Vascular accesses: Which choice? Less is more, more or less
In the context of in-hospital care management, the need for infusion therapies involves the choice of appropriate devices. Historically, there is no consensus about the preference for vascular accesses, although the data present in the literature would seem to favor peripheral ones due to fearful co...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Open Exploration Publishing Inc.
2023-05-01
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| Series: | Exploration of Medicine |
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| Online Access: | https://www.explorationpub.com/Journals/em/Article/1001144 |
| _version_ | 1827899276199460864 |
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| author | Regina Frontera Mirko Barone |
| author_facet | Regina Frontera Mirko Barone |
| author_sort | Regina Frontera |
| collection | DOAJ |
| description | In the context of in-hospital care management, the need for infusion therapies involves the choice of appropriate devices. Historically, there is no consensus about the preference for vascular accesses, although the data present in the literature would seem to favor peripheral ones due to fearful complications and a non-negligible rate of bloodstream infections. It is also true the decision for central routes is sometimes dictated by the patient’s general clinical conditions (especially as a result of surgery) or by the need to establish continuous short or long-term support therapies. Therefore, it would seem anachronistic to favor one strategy rather than another. Probably data should be reviewed, considering and evaluating the correct application of indications and guidelines for both positioning and management of venous accesses, without facing methodological biases that could lead to scarcy and inconclusive results; although it is undeniable that some conditions promote the onset of complications. |
| first_indexed | 2024-03-12T23:15:47Z |
| format | Article |
| id | doaj.art-c167291b901448aa857a2b83ef567b24 |
| institution | Directory Open Access Journal |
| issn | 2692-3106 |
| language | English |
| last_indexed | 2024-03-12T23:15:47Z |
| publishDate | 2023-05-01 |
| publisher | Open Exploration Publishing Inc. |
| record_format | Article |
| series | Exploration of Medicine |
| spelling | doaj.art-c167291b901448aa857a2b83ef567b242023-07-17T08:11:30ZengOpen Exploration Publishing Inc.Exploration of Medicine2692-31062023-05-014333333510.37349/emed.2023.00144Vascular accesses: Which choice? Less is more, more or lessRegina Frontera0https://orcid.org/0000-0001-8662-8998Mirko Barone1https://orcid.org/0000-0002-3578-8657Department of Anaesthesia, “SS. Annunziata” University Hospital, 66100 Chieti, Italy; G. d’Annunzio University, 66100 Chieti, ItalyDepartment of General and Thoracic Surgery, “SS. Annunziata” University Hospital, 66100 Chieti, ItalyIn the context of in-hospital care management, the need for infusion therapies involves the choice of appropriate devices. Historically, there is no consensus about the preference for vascular accesses, although the data present in the literature would seem to favor peripheral ones due to fearful complications and a non-negligible rate of bloodstream infections. It is also true the decision for central routes is sometimes dictated by the patient’s general clinical conditions (especially as a result of surgery) or by the need to establish continuous short or long-term support therapies. Therefore, it would seem anachronistic to favor one strategy rather than another. Probably data should be reviewed, considering and evaluating the correct application of indications and guidelines for both positioning and management of venous accesses, without facing methodological biases that could lead to scarcy and inconclusive results; although it is undeniable that some conditions promote the onset of complications.https://www.explorationpub.com/Journals/em/Article/1001144vascular access devicessepsisbundlesnosocomial infections |
| spellingShingle | Regina Frontera Mirko Barone Vascular accesses: Which choice? Less is more, more or less Exploration of Medicine vascular access devices sepsis bundles nosocomial infections |
| title | Vascular accesses: Which choice? Less is more, more or less |
| title_full | Vascular accesses: Which choice? Less is more, more or less |
| title_fullStr | Vascular accesses: Which choice? Less is more, more or less |
| title_full_unstemmed | Vascular accesses: Which choice? Less is more, more or less |
| title_short | Vascular accesses: Which choice? Less is more, more or less |
| title_sort | vascular accesses which choice less is more more or less |
| topic | vascular access devices sepsis bundles nosocomial infections |
| url | https://www.explorationpub.com/Journals/em/Article/1001144 |
| work_keys_str_mv | AT reginafrontera vascularaccesseswhichchoicelessismoremoreorless AT mirkobarone vascularaccesseswhichchoicelessismoremoreorless |