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Pain prevention during intravenous cannulation

peripheral iv

“CoolSense was more efficacious in reducing the pain of intravenous cannulation than the EMLA cream. In the pediatric population, CoolSense appears to be a simple and rapid means of providing adequate analgesia for venous cannulation” Xess et al (2022).

Pinch off and catheter fracture

IVTEAM Pinch off

“Identify pinch off sign, especially with an upright check X-ray after chemoport placement. Consider repositioning of chemoport if pinch off sign is present” Lakshmi et al (2022).

Community infusion service – Full Text

IVTEAM Community infusion service

“An increasing number of drugs and blood products need to be delivered by intravenous infusion. In the Canterbury region of New Zealand, these have historically been delivered at a hospital site; however, some infusions could be delivered in a community setting without compromising patient safety” McGonigle et al (2022).

PICC and CLABSI reduction

picc

“Our study confirmed that PICC was a superior alternative to CICC in preventing CLABSI in the adult hematology unit, while it posed a microbiological shift in local epidemiology” Nakaya et al (2022).

Needlestick among dental students

needlestick

“Dental students had a high prevalence and low reporting rate of NSI exposure. Inadequate knowledge might increase the probability of NSI exposure” Huang et al (2022).

CLABSI reduction in pediatrics – Full Text

CLABSI

“Implementation of multiple interventions led to a successful reduction in the incidence of CLABSIs in our unit, with a sustained reduction over 1 year” Gauntt et al (2022).

PICC inserted by interventional nephrologists – Full Text

picc

“The results of our study showed high success and low complication rates for PICC insertion by nephrologists. These findings indicate that interventional nephrologists already skilled in other procedures can expand their field of activity and profit” Kim et al (2022).

OPAT in people who inject drugs – Full Text

IVTEAM opat

“PWID have a range of antimicrobial delivery options that can be tailored in a patient-centred manner and thus are not limited to prolonged hospital admissions to receive intravenous antimicrobials for invasive infections” Attwood et al (2022).

OPAT and inpatient-bed cost savings – Full Text

IVTEAM opat

“These patients also had a total of 312 days of outpatient antibiotic therapy, which was an average of 21 days per patient. The total cost, if patients were admitted for those days, assuming a night cost £400, was £124,800, which was on average £8,320 per patient” Kwok et al (2022).

PICC line self care – Full Text

picc

“It is more beneficial to promote patients’ self-nursing management ability, reduce anxiety, reduce the average cost of PICC pipeline maintenance, reduce the incidence of PICC-related complications, and enhance nursing satisfaction” Jiang et al (2022).

Intracavitary ECG implantable port placement – Full Text

ECG

“This indicated that the intracavitary ECG-guided tip positioning technique may improve the accuracy of tip catheter placement and shorten the operation time, thus reducing ionizing radiation caused by repeated positioning” Shi et al (2022).

IV complications and management – Full Text

iv complications

“Even if the CVL utilization ratio is 70.1% of the patient-days in Europe, the decision of CVL insertion should be carefully balanced with the risk of complications” Timsit et al (2022).

Ideal tip location for dialysis catheters

IVTEAM CVC tip location

“When utilising tunnelled CVCs with a step-tip design inserted via the right IJV, location of the catheter tip in the SVC is associated with reduced occurrence of catheter dysfunction as compared to either the CAJ or DRA” Soh et al (2022).

Tunneled CVC associated hemorrhage

vascular access

“This case demonstrates the risk of significant hemorrhage when a tunneled CVC is damaged at this location and the potential need for the urgent removal of the retained component to prevent recurrence of bleeding” Bogdan and Malavade (2022).

Pediatric trauma blood transfusion – Full Text

transfusion

“Relocation of un-crossmatched blood storage to the ED decreased the time to blood transfusion. This system-based intervention should be considered a strategy for reducing delays in transfusion in time-critical settings” Sullivan et al (2022).

Fluid challenge in children

infusion

“This study aimed to conduct pooled analyses to identify those who may be more likely to respond to fluid boluses as well as characterize clinical changes associated with fluid boluses” Loomba et al (2022).

Central venous catheter malposition

central line

“Clinically significant catheter malposition and pneumothorax after CVC insertion are low. In this study, replaced and non-replaced “malpositioned” catheters had similar catheter duration and rates of complications, challenging the current dogma of CVC malposition practice” Ablordeppey et al (2022).

Catheter occlusion rates by CVC type

central line

“We retrospectively compared risk factors for unplanned removal of two commonly used CVCs, peripherally inserted central catheters (PICCs) and tunneled CVCs, to propose which is the better device” Miyagishima et al (2022).

Citrate IV catheter lock

iv lock

“Studies showed that sodium citrate at concentrations from 23% to 47% is antibacterial, and a non-randomized clinical trial showed that its use as a lock solution in dialysis catheters greatly decreased the incidence of CRBSI” Ash (2022).

ACF anatomical variation – Full Text

vascular access

“Physicians or other health care providers who perform procedures in the cubital fossa, such as venipuncture or vascular access, should be aware of such an anatomical variation” Newton et al (2022).

MARSI in patients undergoing bone marrow transplantation

iv dressing

“Skin breakdown occurring around central line dressings increases the risk for infection and bacteremia in all patients. The risk is magnified when experienced in pediatric patients receiving marrow-ablative therapy” Melhorn and Burkett (2022).

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