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Total intravenous anaesthesia

clabsi

“This article explores why the practical and outcome benefits have made total intravenous anaesthesia an increasingly accepted alternative to use of inhalational agents” Joines and Harris (2021).

Peripheral IV catheter insertion service

vascular access study

“The peripheral vascular access service allowed patients to receive appropriate peripheral vascular access devices and avoid unnecessary peripheral catheter placements” Wells et al (2021).

CLABSI reduction with 90-day sprint approach

CRBSI

“Using a 90-day sprint plan, numerous best practices were identified as key opportunities for CLABSI prevention and two main focus areas were identified for intervention: 1) daily chlorhexidine gluconate (CHG) bathing for all patients with central lines and 2) daily line necessity evaluation” Livingston (2021).

Blood culture initial specimen diversion technology

FDA Alert

“Use of initial specimen diversion technology was associated with an 83% lower rate of blood culture contamination compared to conventional methods, sustained for 18 months” Brownfield and Peterson (2021).

Pediatric central venous catheter length

CVC training

“Due to the difficulty in estimating the proper length of a central venous catheter in smaller pediatric patients, placing an 8 cm long catheter in these patients and then trimming the distal tip while on bypass may be the most accurate way to properly position a catheter” Glenski et al (2021).

Medical devices sterilised by Steril Milano – UK Alert

drug alert

“Fraudulent activity by this third-party sterilisation provider has been identified. Multiple medical device manufacturers are affected. Manufacturers are advising customers of actions required to mitigate risks” MHRA (2021).

Arterial cannulation in infants

PICC

“Scale ultrasound-guided radial arterial cannulation can significantly improved initial success rate and overall success rate, shorten puncture time in infant, compared with that achieved with the use of traditional ultrasound guidance” Yang et al (2021).

Vascular access competency tools

IV Port

“Therefore, this study aimed to develop and validate three different tools for assessing competency in managing the care of short peripheral cannulas (SPCs), midlines, peripherally inserted central catheters (PICCs), centrally inserted central catheters (CICCs), and arterial catheters (ACs) (tool one), placing SPCs (tool two), placing PICCs and midlines (tool three)” Rigo et al (2021).

Candidemia and CVC combination outcome – Full Text

clabsi

“Central venous catheter removal and appropriate initial antifungal treatment were associated with a lower incidence of the composite of mortality and recurrence. Additional studies are needed to determine the optimal duration of therapy following candidemia clearance” Junco et al (2021).

Double site intraosseous blood transfusion

VIP Score

“Dual anatomic site, pressure bag driven, intraosseous blood transfusion approximately doubles flow rates without evidence of clinical complications or hemolysis” Sulava et al (2021).

Improving infusion clinic wait times

infusion clinic

“Exploring real-time data and using a classic quality improvement methodology allowed a Comprehensive Cancer Center to identify deficiencies and prevent delays in chemotherapy initiation” Hashemi-Sadraei et al (2021).

Extended use insulin infusion set

PICC

“Our analysis demonstrates that by extending the duration of infusion set wear, there may be substantial cost-savings by reducing insulin wastage” Kwa et al (2021).

Vascular access device chest-to-arm tunneling

Fractured Catheter

“Our experience suggests that CTA tunneling is a safe maneuver, with very low risk of complications, and should be considered as an option in patients with complex venous access” Annetta et al (2021).

IV drug compatibility in critical care – Full Text

IV Infusion

“Almost half of the mixtures simultaneously administrated was compatible, which indirectly reflects in the organized work between the nursing team and the clinical pharmaceutic in the discussions and decisions related to time scheduling” Garcia et al (2021).

CLABSI antibiotic treatment

IV medication

“The limited data available suggests that shorter systemic antibiotic treatment duration may be sufficient for uncomplicated CRBSI” Muff et al (2021).

Bedside jugular vein access in children

neonatal io access

“CVC of critically ill premature infants can be safely and successfully achieved in incubators using sonography guidance, protecting them from hypothermia and anesthetic drugs” Doğan et al (2021).

Ambulatory infusion clinic layout

OPAT

“Our findings inform efforts to construct new and modify existing infusion centers to enhance patient safety and clinician communication” Fauer et al (2021).

Taurolidine lock solution for implantable port infection

CLABSI

“In our retrospective analysis, 2% taurolidine lock was completely safe and highly effective in the treatment of both catheter-colonization and catheter-related bloodstream infection in cancer patients with totally implanted venous access devices” Brescia et al (2021).

PICC in cancer patients – Full Text

syringe pump

“We aimed to evaluate the overall use of peripherally inserted central catheter (PICC) line in cancer patients, with the objective to study the demographic profile, complications, and safety related to PICC line in cancer patients” Sapkota et al (2021).

Extravasation detection device

Peripheral IV

“Significant differences (p = .006) in the pressure signal of the sensor could be observed when the catheter changed from the venous position to the extravasal position” Hinricher et al (2021).

CLABSI in medically complex children

hai surveillance

“A target 0% CLABSI was possible in critically ill children without underling condition while a high incidence was reported in CMC and sustained by a peculiar CLABSI ecology” Scarselli et al (2021).

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