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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...

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...

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...

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...

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...

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...

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....