Check out last month's new discussions on Sosido! There were 7 questions and 16 answers in the CVAA community in August.

Thanks to all who share their knowledge! CVAA National members have access to the full discussions here:

> Asked Aug 12: I would like to know how other organizations deal with femoral central venous catheters.  Are femoral lines exclusive to the ICU setting or are they found in the general patient care areas?  If they are in the general patient care areas are changes made to the nurse to patient ratio?  Are there any safe guards or special assessments done to ensure patient safety. [5 replies to date]
 

> Asked Aug 14: Ask Me About the New CVAA Guidelines! Do you have any questions for Kristie Naayer and Karen Laforet about Section 3 on VAD Management? [2 replies to date]

> Asked Aug 21: I'm looking for any contacts to connect with regarding the use of intrathecal administration of opioids and local anesthetics for intractable pain for palliative patients. Are any centres doing this at all? [1 reply to date]

> Asked Aug 26: Migration of  CVC lines [3 replies to date]

> Asked Aug 28: ONS CVL guidelines recommend against using antibiotic cream/ungt for routine care due to risk of fungal infection/resistance.  I looked in the CVAA guideline and could not see any reference to this issue.  Would love to know what you recommend. [no replies to date - can you help?]

> Asked Aug 28: We were wondering if anyone else is using the Smith Medical ViaValve cathlons and if so are you having any problems with them? Any difference between the 22 and 24 gauge? [no replies to date - can you help?]
 

> Asked Aug 29: Could you tell me what the minimum flow rate would be when using a PICC continuously? [5 replies to date]

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