Background: Vascular access devices are critically important for the treatment of neonates and paediatric patients. Vascular cannulation is a key clinical skill for healthcare professionals working in the neonatal and paediatric wards. The creation of specialised Teams dedicated to the positioning of Vascular Venous Accesses is increasingly used and of fundamental importance for good patients care. The aim of the study is to evaluate the effectiveness of a training intervention for the staff of the Intensive Care Units for the insertion of the short/long peripheral catheter and to create a NuVa Team (Nurse-led Vascular Access Team). Methods: At the Hevi Paediatric Teaching Hospital, a course and an on-the-job training programme were carried out for two doctors and six nurses on the insertion of the in long peripheral catheters newborns and paediatric patients admitted at the hospital. The data collected were analysed from April 2017 to December 2020. A pre and post-procedure study was designed to determine whether establishing the Nurses Vascular Accesses Team (NuVa) is associated with higher success rates and a reduced risk of catheter-related complications. Results: A total of 271 Leader-cath™ catheters were placed during the study period. The mean age at catheters insertion was 2.9 years, the mean residence time was 11.7 days. Most catheters were inserted by five nurses ( n = 216 (80%)); the remainder was entered by two paediatricians ( n = 55 (20%)), p = 0.001. General reasons for removal were home discharge ( n = 103 (38%)), deceases ( n = 81 (30%)), accidental causes ( n = 43 (16%)), leg/arm oedema ( n = 21 (8%)), mechanical problems ( n = 10 (3.5%)), physician’s indication ( n = 9 (3%)) and skin infection ( n = 4 (1.5%)), p = 0.001. Conclusions: The standardisation of the procedure for inserting the catheters placement and the creation of a NuVa Team has been of fundamental importance in gaining awareness of the procedure and allows healthcare professionals to insert the catheter without complications.

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by an high complexity and a considerable emotional impact. Clinical experience shows that parents are often turned away from the emergency room because they were considered an obstacle. Objective Investigate the behaviour of some hospitals about the management of parents during cardiopulmonary resuscitation in paediatric subjects. Materials and Methods Deliver a questionnaire to the nurse coordinators of 19 Italian hospital. Results The questionnaire had a response rate equal to 89.4%, corresponding to 17 hospitals.23.5% of hospitals admit the presence of both parents during all phases of resuscitation without age limits, while 17,7% of the structures do not allow the parental presence because of the possible fear created by the anxiety of parents, for the inadequacy of the spaces within the operational units and the perception that parents can potentially be an obstacle for health professionals during the resuscitation procedures.The remaining 58.8% have a favourable opinion about the possibility of guaranteeing to the paediatric patient, without any age limit, the presence of parents during all phases of the cardiopulmonary resuscitation but difficulties arise to make such a guarantee for the inadequacy of the spaces, for difficulties in managing the behaviour of the relatives especially in regards of anxiety and for the absence of any psychological support figure. Conclusions It's necessary that all the hospitals in any way involved into the primary care process shall act in conformity with common management protocols concerning this theme. Background The clinical and emergency care daily activities show that only a fraction of children with urgent surgical pathology access to dedicated paediatric centres while most of the diagnostic, therapeutic and emergency care takes place at facilities not necessarily specialised in the treatment of paediatric acute illness; as it should be as per regional and national legislation. Objective Analyse the care pathways of children hospitalised for urgent surgical pathology (appendicitis, hypertrophic pyloric stenosis). Materials and methods Structured survey delivered to 93 hospitals in Lombardy. Results The response rate was equal to 79.7%, corresponding to 74 facilities: the appendectomy was performed in 90.5% (n = 67) and the surgical correction of HPS was performed in 17.6% (n = 13) of cases. PO-0269 CHARACTERISTICS OF CLINICAL PATHWAYS AND EMERGENCY CARE IN PAEDIATRIC SURGICAL PATHOLOGY IN LOMBARDYThe hospitalisation was in 14.9% of cases (n = 10) at the paediatric surgery department, 56.7% (n = 38) at paediatrics department, 4.5% (n = 3) at general surgery department having rooms dedicated to children and 23.9% (n = 16) at general surgery department without paediatrics dedicated rooms. Discussion The analysis shows that the regional and national legislation is disregarded: it is alarming the attitude of 19 hospitals that hospitalise children in unsuitable environments, with rooms shared with adults and aged patients and the correlated risk of adopting care pathways "...

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Background Natural killer (NK) cell lymphoma is a rare and aggressive neoplasm characterised by angioinvasion or angiodestruction. The aim of this report to describe a patient with an