Cause of oxygenated blood from central venous catheter?
Here, we report a case of PAPVC which was missed initially in a follow-up case of atrial septal defect with mitral stenosis patient who was taken up for mitral valve replacement, and after insertion of central venous catheter, there was aspiration of oxygenated blood from the catheter tip causing confusion of arterial migration of central […]
Hand hygiene compliance surveillance with time series anomaly detection
The objective of this study was to use a novel time series anomaly detection algorithm to analyze routine hand hygiene compliance data” Wiemken et al (2019). Abstract: Background: Hand hygiene is the most important intervention to reduce the risk of transmission of pathogens in health care. Assurance of effective hand hygiene improvement campaigns includes adequate […]
Repositioning of malpositioned PICC with intracavitary electrocardiogram
We discuss a novel technique of utilizing intracavitary electrocardiogram to help confirm proper peripherally inserted central catheter tip repositioning, thereby reducing the need for serial radiographs” Weber et al (2019). Abstract: INTRODUCTION: Peripherally inserted central catheter tip migration is an infrequent event that occurs in neonatal, pediatric, and adult patients. We discuss a novel technique […]
Safety of sodium citrate and sodium heparin catheter lock solutions
The effects of different concentrations of heparin and different types of catheter lock solutions are controversial. Therefore, this study aimed to compare the efficacy and safety of sodium citrate and sodium heparin catheter lock solutions” Huang et al (2019). Abstract: Objective: Use of a catheter lock solution plays a decisive role in vascular access. The […]
Protocol for needle-free connector with positive displacement
We have been using needle-free connectors for several years in our intensive care unit and here we present a protocol for installing these connectors on central venous catheters” Clavier et al (2019). Abstract: Needle-free connectors were initially designed and promoted to avoid blood exposure for healthcare workers. Some recent data suggest that the latest generation […]
Experience with OPAT and peripherally inserted central catheters
The implementation of an outpatient i. v. therapy using peripherally inserted central catheters (PICCs) allows for early discharge with continuation of adequate antimicrobial therapy” Baecker et al (2019). Abstract: BACKGROUND: A key factor in the successful treatment of periprosthetic joint infection is the consistent antimicrobial therapy. Depending on the pathogen antimicrobial susceptibility, intravenous (i. v.) antibiotics may […]
Initiation of maintenance hemodialysis through central venous catheters
Despite well-publicized suggestions to utilize arteriovenous fistulae and grafts to initiate hemodialysis, too many patients in the United States start dialysis via central venous catheters” Tang et al (2019). Abstract: BACKGROUND: Despite well-publicized suggestions to utilize arteriovenous fistulae and grafts to initiate hemodialysis, too many patients in the United States start dialysis via central venous […]
Stakeholder perceptions of smart infusion pumps and drug library updates
Results of a questionnaire-based study to evaluate smart infusion pump end users’ perceptions and understanding of the drug library update process are reported” Delaurentis et al (2019). Abstract: PURPOSE: Results of a questionnaire-based study to evaluate smart infusion pump end users’ perceptions and understanding of the drug library update process are reported. METHODS: The Indianapolis […]
Antibiotic lock therapy for CLABSI in pediatric patients
The aim of this study was to evaluate the outcome of antibiotic lock therapy in bloodstream infections in pediatric hematology/oncology patients in a tertiary care hospital, Karachi” Qureshi et al (2019). Abstract: BACKGROUND: Intravascular catheters are susceptible to infections, thus requiring catheter removal and leading to increased morbidity and costs. Antibiotic lock therapy (ALT) is […]
Bedside prediction of the central venous catheter insertion depth
We conclude that both landmark guidance and ECG guidance are comparable with regard to accurate central venous catheter tip positioning when CVCs are placed through right internal jugular vein whereas formula based technique is least accurate and results in over insertion of CVCs” Jayaraman et al (2019). Abstract: BACKGROUND AND AIMS: Central venous catheterization is […]
Detection of micro-bubbles in the right atrium to confirm peripheral IV catheter position
The micro-bubble detection test is a useful technique for detecting extravasation and confirming proper positioning of peripheral IV catheters in pediatric patients” Takeshita et al (2019). Abstract: OBJECTIVES: In pediatric patients, indwelling peripheral venous catheters are sometimes displaced to extravascular positions, causing infiltration or extravasation. No reliable techniques are available to confirm accurate IV catheterization. […]
Impact of vascular access types on hemodialysis patient long-term survival
This study aimed to explore the impact of vascular access types, including arteriovenous shunts and central venous catheter on all-cause mortality after adjustment of other risk factors” Yeh et al (2019). Abstract: Vascular access (VA) is the cornerstone for carrying out hemodialysis, yet it may bring in complications and leads to hemodialysis quality decline. This […]
Arm port vs chest port systematic review and meta-analysis
Arm port is associated with higher procedure conversion rate, but lower incidence of intra-operative complications, and age may be a risk factor for intra-operative events” Li et al (2019). Abstract: BACKGROUND: Two prevailing, totally implantable venous access ports are routinely utilized in oncology: chest port or arm port. This systematic review with meta-analysis was conducted […]
Report of surgical flap necrosis following PICC insertion
Pedicled latissimus dorsi musculocutaneous flaps are reliable options for reconstruction of torso and head and neck defects. After ensuring that no kink or external compression occurs on the pedicle, the survival rate exceeds 99%. However, we experienced a complete necrosis of the flap after insertion of a peripherally inserted central catheter line” Efanov et al […]
Review of dedicated central line procedure team and CLABSI rates
We compared hospital-wide CLABSI rate pre- and post-implementation of a dedicated procedure team as well as central line checklist completion and patient-specific variables between the procedure team and other providers” Styslinger et al (2019). Abstract: A primary strategy of central line-associated bloodstream infection (CLABSI) prevention is standardized, aseptic insertion of central lines. We compared hospital-wide […]
Comparison of intraosseous versus arterial and venous blood sampling
There is no consensus regarding whether and which laboratory analyses may be performed on IO aspirates, and research on hemodynamically unstable subjects is limited” Strandberg et al (2019). Abstract: BACKGROUND: Intraosseous (IO) access is often indicated for administration of drugs and fluids in emergencies when venous access is challenging. There is no consensus regarding whether […]
Central venous line placement and ultrasound probe damage
The most damaged areas are located on the short side of the probe (arrows) and on the median point of the long sides” De Cassai and Tonetti (2019). Extract: “The image [Figure 1] shows a linear US probe used for CVC placement in at least three-thousand procedures, mostly by resident anesthesiologists. The most damaged areas […]
Patient experience with peripherally inserted central catheters
We sought to better understand patient perspectives on having a urinary catheter or a PICC by reviewing open-ended comments made by patients about having either of these 2 devices” Trautner et al (2019). Abstract: BACKGROUND: Little is known about the patient experience with urinary catheters or peripherally inserted central catheters (PICCs). We sought to better […]
Power contrast injections through a totally implantable venous power port
To evaluate the feasibility and safety of power injection of contrast media through totally implantable venous power ports during computed tomography scans in oncologic patients” Son et al (2019). Abstract; Objectives; To evaluate the feasibility and safety of power injection of contrast media through totally implantable venous power ports during computed tomography scans in oncologic […]
Microbial colonization of intravascular catheter connectors
We assessed the colonization of the split septum catheter connector system, and subsequently the luer lock catheter connector system” Hankins et al (2019). Abstract: Background: Central line–associated bloodstream infections may be due to catheter connector colonization and intraluminal migration of pathogens. We assessed the colonization of the split septum catheter connector system, and subsequently the […]
Implementation of disinfecting port protectors to reduce CLABSI
Disinfecting port protectors are a supplement to the central line-associated bloodstream infection prevention bundle as an optional recommendation from the Centers for Disease Control and Prevention” Beeler et al (2019). Abstract: Disinfecting port protectors are a supplement to the central line-associated bloodstream infection prevention bundle as an optional recommendation from the Centers for Disease Control […]
Review of hemodialysis catheter associated right atrial thrombus
To study the magnitude of the complication of catheter associated right atrial thrombus (CRAT) in patients with tunnelled central venous hemodialysis catheters (THC) for maintenance hemodialysis (MHD)” Bichu et al (2018). Abstract: OBJECTIVE: To study the magnitude of the complication of catheter associated right atrial thrombus (CRAT) in patients with tunnelled central venous hemodialysis catheters […]
Ultrasound-guided peripheral IV catheter placement using a guidewire
The purpose of this pilot study was to investigate whether use of a guidewire improves successful placement of ultrasound-guided peripheral IVs (PIV) in difficult intravenous access patients in the emergency department (ED)” Cochrane et al (2019). Abstract: Objective: The purpose of this pilot study was to investigate whether use of a guidewire improves successful placement […]
Outcomes of implementing a central venous catheter bundle
This study done at All India Institute of Medical Sciences showed improved outcome in terms of catheter infection and mechanical complications” Krishnan et al (2018). Abstract: INTRODUCTION: Central venous catheter (CVC) associated infection are many times higher in India compared to western countries. A group of interventions called as CVC bundle, if implemented effectively prevents […]
Skin colonization at peripheral intravenous catheter insertion sites
In this study, the impact of PIVC skin site colonization on tip colonization and the development of CRBSI was investigated” Choudhury et al (2019). Abstract: BACKGROUND: Peripheral intravenous catheters (PIVCs) break the skin barrier, and preinsertion antiseptic disinfection and sterile dressings are used to reduce risk of catheter-related bloodstream infection (CRBSI). In this study, the […]
Implantable port placement in patients at risk of lymphedema
There was no difference in port complications or lymphedema rates between patients who had ports placed on the ipsilateral side compared with the contralateral side for breast cancer treatment” Isom et al (2019). Abstract: BACKGROUND: Central venous ports placed for breast cancer treatment have traditionally been placed contralateral to the disease. This is done out […]
Report of PICC embolization following surgical procedure
In this report, we describe a rare scenario of catheter breakage, entrapment, and embolization in a patient caused by inadvertent surgical clip and suture placement” More et al (2019). Abstract: Peripherally inserted central catheters (PICCs) are a feasible alternative to conventional central venous access. PICCs are often used perioperatively for central venous pressure monitoring and […]
Evaluation of implanted venous ports in children with complex needs
To analyze the use of implanted port-a-caths in children with medical complexity who have neurologic impairment and difficult venous access” Pezeshkpour et al (2019). Abstract: BACKGROUND: Children with medical complexity and associated neurologic impairment frequently face difficulties with venous access. Intermittently they require urgent intravenous administration of fluids and medication. OBJECTIVE: To analyze the use […]
Augmented ultrasound technique for central venous cannulation
Two-dimensional ultrasound (2DUS) guidance for central venous cannulation is a best-practice for patient safety identified by the Agency for Healthcare Research and Quality and the American College of Emergency Physician” Broder et al (2019). Abstract: Two-dimensional ultrasound (2DUS) guidance for central venous cannulation is a best-practice for patient safety identified by the Agency for Healthcare […]
Analysis of insurance claims from central venous access injuries
The aim was to analyse injuries reported to the Swedish National Patient Insurance Company (Löf) within 7 days after insertion or removal of a CVAD” Lindgren et al (2019). Abstract: INTRODUCTION: Insertion and use of central venous access devices (CVADs) can be associated with serious adverse events. The incidence is generally low but considering the […]