JAVA - Journal of the Association for Vascular Access最新文献

{"title":"CE Article: Evaluation of Processes, Outcomes, and Use of Midline Peripheral Catheters for the Purpose of Blood CollectionCE","authors":"D. Penoyer, Melody Bennett, Patricia I. Geddie, A. Nugent, Tara Volkerson","doi":"10.2309/java-d-20-00028","DOIUrl":"https://doi.org/10.2309/java-d-20-00028","url":null,"abstract":"\u0000 Results added knowledge on use of midline catheters (MCs) for blood sampling. Using MCs for blood withdrawal resulted in low rates of hemolysis (0.69%). Dwell time was longer in those who had blood drawn from their MC. Nurse practices for blood sampling from MCs varied and learned from other nurses.","PeriodicalId":35321,"journal":{"name":"JAVA - Journal of the Association for Vascular Access","volume":"12 1","pages":"8-17"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90835184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial","authors":"Eric Seger","doi":"10.2309/java-2020-25-04-01","DOIUrl":"https://doi.org/10.2309/java-2020-25-04-01","url":null,"abstract":"","PeriodicalId":35321,"journal":{"name":"JAVA - Journal of the Association for Vascular Access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45138701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Patency in 5- and 6-mm Hemodialysis Grafts","authors":"Y. Hisata, T. Odate, T. Yamada, T. Inoue, Y. Tasaki","doi":"10.2309/java-d-20-00032","DOIUrl":"https://doi.org/10.2309/java-d-20-00032","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000 \u0000 Objectives: Arteriovenous grafts (AVGs) are often the mode of vascular access of choice because poor blood vessels in patients hinder the creation of arteriovenous fistulas (AVFs). The present study aimed to compare the characteristics and patency rates between 5-mm and 6-mm straight grafts.\u0000 Methods: We analyzed 119 cases involving AVG operations performed at a single center. The cases were divided into 2 groups based on the size of the straight graft, namely 5-mm (62.2%) and 6-mm (37.8%) grafts. The differences in the baseline characteristics, perioperative data, and patency rates between the groups were subsequently analyzed.\u0000 Results: Patients who received 5-mm grafts were predominantly female (P = 0.042) and had a higher body mass index (BMI; P = 0.012) than those who received 6-mm grafts. The 5-mm graft group showed increased primary patency (P = 0.035). However, significant intergroup differences were not observed with respect to the secondary patency rates (P = 0.087). A multivariable analysis confirmed that higher BMI (P = 0.022), cause of diabetes mellitus nephropathy (P = 0.015), frequency of the procedure (≥5 times; P = 0.002), and procedure time (P = 0.028) were significant independent variables that affected the primary patency rates.\u0000 Conclusions: Five-mm grafts were associated with higher BMI, female predominance, and increased primary patency compared with the 6-mm grafts. Therefore, 5-mm grafts should be considered for patients with poor blood vessels.\u0000","PeriodicalId":35321,"journal":{"name":"JAVA - Journal of the Association for Vascular Access","volume":"242 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77754526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of an Educational Program Using Ultrasonography in Vascular Access for Nurse Practitioner Studensts","authors":"M. Kaganovskaya, Lorelle Wuerz","doi":"10.2309/java-d-20-00004","DOIUrl":"https://doi.org/10.2309/java-d-20-00004","url":null,"abstract":"Ultrasonography is an important tool for vascular access practice. Ultrasound should be used for vascular access assessment and insertion. Ultrasonography should be incorporated into formal nursing education curriculum and simulation training.","PeriodicalId":35321,"journal":{"name":"JAVA - Journal of the Association for Vascular Access","volume":"30 1","pages":"18-26"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85711241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A WIN for Safety and Efficacy: Evaluation of Developmental WINguide and Hybrid Guide for Wire-in-Needle Peripherally Inserted Central Line Catheter (PICC) Cannulation","authors":"Nancy Arredondo, Michelle Humston, S. McCraven, J. Shields, L. Palacios, J. Pavelka, San Tran, Mitchell Fong, Sam Shields","doi":"10.2309/java-d-20-00014","DOIUrl":"https://doi.org/10.2309/java-d-20-00014","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000 \u0000 Purpose/Design: This study was conducted to determine the efficacy of WINguide with the wire-in-needle (WIN) technique and the Hybrid Guide with hybrid technique (WT/HT) in effectively and safely achieving vein cannulation with a peripherally inserted central line catheter (PICC) guidewire on a simulation model.\u0000 Methods: Two videos were watched. The first illustrates freehand modified Seldinger technique (MST) for PICC guidewire placement with ultrasound using a short axis (SA) puncture, rotating to long axis (LA) for placement into a Blue Phantom© manikin. The second uses the same SA and LA method using WT/HT. Randomized selection was performed to eliminate control bias; participants were recorded for data collection. Participants completed a survey on past proficiency and experience with the study devices.\u0000 Results: Sixty-three of the 65 total participants’ hands were video recorded with the ultrasound screen during procedures and were included in data analysis. There were significantly fewer disappearances (the image of the vein on the ultrasound screen disappears) of LA view with devices (P = .002) and significantly fewer unique cases with disappearances of the LA view (P = .002). Survey results of all 65 participants are included in descriptive statistics. Of the total participants, 63.1% believe the procedure is faster with WT/HT. Of the inexperienced participants, 82.9% felt PICC guidewire placement is safer using WT/HT; 82.9% of inexperienced participants prefer WT/HT over freehand MST; and 90.8% of all participants would use WT/HT again.\u0000 Limitations: Future research should be done with larger sample size.\u0000 Conclusions: Using survey results, there seems to be a preference for using the WT/HT compared to MST for guidewire placement. In all metrics evaluated, the two techniques had either statistically similar results or the WT/HT had statistically significantly better results than MST.\u0000","PeriodicalId":35321,"journal":{"name":"JAVA - Journal of the Association for Vascular Access","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73456000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peripherally Inserted Central Catheter Placement in a Total Artificial Heart Recipient","authors":"Carmen R Presti, Lorelei Sespene-Lopez, C. Perez","doi":"10.2309/java-d-20-00024","DOIUrl":"https://doi.org/10.2309/java-d-20-00024","url":null,"abstract":"\u0000 The bedside placement of a peripherally inserted central catheter is contraindicated in patients with a total artificial heart. An emergent situation prohibiting radiographic guidance of central line placement in a patient with a total artificial heart is described. Techniques used to successfully place a peripherally inserted central catheter are noted to help guide clinicians faced with vascular access challenges in a patient with a total artificial heart.","PeriodicalId":35321,"journal":{"name":"JAVA - Journal of the Association for Vascular Access","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75403398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative Vascular Mapping With Doppler Ultrasound—A Standardized Protocol in Vascular Access for Hemodialysis","authors":"A. Gomes, V. Nunes, A. Germano, F. Domingos","doi":"10.2309/java-d-20-00016","DOIUrl":"https://doi.org/10.2309/java-d-20-00016","url":null,"abstract":"\u0000 Preoperative DU is recommended by international guidelines. Preoperative vascular mapping is of utmost importance for surgical planning. Standard protocols are needed to ensure reproducibility of methods and studies. We present our setting and describe in detail our standard protocol.","PeriodicalId":35321,"journal":{"name":"JAVA - Journal of the Association for Vascular Access","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80765966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts from the postponed 6th World Congress on Vascular Access (WoCoVA 2020 – June 17–19th)","authors":"Mohammad A A Bayoumi","doi":"10.1177/1129729820953245","DOIUrl":"https://doi.org/10.1177/1129729820953245","url":null,"abstract":"","PeriodicalId":35321,"journal":{"name":"JAVA - Journal of the Association for Vascular Access","volume":"1 1","pages":"NP1 - NP68"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79578261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Buttonhole Cannulation on a Femoro-Femoral Fistula: A Successful Approach in a Patient with Difficult Vascular Access","authors":"Eason Chang, C. Low, J. Lim, Asri Kassim, S. S. Latt","doi":"10.2309/java-d-20-00009","DOIUrl":"https://doi.org/10.2309/java-d-20-00009","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000 \u0000 Vascular access is an essential component for a successful hemodialysis program. Cannulation technique is an important factor for dialysis access survival. For patients with exhausted upper limb vascular access, lower extremity permanent dialysis vascular access (LE-PDVA) is one of the alternatives. The buttonhole cannulation (BHC) technique for LE-PDVA has never been reported in literature. Here we report on a 57-year-old end-stage renal failure patient who had suffered multiple complications related to dialysis access and ended up with exhausted upper limb vascular access. The BHC technique was successfully used on his LE-PDVA for hemodialysis.\u0000","PeriodicalId":35321,"journal":{"name":"JAVA - Journal of the Association for Vascular Access","volume":"8 1","pages":"56-59"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84275368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of Lean Daily Management: A Vascular Access Team Quality Improvement Project to Enhance Nurses’ Workflow and Patient Outcomes","authors":"Michele Schlauch, P. Rogers, Rhonda Pyne, Cathy Tomchik, Carol W. Ellis, Kyungsook Gartrell","doi":"10.2309/java-d-20-00011","DOIUrl":"https://doi.org/10.2309/java-d-20-00011","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000 \u0000 Background: The process for patients to receive a peripherally inserted central catheter (PICC) has been unclear, allowing for delays in care and discharge and increased costs. To address these problems, a vascular access team implemented the Lean process. The purpose was to evaluate the effect of an ultrasound initiative to insert peripheral intravenous lines (IVs) and midlines and modification of PICC insertion hours on the nurses’ workflow and patient outcomes.\u0000 Methods: This quality improvement project used retrospective data analysis. Patients’ data from fiscal year (FY) 2010 to FY 2019 was analyzed using descriptive statistics, independent t tests for continuous data, and a Poisson regression for count data.\u0000 Results: After the ultrasound initiative, the volume of PICC insertions decreased by 20%, which represents a significant reduction. The mean cost also decreased from $171,681 to $147,620. Although there was no substantial cost saving, the total cost was reduced by 14%. After implementation of ultrasound guidance for peripheral IV and midline access, the central line–associated bloodstream infection (CLABSI) rate dropped by 70%. The estimated treatment cost for CLABSI significantly decreased from $481,600 to $156,800. After implementation, the total estimated cost savings was $1,624,000. Modified PICC insertion hours resulted in significantly reduced mean hours from order time to insertion.\u0000 Conclusions: Standard work and process improvements using the Lean process were effective. The ultrasound initiative decreased unnecessary PICC insertions, reduced cost, and decreased the CLABSI rate. Modified PICC insertion hours enhanced the nurses’ work by reducing the average time from PICC order to placement.\u0000","PeriodicalId":35321,"journal":{"name":"JAVA - Journal of the Association for Vascular Access","volume":"39 1","pages":"18-27"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84741702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}