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Parenteral nutrition-associated liver disease

parenteral nutrition

“Although lipid reduction strategies, as well as the use of multicomponent lipid emulsions and vitamin E, have shown promise, the cornerstone of preventing injury is the early establishment of EN” Wichman et al (2022).

Peripheral IV catheter material and failure rates

piv

“The study’s findings are in accord with international literature concerning adult and pediatric patients concerning the superiority of PUR over PTFE catheters with respect to the risk of phlebitis and longer dwell times” van Rens et al (2022).

CVC associated thrombosis

Implantable Port

“In hospitalized patients undergoing TPE, CVC use is associated with increased rates of thrombosis” Soares Ferreira Júnior et al (2022).

Central venous catheter care in Australia

icu clabsi

“Our audit showed a detailed picture of clinician’s adherence to recommended practices in central venous catheter insertion and management” LIN ET AL (2022).

CLABSI in severe anorexia nervosa

blood culture contamination

“Anorexia nervosa (AN) may be treated with intravenous hyperalimentation (IVH) that may be associated with catheter-related bloodstream infection (CRBSI)” Hirata et al (2022).

OPAT vancomycin-associated nephrotoxicity

OPAT

“In this cohort, vancomycin-associated nephrotoxicity was common during outpatient intravenous antibiotic therapy. Co-administration of a fluoroquinolone, any nephrotoxic medication, and a higher maximum vancomycin trough were associated with AKI development” Krueger et al (2021).

Peripheral IV administration of hypertonic saline

needlestick

“To determine the frequency and characteristics of complications of peripherally administered hypertonic saline (HTS) through assessment of infiltration and extravasation” Pohl et al (2022).

IM injection in anticoagulated patients

needlestick

“Intramuscular vaccination in anticoagulated patients is safe with very low incidence of haematomas and the best available evidence suggests that using the intramuscular route does not increase the risk of haematomas compared with the subcutaneous route” Caldeira et al (2022).

Dynamic haptic robotic CVC trainer

picc survey

“In order to combat these errors, a Dynamic Haptic Robotic Trainer (DHRT) was developed, which focuses on vessel identification and access” Tzamaras et al (2021).

Lost venous access guidewire – Full Text

Peripheral IV

“We report a pediatric patient who underwent a central venous catheter (CVC) insertion and presented with a sudden protrusion of a guidewire from the neck 26 months later” Asailan et al (2022).

CLABSI rates in Greece

catheter-related candidemia

“To investigate the association between the incidence of CLABSI, the implementation of specific infection control measures, and the incidence of multidrug-resistant (MDR) bacteraemias in a tertiary-care hospital in Greece from 2013-2018” Papanikolopoulou et al (2022).

Psychological impact of sharps injuries

needlestick

“The findings highlight the potential psychological issues created by sharps injuries, and highlights that further research is needed into this topic to aid the education and prevention of this harmful problem” Hambridge (2022).

3D printed intraosseous infusion simulator

emergency iv access

“The goal of this technical report is to describe the development and evaluation of a three-dimensional (3D)-printed Pediatric IO Infusion Model for simulation-based medical education” Wade et al (2022).

ECG PICC tip positioning in atrial fibrillation – Full Text

shock

“To observe the changes of F waves on electrocardiograms (ECGs) in patients with persistent atrial fibrillation during the insertion of a peripherally inserted central catheter (PICC), and to analyze the application effect of the ECG method (through F wave changes) for guiding PICC tip positioning” Zhao et al (2022).

Management of chemotherapy infusion reactions

infusion

“Following implementation of a novel pharmacist-developed, symptom-based nurse-driven protocol, infusion reaction treatment failure occurred in 7% of IRRs evaluated. Although the failure rate was low, additional nurse education and improved access to protocol-directed medications may optimize use of the protocol” Cebollero et al (2022).

OPAT readmission risk

opat

“Although patients receiving medication subject to therapeutic drug monitoring are at higher risk of readmission, only half of the patients discharged with aminoglycosides or vancomycin were monitored according to IDSA guidelines” Douiyeb et al (2022).

Cuffed tunnelled silastic CVC in neonates

neonatal ultrasound

“The USG approach in infants<5 kg is safe and can be used exclusively for venous access even in the most tiny babies. It is, however, a technically challenging procedure therefore we would recommend establishing a consultant delivered vascular access team to provide this service" Reddy et al (2022).

IM and SC injection and drug absorption

extravasation

“Issues related to medication absorption in obese patients are likely to become more prominent in the future with increasing approvals of a wide range of biotherapeutic agents administered by SC injection” Erstad and Barletta (2022).

Sharps injury rates in Nigeria

intraosseous Troponin I

Sharps injury rates in Nigeria Abstract: Background: Daily, HCWs are exposed to needle stick and sharps injury (NSSI) and associated risk of life-threatening infections. Aim: A cross-sectional study was conducted to determine the prevalence of NSSI and HBV vaccination among 341 HCWs at NAUTH, Nnewi. Methods: Data was collected using a self-administered. questionnaire and interview […]

PICC dwell time and CLABSI risk – Full Text

crbsi

“Our study shows that risk of CLABSI does not appear to increase with longer PICC indwelling time. Routine replacement of PICCs therefore is unlikely to prevent CLABSI in this population” Caris et al (2022).

Internal jugular CVC needle length – Full Text

jugular vein size

“A shorter needle length would be sufficient to reach the internal jugular vein even in obese patients and with a small insertion angle while minimizing the possibility to cause severe injury as structures like the pleura and the stellate ganglion could not be reached by shorter needles” Wenzel et al (2022).

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