists

Abstract The author asks of the reader: Have you ever been called to start a peripheral intravenous (IV) catheter or place a peripherally inserted central catheter (PICC) in a child, and you wished someone else could do it? Performing vascular access procedures on children is considered by many one of the most stressful and difficult jobs. This article discusses the role of certified child life specialists (CCLSs) and some of the techniques used to assist children in coping with painful procedures as well as the necessity for proper assessment and pain management. The goal of this article is to eliminate the uncertainty of performing these procedures on pediatric patients. By making a few changes in your practice, one could dramatically increase successful outcomes and improve the overall quality of care provided to the patient.

scholarly journals A review of peripherally inserted central catheters and various types of vascular access in very small children and pediatric patients and their potential complications

2021 ◽  
Vol 14 (3) ◽  
pp. 298-309
Author(s):  
Gholamreza Bahoush ◽  
◽  
◽  
Pourya Salajegheh ◽  
Ali Manafi Anari ◽  
...  
Keyword(s):  
Vascular Access ◽  
Pediatric Patients ◽  
Critical Factor ◽  
Process Of Care ◽  
Central Venous ◽  
Small Children ◽  
Appropriate Care ◽  
Comprehensive Search ◽  
Thrombotic Complications ◽  
Central Catheters

Accessing the veins for blood delivery, sampling or nutrition is a critical factor in the process of care and management of pediatric patients. In this regard, the peripherally inserted central catheter (PICC) is one of the main alternatives which could be applied effectively as traditional central venous devices in neonates and adults. Due to their essential role in providing safe central venous entry, PICCs could be applied extensively in patients who are critically ill. The main aims of the present study are to review approximately all relevant publications concerning PICC procedures, any possible complications, and the most appropriate decision for preventing these complications due to their high mortality rate. We carried out a comprehensive search on PubMed, HubMed, EMBASE, MEDLINE, Science Direct, Scopus, MEDLINE, and EMBASE databases for identifying the most relevant publications related to potential complications following the application and insertion of PICCs in hospitalized children and infants. Through appropriate care of catheters, the rate of possible infectious, mechanical and thrombotic complications would decrease considerably compared to those patients who received traditional central venous catheters. However, the process of vascular access in neonatal and children is very challenging. Any delay or denying treatment due to the lack of vascular access is intolerable. In this regard, anesthesiologists must achieve extra knowledge of various vascular devices.

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