Iatrogenic Hypoxemia and Atrial Septal Defect Due to Electrical Storm Ablation After Left Ventricular Assist Device

Iatrogenic Hypoxemia and Atrial Septal Defect Due to Electrical Storm Ablation After Left Ventricular Assist Device

Predominant strategies for the management of electrical storm include antiarrhythmic medical therapy, beta-blockers, and catheter ablation. Some studies have demonstrated refractory electrical storm managed with mechanical... read more

Environmental Impact of Single‑use and Reusable Items in CVC-insertion Kits

Environmental Impact of Single‑use and Reusable Items in CVC-insertion Kits

he use of CVC-insertion kits containing reusable metal instruments and reusable textiles offer a robust opportunity to reduce the environmental impacts and financial costs of CVC insertions in a European setting, compared... read more

Inadvertent direct pulmonary artery catheterization complicating the effort for subclavian venous cannulation and central venous catheter placement

Inadvertent direct pulmonary artery catheterization complicating the effort for subclavian venous cannulation and central venous catheter placement

Subclavian access is commonly used in the intensive care unit (ICU) for central venous catheterization. Many complications have been reported during the placement of central venous catheters including pneumothorax, hemothorax,... read more

Micropuncture Kits for Difficult Vascular Access

Micropuncture Kits for Difficult Vascular Access

The ability to obtain rapid vascular access, both arterial and venous, is a critical skill in emergency medicine, made even more important by recent advances in resuscitation technology. Patients may require placement... read more

Echocardiographic Assessment of LV Diastolic Pressure

Echocardiographic Assessment of LV Diastolic Pressure

The ever-increasing trend toward noninvasive monitoring puts echocardiography at the forefront and considerable effort has been made to define its role in this setting. Invasive pressure measurement is the only accurate... read more

Trick of the Trade: Bubble Study for Confirmation of Central Line Placement

Trick of the Trade: Bubble Study for Confirmation of Central Line Placement

The safe placement a central venous catheter (CVC) remains an important part of caring for critically ill patients. Over 5 million CVCs are placed each year in the United States. It is crucial to confirm that the central... read more

Ultrasound as a Screening Tool for Central Venous Catheter Positioning and Exclusion of Pneumothorax

Ultrasound as a Screening Tool for Central Venous Catheter Positioning and Exclusion of Pneumothorax

Although real-time ultrasound guidance during central venous catheter insertion has become a standard of care, postinsertion chest radiograph remains the gold standard to confirm central venous catheter tip position and rule... read more

Comparison of Complication Rates of Central Venous Catheters Versus Peripherally Inserted Central Venous Catheters in Pediatric Patients

Comparison of Complication Rates of Central Venous Catheters Versus Peripherally Inserted Central Venous Catheters in Pediatric Patients

Rates of central line–associated bloodstream infection and venous thromboembolism were higher in hospitalized pediatric patients with peripherally inserted central catheters as compared to central venous catheters. Our... read more

Ultrasound-guided Central Venous Catheter Placement

Ultrasound-guided Central Venous Catheter Placement

Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice. Although placement of a central venous catheter (CVC) is a routine procedure in intensive care medicine and... read more

A Methodological Study to Develop a Standard Protocol for Central Line Catheter Care of ICU Patients

A Methodological Study to Develop a Standard Protocol for Central Line Catheter Care of ICU Patients

This study aims to develop a standard operational protocol (SOP) for central line catheter care for nurses. Central line based infection is the most significant complication in critical care setting. It is a challenge for... read more

The Basics of Veno-Arterial and Veno-Venous ECMO and the Indications of ECMO Therapy

Sean P. Kane, PharmD, BCPS, speaks with Elliott Cohen, MD about extracorporeal membrane oxygenation (ECMO). In the episode, the basics of Veno-Arterial (VA) and Veno-Venous (VV) ECMO are outlined and the indications of ECMO... read more

Sharing Research Through Social Media

Sharing Research Through Social Media

Earlier this year, a group from the HARTSofthe possible team met here in Oxford to reflect on our progress and to plan what was needed next. We came up with a Rainbow Prism Model to show the three areas of our work: sharing... read more