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Overview
Education
Best Practices
Resources
THINK PERIPHERAL ACCESS FIRST
Your resource for optimizing vascular access for each and every patient
Peripheral Venous Access Resources
Add to your knowledge of peripheral venous access with these convenient resources.
WEBINARS
Increased Peripheral Access: Impact on Patient Outcomes at Johns Hopkins Hospital
Presented by Sonja Vozniak, RN, HATS Department, Johns Hopkins Hospital
Hear the patient story that caused Johns Hopkins to implement a peripheral venous access program with ultrasound guidance
See how Johns Hopkins’ PVA program decreased central line placements and has positively impacted their patients
Take away tips from Johns Hopkins’ planning and program implementation process
View Webinar Now
Dr. Tina Ipe shares her perspective on “Thinking Peripherally” for your patients.
Presented by Tina Ipe, MD, MPH, Houston Methodist Hospital
Review the different types of vascular access used in apheresis
Understand the benefits and risks associated with each type of vascular access
Learn about the experience of Houston Methodist Hospital in successful peripheral cannulation of apheresis patients
View Webinar Now
Peripheral Venous Access in Therapeutic Plasma Exchange
Presented by Amber Sanchez, MD, University of California San Diego and Tina Ipe, MD, MPH, Houston Methodist Hospital
Learn how thinking about peripheral vascular access first versus central venous access can address patient safety
Get an overview of the peripheral vascular access techniques practiced at Houston Methodist and the University of California San Diego
Review best practice basics for peripheral vascular access
Learn about introducing ultrasound-guided peripheral vascular access for TPE
Register for the Webinar
Peripheral Venous Access in Automated Red Blood Cell Exchange
Presented by Daniel Putensen, NP, National Health Service Blood and Transplant and Michaela Mayhew, MSc, RN, St George's University Hospital, London
Learn how thinking about peripheral vascular access first versus central venous access can address patient safety
Get an overview of the peripheral vascular access techniques practiced at University College London Hospitals and St. George's Hospital
Review best practice basics for peripheral vascular access
Learn about introducing ultrasound-guided peripheral vascular access for red blood cell exchange
Register for the Webinar
VIDEOS
Using Ultrasound Guidance for Vascular Access
How to Bring Ultrasound to Your Organization
KEY ARTICLES
Vascular Access in Therapeutic Apheresis: Update 2013
This review addresses the types of vascular access available for patients who need therapeutic apheresis, including peripheral vein cannulation, central venous catheters (including nontunneled and tunneled catheters), arteriovenous grafts and arteriovenous fistulas.
Long-Term Use of Antecubital Veins for Plasma Exchange
Find out how the majority of patients who were free of serious systemic illness (other than chronic progressive multiple sclerosis) in a randomized clinical trial were able to undergo weekly plasma exchange for up to 20 weeks using superficial antecubital veins without the need to resort to more invasive methods of venous access.
Venous Access: A Practical Review for 2009
Venous access is one of the most basic, yet critical, components of patient care. This review provides insight into the variety of options available for venous access.
Safety of Plasma Exchange Therapy in Patients With Myasthenia Gravis
Review the results of a comparison study where data was collected from 42 patients randomized to PLEX treatment compared with intravenous immunoglobulin (IVIg).
Improved Care and Reduced Costs for Patients Requiring Peripherally Inserted Central Catheters: The Role of Bedside Ultrasound and a Dedicated Team
Prospective quality assurance study to determine if a team dedicated to placing peripherally inserted central catheters (PICCs) would improve patient care and reduce costs.
Ultrasound-Guided Peripheral Venous Access for Therapeutic Apheresis Procedures Reduces Need for Central Venous Catheters
Physicians from the Houston Methodist Hospital performed a prospective review of patients undergoing inpatient and outpatient apheresis over a 3-month period to assess the benefit of ultrasound-guided peripheral venous access. Learn about their findings here.
Is Peripheral Access for Apheresis Procedures Underutilized in Clinical Practice?—A Single Centre Experience
Study to establish the feasibility and suitability of peripheral access for different apheresis procedures, undertaken in elective or emergency settings.
PROFESSIONAL ORGANIZATIONS
Association for Vascular Access (AVA)
National Infusion and Vascular Access Society (NIVAS)
REFERENCED MATERIALS
Cheung E, Baerlocher MO, Asch M, Myers A. Praxic, Venous access: a practical review for 2009.
Can Fam Physician
. 2009;55(5):494-496.
Ebadi H, Barth D, Bril V. Safety of plasma exchange therapy in patients with myasthenia gravis.
Muscle Nerve
. 2013;47(4):510-514.
Golestaneh L, Mokrzycki MH. Vascular access in therapeutic apheresis: update 2013.
J Clin Apher
. 2013;28(1):64-72.
Mortzell Henriksson M, Newman E, Witt V, et al. Adverse events in apheresis: an update of the WAA registry data.
Transfus Apher Sci.
2016;54(1):2-15.
Noseworthy JH, Shumak KH, Vandervoort MK. Long-term use of antecubital veins for plasma exchange.
Transfusion
. 1989;29(7):610-613.
Putensen D, Leverett D, Patel B, Rivera J. Is peripheral access for apheresis procedures underutilized in clinical practice?—A single centre experience.
J Clin Apher.
2017;32:553-559.
Robinson MK, Mogensen KM, Grudinskas GF, Kohler S, Jacobs DO.
J Parenter Enteral Nutr
. 2005;29(5):374-379.
Salazar E, Garcia S, Miguel R, Segura FJ, Ipe TS, Leveque C. Ultrasound-guided peripheral venous access for therapeutic apheresis procedures reduces need for central venous catheters.
J Clin Apher
. 2017;32(4):266-269.
Schonermarck U, Bosch T. Vascular access for apheresis in intensive care patients.
Ther Apher Dial
. 2003;7(2):215-220.
Stegmayr B, Wikdahl A. Access in therapeutic apheresis.
Ther Apher Dial
. 2003;7(2):209-214.
Stolz LA, Stolz U, Howe C, Farrell IJ, Adhikari S. Ultrasound-guided peripheral venous access: a meta-analysis and systematic review.
J Vasc Access
. 2015;16(4):321-326.
Using Ultrasound Guidance for Vascular Access
Using Ultrasound Guidance for Vascular Access
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