2022
DOI: 10.3390/children9050688
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Difficult Vascular Access in Children with Short Bowel Syndrome: What to Do Next?

Abstract: Short Bowel Syndrome and intestinal failure are chronic and severe conditions that may require life-long parenteral nutrition in children. Survival of these children rely on the correct functioning of central venous catheters; therefore, careful management, prevention, and treatment of complications is of paramount importance. Despite a growing awareness of preserving the vascular real estate, a certain number of patients still experience a progressive and life-threatening exhaustion of vascular access. We sea… Show more

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Cited by 5 publications
(2 citation statements)
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“…Most CVCs used in this study were tunneled CVCs, although a small minority of peripherally inserted central catheters (PICCs) were used. PICCs are typically used in the patient with difficult vascular access and placed by interventional radiology preferentially into small extremity veins 17 . PICCs may have an increased risk of venous injury (stenosis or thrombosis) as well as catheter malposition or dislodgement 18 .…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Most CVCs used in this study were tunneled CVCs, although a small minority of peripherally inserted central catheters (PICCs) were used. PICCs are typically used in the patient with difficult vascular access and placed by interventional radiology preferentially into small extremity veins 17 . PICCs may have an increased risk of venous injury (stenosis or thrombosis) as well as catheter malposition or dislodgement 18 .…”
Section: Discussionmentioning
confidence: 99%
“…PICCs are typically used in the patient with difficult vascular access and placed by interventional radiology preferentially into small extremity veins. 17 PICCs may have an increased risk of venous injury (stenosis or thrombosis) as well as catheter malposition or dislodgement. 18 Inconsistent and limited literature has investigated the impact of PICCs on CLABSI rates.…”
Section: Discussionmentioning
confidence: 99%