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CVC insertion site swab and BSI diagnosis

CLABSI reduced

“The novel objective of our study was to determine the capability of insertion skin site culture to predict CRBSI and primary bloodstream infection (PBSI), that include CRBSI and bloodstream infection of unknown origin (BSIUO)” Lorente et al (2021).

Sternal intraosseous devices

intraosseous infusion sites

“When considering IO vascular access in adults or older children, medical providers should consider the sternum as the recommended IO access” Kearney et al (2021).

Ultrasound assessment of peripheral IV catheters

ultrasound cvc insertion

Ultrasound assessment of peripheral IV catheters Abstract: Objective: Establish the feasibility of pediatric intensive care unit (PICU) nurse-directed ultrasound assessment (UA) of peripheral intravenous (PIV) catheters, compare the results of UA to traditional assessment (TA), and determine PIV survival after UA. Design: Prospective observational cohort study. Setting: PICU within a children’s hospital. Patients: PICU patients […]

IV access ability whilst wearing PPE

VIP Score

“The study provides evidence that nurses wearing biosafety Level-2 suits were able to obtain intraosseous access faster and more effectively as compared with IV access during simulated COVID-19 paediatric resuscitation” Drozd et al (2021).

PICC-related VTE in cancer patients

PICC

“The non-O blood group, larger ratio of PICC diameter:vein diameter, and high level of triglycerides were significantly associated with PICC-related VTE” Li et al (2021).

Ultrasound vascular access in children

neonatal picc

“This article gives a review of the current evidence, the basic knowledge of the technique and the structured approach to follow for supraclavicular ultrasound-guided brachiocephalic vein access in children and neonates” Acosta and Tusman (2021).

Impact of multiple PICC insertions – Full Text

PICC

“Although PICCs have been widely used worldwide in various patients, the safety and feasibility of the multiple insertions of the PICC in this population have not been fully verified” Hashimoto et al (2021).

Drug administration and persistent withdrawal occlusion

Ultrasound

“We have recently started to assess the intravascular position of the tip and the delivery of the infusion in the proximity of the cavo-atrial junction utilizing transthoracic/subxiphoid ultrasound with the ‘bubble test'” D’Arrigo et al (2021).

Sepsis recognition and management

Sepsis management

“Implementation of systems capitalizing on the ability of the electronic health record to constantly screen patients, paired with rapid response teams who can assess and approach sepsis with a standardized algorithm can significantly improve the recognition and management of patients with sepsis, and save lives” Cox and Voss (2021).

Peripheral inotropes in critically ill children

Peripheral IV

“Results from our study suggest that extravasation injury due to peripheral inotrope infusion is very low (3%) and it may be safely administered in children at a diluted concentration” Mooli and Sadasivam (2021).

Glue for peripheral IV catheter securement

Peripheral IV

“We conducted a prospective, single-site, parallel, two-arm randomized controlled investigation with a primary outcome of catheter failure comparing securement with standard semi-permeable dressing and clear tape (SPD) to standard semipermeable dressing and clear tape with cyanoacrylate glue (SPD + CG)” Bahl et al (2021).

Knotted PICC in premature newborn

PICC

“A clinician should take into account knotting possibility of PICC while formulating the differential diagnosis when faced up to a malfunctioning line” Yilmaz and Çeri (2021).

Non-sterile to sterile drug compounding during a pandemic

Drug Compounding

Non-sterile to sterile drug compounding during a pandemic Abstract: The drug supply chain has suffered many interruptions over the past decade. The COVID-19 pandemic exacerbated an already fragile infrastructure for supplying critical medications to hospitals and health-systems. The purpose of this paper is to provide insight to the history, thought-processes, and response to critical medication […]

Peripheral IV catheter failure prevention

Disinfection caps

“Using ultrasonography to all target veins might have contributed to higher success rates of catheterization and extremely low incidence of catheter failure based on objective findings” Abe-Doi et al (2021).

When to use balanced intravenous solutions – Full Text

Sepsis management

“Utilization of a large volume of isotonic saline may lead to hypervolemia, hypernatremia, hyperchloremia, metabolic acidosis, and hypokalemia. The use of balanced intravenous solutions has been advocated to avoid these complications” Tinawi (2021).

IV fluid resuscitation in hypotensive cats

IV Fluid

“Bolus fluid resuscitation effectively increases blood pressure in hypotensive cats; however, it does not result in normalization of blood pressure, HR, or BT in the majority of cases” Chalifoux et al (2021).

PICC placement in renal patients

Venipuncture

“PICC insertion in patients with CKD is practiced frequently. Rigorous strategies should be implemented to improve adherence to clinical practice guidelines and reduce unnecessary insertions and preserve veins for when an AVF may be required” Othman et al (2021).

Midline catheter and PICC phlebitis rates

PICC

“This study provides the first systematic assessment of the risk of phlebitis between midline catheters and peripherally inserted central catheters” Lu et al (2021).

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