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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.

How are A-lines (arterial catheters) managed in your institution? Actually, there are not many studies that have investigated the current status of A-line management. In this study, we present the results of a survey on the current status of A-line management in acute care wards (ICUs and HCUs) in Japan.

To what extent does your facility use chlorhexidine-containing dressings to cover central venous lines?

How does your institution prevent central line catheter-associated bloodstream infections (CLABSI)? Today, we would like to introduce you to the “2022 Updated Guidelines for the Prevention of Central Line Catheter Associated Bloodstream Infections (CLABSI) in Acute Care Hospitals”.

Central venous catheter insertion site and CRBSI: No difference between femoral and internal jugular? How do you choose the site of central venous catheter insertion at your facility?

A Review of Nurse Echocardiocentesis (Peripheral Venous Cannula) in the ER How is peripheral venous cannula insertion performed at your facility? Peripheral intravenous cannula insertion (PIVC) is a frequently performed procedure in the emergency department, but the failure rate for first attempts in adults is up to 40% and in pediatric...