Impact of a Central-Line Insertion Site Assessment (CLISA) score
To assess the impact of a newly developed Central-Line Insertion Site Assessment (CLISA) score on the incidence of local inflammation or infection for CLABSI prevention” Gohil et al (2019). Abstract: OBJECTIVE: To assess the impact of a newly developed Central-Line Insertion Site Assessment (CLISA) score on the incidence of local inflammation or infection for CLABSI […]
Development of a pediatric PICC team
To examine our institutional experiences with ultrasound-guided peripherally inserted central catheter (US-PICC) placement by a dedicated US-PICC team under the umbrella of an existing pediatric sedation service” Rainey et al (2019).
Types of short peripheral IV catheters dwell time evaluated
Short peripheral catheters (SPCs) vary by design and materials. The investigators conducted a before-and-after study comparing catheter dwell time and complications with open and closed system SPCs” Penoyer et al (2019). Abstract: Short peripheral catheters (SPCs) vary by design and materials. The investigators conducted a before-and-after study comparing catheter dwell time and complications with open […]
Haptic robotic trainer in jugular central venous catheter placement
The objective of this study was to validate the transfer of ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) placement skills from training on a Dynamic Haptic Robotic Trainer (DHRT), to placing US-IJCVCs in clinical environments” Chen et al (2019). Abstract: BACKGROUND: The objective of this study was to validate the transfer of ultrasound-guided Internal Jugular […]
How to treat extravasation of calcium solution
The extravasation of a calcium solution into soft tissue constitutes a medical emergency, and a lack of adequate management can lead to significant functional and cosmetic sequelae” Girard et al (2019). Abstract: The extravasation of a calcium solution into soft tissue constitutes a medical emergency, and a lack of adequate management can lead to significant […]
Transfusion protocols prior to central venous catheterization in patients with cirrhosis
The use of a restrictive strategy is associated with a reduction in transfusion prior to central venous catheterization and costs in critically ill cirrhosis patients. No effect on bleeding was found among the groups” Rocha et al (2019). Abstract: BACKGROUND: Transfusion of blood components prior to invasive procedures in cirrhosis patients is high and associated […]
Gram-negative CLABSI and patient management
We evaluated the effect of central venous catheter management on cancer patients with gram-negative bloodstream infections” Fares et al (2019). Abstract: OBJECTIVE: Gram-negative organisms have become a major etiology of bloodstream infections. We evaluated the effect of central venous catheter management on cancer patients with gram-negative bloodstream infections. METHOD: We retrospectively identified patients older than […]
Cephalic vein cut-down for implantable port placement
Cephalic vein (CV) cut-down for totally implantable central venous access devices (TICVADs) is not frequently used due to its low success rate. We compared the outcomes of CV cut-down using preoperative ultrasonography (US) performed by experienced surgeons versus surgical residents” Hashimoto et al (2019). Abstract: BACKGROUND/AIM: Cephalic vein (CV) cut-down for totally implantable central venous […]
How to reduce PICC occlusion rates
Cancer patients are considered the most at risk of the consequences of catheter occlusion. Therefore, nursing interventions that can effectively reduce the occlusion of peripherally inserted central catheter (PICC) lines must be identified to ensure a smooth treatment” Pan et al (2019). Abstract BACKGROUND: Cancer patients are considered the most at risk of the consequences […]
Suggested techniques for ultrasound guided peripheral IV insertion
This article outlines the suggested techniques for the ultrasound-guided insertion of PIV catheters, midline catheters, and peripherally inserted central catheters” Millington et al (2019). Abstract: Peripheral intravenous (PIV) catheter insertion is the most commonly performed procedure in hospitals. Multiple patient factors can make PIV insertion challenging, and ultrasound guidance has been demonstrated to improve the […]
Review of implantable port insertion methods
One of the leading venous access methods in chemotherapy is the use of a venous port catheter (VPC). An open surgical or ultrasound-guided technique can be performed. In our study, the VPC placement via both of these techniques was compared” Balkanay and Demiryas (2019). Abstract: OBJECTIVE: One of the leading venous access methods in chemotherapy […]
How to reduce venipuncture pain in children
This study was conducted to determine the effects of procedural restraint (PR) and cognitive-behavioral intervention package (CBIP) on venipuncture pain in children between 6-12 years of age” Yilmaz Kurt et al (2019). Abstract: BACKGROUND: Invasive interventions can produce fear, anxiety, and pain in children. This may negatively affect the children’s treatment and care. AIM: This […]
Ultrasound examination of umbilical catheter placement
To describe the learning curve and provide an estimate of the accuracy of physicians’ US examinations (US skills) and self-confidence when examining umbilical catheter tip placement” Kaae et al (2019). Abstract: BACKGROUND: The training required for accurate assessment of umbilical catheter placement by ultrasonography (US) is unknown. OBJECTIVE: To describe the learning curve and provide […]
Positive-pressure needleless connectors did not increase catheter hub colonization
The aim of this study was to compare the colonization rates of central venous catheter (CVC) and arterial catheter (ArtC) hubs fitted with two types of needleless connectors (NCs)” Delgado et al (2019). Abstract: INTRODUCTION: The aim of this study was to compare the colonization rates of central venous catheter (CVC) and arterial catheter (ArtC) […]
The role of biofilm in central venous catheter related bloodstream infections
Biofilm is a fundamental component in the pathogenesis of infections related to the use of the central venous catheter (CVC,) which can represent an important health issue in every day practice of nursing and medical staff” Ielapi et al (2019). Abstract: BACKGROUND: Biofilm is a fundamental component in the pathogenesis of infections related to the […]
Tunneled central venous catheter insertion in outpatients
Our analysis shows that placement of LTCVC by a nephrologist in an OR of a dialysis center is effective, safe, and results in substantial cost savings” Quintiliano and Praxedes (2019). Abstract: INTRODUCTION: Invasive procedures performed by trained nephrologists can reduce delays in making a definitive vascular access, complications, number of procedures on the same patient, […]
Population pharmacokinetics of vancomycin in obesity
This prospective study quantifies vancomycin pharmacokinetics in morbidly obese and non-obese individuals, in order to guide vancomycin dosing in the obese” Smit et al (2019). Abstract: AIMS: For vancomycin treatment in obese patients, there is no consensus on the optimal dose that will lead to the pharmacodynamic target (AUC 400-700 mg*h L-1 ). This prospective […]
Bundle prevents premature peripheral IV failure
To create, apply and analyze in clinical practice the effectiveness of a bundle to prevent peripheral vascular trauma to approach the peripheral venous puncture process” Krempser et al (2019). Abstract: OBJECTIVE: to create, apply and analyze in clinical practice the effectiveness of a bundle to prevent peripheral vascular trauma to approach the peripheral venous puncture […]
Central venous access in interventional radiology
Interventional radiology could provide solutions with the implant and monitoring of PICC-lines and ports” Habert et al (2019). Abstract: Some patients require iteratives intravenous administrations on a central catheter, for example in oncology or infectiology, which represents a challenge for ambulatory treatment. Interventional radiology could provide solutions with the implant and monitoring of PICC-lines and […]
Discharge delays and costs associated with OPAT
“OPAT with high-priced antibiotics requires significant care coordination. PA delays for these antibiotics are common and contribute to discharge delays” Bianchini et al (2019).
Risk of hair loss due to chemotherapy treatment
Damage and loss of hair (alopecia) is a predictable adverse event of oncological therapy. It can be caused by chemotherapy, radiotherapy, or targeted and hormonal therapy. From the point of view of patients with malignant disease, hair loss is one of the most feared side effects and adversely affects their mental health” Jedličková et al […]
Infusion of alteplase following unsuccessful thrombolysis with urokinase
The aim of the present study was to investigate whether the rescue of thrombolysis with the recombinant tissue plasminogen activator (rt-PA) alteplase was an effective and safe therapeutic option in patients who did not respond to urokinase” Gong et al (2019). Abstract: The aim of the present study was to investigate whether the rescue of […]
Surveillance of home health central venous catheter care outcomes
Limited data are available regarding central venous catheter (CVC)-related complications that occur in home care. A practical out-of-hospital surveillance mechanism is needed” Nailon and Rupp (2019). Abstract: Background: Limited data are available regarding central venous catheter (CVC)-related complications that occur in home care. A practical out-of-hospital surveillance mechanism is needed. Methods: Home health/infusion agencies in […]
The impact of CLABSI cost reimbursement policy
We analyzed the impact of the IC cost reimbursement policy on central line–associated bloodstream infections (CLABSIs)” Park et al (2019). Abstract: Background: In September 2016, the Korean National Health Insurance Service began reimbursing infection control (IC) costs on the condition that a certain number of doctors and full-time nurses for IC be allocated to supported […]
Implantable port occlusion due to curcumin infusion
A woman with metastasized endometrial sarcoma presented repeatedly with occlusion of the catheter port” Kildal et al (2019). Extract: “A woman with metastasized endometrial sarcoma presented repeatedly with occlusion of the catheter port. The Figure shows the explanted catheter system with the port chamber opened; the latter is covered with an oily granulate. The outlet […]
Types of pre-analytical errors in the clinical laboratory
This study was conducted to investigate and analyze pre-analytical errors. The author intended to reduce these errors by some measures in order to enhance the credibility of the laboratory” Lee (2019). Abstract: BACKGROUND: The results of laboratory tests play a critical role in patient management, so the clinical laboratory is obligated to report accurate results. […]
Prevalence and mortality analysis of upper extremity DVT
Upper extremity deep venous thrombosis (UEDVT) and its associated complications are increasing in incidence, but management strategies are largely derived from experience treating lower extremity deep venous thrombosis (LEDVT)” Rokosh et al (2019). Abstract: OBJECTIVE: Upper extremity deep venous thrombosis (UEDVT) and its associated complications are increasing in incidence, but management strategies are largely derived […]
Ultrasound-guided peripheral venous cannulation in critically ill patients
Key concepts regarding ultrasound-guided peripheral vein cannulation should be well known for practitioners, aiding in improving cannulation success and catheter dwell time, and avoiding complications” Blanco (2019). Abstract: BACKGROUND: Up to one-third of critically ill patients have difficult intravenous access (DIVA). This occurs often in obese patients, those with generalized edemas or in patients with […]
Time to positivity for assessing catheter-related yeast fungaemia
Time to positivity (TTP) and differential time to positivity (DTTP) between central and peripheral blood cultures are commonly used for bacteraemia to evaluate the likelihood of central venous catheter (CVC) related bloodstream infection. Few studies have addressed these approaches to yeast fungaemia” Gits-Muselli et al (2019). Abstract: BACKGROUND: Time to positivity (TTP) and differential time […]
Microbial colonization patterns in central venous catheters
This study was performed to provide epidemiological information on microbial colonization in central venous catheters (CVCs)” He et al (2019). Abstract: OBJECTIVES: This study was performed to provide epidemiological information on microbial colonization in central venous catheters (CVCs). METHODS: CVCs submitted to Medical Microbiology Laboratory from January 1, 2013, through October 1, 2017, which met […]