Vascular Access in Neonates and Children

ISBN-13: 9783030947088 / Angielski / Twarda / 2022

Opis

This is a practical guide to pediatric vascular access. It covers how to use ultrasound appropriately, how to prevent and manage early and late complications, and how to correctly place the catheter tip using ECG or radiology. It includes all the most modern approaches and devices. In particular, the best approach for some specific populations is covered, including neonates and infants, complex patients, and children with cancer or renal failure requiring long term treatments. A guide on how to establish a vascular access team in a pediatric hospital is included, including the costs and benefits of having this hospital-based team.Vascular Access in Neonates and Children is aimed at pediatric anesthesists and surgeons, and radiologists, pediatricians and other specialities may also find it of interest.

Spis treści

Part 1: General considerations on venous access in neonates and children

Chapter 1: Vascular access in pediatric patients: classification and indications

Chapter 2: Evidence based rationale for ultrasound guided vascular access in children

Chapter 3: Principles of ultrasonography and settings of ultrasound devices for children

Chapter 4: Ultrasound anatomy of arterial and deep veins of the limb and the cervico-thoracic region in children

Chapter 5: Near-InfraRed technology for access to superficial veins: evidence from the literature and indications for pediatric venous access

Chapter 6: Tip navigation and tip location methods

Chapter 7: Chest ultrasound for early diagnosis of complications

Chapter 8: Technique and devices for securement of the catheter and protection of the exit site

Part 2: Venous access in neonates

Chapter 9: Peripheral venous access in neonates

Chapter 10: Umbilical venous catheters

Chapter 11: Epicutaneo-cava catheters

Chapter 12: Ultrasound guided venous access in neonates

Part 3: Venous access in children 

Chapter 13: Peripheral venous access: short cannulas, mini-midlines, midlines

Chapter 14: Peripherally Inserted Central Catheters (PICC) in children

Chapter 15: Centrally and Femorally Inserted Central Catheters (CICC and FICC) in children

Chapter 16: Totally Implantable Venous Access Devices

Part 4: Arterial access 

Chapter 17: Umbilical arterial catheters

Chapter 18: Peripheral arterial lines

Part 5: Special considerations in pediatric vascular access

Chapter 19: Access for dialysis and apheresis

Chapter 20: Intraosseous Access

Chapter 21: Prevention and treatment of catheter-related complications

Chapter 22: Compatibility of drugs

Chapter 23: Organization of a hospital-based Vascular Access Team

Chapter 24: Special problems of venous access in intensive care and emergency

Chapter 25: Special problems of venous access in oncology and hematology

Chapter 26: Special problems of venous access in parenteral nutrition

Chapter 27: Sedation and general anesthesia for vascular access in children

 

 

O autorze

Daniele Biasucci completed his medical degree and residency in Anesthesiology, Resuscitation and Intensive Care Medicine at the Catholic University of the Sacred Heart, Rome, Italy. He has special interests in vascular access, ultrasound in critical care, pediatric critical care, and ECMO. He currently works in the Neurointensive Care and Neuroanesthesia Unit of the “San Camillo-Forlanini” Hospital in Rome, Italy. He previously worked as a Cardiac Anesthesiologist and a Cardiac Critical Care specialist in the 8-beds Cardiac Surgical Intensive Care Unit of the “A. Gemelli” University Hospital in Rome. He has participated in more than 16 national and international meetings as an invited lecturer to speak about several aspects of pleural and lung ultrasound, ultrasound life support in cardiac arrest, ultrasound and vascular access devices. Daniele Guerino Biasucci completed his medical degree and residency in Anesthesiology, Resuscitation and Intensive Care Medicine at the Catholic University of the Sacred Heart, Rome, Italy. He has special research interests in vascular access, ultrasound in critical care and emergency medicine, pediatric critical care, cerebral microcirculation. He currently works as intensivist in the Neurointensive Care Unit of the “A. Gemelli” University Hospital in Rome, Italy. As a member of the taskforce of the European Society of Anaesthesiology (ESA) for PERSEUS guidelines, Dr. Biasucci is one of the main authors of ESA guidelines on ultrasound guidance for vascular access both in adults and children. He is also author and co-author of more than 50 published papers and he has recently obtained the Italian National Qualification as Associate Professor in Intensive Care Medicine and Anesthesiology. He has participated in more than 40 national and international meetings as an invited lecturer to speak about several aspects of pleural and lung ultrasound, ultrasound life support in cardiac arrest, ultrasound and vascular access devices.

Nicola Disma completed his medical degree at the University of Catania in 1997, and two Post-graduate Schools: Anesthesia (2001) and Pediatrics (2014). During the post-graduate school of anesthesia he spent two periods abroad: at the Manchester Children’s Hospital (UK) and San Raffaele Hospital in Milan (IT). His first position as Junior Locum Consultant was at Policlinico of Catania, after which he became Consultant of Pediatric Anesthesia at Gaslini Hospital in Genova. He had an extra fellowship in 2011, as Clinical Fellow in CICU at Great Ormond Street Hospital in London, UK. He was Consultant Pediatric Anesthetist at Great Ormond Street Hospital. Nicola Disma is currently the Head of Research and Innovation Unit at Istituto Gaslini of Genova, Italy. 

Mauro Pittiruti was born in Rome, Italy in 1954. He completed his medical and surgical training in Italy and the USA, and since 1980 he has been working as a surgeon at the Department of Surgery of the Catholic University Hospital in Rome, Italy. His main clinical activity has been in the field of surgical critical care, parenteral nutrition and more specifically in the area of vascular access, both in adults and in children. From 1990 on, he has focused most of his clinical and scientific activity on venous access devices, becoming one of the leading international experts in this area. Since 1998, he is co-founder and president of the Italian Group of Long-Term Venous Access Devices (GAVeCeLT). Since 2010, he is chairman of the Scientific Committee of the WoCoVA Foundation (World Conference on Vascular Access). During the last decades, he has spoken at more than 300 Meetings and Congresses, all over the world, and has himself organized more than 150 Meetings, Workshops and Conferences. He is author or co-author of two volumes on venous access and of more than 500 papers, 140 of which are indexed on PubMed. In 2009, he received the Suzanne Herbst Award for Excellence in Vascular Access.