João Vitor Sciorilli, João Pedro Bogossian Remaili, Davi Barbosa Pereira da Silva, Rodrigo Dos Reis Schevz, Amanda Machado, Luiz Dalfior
{"title":"Cyanoacrylate glue for securing peripherally inserted intravenous catheters in the emergency department: A meta-analysis of randomized controlled trials.","authors":"João Vitor Sciorilli, João Pedro Bogossian Remaili, Davi Barbosa Pereira da Silva, Rodrigo Dos Reis Schevz, Amanda Machado, Luiz Dalfior","doi":"10.1177/11297298251369902","DOIUrl":"https://doi.org/10.1177/11297298251369902","url":null,"abstract":"<p><strong>Background: </strong>Intravenous catheters (IVCs) are a common medical device, used in 70% of hospital patients. Due to their high failure ratio (35%-50%) and complications, we aimed to perform a systematic review and meta-analysis to assess the efficacy of Cyanoacrylate Glue (CG) use in preventing IV complications at the Emergency Department.</p><p><strong>Methods: </strong>This study was registered in PROSPERO on February 5, 2025, with registry number CRD42025642588 and received no financial support. A systematic search at PubMed, Embase, and Cochrane databases was performed and only Randomized Controlled Trials about CG use for securing IVCs were included.</p><p><strong>Results: </strong>Primary outcomes showed no statistical significance between the groups across all four outcomes at maximum follow-up. However, in a subgroup analysis including only adult patients, CG group presented lower IVCs dislodgement and failure events. Further studies in pediatric patients are needed.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251369902"},"PeriodicalIF":1.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yaman Alsabbagh, Young Erben, Adeeb Jlilati, Joaquin Sarmiento, Santh Prakash Lanka, Christopher B Robards, Alberto E Ardon, Steven R Clendenen, Jonathan Vandenberg, Christopher Jacobs, Houssam Farres
{"title":"Regional anesthesia facilitates fistula creation over graft in patients with small-caliber veins: A single-center cohort.","authors":"Yaman Alsabbagh, Young Erben, Adeeb Jlilati, Joaquin Sarmiento, Santh Prakash Lanka, Christopher B Robards, Alberto E Ardon, Steven R Clendenen, Jonathan Vandenberg, Christopher Jacobs, Houssam Farres","doi":"10.1177/11297298251382268","DOIUrl":"https://doi.org/10.1177/11297298251382268","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of regional anesthesia (RA) in enabling arteriovenous fistula (AVF) creation in patients with small-caliber veins who would typically receive arteriovenous grafts (AVG), and to compare access outcomes between AVF and AVG cohorts.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of a prospectively maintained database from 2018 through 2024 involving patients with chronic kidney disease (CKD) requiring access creation. Eligible patients were those aged 18 years or older with inadequate veins for AVF creation based on initial ultrasound vein mapping. All patients underwent RA prior to the access creation and had a repeated intraoperative vein mapping at least 30 min after RA. Patients whose veins were sufficiently dilated and met the criteria for AVF creation underwent AVF formation; otherwise, an AVG was created. Outcomes included access maturation, patency rates, access failure, abandonment, and mortality. Statistical analysis was performed using R software, with significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Of the 106 patients, 67 (63.2%) underwent AVF creation post-RA due to sufficient vein dilation, while 39 (36.8%) received AVGs. Baseline vein diameters and comorbidities were comparable between groups. AVF maturation was achieved in 83.6% of AVF patients, with longer times to successful cannulation compared to AVG (median 187.0 vs 80.0 days, <i>p</i> = 0.037). Kaplan-Meier analysis revealed no difference in primary patency (<i>p</i> = 0.97), but AVF patients had superior primary assisted (<i>p</i> = 0.015) and secondary patency (<i>p</i> = 0.033), and lower access failure rates (<i>p</i> = 0.034) compared to AVG patients. Access abandonment and mortality rates did not differ significantly between groups.</p><p><strong>Conclusions: </strong>RA-induced venodilation enables the use of veins previously deemed inadequate for AVF creation, leading to improved access outcomes compared to AVG placement. Implementing RA may increase AVF utilization and enhance patient outcomes in hemodialysis access surgery.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251382268"},"PeriodicalIF":1.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francesco Nannini, Stefano Mancin, Sara Morales Palomares, Gianluca Pettinari, Simone Cosmai, Diego Lopane, Daniela Cattani, Beatrice Mazzoleni
{"title":"Predicting difficult peripheral venous access in hospitalized adult patients: A scoping review.","authors":"Francesco Nannini, Stefano Mancin, Sara Morales Palomares, Gianluca Pettinari, Simone Cosmai, Diego Lopane, Daniela Cattani, Beatrice Mazzoleni","doi":"10.1177/11297298251374415","DOIUrl":"https://doi.org/10.1177/11297298251374415","url":null,"abstract":"<p><strong>Background: </strong>Venipuncture is a routine procedure in hospital clinical practice; however, procedural failure occurs frequently. This scoping review aims to identify and synthesize studies predicting difficult intravenous venous access (DIVA) in adult patients in hospital settings.</p><p><strong>Methods: </strong>A scoping review was conducted across major biomedical databases, including PubMed, Embase, Cochrane, and CINAHL, from June to July 2024. Twelve records were included covering 11,841 adult inpatients. Methodological rigor was ensured using the Joanna Briggs Institute framework.</p><p><strong>Results: </strong>The findings emphasized the impact of variables such as venous status, underlying conditions, and anthropometric factors on venipuncture success. Predictive scales like the A-DIVA, EA-DIVA, and Modified A-DIVA demonstrated accuracies of up to 97%.</p><p><strong>Discussion: </strong>Predictive tools, especially the Modified A-DIVA scale, enhance the likelihood of first-attempt success and support clinical decision-making. Incorporating these tools into routine practice ensures effective venipuncture management, reduces procedural delays, and minimizes complications.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251374415"},"PeriodicalIF":1.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bleeding outcomes of a modified two-stage sheath-dilator technique for peripherally inserted central catheter placement in ICU patients: A retrospective cohort study.","authors":"Ting-Chia Young, Kuang-Hua Cheng, Ying-Hung Tang, Tzu-Chun Wang, Kuan-Pen Yu","doi":"10.1177/11297298251376981","DOIUrl":"https://doi.org/10.1177/11297298251376981","url":null,"abstract":"<p><strong>Background: </strong>Mechanical complications remain common with the placement of peripherally inserted central catheters (PICCs), particularly in critically ill patients. Given the need to minimise procedural complications, strategies for reducing bleeding during PICC placement are essential. This study evaluated the efficacy of a previously introduced two-stage technique in minimising insertion-related bleeding compared with the traditional modified Seldinger technique in ICU patients.</p><p><strong>Methods: </strong>This study included 86 patients who underwent 92 PICC placements in the ICU of a tertiary university medical centre, between August 2022 and January 2025. Bleeding outcomes were assessed at three time points: 5 min, 30 min and within 24 h after insertion. Blood loss was evaluated semi-quantitatively based on the extent of gauze pad contamination.</p><p><strong>Results: </strong>In total, 56 were performed using the two-stage technique and 36 using the traditional method. Baseline characteristics were comparable between the two groups. Bleeding incidence was significantly lower in the two-stage group at all time points. At 5 min post-insertion, 93% of the patients in the two-stage group had no visible or only minimal bleeding compared to 28% in the traditional group. At 30 min, 84% had no visible or only minimal bleeding compared with 14% (<i>p</i> < 0.001). In multivariate analysis, the two-stage technique was independently associated with a reduced bleeding risk (OR, 0.019; 95% CI, 0.005-0.074; <i>p</i> < 0.001). An interaction analysis showed that aPTT significantly modified the association between technique and bleeding (OR, 20.519; 95% CI, 1.643-255.851; <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The modified two-stage technique appears to be a feasible alternative to conventional PICC placement and was associated with reduced insertion-related bleeding in ICU patients. The technique also resulted in fewer dressing changes within 24 h, suggesting more stable haemostasis and potential improvements in ICU care quality.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251376981"},"PeriodicalIF":1.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ines Basso, Safae El Motarajji, Manuela Ferrari, Chiara Airoldi, Angela Durante, Stefano Brovarone, Alessia Mariani, Alberto Dal Molin
{"title":"The effectiveness of a multimedia education versus a standard education program in the self-management of central venous catheters for long-term use: A systematic review.","authors":"Ines Basso, Safae El Motarajji, Manuela Ferrari, Chiara Airoldi, Angela Durante, Stefano Brovarone, Alessia Mariani, Alberto Dal Molin","doi":"10.1177/11297298251378618","DOIUrl":"https://doi.org/10.1177/11297298251378618","url":null,"abstract":"<p><p>This systematic review aims to evaluate the impact of multimedia education compared to standard approaches for people with central venous access devices for long-term use. We systematically searched PubMed, Embase, and CINAHL Complete until January 2025. Two independent reviewers conducted study selection, data extraction, and risk of bias assessment. Ten studies were identified (832 patients), including six randomized controlled trials and four quasi-experimental studies. Seven multimedia educational programs used asynchronous methods (e.g. pre-recorded videos or presentations), while three employed synchronous approaches (e.g. tele-visits or virtual communities). Five studies assessed short-term knowledge, with two showing significant improvements and three reporting no differences. Skill acquisition improved in two studies. Cumulative catheter complications decreased in two studies, though findings on specific issues were mixed. These findings suggest potential benefits of multimedia education in patient care, but methodological limitations and study variability render the evidence inconclusive, underscoring the need for high-quality research.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251378618"},"PeriodicalIF":1.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xuxin Lim, Li Zhang, Ying Pan, Qiantai Hong, Malcolm Mak, Lester Rhan Chaen Chong, Shufen Neo, Glenn Wei Leong Tan, Rajesh Babu Dharmaraj, Jun Jie Ng, Shao Wei Chong, Pei Ho, Enming Yong
{"title":"Singapore's experience on the VasQ™ anastomotic external support device to augment arteriovenous fistula maturation: Real world outcomes.","authors":"Xuxin Lim, Li Zhang, Ying Pan, Qiantai Hong, Malcolm Mak, Lester Rhan Chaen Chong, Shufen Neo, Glenn Wei Leong Tan, Rajesh Babu Dharmaraj, Jun Jie Ng, Shao Wei Chong, Pei Ho, Enming Yong","doi":"10.1177/11297298251377946","DOIUrl":"https://doi.org/10.1177/11297298251377946","url":null,"abstract":"<p><strong>Introduction: </strong>The VasQ™ anastomotic external support device is designed to facilitate maturation and usability of AVFs. This study reports the initial experience of VasQ usage across two centers in Singapore.</p><p><strong>Methods: </strong>This is a review of 118 consecutive patients who had the VasQ™ device implanted during surgical AVF creation from October 2023 to February 2025 at two tertiary referral centers in Singapore.</p><p><strong>Results: </strong>Out of the 118 AVFs created with the VasQ™ device, 57.6% were radiocephalic (RC) fistulas, 33.9% were brachiocephalic (BC) fistulas and 8.4% were brachiobasilic transposition (BVT) fistulas. The most common VasQ™ device size used in our population was size 4 (45.8%) followed by size 3 (29.7%). AVF physiological maturation was 64.4%, 83.1%, and 95.8% at 1, 3, and 6 months respectively. The overall balloon-assisted maturation (BAM) rate in our cohort of patients was 26.9%. There were 4 (3.9%) instances of hemodialysis access induced distal ischemia. There were no device related complications nor infections during the follow-up period. Primary patency was 62.5%, 49.0%, and 37.3% at 6, 12, and 18 months respectively. Secondary patency was 98.3%, 88.4%, and 86.2% at 6, 12, and 18 months respectively. Comparatively, previous retrospective series in our center demonstrated a primary failure rate of 25% with RC AVFs and primary patency rates of 33% and secondary patency rates of 72% at 12 months without the use of VasQ™ device.</p><p><strong>Conclusion: </strong>The VasQ™ device demonstrated safety and efficacy with improved AVF maturation in a real-world Asian population, across all AVF types (RC, BC, and BVT). The rate of primary failure was low while the BAM rate has improved compared to our historical data. We recommend the use of VasQ™ device as standard of care in patients undergoing AVF creation.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251377946"},"PeriodicalIF":1.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Side-to-side versus end-to-side anastomosis in distal radiocephalic arteriovenous fistula: A retrospective comparative study of maturation, patency and complications.","authors":"Bostjan Leskovar, Jernej Vrtek, Mojca Bratanic, Tjasa Furlan","doi":"10.1177/11297298251382264","DOIUrl":"https://doi.org/10.1177/11297298251382264","url":null,"abstract":"<p><strong>Background: </strong>This study compared side-to-side (STS) versus end-to-side (ETS) anastomosis in distal radiocephalic arteriovenous fistula (AVF) regarding maturation, patency and complications.</p><p><strong>Methods: </strong>This was a single-centre, retrospective analysis of patients who underwent distal radiocephalic AVF creation between April 2018 and June 2024. Primary and secondary patency, maturation, thrombosis and reintervention rates were evaluated.</p><p><strong>Results: </strong>No significant perioperative complications occurred among 151 STS and 122 ETS patients. Secondary patency rates were similar (STS 97% vs ETS 93%, <i>p</i> = 0.229). Primary patency was higher in the STS group (56% vs 43%, <i>p</i> = 0.025), though time to patency loss was comparable (<i>p</i> = 0.378). Maturation rates without intervention were 89% (STS) and 83% (ETS), with no statistically significant difference (<i>p</i> = 0.158). Fistula flow was higher with STS. AVF thrombosis was more frequent in ETS (10% vs 3%, <i>p</i> = 0.000), as was radial artery thrombosis (5% vs 0.7%, <i>p</i> = 0.032).</p><p><strong>Conclusions: </strong>Our findings suggest STS is a safe, effective alternative to ETS in appropriate clinical settings.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251382264"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luca Nardelli, Antonio Scalamogna, Federica Tripodi, Carlo Alfieri, Giuseppe Castellano
{"title":"Simultaneous removal and replacement of the peritoneal catheter in PD patients with partial refractory peritonitis.","authors":"Luca Nardelli, Antonio Scalamogna, Federica Tripodi, Carlo Alfieri, Giuseppe Castellano","doi":"10.1177/11297298251372318","DOIUrl":"https://doi.org/10.1177/11297298251372318","url":null,"abstract":"<p><p>In patients on peritoneal dialysis (PD) peritonitis continues to be the main cause of PD-related death, and the leading reason of transfer to hemodialysis (HD). International guidelines recommend that peritoneal catheter should be removed if PD effluent does not clear after 5 days of adequate antibiotics defining the case as refractory peritonitis. The simultaneous removal and replacement of the peritoneal catheter (SCR) has been used as treatment for recurrent or catheter-related peritonitis after the utter healing of the acute infection to spare patient the interruption of PD and the transfer to HD. On the other hand, in case of refractory episodes the employment of SCR is discouraged. However, the clinical trend of refractory peritonitis is not homogenous: some episodes are totally unresponsive to medical therapy, while others show to be partially responsive. Thus, the treatment should be diversified according to the different clinical evolution. We report two cases of refractory peritonitis sustained by P. aeruginosa that were successfully treated by SCR after a partial response to antibiotic therapy. Along with these preliminary data, we propose a novel therapeutical algorithm differentiating between complete refractory peritonitis and partial refractory peritonitis.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251372318"},"PeriodicalIF":1.7,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efficacy of chlorhexidine gluconate of different concentrations in preventing short peripheral catheter-related infections: A double-blind randomized controlled trial.","authors":"Fatma Cihanger, Nihal Taskiran","doi":"10.1177/11297298251369910","DOIUrl":"https://doi.org/10.1177/11297298251369910","url":null,"abstract":"<p><strong>Objective: </strong>Evaluation of the efficacy of different concentrations of chlorhexidine gluconate in the prevention of short peripheral catheter-related infections.</p><p><strong>Methods: </strong>This randomized controlled study consisted of 96 patients who had short peripheral catheter. Patients were randomly assigned to apply skin antisepsis with either 1%, 2% and 4% chlorhexidine gluconate or 70% isopropyl alcohol. Microbial cultures were collected at the site surrounding catheter insertion before catheterization, within the first and the 96th hours after catheterization to assess microbial growth.</p><p><strong>Results: </strong>Compared to the pre-catheterization period, the number of Gram (+) bacteria detected at the 96th hour post-catheterization decreased by 76.4% in 1% chlorhexidine gluconate group, 90% in 2% and 4% chlorhexidine gluconate group and 30% in 70% isopropyl alcohol group in the skin swabs.</p><p><strong>Conclusions: </strong>2% chlorhexidine gluconate was most effective antiseptic in preventing short peripheral catheter-related infections than other concentrations.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251369910"},"PeriodicalIF":1.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of a novel standardized education program for centrally inserted central catheters insertion in a region of Japan.","authors":"Fumito Saijo, Yutaro Arata, Naoya Akazawa, Sota Oguro, Daisuke Konno, Ami Sato, Kaoru Sato, Kentaro Sawada, Rie Tanaka, Atsushi Mitamura, Norihiro Miyasaka, Mitsuhisa Mutoh, Yoshikazu Muroya, Shingo Tsujinaka, Kei Omata, Naoto Tamagake, Yuta Yokokawa, Takeshi Aoki, Shingo Toyama, Shinichi Egawa","doi":"10.1177/11297298251371750","DOIUrl":"https://doi.org/10.1177/11297298251371750","url":null,"abstract":"<p><strong>Introduction: </strong>In Japan, reports of accidents involving centrally inserted central catheters (CICCs) have prompted new recommendations. Hospitals are now required to provide ultrasound-guided venipuncture training and improve CICC-related governance. However, leaving this education to individual hospitals is insufficient.</p><p><strong>Methods: </strong>To address this, the Gonryo Council's non-profit centrally/peripherally inserted central catheter (CICC/PICC) Study Group launched a standardized safety-education program that includes e-learning, hands-on seminars, practical-skills tests using mannequins, and post-seminar evaluations. From April 2021 to March 2023, data were analyzed from 196 first- and second-year post-graduate participants who completed the full program and surveys.</p><p><strong>Results: </strong>The program was consistently delivered over 3 years, with high participant satisfaction. Additionally, instructors evaluated during the seminars were highly rated, demonstrating the program's effectiveness in improving CICC safety education regionally.</p><p><strong>Conclusion: </strong>Standardized CICC/PICC education is necessary. Future investigations should target the different needs of experienced and inexperienced participants at each facility.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251371750"},"PeriodicalIF":1.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}