Subclavian line insertion safety
“We will dwell primarily on the principles of safe subclavian line insertion” Teman et al (2021).
Antimicrobial PICC and CLABSI reduction
“Combined with continued compliance with basic prevention strategies (ie use of a central line insertion checklist/insertion bundle) and optimization of device selection and lumen justification, the introduction of an antimicrobial/antithrombogenic (AM/AT) PICC was associated with a significant reduction in CLABSI” DeVries and Sleweon (2021).
CVC care guidelines
“A lack of published literature on the topic resulted in the need to create an institutional clinical practice guideline (CPG) to develop guidance to mitigate potential CLASBIs from CVC contamination” Chamblee et al (2021).
Management of looped CVC guidewire – Full Text
“We report a case in which we encountered a rare complication of looping of the guidewire used for dialysis catheter placement and how we correctly diagnosed and repositioned it under ultrasound guidance” Bajaj and Khan (2021).
Sutureless VAD securement and CRBSI
“GRIP-LOK affords a lower risk of CRBSI due to indwelling NTHCs than conventional securement using sutures” Fujimoto et al (2021).
Community IV therapy during a pandemic
“This article describes the development of a community IV therapy service through integration with acute and primary care teams. IV therapies delivered in addition to antimicrobials safely outside of the hospital setting are also discussed with scope for future areas of development explored” Hodgkins (2021).
IV drug standardisation in NICU
“Intravenous drug use in NICUs has been identified as a high-risk process, and error-reduction strategies (such as concentration standardisation) have been recommended” De Basagoiti et al (2021).
Inadvertent arterial cannulation
“The use of ultrasound has proven to reduce such complication, and the hospital implemented the use of ultrasound prior to any CVC placement” Al-Shareef et al (2021).
PICC care self efficacy intervention – Full Text
“We analyzed self-efficacy scores before and after the intervention, the complication rate, the infection rate, pathogens identified, and risk factors for PICC-associated infections” Liu et al (2021).
P wave and CVC tip location
“Electrocardiography is often used to guide the placement of central venous catheters and to confirm the correct position of the catheter tip” Massoth et al (2021).
Peripherally infused norepinephrine
“In this small pilot study, we pragmatically demonstrated that pNE is safe and may reduce the need for CVC placement” Groetzinger et al (2021).
Needlestick injury incidence
“Our findings suggest that the mandatory use of safety-engineered medical devices in countries that adopted the NSPA had lower NSI incidence in healthcare workers compared with countries without needlestick safety and prevention regulatory policies” Ou et al (2021).
Outpatient infusion therapy in pediatrics
“To determine the relative efficacy of intravenous therapy for postconcussive headaches in a pediatric population, as compared to oral therapy” Pate et al (2021).
PICC length in newborns – Full Text
“Between the two methods analyzed, the modified measurement obtained better results in the proper catheter tip positioning and, consequently, less risk to patients” Tomazoni et al (2021).
Vancomycin therapeutic drug monitoring
“owever, a detailed understanding of workflow and information flow among various stakeholders regarding vancomycin treatment processes in clinical settings is lacking” Tung et al (2021).
OPAT subcutaneous ertapenem
“Subcutaneous (SC) administration of ertapenem in outpatient parenteral antimicrobial therapy (OPAT) services may be a practical alternative to intravenous delivery for complicated infections” Hiew et al (2021).
PICC site and patient comfort
“This study found that the lower portion of YZ seems to be another suitable PICC insertion site for a higher degree of comfort and a lower risk of occlusion and thrombosis, which broadens the choice of PICC insertion sites in the upper arm for clinical practice” Huang et al (2021).
PICC in patients with venous stenosis
“PTA+PICC or contralateral PICC should be considered prior to ipsilateral MC when venous stenosis is encountered during PICC procedures” Kim et al (2021).
Teaching PICC tip position – Full Text
“The “Hand as foot” is an innovative teaching method proposed by Professor Liu Rui and his team after 20 years of research and practice” Li et al (2021).
Prevention of intraluminal infection
“Here, this prototype was shown to be able to generate HOCl as well as prevent infection in a preliminary in vitro catheter model” Cano et al (2021).
Central venous catheter material
“As long as external stress forces generated by surrounding structures and focused on potential weak points are avoided, both silicone and polyurethane materials provide sufficient structural stability to serve as reliable vascular access for patients” Wu et al (2021).
Infusion pump pressure sensing alarms
“In single pumps, both the regression and SD algorithm considerably reduced alarm delay compared to conventional pressure limit-based detection. The SD algorithm appeared to be more robust than the regression algorithm” Doesburg et al (2021).
CVC related thromboembolism prevention
“Primary thromboprophylaxis significantly reduced the risk of VTE without increasing the risk of major bleeding complications in patients with cancer and CVC” Li et al (2021).
Blood exposure reduction – Full Text
“Considering all the potential means of blood exposure (needle stick injury, sharp medical equipment injury, and blood splash) while excluding blood-free body-fluids” Reda et al (2021).
CRBSI rate and time of day CVC inserted
“Off-hours did not increase the risk of intravascular catheter infections compared to on-hours” Buetti et al (2021).
Vascular access performance in haemodialysis patients
“The vascular access monitoring system improved the vascular access score as well as some clinical and dialytic parameters” Mazzaferro et al (2021).
Elastomeric pumps and self administration
“The OPAT program in Harris Health system, the county hospital system of Houston, Texas, United States, has implemented a disposable elastomeric continuous infusion pump (eCIP) for self-administered intravenous antibiotics (s-OPAT) since December 2018” Karimaghaei et al (2021).
Unnecessary CVC removal
“Unnecessary device removal due to suspected infection presents a substantial clinical problem which is costly for the healthcare organisation and time-consuming for clinicians and places the patient at an increased risk of iatrogenic complications” Pearse et al (2021)
Vascular access team peripheral IV insertion outcomes – Full Text
“Factors identified, including the protective aspect of vascular access team insertion, and high catheter failure associated with intravenous antibiotic administration, will allow targeted updates of peripheral intravenous catheter guidelines and models of care” Marsh et al (2021).
PICC insertion by vascular surgeons
“In trauma patients, ultrasound-guided PICC insertion at the bedside by experienced vascular surgeons at the trauma ICU was feasible compared to fluoroscopy-guided insertion performed by interventional radiologists” Choi et al (2021).