Risk factors for vancomycin nephrotoxicity
Although the risk factors for VCM nephrotoxicity have been evaluated, the time course of renal function during VCM treatment is unknown” Hirai et al (2019).
Prevalence of peripheral IV catheters as HAI risk factor
The aim of this study was to determine the prevalence of health care–associated infections (HAI) in our university hospitals (UH) and to delineate the risk
Intravenous medication administration and cerebral venous air embolism
A brain computed tomography (CT) showed multiple cerebral venous gas emboli. No potential causes were found apart from previous peripheral vein cannulation and intravenous medication
Misplacement of tunneled central venous catheter into azygos vein
Central venous catheter (CVC) is commonly used to provide access for hemodialysis (HD) when arteriovenous access is not available. The misplacement of CVC into azygos
Audit of propofol administration in the intensive care unit
In this cohort of patients, the bolus administration of propofol was frequently not documented, potentially placing some patients at risk of drug-related toxicity” McGain et
Radiographic appearance of central venous split-tip hemodialysis catheter
It is essential to be aware of the normal imaging appearances of these catheters as they may simulate pathological appearance due to the shape of
AIUM practice parameter for the use of ultrasound to guide vascular access procedures
Ultrasound should be used to aid in central venous, peripheral venous, and arterial access procedures. When used appropriately by qualified personnel, there are no absolute
Safety of PICC placement in chemotherapy patients
Use of PICC for chemotherapy administration was associated with a low all-AEs rate. The basilic vein was the safer site, and valved systems had fewer
Comparison of two different intraosseous access methods
We wanted to compare the use of a sternal and tibial/humeral intraosseous device in a physician-staffed helicopter emergency medical service” Sørgjerd et al (2019). Abstract:
Is perioperative colloid infusion more effective than crystalloid?
We aimed to evaluate the effect of hydration, according to the type of fluid, on PONV as previous studies have reported inconsistent results” Kim et
Implications of culture collection after the first antimicrobial dose in sepsis
Sepsis patients who have cultures obtained after FAD (represented in the AF cohort) had less positive-cultures, shorter TFAD, a trend toward longer ICU and hospital
Central line salvage strategy for children with CLABSI
This study aims to evaluate catheter salvage strategy in children with S. aureus CLABSI, and to determine treatment failure rates and associated risk factors” Alby-Laurent
Health care worker sensitivity to chlorhexidine
This study examined the prevalence of self-reported symptoms of sensitivity to chlorhexidine solutions among health care workers” Barnes et al (2019). Reference: Background: Health service
Quality improvement project to reduce perioperative blood-borne pathogen exposure
Mandatory double gloving, a safety zone, engineered-sharps injury prevention devices, and clear communication when passing sharps were implemented in an evidence-based fashion at one institution”
PICC placement is safe and effective for patients with malignant tumours
Compared with the traditional CVAD catheterization, the PICC is more safe and effective for the patients with malignant tumors, thus which may become a alternative
Association of intravenous insulin and glucose infusion with mortality
Intravenous insulin administration is associated with an increased risk of ICU and hospital mortality, after correction for potential confounders” van Steen et al (2019). Abstract:
Vascular access audit in home hemodialysis patients
Vascular access audit is a feasible quality initiative, which leads to a decrease in the number of patient reported errors in vascular access” Dhruve et
Outpatient follow-up of OPAT patients reduces readmission
We conducted a pair-matched case-control study to examine the association between outpatient infectious disease follow-up and the risk of 30-day readmission in 384 patients receiving
Repair of central venous catheters in home parenteral nutrition patients
CVC repairs can be performed in the office or on the ward and are cost effective when compared with CVC replacement. When performed by trained
Challenges of long-term home parenteral nutrition
Patients receiving long-term home parenteral nutrition (HPN) and clinicians managing their care face complex challenges not fully addressed by existing clinical practice guidelines” Kumpf (2019).
Bloodstream infections due to carbapenemase-producing Enterobacteriaceae in Italy
Most of the cases originated in hospitals (87.2%), mainly in intensive care units (38.0%), and were associated with central or peripheral venous catheter use (23.9%)
Use of needleless connectors in neonates
To compare the duration of patency of peripheral intravenous cannulas between continuous infusion and intermittent flushing, while using a needleless intravenous connector in newborns admitted
Platelet transfusions and the risk of transfusion-transmitted bacterial infections
Transfusion-transmitted bacterial infections (TTBIs) are among the most concerning risks of transfusion of platelet (PLT) concentrates” Kreuger et al (2017). Abstract: BACKGROUND: Transfusion-transmitted bacterial infections
Management of cancer-associated venous thromboembolism
Patients with cancer are at increased risk of venous thromboembolism, and emergency physicians can play a significant role in addressing one of the leading causes
Adding antiseptic barrier caps to central-line maintenance bundles
An alternative is the use of an antiseptic barrier cap, which cleans the catheter hub by continuous passive disinfection” Voor In ‘t Holt et al
Ultrasound assists obstetric central and peripheral vascular access
This article provides an overview of the use of ultrasonography in obstetric anesthesia” Talati et al (2017). Abstract: This article provides an overview of the
Detection of PICC colonization and catheter-related bacteremia in newborns
Peripherally inserted central venous catheters (PICCs) are widely used in intensive care units, but studies about procedures for detection of colonization are scarce in neonates”
Antibiotic checklist resulted in appropriate intravenous antibiotics use
We evaluated whether a checklist based on these QIs affects appropriate antibiotic use and length of hospital stay” van Daalen et al (2017). Abstract: Objectives:
Complication rates associated with central venous access devices in infants
The management of central venous access device (CVAD) is extremely difficult in babies and small infants (BSI)” Ohno et al (2016). Abstract: BACKGROUND: The management
Case study describes totally implantable catheter migration
The Authors report a case of deployment of a Port-a-Cath catheter and its percutaneous retrieval” Intagliata et al (2017). Abstract: Totally subcutaneous intravascular portals have
First time success with needle procedures with local anaesthetic creams
This study examined how many needle procedures were successful at the first attempt when children received either a warm lidocaine and tetracaine patch or an
CLABSI outcomes and the implications for the clinical microbiology laboratory
The increasing pressure to lower HAI rates comes at a time when advances in the clinical microbiology laboratory (CML) provide more precise and sensitive tests,
What is the risk of occupational exposure to human immunodeficiency virus?
It is estimated that between 200 and 5000 HIV infections are transmitted annually to HCWs worldwide” Mabwe et al (2017). Abstract: Background: Occupational exposure to
Improving outcomes of short peripheral vascular access in oncology
Although safe and easy to insert, PIVCs do fail, leading to personal discomfort for patients and adding substantially to treatment costs” Bertoglio et al (2017).
Clinician comprehension of central line-associated blood stream infection quality metric data
While research has focused on improving data through statistical risk-adjustment, whether clinicians understand these data is unknown. Therefore, we assessed clinician comprehension of central line-associated
Simulated umbilical cords for emergency umbilical catheterization training
To measure performance, fidelity and preference of two emergency umbilical vessel catheter (eUVC) simulation models” Awyer et al (2017). Abstract: Objective: To measure performance, fidelity
Ultrasound protocol to confirm central venous catheter placement
Ultrasound may be an effective tool to confirm central venous catheter placement in instances where there is a delay in obtaining a confirmatory CXR” Wilson
Procedural skills standards for graduating US medical students
We sought to determine its efficacy by examining the experiences and confidence of recent medical school graduates with general procedural skills” Bruce et al (2017).
Article provides an explanation of needle-free device design and complications
This article provides an explanation of NFD design and functions and guidance and information about their benefits, as well as advice on preventing complications associated
Central venous catheter workshops for community nurses
Nurses working within both acute and primary care settings are required to care for and maintain central venous access devices (CVADs). To support these nurses
Daptomycin lock and systemic therapy for catheter-related bloodstream infections
Few in vivo studies have been reported describing efficacy and duration of antibiotic lock therapy (ALT) with daptomycin (DPT) for long-term catheter-related bloodstream infections (CRBSI)
Development of a nurse-led community-based PICC insertion service
This article outlines the development of an out-of-hospital nurse-led PICC insertion service using the Sherlock 3CG® Tip Confirmation System (C.R Bard) to meet the needs
What are the complications associated with PICC lines?
PICCs appear safe in the inpatient and outpatient settings with low rates of infectious or thrombotic complications” Grau et al (2017). Abstract: Background: Peripherally Inserted
Central venous catheter securement with a continuous suture technique
To reduce the time required for suture closure for central venous catheterization, a new procedure was developed using a continuous suture technique” Uk et al
Diagnosis and management of central venous catheter associated air embolism
We retrospectively characterized our experience with air embolism during medical procedures at a tertiary medical center” McCarthy et al (2017). Abstract: Air embolism is a
Video coaching to improve hand hygiene compliance
We used videorecordings of routine care to analyze health care providers’ deviance from protocols and organized follow-up interviews that were conducted by an anthropologist and
How to calculate intravenous dose variation during multi-infusion
In this paper, a new method is presented that combines mechanical compliance effects with Poiseuille flow and push-out effects (“dead volume”) in one single mathematical
Improving hand hygiene compliance with automation
A new automated hand hygiene compliance system (HHCS) was trialed as an alternative to human observers in an intensive care unit and an intensive care
Handling of infusions and risk of occupational exposure to solutions and medications
The handling of infusions may involve a risk of nurses’ exposure to active agents by release of infusion solution into the work environment” Segner et
Drug-related problems associated with OPAT services
Despite the numerous benefits of outpatient parenteral antimicrobial therapy (OPAT), appreciable risks of drug-related problems (DRPs) exist. No studies to date comprehensively assess DRPs in
Ultrasound confirmation of central venous catheter tip placement
We present a case highlighting that the real-time visualization of the guidewire in the internal jugular vein with ultrasound, and confirmation of correct position of
Epinephrine administration in out-of-hospital cardiac arrest: Intraosseous versus intravenous access
The 2015 advanced cardiac life support update continues to advocate administering epinephrine during cardiac arrest. The goal of our study is to determine if prehospital