blog/newsletter- category -

Recently in Japan, there have been an increasing number of reports not only on the development of evidence, but also on "implementation studies" on how to make evidence take root in the field. In this issue, we introduce such an Australian implementation study on securing venous routes. If you would like to read the rest of this...

The topic of this paper is whether to insert the port through the upper arm or through the internal neck/subclavian. I personally chose the brachial port at my previous institution for safety reasons, but there were certainly times when the vessel diameter was too small or the meander was stronger than expected, making insertion difficult. Chemo...

This paper is about the feasibility of having so-called "guidelines" in place? The interesting point is that not only practitioners but also patients were surveyed. It is interesting to note that not only practitioners but also patients were surveyed. I hope that you will also think "The guideline says this, but in reality it is impossible! I am not sure if it is possible...

For indwelling arterial catheters (A-lines) in ICU patients, distal radial artery (dRA) had similar success and safety rates for puncture and placement compared to conventional radial artery (cRA). On the other hand, dRA had a lower arterial pressure waveform extinction during the management period....

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...