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A global treatment algorithm was developed for the endovascular revascularization of femoropopliteal lesions and chronic total occlusions, aiming toward a more standardized approach to endovascular treatment in patients with peripheral artery disease. The following steps are proposed. 1) Evaluation of lesion morphology based on preprocedural imaging by Duplex sonography and intravenous ultrasound for selection of lesion preparation tools.

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Objective: To explore the impact of the terminal tip location of silicone midline catheter (MC, a type of intravenous catheter measuring 20-30 cm in length and inserted into upper arm veins using a modified Seldinger technique) in the subclavian vein group versus axillary vein group on catheter-related complications and indwelling duration.

Design: This is a randomised controlled study.

Setting: Twenty-seven tertiary hospitals in China.

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[Prevention and treatment of surgical site infections in abdominal surgery].

Chirurgie (Heidelb)

March 2025

Klinik und Poliklinik für Chirurgie, Klinikum rechts der Isar, Universitätsklinikum der Technischen Universität München, Ismaningerstr. 22, 81675, München, Deutschland.

Postoperative surgical site infections after abdominal surgery are a relevant problem for patients and healthcare systems. Alongside pneumonia and urinary tract infections, surgical site infections are among the most common nosocomial infections in these patients. While the patient-related risk factors are mostly difficult to influence in the short-term, there are some modifiable, surgery-related risk factors (e.

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Comparison of 2 Transillumination Technologies to Improve First-Attempt Success at Peripheral Intravenous Catheter Insertion.

J Infus Nurs

March 2025

Author Affiliation: Escola Paulista de Enfermagem - Universidade Federal de São Paulo, Santo André, São Paulo, Brazil.

This randomized controlled crossover study, conducted in a university hospital, aimed to compare the success of the first attempt at peripheral intravenous catheter (PIVC) insertion using 2 technologies of the visualization of veins in children at risk of difficult intravenous access (DIVA) guided by light-emitting diodes (LEDs) or infrared radiation (IR). The allocation of the type of technology initially used was determined by randomization. The primary outcome was successful insertion of the PIVC on first attempt.

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A Systematic Review of Needleless Connector Function and Occlusion Outcomes: Evidence Leading the Way.

J Infus Nurs

March 2025

Author Affiliations: PICC Excellence, Inc. Hartwell, Georgia (Dr Moureau and Ms Johnson); Griffith University, Brisbane, Queensland, Australia (Dr Moureau); Alliance for Vascular Access Teaching and Research (AVATAR Group), Griffith University, Brisbane, Queensland (Drs Moureau and Flynn); Ascension at Home, Milwaukee, Wisconsin (Ms Gorski); School of Nursing and Midwifery, University of Southern Queensland, Ipswich, Queensland, Australia (Dr Flynn); TridentCare, Horsham, Pennsylvania (Ms Johnson).

Vascular access devices (VADs) are essential to intravenous (IV) therapy in acute care. The Centers for Disease Control and Prevention recommends using needleless connectors (NCs) to provide IV access and eliminate the need for needles. Approximately 17 NCs are currently available in the United States, with 3 basic designs.

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