Central line-associated bloodstream infections (CLABSI) are a main focus of infection prevention and control initiatives in neonatal care. Standardised surveillance of neonatal CLABSI enables intra- and interfacility comparisons which can contribute to quality improvement. To date, there is no national registration system for CLABSI in…
By Dr. Christian Breschan Department of Anesthesia, Klinikum Klagenfurt, Klagenfurt, Austria Active member of the NEVAT
Central venous access device (CVAD) associated complications are a preventable source of patient harm, frequently resulting in morbidity and delays to vital treatment. Dressing and securement products are used to prevent infectious and mechanical complications, however current complication rates suggest customary practices are inadequate. The…
The case reported here of an infant with a PICC tip residing in a PLSVC posed local debate about the best course of action to take. Nevertheless, this experience has raised awareness of the need for practitioners to be aware of the potential for unusual…
Chest-to-arm (CTA) tunneling technique has been described recently as an alternative option to exit site of the catheter in the infraclavicular area.The authors report their experience with ultrasound-guided centrally inserted central catheters (CICCs) placed using CTA tunneling in six neonates. All central venous catheters were…
The objective of the study was to evaluate the role of cyanoacrylate glue in reducing dislodgement of umbilical venous catheters (UVCs).It was a single-center, randomized, controlled, non-blinded trial. All infants requiring an UVC according to the local policy were included in the study. Infants with…
Umbilical Venous Catheter (UVC) and Epicutaneo-Caval Catheters (ECC) are reference catheters in the neonatal period. However, many factors such as the corpulence of neonates, poor venous capital, and anatomical variants can complicate ECC insertion or make it impossible. In newborns with failed ECC insertion, they…
A new tutorial made by our expert Dr. Christian Breschan Department of Anesthesia, Klinikum Klagenfurt, Klagenfurt, Austria Active member of the NEVAT
In this case report, M. van Rens, member of the NEVAT together with his colleagues, reports on a case of a term baby who postroutine insertion of a peripherally intravenous catheter showed an extreme reaction to extravasation of the administered intravenous fluids. They discuss the…
The choice of the most appropriate venous access device (VAD) is particularly difficult in neonates. In fact, in this population, though a reliable venous access is often indispensable for the infusion of drugs, fluids, parenteral nutrition, and blood products, the venous patrimony is limited, and…
This is the most recent study of Dr. C. Breschan, member of the NEVAT.Ultrasound guidance permits the placement of relatively large bore central venous catheters (2-4 French) into the brachiocephalic vein in very small infants. These catheters also enable haemodynamic monitoring, blood sampling, and high-flow…
During the 5th GAVePed Conference in Rimini, Dr. Christian Breschan, active member of the NEVAT, presented ultrasound guided central venipuncture in the newborn.He concluded that the first choice is the BCV by using RaCeVA.An important message from him : Never ever lose RESPECT!! Authors :…