Optimizing vascular-access device decision-making in the era of midline catheters

2019 ◽  
Vol 40 (6) ◽  
pp. 674-680 ◽  
Author(s):  
Kelly A. Cawcutt ◽  
Richard J. Hankins ◽  
Teresa A. Micheels ◽  
Mark E. Rupp
Keyword(s):  
Decision Making ◽  
Best Practices ◽  
Vascular Access ◽  
Central Venous Catheters ◽  
Narrative Review ◽  
Central Venous ◽  
Access Device ◽  
Vascular Access Device ◽  
Intravenous Catheters

AbstractThis narrative review addresses vascular access device choice from peripheral intravenous catheters through central venous catheters, including the evolving use of midline catheters. The review incorporates best practices, published algorithms, and complications extending beyond CLABSI and phlebitis to assist clinicians in navigating complex vascular access decisions.

Central Vascular Access Device Guidelines for Pediatric Home-Based Patients: Driving Best Practices

2013 ◽  
Vol 18 (2) ◽  
pp. 103-113 ◽  
Author(s):  
Nancy Kramer ◽  
Darcy Doellman ◽  
Michelle Curley ◽  
Jill L. Wall
Keyword(s):  
Central Venous Catheter ◽  
Best Practices ◽  
Vascular Access ◽  
Venous Catheter ◽  
Evidence Based ◽  
Central Venous ◽  
Access Device ◽  
Variation In Care ◽  
Home Based ◽  
Vascular Access Device

Abstract Central vascular access device (CVAD) care for infants and children in home settings is challenging due to small catheter sizes, patient activity, and variation in care and maintenance practices. CVADs require detailed care to prevent complications and unnecessary line replacement. Guidelines that address CVAD care and maintenance for pediatric home-based patients do not exist. This article reviews evidence-based central venous catheter maintenance practices for pediatric home care patients.

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