Complication and Failures of Central Vascular Access Device in Adult Critical Care Settings*

Background The goals of infusion therapy are to preserve vascular health and safely deliver needed treatment. Achieving these goals is challenging in critical care because of the complexity of the treatment required. Daily justification of retaining an existing central venous catheter also creates urgency to change to a peripheral vascular access device. The midline catheter has had a resurgence in use because of the need for a long-term peripheral vascular access device not linked to central catheter–associated bloodstream infection risk. Objective To review the characteristics of midline catheters, the benefits and risks of midline catheters, and current evidence regarding midline catheter use in critical care. Results Research related to midline catheters has greatly expanded the body of knowledge regarding vascular access device selection and midline catheter use. Discussion Although the quality and results of research on vascular access devices vary widely, a more accurate safety profile is emerging to illustrate how midline catheter use can support the goals of infusion therapy. Conclusions Optimizing vascular access device selection requires recognition that every vascular access device can cause patient harm. Although the midline catheter appears to fill an important niche in infusion therapy, use of the midline catheter should be carefully evaluated. Midline catheters should not be used as a catheter-associated bloodstream infection prevention strategy, should be inserted to administer peripherally compatible solutions, and should be considered for short-term continuous vesicant therapy only in emergent situations until more definitive vascular access can be achieved.

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Intraosseous Vascular Access Device as a Transarticular K-wire Alternative in Mallet Finger Laceration

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2017.7.34811 ◽

2018 ◽

Vol 2 (1) ◽

pp. 71-74

Author(s):

Scott Crawford

Keyword(s):

Vascular Access ◽

Mallet Finger ◽

Access Device ◽

Vascular Access Device

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Developing a Nurse-Driven Vascular Access Device Order Set Using the Electronic Medical Record

Journal of Infusion Nursing ◽

10.1097/nan.0000000000000450 ◽

2022 ◽

Vol 45 (1) ◽

pp. 20-26

Author(s):

Beth A. Bechdel ◽

Karen J. Bardman ◽

Cheryl Machemer

Keyword(s):

Medical Record ◽

Electronic Medical Record ◽

Vascular Access ◽

Access Device ◽

Vascular Access Device ◽

Order Set

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Universal adhesive vascular access securement with Grip-Lok devices

British Journal of Nursing ◽

10.12968/bjon.2020.29.8.s28 ◽

2020 ◽

Vol 29 (8) ◽

pp. S28-S33

Author(s):

Andrew Barton

Keyword(s):

Vascular Access ◽

Best Practice ◽

Skin Irritation ◽

Cost Effective ◽

Universal Adhesive ◽

Vascular Access Devices ◽

Access Device ◽

Vascular Access Device ◽

Reliable Solution ◽

Medical Adhesive

The use of sutureless, adhesive securement devices in vascular access has become recommended as best practice, because they are a cost-effective, reliable solution. After a vascular access device has been inserted, catheter securement is one of the most important aspects of care and maintenance. The Grip-Lok® range offers secure, comfortable adhesive securement for all types of vascular access devices. The products use hypoallergenic medical adhesive, which reduces the risk of skin irritation and provides a reliable, adaptable alternative to suturing.

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Reassessing standards of vascular access device care: a follow-up audit

British Journal of Nursing ◽

10.12968/bjon.2019.28.8.s4 ◽

2019 ◽

Vol 28 (8) ◽

pp. S4-S12

Author(s):

Rose McGuire ◽

Ellen Norman ◽

Iain Hayden

Keyword(s):

Vascular Access ◽

Access Device ◽

Vascular Access Device

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Facilitation of peripheral arterial access during cardiopulmonary bypass with an audio-guided Doppler ultrasound vascular access device

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/s0022-5223(94)70436-8 ◽

1994 ◽

Vol 107 (6) ◽

pp. 1531-1532

Author(s):

Timothy B. Gilbert ◽

Michael Fiocco ◽

Alejandro J. Sequeira ◽

Andrea B. Nisonson

Keyword(s):

Cardiopulmonary Bypass ◽

Doppler Ultrasound ◽

Vascular Access ◽

Access Device ◽

Arterial Access ◽

Vascular Access Device ◽

Peripheral Arterial

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

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2019.49 ◽

2019 ◽

Vol 40 (6) ◽

pp. 674-680 ◽

Cited By ~ 5

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.

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