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. 2022 Jan 5;9(1):70. doi: 10.3390/children9010070

Table 1.

AIEOP Recommendations for VADs Positioning *.

  • (1)

    A tunneled catheter is recommended for continuous use (A I)

  • (2)

    For discontinuous use, a totally implanted VAD is recommended (A II)

  • (3)

    It is recommended that the ratio of the catheter caliber to vein diameter should not exceed 1/3 (A II)

  • (4)

    Multiple lumen VADs should be inserted only in few selected patients, based on the intensity of care and on the therapeutic program (A)

  • (5)

    The choice of material must be based on high performance in terms of guaranteed flows and pressure resistance as well as device endurance (A II)

  • (6)

    Insertion by surgical venous cutdown is not recommended (A I)

  • (7)

    The ultrasound-guided technique represents the current standard for venipuncture and venous cannulation for insertion of VAD (A It)

  • (8)

    The use of cyanoacrylate tissue glue is recommended (A II)

* The grading of evidence based medicine is reported according to the European Society of Microbiology and Infectious Disease. VAD—vascular access device (VAD), AIEOP—the Italian Association of Pediatric Hematology and Oncology.