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IV filters for parenteral nutrition

parenteral nutrition

“This Position Paper aims to review past guidance regarding the filtration of PN, examine the clinical consequences of infusing particulate matter, discuss the challenges and issues related to filtration, and clarify the American Society for Parenteral and Enteral Nutrition (ASPEN) recommendations for the use of filters for PN administration” Worthington et al (2021).

Management of catheter related thrombosis – Full Text

dialysis access

“Regardless of the type of locking solution, if prophylaxis with a thrombolytic agent is chosen, it should be started from the very beginning to reduce the risk of thrombotic complications” Szymańska et al (2021).

Peripheral IV access ultrasound education

Ultrasound Vascular Access

“An ultrasound-guided IV curriculum can be successfully implemented resulting in increased first stick success and increased longevity” Bhargava et al (2021).

Stuck implantable port fragment

Fractured Catheter

“Management of a stuck fragment remains controversial in asymptomatic patients, and we suggest careful, close observation rather than aggressive and invasive treatment” Jung et al (2021).

Peripheral IV catheters indications for use

Peripheral IV

“The ERPIUP Consensus (ERPIUP = European Recommendations for Proper Indication and Use of Peripheral venous access) was designed to offer systematic recommendations for clinical practice, covering every aspect of management of peripheral venous access devices in the adult patient: indication, insertion, maintenance, prevention and treatment of complications, removal” Pittiruti et al (2021).

Upper extremity deep vein thrombosis

UEDVT

“Upper extremity deep vein thrombosis (UEDVT) has been increasing in incidence due to the escalating use of central venous catheters such as peripherally inserted central catheters” Yuen et al (2021).

Using distraction to prevent venipuncture pain

Venipuncture

“In children with solid organ transplants, there was no difference in pain and distress associated with venipuncture between those who did and did not receive distraction. There was also no difference in other procedure-related outcomes except for greater phlebotomist satisfaction when distraction was implemented” Grabinski et al (2021).

Subcutaneously anchored securement for tunneled central catheters

IV Port

“In our retrospective analysis of a vast population of oncological pediatric patients with tunneled central catheters, the subcutaneously anchored securement device was tolerated very well, and it was highly effective in preventing dislodgment, both in cuffed and non-cuffed catheters” Crocoli et al (2021).

Prevention and treatment of infusion phlebitis – Full Text

VIP Score

“Actions that promote the efficacy and safety of intravenous therapy include maintenance of venous access, infusion volume control, verification of signs of phlebitis during saline solution and medication administration, and constant monitoring” Guanche-Sicilia et al (2021).

Persistent left superior vena cava

picc tip

“Herein, we report a case of dialysis catheter placed into a left sided superior vena cava, only diagnosed after CT scan study” Santos et al (2021).

Umbilical catheter complications

PICC

“Adverse events associated with umbilical catheters include malposition, bloodstream infections, thrombosis, tip migration, and extravasation, resulting in loss of vascular access and increased risk of morbidity and mortality” Gibson et al (2021).

Risk of unplanned hospitalization in OPAT patients

Drug Compounding

“A simple risk prediction model for unplanned readmission in OPAT patients demonstrated reproducible predictive performance, broad clinical transportability and clinical usefulness” Durojaiye et al (2021).

Ultrasound-guided central venous catheterization – Full Text

Ultrasound

“We investigated whether two needle insertion techniques for ultrasound-guided internal jugular vein (IJV) catheterization differ in the number of needling attempts and complication rate between inexperienced and experienced practitioners” Yoon et al (2021).

Vascular access options after kidney transplant – Full Text

vascular access

“In the majority of the patients, vascular access blood flow was below the threshold of the negative cardiovascular effect of vascular access. Creation of a distal AVF is a protective measure to avoid a high flow and preserve the vessels for future access. The approach to VA should be individualized and adjusted to the patient’s profile” Letachowicz et al (2021).

Pseudomonas aeruginosa OPAT treatment – Full Text

CLABSI prevention

“The aim of this study was to evaluate the efficacy and safety of outpatient antimicrobial therapy with piperacillin-tazobactam in continuous infusion using elastomeric pumps and to evaluate the economic impact compared with conventional hospital treatment in patients with Pseudomonas aeruginosa (PA) infections” Ferreiro et al (2021).

Central venous catheter fracture – Full Text

Fractured Catheter

“A chest X-ray and CT performed during qualification for surgery revealed the presence of a fractured fragment of a central venous catheter in the right atrium” Ostrowski et al (2021).

Testing prolonged continuous infusion via PICC – Full Text

PICC research

“In the current work, we established a novel rabbit model for prolonged continuous IV infusion by inserting a PICC line from the marginal ear vein to the superior vena cava and connecting it to an externally carried ambulatory infusion pump” For et al (2021).

OPAT for cystic fibrosis patients – Full Text

thrombolysis

“To this end, the paper examines the co-produced outpatient parenteral antimicrobial therapy (OPAT), applied to cystic fibrosis patients in an Italian hospital” Marsilio et al (2021).

Needleless connector nursing care

Needlefree

“This study aimed to assess nurses’ practice, knowledge, attitudes, and key influencers on appropriate care of NCs in an Australian facility and compare these with studies undertaken in the United States in 2011” Slater et al (2021).

Neonatal platelet transfusion guideline – Full Text

central venous catheter

“Implementation of a restrictive neonatal platelet transfusion guideline significantly reduced potentially harmful platelet transfusions in our NICU without a change in major bleeding” Davenport et al (2021).

Hemodialysis vascular access dysfunction

hemodialysis

“While access-related dysfunction is a clear driver of clinical outcomes and costs, the full impact of vascular access dysfunction on patient experience and quality of life is not fully characterized in the literature” Woo et al (2021).

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