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Taurolidine lock solutions

extravasation

“To provide an updated overview of randomized controlled trials (RCT) comparing the efficacy of taurolidine containing lock solutions (TL) to other lock solutions for the prevention of CVC-related bloodstream infections in all patients populations” van den Bosch et al (2021).

Brachial plexus injury following CVC insertion

CVC training

“We reported a case of kyphoscoliosis deformity corrective surgery where IJV cannulation led to brachial plexus injury and was eventually recovered with medications and physiotherapy” Modi et al (2021).

Early extravasation detection – Full Text

PICC

“Sensors of millimeter size were printed in an array and were used for multiple detection points in a large area to detect extravasation at small volumes (<0.5 mL) at accurate bump location" Lu and Liao (2021).

Bacterial contamination of lightproof covers

clabsi

“These results indicate that there is a risk of bacterial contamination in the reuse of lightproof covers and that they should either be disposed off properly after usage or hand, finger disinfectants should be used while handling them to prevent any possible contamination” Hosomi et al (2021).

IV ports in sickle cell disease

hand hygiene

“Infusion ports in patients with SCD was associated with low rates of thrombosis, infection, and malfunction, and may be considered as an alternative to frequent intravenous access, especially in patients requiring CT” Ilonze et al (2021).

Catheter lock solutions and biofilm

CLABSI

“An in vitro model allows studies on the mechanisms by which the lock solutions exert their antimicrobial effects on catheter-associated biofilm, thus providing a better understanding of the management of devise-associated infections” Colombari et al (2021).

Vancomycin associated cutaneous drug reactions – Full Text

intravenous drip

“We discuss different types of vancomycin-associated cutaneous drug reactions. We also review the literature regarding previous descriptions of this type of drug reaction, known as transient reactive phlebitis (TRP)” Azimi-Ghomi and Napier (2021).

Intraosseous use in children

emergency iv access

“While IO placement is uncommonly performed pre-hospital, in critical situations there is a high success rate” Ting et al (2021).

Defining difficult intravenous access

IVTEAM diva

“Considering the themes identified, an evidence-driven definition of DIVA is proposed: “when a clinician has two or more failed attempts at PIV access using traditional techniques, physical examination findings are suggestive of DIVA (e.g. no visible or palpable veins) or the patient has a stated or documented history of DIVA” Bahl et al (2021).

Catheter salvage is possible in >75% CLABSI

clabsi prevention

“Catheter salvage is possible in >75% CLABSIs. Effective antibiotic treatment without removal of the CVC should be considered as first line treatment and a single-lumen CVC should be the catheter of first choice” D’Eusebio et al (2021).

Potassium chloride extravasation – Full Text

VIP Score

“Report the clinical course of a patient who was suffering a potassium extravasation and to discuss steps that can be done to decrease the chances of this event from occurring in other patients” Yan (2021).

Rare CVC complication

central venous

“We present this rare CVC complication to demonstrate the possibility of incorrect insertion of the catheter and penetration of the spinal canal, possibly causing neuronal damage” Chang et al (2021).

Early CVC removal and CLABSI recurrence

VIP Score

“A lower incidence of infection-related mortality, persistent bacteremia, and recurrent bacteremia was found in patients early catheter removal; however the sample size was not adequate to detect statistical differences” Johns et al (2021).

Local anaesthetic for peripheral IV cannulation

piv

“Among healthy individuals undergoing elective PVC, EMLA was associated with reduced pain, increased satisfaction, and was the preferred treatment compared to Coolsense” Thind et al (2021).

Reducing IV crystalloid in resuscitation

Sepsis management

“Institutions must now work to minimize use of IV crystalloids to hemorrhaging trauma patients and a simple solution of using smaller IV fluid bags was shown to improve adherence to this practice” Hall et al (2021).

Inadvertent arterial PICC placement

Intracavity ECG

“The findings demonstrate that ECG navigation technology should not be used to rule out arterial PICC placement” DiLoreto and Bahl (2021).

Unsuccessful arm port removal

Midline catheter

“The indwelling period is an independent risk factor for unsuccessful removal of a CV port implanted in the forearm of adult oncologic patients, with a cut-off of 41 months” Kinoshita et al (2021).

Clinically indicated peripheral IV replacement

Drug Compounding

“In developing countries, removing peripheral catheters as clinical indicated is feasible, but more frequent observations of infiltration are highly recommended” Li et al (2021).

CLABSI and hospital mortality rate

IVTEAM clabsi

“An evidence-based practice (EBP) approach to implementing change is relevant and pertinent to the strategy to improve outcomes for hospitalized patients with central venous catheters (CVC)” Chovanec et al (2021).

Involving parents to prevent CLABSI

cvad and haemophilia

“Nurses can decrease the incidence of CLABSIs by using maintenance bundles and including parents and families in safety prevention strategies” Gilbert and Cartwright (2021).

PICC insertion in preterm infants

neonatal picc

“Central lines, such as peripherally inserted central catheters (PICCs), are essential to ensure safe delivery of drugs and concentrated parenteral nutrition to optimize treatment and postnatal growth in sick preterm and term infants” Gavelli and Wackernagel (2021).

Superior vena cava perforation

central venous

“We present a case of a severe mechanical complication (superior vena cava [SVC] perforation) that developed after subclavian vein catheterization using an ultrasound-guided static approach in a patient who underwent right lower lobectomy with video-assisted thoracic surgery” Kaya et al (2021).

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