A stepped approach to vascular access device selection

2010 ◽  
Vol 19 (Sup9) ◽  
pp. S22-S24 ◽  
Author(s):  
Michele Di Giacomo
Keyword(s):  
Vascular Access ◽  
Access Device ◽  
Device Selection ◽  
Vascular Access Device

scholarly journals Does the Midline Peripheral Intravenous Catheter Have a Place in Critical Care?

2021 ◽  
Vol 41 (6) ◽  
pp. e1-e21
Author(s):  
Barb Nickel
Keyword(s):  
Critical Care ◽  
Bloodstream Infection ◽  
Vascular Access ◽  
The Body ◽  
Current Evidence ◽  
Infusion Therapy ◽  
Peripheral Vascular ◽  
Access Device ◽  
Device Selection ◽  
Vascular Access Device

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.

Universal adhesive vascular access securement with Grip-Lok devices

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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