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This is a report from a Swedish Intermediate medical care unit :IMCU, a unit that is not common in Japan, but temporary peripheral intravenous administration of norepinephrine (NE) in emergency situations is also suggested in the World Guidelines for Sepsis Care (SSCG). On the other hand, the midra...

In this issue, we present a randomized, double-blind trial of subcutaneous nitroglycerin for prevention of occlusion during radial artery line removal in infants. A simple intervention performed before puncture and extraction suggests improved peripheral perfusion and is worth considering as a candidate for standard procedure in the PICU and operating room....

Happy New Year everyone! In this first article of the year, we would like to introduce ”MAGIC-ONC," a paper on the selection, insertion, and management of VADs in cancer patients. If you would like to read more, please subscribe to our mailing list or read the note. Subscribe to our mailing list...

RaPeVA (Rapid Peripheral Vein Assessment) is a standard procedure for safely inserting a PICC (Peripherally Inserted Central Catheter). It involves systematically observing and evaluating the veins in both upper limbs using ultrasound to select the most suitable vessel and side (right or left). This helps prevent complications associated with PICC insertion, such as thrombosis, infection, and bleeding.

The SIP protocol is an evidence-based standardized procedure to systematically reduce complications that can occur during PICC insertion, including thrombosis, infection, dislodgement, malpositioning, and nerve damage. 2014 version based on ultrasound evaluation (RaPeVA), exit zoning (ZIM), tip position by IC-ECG Confirmation...

In April 2014, the Ministry of Health, Labor and Welfare introduced the "ICU admission criteria (severity of illness and medical/nursing necessity). These criteria limit patients who can be admitted to the ICU to those who "require a certain level of monitoring and treatment," and the system is designed to calculate reimbursement according to the implementation of such monitoring and treatment. This allows ICU...

The CV port (subcutaneous implantable central venous access port) is the central venous catheter of choice when prolonged chemotherapy is required or when high-calorie infusions must be administered at home. By removing the needle, the special design of the entry site...

We continue to introduce the "Guide to Prevention of Catheter-Associated Bloodstream Infection (CABSI) in Adults" published by the Association for Professionals in Infection Control and Epidemiology (APIC) in the United States in 2025. In this second part, we introduce best practices for catheter management...

In this issue, we will introduce the "Guide to Prevention of Catheter-Associated Bloodstream Infection (CABSI) in Adults" published by the Association for Professionals in Infection Control and Epidemiology (APIC) in the United States in 2025. This is a long article and will be divided into two parts. In this first part, we will discuss catheter...

This time it is a double-blind, randomized study of whether the incidence of catheter failure differs depending on the material of the arterial line. This is a double-blind randomized trial to determine whether the incidence of catheter failure differs depending on the material of the arterial line. The study ended early with a strong difference. Blood pressure monitoring with arterial catheters is an essential technique for hemodynamic assessment of critically ill patients in the ICU....