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Tunneled dialysis catheter exchange through fibrin sheath

CVC training

“For patients with tunneled dialysis catheter dysfunction caused by fibrin sheath, catheter exchange through fibrin sheath crevice most likely is an safe and effective alternative strategy of the in-situ catheter exchange” Li et al (2020).

Intraosseous access in adults in cardiac arrest

CVC training

“To evaluate the efficacy of intraosseous access versus venous access in out-of-hospital cardiac arrest in terms of return of spontaneous circulation (ROSC) and survival to hospital discharge with or without favorable neurologic status” Morales-Cané et al (2020).

Previous PICC placement as a CLABSI risk factor

clabsi risk factors

“The previous PICC placement was an independent risk factor for PICC-associated BSI and the risk proportionally rose with the increasing frequency of prior PICC placement” Kim et al (2020).

Current training in neonatal PICC placement

neonatal picc

“To describe the current educational status of percutaneously inserted central catheter (PICC) insertion/ maintenance training for neonatal-perinatal medicine (NPM) fellows in the United States” Levit et al (2020).

Microbiome signatures in neonatal CLABSI

central venous catheter

The blood microbiome in CLABSI neonates clustered separately from the uninfected blood samples in beta diversity plots. We found that the microbiome signature in catheter biofilm and blood of neonates with CLABSI is different than the microbiomes of non-CLABSI neonates” Pammi et al (2020).

Patient outcomes associated with repeat blood cultures

CRBSI

We examined factors associated with follow-up blood cultures (FU-BCs) in patients with monomicrobial gram-negative bloodstream infection (GN-BSI), and investigated impact of FU-BCs on therapeutic management and patient outcome” Giannella et al (2020).

What are the options for vascular access in cancer patients?

Intravenous catheter securement

The most commonly used permanent venous access devices in cancer patients are the port, PICC port and PICC catheter (peripherally inserted central catheter)” Zapletal et al (2019). Abstract: The most commonly used permanent venous access devices in cancer patients are the port, PICC port and PICC catheter (peripherally inserted central catheter). It is always necessary […]

Hypodermoclysis for patients at end-of-life in home care settings

intravenous

The increase in the elderly population associated with a higher incidence of cancer strongly endorses palliative care (PC). Hypodermoclysis (HDC) is a feasible technique for drugs and fluids delivery at the home care setting” Coelho et al (2020). Abstract: BACKGROUND: The increase in the elderly population associated with a higher incidence of cancer strongly endorses […]

Peripheral IV administration of high-risk infusions in critical care

CVC

In critical care, the short peripheral intravenous catheter is an essential venous access route, often used in emergency situations to administer high-risk medications and fluid resuscitation” Nickel (2019). Abstract: In critical care, the short peripheral intravenous catheter is an essential venous access route, often used in emergency situations to administer high-risk medications and fluid resuscitation. […]

Difficult guidewire insertion for central venous access

CVC

We describe the application of continuous image intensification to successfully identify the anatomical location and safe circumnavigation of guidewire obstruction during the insertion of a central venous and pulmonary artery catheter for cardiac surgery” Weinberg et al (2020). Abstract: PRESENTATION OF CASE: A 56-year old male presented for an elective redo-sternotomy, aortic valve replacement, tricuspid […]

MRSA and MSSA colonization in dialysis patients

central line education

MRSA and MSSA colonization in patients is associated with significant mortality and morbidity in dialysis patients” Price et al (2019). Abstract: Patients with end-stage renal disease are susceptible to infection, particularly methicillin-resistant Staphylococcus aureus (MRSA). Although MRSA-related mortality and morbidity have been studied, methicillin-sensitive Staphylococcus aureus (MSSA) has not been investigated to the same degree. […]

How to teat implantable port fibrin sheath formation?

meropenem stability at home

Therefore, when a port malfunctions, thrombolytics are usually the only option attempted before the port is explanted and a new site is prepared for access. We present a minimally invasive technique demonstrating port salvage that does not require explant” Hagaman et al (2020). Abstract: Industry has long fought the battle to design a vascular catheter […]

Management of drug-induced peripherally inserted central catheter obstruction

IV flush

The purpose of this research is to describe and understand nurses’ knowledge of drug-induced peripherally inserted central catheter obstruction management in developing countries” Zheng et al (2020). Abstract: OBJECTIVES: The purpose of this research is to describe and understand nurses’ knowledge of drug-induced peripherally inserted central catheter obstruction management in developing countries. This research aims […]

Extravasation of peripheral norepinephrine in the emergency department

thrombolysis

…Emergency Department (ED) implemented a protocol that recommends peripheral norepinephrine (pNE) be administered through an 18 gauge or larger at or above the antecubital fossa or the external jugular vein with a maximum dose of 20 μg/min” Nguyen et al (2020). Abstract OBJECTIVE: Vasopressors are typically administered through central venous catheters (CVC) due to a […]

Blood loss and anemia from laboratory testing

phlebotomy

Blood loss for laboratory testing is substantial in ICU patients and significantly associated with RBC transfusion” Jackson Chornenki et al (2019). Abstract: BACKGROUND: Anemia is common in critically ill patients and associated with adverse outcomes. Phlebotomy associated with laboratory testing is a potentially modifiable contributor. This study aims to 1) characterize the blood volume taken […]

Ultralong versus standard long peripheral intravenous catheters

CVC

This study demonstrated increased catheter survival when the ultralong compared with the standard long ultrasonographically guided intravenous peripheral catheter was used” Bahl et al (2020). Abstract: STUDY OBJECTIVE: Ultrasonographically guided intravenous peripheral catheters have dismal dwell time, with most intravenous lines failing before completion of therapy. Catheter length in the vein is directly related to […]