shiori.sakamotoAuthor
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blog/newsletter
The possibility of administering rivaroxaban prophylaxis to PICC-bound patients
In long-term indwelling central venous catheters, including PICC catheters, catheter-related thrombosis (CRT) is one of the significant complications. This article introduces a systematic review and meta-analysis examining the efficacy and safety of anticoagulation therapy aimed at preventing CRT in adult cancer patients.... -
blog/newsletter
Failure and complications of peripheral arterial catheters in the ICU
In the management of hemodynamics in critically ill patients, the arterial pressure line (peripheral arterial catheter) is routinely used for continuous blood pressure measurement and frequent blood sampling. Central venous catheters (CVCs) are associated with significant complications of catheter-related bloodstream infections... -
blog/newsletter
CRBSI risk in the second CVC
In the management of critically ill patients, I imagine we experience cases where a central venous catheter is simultaneously placed in two places for purposes such as dialysis and parenteral nutrition (TPN). However, the specific numbers of how multiple insertions actually increase the risk of central venous catheter-related bloodstream infections (CLABSI) are unclear... -
blog/newsletter
Qualitative Study on Difficulties in PIVC Insertion
When considering the selection and management of vascular access devices (VADs), "quantifiable indicators" such as complication rates, costs, and dwell times from a healthcare professional's perspective are likely to lead to important evidence. However, the peripheral intravenous catheter (PIVC) insertion itself, for patients and their families, is... -
blog/newsletter
Peripheral Intravenous Catheter (PIVC) Complications
In your facility, how often do peripheral intravenous catheters (PIVCs) cause problems? Isn't it a daily occurrence in the field to experience things like, "I just inserted it, and it's already clogged," "It's swollen again," or "How many have I put in today...?" What we'll introduce this time is... -
blog/newsletter
Central venous catheter insertion site options
In our institution's intensive care unit, the internal jugular vein remains the first choice for central venous catheter insertion. In cases requiring catheter replacement due to complications, the contralateral internal jugular vein and the femoral vein are used. The subclavian vein is less favored due to the incidence and severity of mechanical complications... -
blog/newsletter
Investigation of the Safety and Efficacy of Midline Catheters and PICCs in Adult Patients
In recent years, midline catheters (MCs) have garnered attention as devices that are less invasive than peripherally inserted central catheters (PICCs) and are expected to reduce the risk of catheter-related bloodstream infections (CRBSIs). However, in practice, questions remain as to whether they are truly safer than PICCs and if complications are fewer... -
blog/newsletter
Take a break with some cocoa before your piercing.
This discussion is about arteries. Food & Function has revealed that cocoa is effective in relieving stress. Cocoa's function of suppressing reduced cerebral blood flow under stress is not merely a mood booster. It also physiologically prevents the failure of peripheral vasodilation... -
blog/newsletter
Efficacy of antimicrobial caps
Today, we're introducing a paper about antibacterial caps. The basic method for disinfecting catheters is the "hub scrub," which involves wiping the hub with an alcohol swab for 15 seconds. However, it's very difficult to consistently perform this perfectly in a busy clinical setting. A meta-analysis published in the European Journal of Internal Medicine in 2022...
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