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Accidental arterial puncture is a rare but significant complication associated with central venous catheterization. This report describes a case of inadvertent subclavian artery catheterization that was successfully managed with the ExoSeal vascular closure device. A female patient in her early 30s was hospitalized for severe acute pancreatitis that necessitated cannulation of the right subclavian vein. Postprocedure, infusion difficulties suggested a need for arterial catheterization, which was confirmed by imaging. The intervention resulted in prompt hemostasis and prevented further vascular injury, resulting in complication-free recovery. This case highlights the importance of rapid identification and treatment of arterial injury during central venous catheterization, and also demonstrates the effectiveness of ExoSeal in the management of vascular complications, especially in high-risk conditions.
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http://dx.doi.org/10.1177/00368504251363121 | DOI Listing |
Dashboards are commonly used in healthcare to monitor and respond to safety and quality data, but few data describe how to best implement dashboards in home infusion therapy. We developed a dashboard for a collaborative of home infusion agencies to monitor an important safety outcome, central line-associated bloodstream infections (CLABSI). We used the Technology Acceptance Model (TAM) to understand key components of implementing a CLABSI surveillance dashboard in a home infusion therapy environment.
View Article and Find Full Text PDFPeripherally inserted central catheters (PICCs) and midline catheters are widely utilized for intravenous treatment in home care settings. Despite their similar appearance, these devices differ significantly due to the tip location, which influences the types of infusions that can be safely administered. It is important for home care nurses to have a comprehensive understanding of these differences to ensure safety.
View Article and Find Full Text PDFJ Microbiol Immunol Infect
August 2025
Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address:
Background: Acinetobacter seifertii, a recently identified member of the Acinetobacter calcoaceticus-Acinetobacter baumannii (Acb) complex, has emerged as a cause of severe human infections. It is closely related to Acinetobacter nosocomialis, a major pathogen of the Acb complex. Here, we aimed to explore the clinical and molecular differences between these two species.
View Article and Find Full Text PDFEur J Radiol
September 2025
Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.
Rationale/objectives: Image-based vascular biomarkers may help expedite evaluation of chronic thromboembolic pulmonary hypertension (CTEPH), which remains difficult to diagnose despite available effective therapies. We sought to determine if vascular heterogeneity and central redistribution on chest CT differed between CTEPH, pulmonary arterial hypertension (PAH), and control groups.
Materials/methods: We retrospectively included 108 patients who underwent right heart catheterization and chest CT (2011-2018).
J Clin Ultrasound
September 2025
Second Department of Anesthesiology, Medical School, National and Kapodistrian University of Athens, NKUA, Athens, Greece.
Sonographic examination of major vessels can be a valuable bedside tool for perioperative hemodynamic assessment. In the present review, we present the anatomic and physiological aspects of internal jugular vein ultrasonography, its utility in assessing central venous pressure, intravascular volume status, fluid responsiveness, and its predictive value regarding post-spinal anesthesia hypotension. The existing literature is primarily comprised of small, observational studies with great heterogeneity in their methodology and shortcomings in data development and analysis, rendering the generalization of their results difficult to interpret for daily clinical practice.
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