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While PICCs are widely used, the risk of inappropriate use and complications has been an issue. We present an article that evaluates the cost-effectiveness of a physician-led, pay-for-performance QI intervention by the Hospital Medicine Safety Consortium (HMS) in Michigan that increased the appropriate use of PICCs....

Presented here is a multi-method (qualitative and quantitative) study of the structure and function of Vascular Access Teams (VATs) and their impact on patient safety, conducted at multiple hospitals in Michigan, USA. In examining the reality and potential of nurse-led venous access teams...

With the start of a new school year and new colleagues, am I the only one who somehow remembers that day when the new students arrived? In this issue, we present a report on the educational costs of echocardiographic venipuncture. If you would like to read the rest of this article, please subscribe to our mailing list or read the note...

Most emergency room visits are for patients who are not seen regularly or admitted to the hospital on a scheduled basis. In addition, patients are admitted to the hospital in life-threatening situations, and peripheral venous catheters are routinely inserted. Today, we will discuss the rate of peripheral venous catheter complications in patients presenting to the emergency department and the...

Today we present the results of a systematic review and network meta-analysis of analgesia during radial artery puncture. If you would like to read further, please join our mailing list or read the NOTE. Click here to subscribe to our mailing list

It has been recommended that boosting agents be administered through a central vein in both adults and children due to concerns about extravascular leakage and local tissue ischemia. However, in a time-sensitive condition such as septic shock, the time required to insert a central venous catheter can delay the initiation of boosting agents. Therefore, boosting...

In this issue of 2022, we present a paper on prevention of catheter-related venous thrombosis after infant cardiac surgery. Central venous catheter (CVC)-related venous thrombosis after cardiac surgery in infants with congenital heart disease is considered a serious problem. Methods to prevent the risk of postoperative thrombosis are currently and...

In Japan, midline catheters are gradually coming into use. The issue of how to differentiate the use of midline catheters from that of PICC catheters will become an issue for consideration in the future. In this article, we will discuss whether midline catheters or PICCs are better for outpatients receiving antimicrobial therapy. The research was conducted on...

Happy New Year! I look forward to working with you this year. I perform peripheral venous catheter placement using echo in my clinical practice. Sometimes I am asked (especially by management) how long does it take compared to the conventional method?

While bloodstream infections are the most notable complication of central venous catheters, thrombosis in and around the catheter is another major complication.