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Outcomes associated with use of peripherally inserted central catheters in cancer patients

infusion

The focus of this prospective observational research is to study the various indications of a peripherally inserted central catheter (PICC) in different solid and hematological malignancies and the various complications and outcomes in the pediatric and adult cancer patients” Madabhavi et al (2018). Abstract: Effective and reliable venous access is one of the cornerstones of […]

Hemodialysis catheters in patients with bilateral internal jugular vein occlusion

vascular access

This a prospective cross-sectional follow-up study of the alternative approaches for placement of cuffed hemodialysis catheters in end-stage renal disease patients with bilateral internal jugular vein occlusion from the interventional nephrology point of view” Gouda et al (2018). Abstract: INTRODUCTION: Internal jugular vein occlusion often makes necessary the use of less desirable routes as external […]

Cyanoacrylate catheter securement has an additional hemostatic effect

needlestick

The purpose of this study is to use novel in vitro and in vivo testing methods to analyze the hemostatic effect of a catheter securement cyanoacrylate (cyanoacrylate)” Zhang et al (2018). Abstract: Purpose: The use of cyanoacrylate for intravenous catheter securement is of interest to clinicians and patients, because of the superior adhesive strength and […]

What is the usability of intraosseous blood samples in emergency care patients

venipuncture

The aim of this study was to systematically review the existing literature on the usability of IO blood samples for analysing the parameters relevant to emergency care. We performed a data search from the Medline and Embase databases, the Cochrane Library and the Clinical trials registry” Jousi et al (2018). Abstract: Intraosseous (IO) access is […]

Mid-thigh femoral central venous catheter placement case studies

ECMO catheter

An alternative location was selected for the insertion of a femoral vein central venous catheter in the midthigh to reduce the risk of infection” Ostroff and Moureau (2018). Abstract: Background: Bedside vascular access options have been limited to the short peripheral intravenous, midline catheter, peripherally inserted central catheter, and central venous catheter (CVC) insertion sites […]

Ultrasound transducer disinfection guideline from the Association for Vascular Access

blood culture surveillance

Use of ultrasound for vascular access, particularly peripheral access, presents distinct challenges to existing recommendations. Healthcare professionals responsible for vascular access also have a responsibility to ensure patient safety during those procedures, therefore, they also must address inconsistent practice with respect to cleaning and disinfection practices involving USGVA” Thompson and Garrett (2018). Introduction/Summary: Use of […]

Peripheral IV education reduces potential complications and improves patient outcomes

Vascular access guide

The study highlights the varying level of peripheral intravenous education and competency evaluation of staff working in health care institutions. The results suggest the need for an evidence-based, standardized peripheral intravenous curriculum that could be used in both health care institutions and nursing education programs” Hunter et al (2018). Abstract: Background: Greater than 90% of […]

Vascular access initiatives require robust research and careful data analysis

piv

Vascular access initiatives require robust research and careful analysis of the subsequent statistical reports. Data drives the decisions we make and the course adjustments necessary to arrive at evidence-based practice” Owens (2018). Extract: That’s a question you will continue to hear with increasing frequency as vascular access demands recognition in the realm of specialty practices. […]

Complication rates of ultrasound guided versus traditional peripheral intravenous catheters

Ultrasound Vascular Access

This study analyzed 300 ultrasound-guided peripheral intravenous lines and 552 traditionally placed intravenous lines using patient records to determine the reason and timing for intravenous line removal” Desai et al (2018). Abstract: Background: Ultrasound-guided peripheral intravenous lines are frequently used in patients with difficult access. We have previously reported on the longevity and complication rates […]

Oral hydration after cisplatin infusion as an alternative to intravenous hydration

fda iv pump error

Even though there is no standard regimen, patients receive mostly intravenous hydration before and after cisplatin leading hospitalization during at least one night. Since the feasibility has been published, oral hydration after cisplatin was implemented in our practice” Puisset et al (2018). Abstract: PURPOSE: Hydration is needed before and after cisplatin infusion for reducing the […]

Article describes the early history of home parenteral nutrition

Peripheral IV failure

Technologic advances in the past century have led to the ability to safely deliver parenteral nutrition (PN) to hospitalized patients. Key breakthroughs included the development of saline and glucose infusions, infusion pumps, macronutrients (lipids, dextrose, and amino acids), and central venous catheters” Hurt and Steiger (2018). Abstract: Technologic advances in the past century have led […]

Rates of central line-associated blood stream infection and venous thromboembolism

vascular access practices in China

The purpose of our study is to compare the rate of central line-associated blood stream infections and venous thromboembolism in central venous catheters versus peripherally inserted central catheters in hospitalized children” Noonan et al (2018). Abstract: OBJECTIVES: The purpose of our study is to compare the rate of central line-associated blood stream infections and venous […]

Knowledge of central line catheter care provided to oncology patients

picc dressing

The aim of the present study was to assess the oncology nurses’ knowledge about central line catheters and their care, complications, and applications” Abu Sharour (2018). Abstract: The aim of the present study was to assess the oncology nurses’ knowledge about central line catheters and their care, complications, and applications. A descriptive cross-sectional design was […]

Analysis of occupational sharp injuries among healthcare workers

needlestick injury

An analysis of work-related sharp injuries in Healthcare Workers (HCWs) based at a selected hospital in Central Poland by presenting the frequency of accidents, injury rates, and identifying circumstances of Needle Sticks and Sharp Injuries (NSSI) and giving Post-Exposure Procedures (PEP)” Garus-Pakowska et al (2018). Abstract: Background: An analysis of work-related sharp injuries in Healthcare […]

Ultrasound and saline flush technique for confirmation of central catheter tip

cvc ultrasound

Our study investigated the reliability of appearance of rapid atrial swirl flow (RASF) by ultrasonography (US) in the right atrium (RA), which occurred as a result of rapid isotonic saline infusion (RISI) into the central venous catheter (CVC), in predicting catheter tip position” Yesilbas et al (2018). Abstract: Our study investigated the reliability of appearance […]

Diameter and depth of internal jugular and subclavian veins based on hand dominancy

ultrasound va

The central veins’ catheterization, required in critically ill patients, is more successful in larger veins. Some researchers hypothesized that hand preference might be associated with larger ipsi/contra central veins” Salari et al (2018). Abstract: BACKGROUND: The central veins’ catheterization, required in critically ill patients, is more successful in larger veins. Some researchers hypothesized that hand […]

Sedation protocol for short painful procedures in newborns

neonatal picc

The aim of this study is to evaluate the use and safety of a sedation protocol with sevoflurane for short painful procedures in newborns” Gomez et al (2018). Abstract: OBJECTIVE: The aim of this study is to evaluate the use and safety of a sedation protocol with sevoflurane for short painful procedures in newborns. STUDY […]

Upper extremity DVT clinical features and etiologies

Ultrasound

An endovenous device was involved in 92.5 % of cases of ULVT. The prevalence of symptomatic PE was low. Hematological malignancies, sepsis and neoplasia were the most common conditions present in patients with ULVT” Drouin et al (2018). Abstract: AIM: To describe the clinical features and etiologies of upper limb venous thrombosis (ULVT). METHODS: All […]

Safety of totally implanted port insertion performed by surgical residents

iv recall

The aim of this study was to compare the outcomes after totally implantable venous access ports implantations done by resident and attending surgeons” Schreckenbach et al (2018). Abstract: OBJECTIVE: The implantation of totally implantable venous access ports (TIVAPs) is one of the first procedures surgical residents learn. Complications after implantation procedures have a major impact […]

Intravenous administration set change recommendations for parenteral nutrition

Recommendations prescribe daily intravenous administration set (IVAS) replacement for parenteral nutrition (PN) comprising intravenous fat emulsions (IVFE) due to risk of micro-organism growth and resultant central-line associated bloodstream infections (CLABSIs), but system disconnection for this practice may allow contamination and CLABSIs” Gavin et al (2018). Abstract: BACKGROUND: Recommendations prescribe daily intravenous administration set (IVAS) replacement […]

Effect of intravenous fluid choice on patient outcomes in the ED

IV Pump

Normal saline solution and lactated Ringer’s solution were associated with similar 24-hour recovery scores and 7-day health care use in stable ED patients. These results supplement those of recent trials by informing fluid choice for stable ED patients” Friederich et al (2018). Abstract: Study objective: The purpose of this study is to test the hypothesis […]

Diagnosis of air embolism from a central venous catheter

egg tip

Here, we report a case of CAE associated with a central venous catheter in the internal jugular vein that resulted in neurological deficits and generalised epileptic seizures” Khaliq et al (2018). Abstract: Cerebral air embolism (CAE) is a rare, avoidable and potentially fatal iatrogenic complication. Here, we report a case of CAE associated with a […]

Geriatric hemodialysis patient survival factors described

hemodialysis

The present study revealed that comorbidities and low performance status at the onset of dialysis had shortened the survival time in the geriatric hemodialysis patient group” Tuğcu et al (2018). Abstract: INTRODUCTION: The number of geriatric patients is increasing in hemodialysis population over the years and mortality is higher in this group of patients. This […]

Premixed IV antimicrobials reduced time to administration of the first dose in sepsis

subcutaneous drip

The objective of this study was to evaluate the impact of antimicrobial preparation on time to administration in septic patients located in the emergency department (ED)” Kufel et al (2018). Abstract: OBJECTIVE: Strategies that reduce the time to antimicrobial administration, such as the availability of premix antimicrobials (PMAs) in the emergency department (ED), may better […]

Vancomycin levels tested from a central venous catheter

infusion reaction

Carryover from prior infusions does not appear to jeopardize measurements of piperacillin-tazobactam, meropenem, or vancomycin in commonly used vascular catheters at our institution” Marsh et al (2018). Abstract: BACKGROUND: Therapeutic drug monitoring is used for aminoglycosides and vancomycin, and has been proposed for β-lactam antibiotics. Clinical blood samples in the ICU are often obtained via […]

Mediastinal haematoma following central venous catheter insertion

Ultrasound

Mediastinal haematoma is a rare complication of CVC insertion. It is most commonly due to perforation of the subclavian vein by the guidewire or dilator” Ali et al (2017). Extract: Mediastinal haematoma is a rare complication of CVC insertion. It is most commonly due to perforation of the subclavian vein by the guidewire or dilator. […]

Clostridium difficile infection prevention during CVC antibiotic administration

CLABSI

We hypothesised that daily oral administration of the anion-binding resin colestyramine (cholestyramine) would help prevent infections in those receiving intravenous antibiotic treatment via CVADs” Puri et al (2018). Abstract: Background: The use of indwelling central venous access devices (CVADs) is associated with the development of bloodstream infections. When CVADs are used to administer systemic antibiotics, […]

Review of pediatric central venous catheter complications

cvad

The aim of this study was to evaluate CVC and catheter related complications in our tertiary pediatric intensive care unit” Tolunay et al (2018). Abstract: In catheter-using units as pediatric intensive care, it is important to know the complications that may occur during the insertion and use of central venous catheterization (CVC), and to take […]

Adoption of SecurAcath for PICC securement within the National Health Service in England

CVC

SecurAcath is a catheter securement device designed for central venous catheters. The National Institute for Health and Care Excellence, as a part of its Medical Technologies Evaluation Programme, selected this device for evaluation and invited the manufacturer, Interrad Medical, to submit clinical and economic evidence” Macmillan et al (2018). Abstract: Central venous catheters are commonly […]

CLABSI reduction with daily bathing using chlorhexidine gluconate cloths

clabsi risk factors

Evidence supports daily bathing using chlorhexidine gluconate (CHG) cloths to decrease preventable hospital-acquired central line-associated bloodstream infections (CLABSIs)” Reynolds et al (2018). Abstract: BACKGROUND: Evidence supports daily bathing using chlorhexidine gluconate (CHG) cloths to decrease preventable hospital-acquired central line-associated bloodstream infections (CLABSIs). However, implementation of this practice is inconsistent. Using multifaceted strategies to promote implementation […]