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IVUPDATE from IVTEAM
Central venous access devices for neonates – Full Text
“Optimal CVAD selection is not merely a technical decision but a strategic clinical process that integrates patient, therapy, device, and health-system factors. Existing frameworks provide valuable guidance and should be interpreted within the clinical context in which they are applied, acknowledging differences in expertise, available resources, and models of care” de Souza et al (2026).
Reducing peripheral intravenous catheter use in adult acute care – Full Text
“Despite growing awareness of inappropriate PIVC use, unnecessary insertion persists, driven by cultural and organisational norms and risk-averse practices. Interventions to reduce PIVC use have been implemented, but their effectiveness and sustainability have not been systematically synthesised” Barrington et al (2026).
Oral vs intravenous fluid therapy in emergency department patients – Full Text
“This trial will evaluate whether a randomized trial comparing intravenous and oral fluid therapy is feasible in ED patients and whether oral fluid therapy can achieve prescribed fluid volumes comparable to those achieved with intravenous therapy” Biesenbach et al (2026).
Neuromuscular blocking drug extravasation – Full Text
“This case highlights the unpredictable clinical course of NMBD extravasation and demonstrates that recurrent paralysis may occur despite initial successful reversal, requiring quantitative neuromuscular monitoring, extended postoperative observation, and administration of repeat doses of sugammadex as delayed systemic absorption occurs” Crafton et al (2026).
Association between puncture arm and PICC tip position – Full Text
“To examine the association between puncture arm and initial peripherally inserted central catheter tip positioning accuracy in female breast cancer patients and to explore related factors associated with malposition” Zhang et al (2026).
Ready-to-use intravenous antimicrobial preparations in paediatric OPAT – Full Text
“This study supports a more uniform and safer OPAT practice in paediatric HAH units and provides an operational basis for protocol implementation and future evaluation, combining stability evidence for compounded preparations with paediatric administration requirements” Merino-Pardo et al (2026).
Unnecessary short peripheral catheter insertion in the emergency department – Full Text
“Approximately one-quarter of discharged patients with a recorded SPC had no documented intravenous use. Potentially unnecessary SPC insertion was associated with age, sex and clinical presentation, while its association with triage acuity depended on adjustment for clinical context” Fernández Fernández et al (2026).
PIVO Pro for avoiding blood culture contamination – Full Text
“Our primary objective is to compare the efficacy of the PIVO Pro at PIVC insertion for avoiding blood culture contamination to standard practice (typically specimen collection via venepuncture or a newly inserted PIVC)” Lovegrove et al (2026).
Safety of mini-midline catheters for intravenous antimicrobial therapy – Full Text
“Ultrasound-guided mini-midlines were associated with acceptable safety, longer observed peripheral dwell time, and reduced overall PIVC burden in selected hospitalized patients receiving up to 14 days of peripherally compatible intravenous antimicrobial therapy” Liao et al (2026).
Continuous intravenous acyclovir during OPAT – Full Text
“The acyclovir OPAT programme led to cost savings of 3486 EUR per patient. Despite this small case series, continuous intravenous acyclovir appears to be feasible for treating HSV and VZV neurological infections in an OPAT setting, with potential benefits in patient comfort, healthcare costs, and hospital resource utilization” Manders et al (2026).
Upper-limb compartment syndrome following rapid infusion catheter extravasation – Full Text
“We report upper-limb acute compartment syndrome during orthotopic liver transplantation following transfusion through an 8.5 Fr Arrow RIC (Teleflex Incorporated, Morrisville, NC, USA)” Weinberg et al (2026).
Complex venous access in superior vena cava syndrome – Full Text
“Bulky mediastinal disease frequently complicates central venous access, particularly in the presence of superior vena cava (SVC) syndrome. Reports addressing optimal vascular access strategies in this setting remain limited” Razus et al (2026).
Comparison of 18-gauge and 20-gauge short peripheral catheters – Full Text
“We conducted a confirmatory trial addressing both, comparing 18-gauge and 20-gauge SPCs in adult emergency department patients at low-to-moderate risk of difficult access” Altunbas et al (2026).
Vascular access in the critically ill patient
“Vascular access is a key intervention in the management of critically ill emergency department patients. This can include peripheral or central venous access and intraosseous access” Jaffery and Qasim (2026).
Real-time flow monitoring in neonatal infusions
“We review the mechanisms contributing to flow variability, discuss why conventional pumps cannot verify patient-end drug delivery, and propose a phased pathway for evaluating emerging flow-monitoring technologies” van Rens et al (2026).
Vascular complications of intravenous vancomycin
“To map and describe the available clinical evidence on the safety and vascular complications associated with peripheral intravenous administration of vancomycin, compared with other vascular access devices, focusing on the type of complications reported, their diagnostic methods, and the methodological characteristics of the studies” Fernández-Aedo et al (2026).
National collaborative project to decrease healthcare-associated infections in Portugal – Full Text
“A national collaborative focused on evidence-based bundles may be effective in decreasing the incidence of CAUTI, CLABSI and VAP in adult intensive care units” Malheiro et al (2026).
Reduction in healthcare-associated and device-associated infections
“Marked reductions in healthcare-associated and device-associated infections were achieved despite stable device utilization, increasing patient volume, and a threefold expansion in ICU capacity” Kose et al (2026).
Ultrasound-guided neonatal central vascular access and device tunneling
“The essential role of ultrasound in the various phases of insertion and evaluation of CICC and FICC is emphasized” Breschan et al (2026).
Management of neonatal intra-arterial catheters
“This recommendation provides neonatal healthcare providers with evidence-based guidance for the safe insertion, securement, and management of intra-arterial catheters (IACs) in neonates” van der Lee et al (2026).
Elastomeric pump for vascular graft infection treatment – Full Text
“This case demonstrates that continuous 12-hour infusion of ceftazidime-avibactam via elastomeric pumps is a feasible and safe strategy for managing complex CRE infections in the OPAT setting” Berruti et al (2026).
Pain and anxiety during peripheral intravenous cannulation in children – Full Text
“This trial will evaluate the effectiveness of PARO, an interactive therapeutic robot, in reducing pain and anxiety during PIVC in children” Montaland et al (2026).