Nationwide use of disposable and non-disposable venepuncture tourniquets
The objective of this study was to investigate the nationwide use of disposable and non-disposable venepuncture tourniquets and the standardised procedures for cleaning the tourniquets” Petersen and Nybo (2018). Abstract: Tourniquets are widely used to make the vein more visible prior to blood collection. Venepuncture tourniquets are however a non-sterile and potentially reusable equipment. Several […]
Improving disaster preparedness of families with a parenteral nutrition-dependent child
The purpose of the study was to demonstrate that we could improve disaster preparedness of families with PN-dependent children utilizing individualized family education and distribution of personalized disaster survival toolkits” Toor et al (2018). Abstract: OBJECTIVES: Disruption in the care of special healthcare needs children may lead to life-threatening situations or preventable secondary conditions. California […]
Developing and testing the Difficult Intravenous Access (DIVA) tool
The DIVA tool gave novice nurses a reliable indication of the probable difficulty of an IV insertion and resulted in a change in the IV policy standard at the institution, which now limits the number of peripheral IV insertion attempts to two per nurse and four per patient, bringing current policy into alignment with the […]
Taurolidine versus saline locking in patients on home parenteral nutrition
In the new catheter group, taurolidine showed a clear decrease in CRBSI rate” Wouters et al (2018). Abstract: BACKGROUND: The catheter lock solutions 2% taurolidine and 0.9% saline are both used to prevent catheter-related bloodstream infections (CRBSIs) in home parenteral nutrition patients. AIMS: To compare the effectiveness and safety of taurolidine and saline. METHODS: This […]
Optimal vascular access strategies for patients receiving chemotherapy
Systemic chemotherapy can be administered either through a peripheral vein (IV), or centrally through peripherally inserted central catheter (PICC), totally implanted vascular access devices (PORTs) or tunnelled cuffed catheters. Despite the widespread use of systemic chemotherapy in patients with breast cancer, the optimal choice of vascular access is unknown” Robinson et al (2018). Abstract: IMPORTANCE: […]
PICC occlusion in the OPAT setting
In this retrospective study of 285 patients receiving outpatient parenteral antibiotic therapy (OPAT), duration of antibiotic, use of double-lumen catheters, and receipt of penicillin G and cloxacillin appeared to increase the risk of PICC occlusion” Lam et al (2018). Abstract: In this retrospective study of 285 patients receiving outpatient parenteral antibiotic therapy (OPAT), duration of […]
Clinical application of ECG-guided tip positioning in PICC placement
The objective of the study was to perform the control study between the electrocardiogram (ECG)-guided tip positioning and traditional radiological confirmation method in peripherally inserted central catheters (PICC) placement; the accuracy and applicability of ECG-guided tip positioning were investigated” Li et al (2018). Abstract: OBJECTIVE: The objective of the study was to perform the control […]
The daily management of PICC in critically ill cancer patients
We aimed to investigate the status of knowledge, attitude, and practice (KAP) toward the daily management of PICCs in critically ill cancer patients discharged from intensive care units” Chen metal (2018). Abstract: BACKGROUND: Peripherally inserted central catheters (PICCs) are widely used in critically ill cancer patients. We aimed to investigate the status of knowledge, attitude, […]
Programmatic change leads to enhanced resource utilization and efficiency in port placement
Central venous port (CVP) placement is performed by a variety of surgeons in different subspecialties, and our previous work suggests that individual surgeons-regardless of training-are the strongest predictor of outcomes. We sought to prospectively evaluate a programmatic shift toward a resource-conscious, patient-focused algorithm for this common and simple surgical procedure” Venkatesan et al (2018). Abstract: […]
Intraosseous access and intravenous access during cardiopulmonary resuscitation in adults
Our results indicated that the arrival times of a drug at the right and left ventricles are significantly lower with HIO than with BIV in an adult cardiac arrest model” Cho et al (2018). Abstract: AIM: The present study aimed to compare the ventricular enhancement time between humeral intraosseous access (HIO) and brachial intravenous access […]
Just-in-time training for intraosseous needle placement
We evaluated a JITT curriculum for the procedures of intraosseous (IO) needle placement and defibrillator use in a pediatric emergency department (ED) by comparing the trainees’ comfort level in performing those procedures independently (Kirkpatrick level 2a) and trainees’ knowledge of the procedures/equipment (Kirkpatrick level 2b) before and after the JITT” Itoh et al (2018). Abstract: […]
CLABSI risk factors associated with hemodialysis central venous catheters
To measure the incidence of infection in short-term central venous catheter for hemodialysis and to identify the associated risk factors” Schwanke et al (2018). Abstract: OBJECTIVE: To measure the incidence of infection in short-term central venous catheter for hemodialysis and to identify the associated risk factors. METHOD: Prospective cohort study conducted in a teaching hospital […]
Malposition risk factors during intracavitary electrocardiogram PICC tip placement
This study confirmed the feasibility of intracavitary electrocardiogram for peripherally inserted central catheter positioning and the limits of chest X-ray” Monard et al (2018). Abstract: OBJECTIVES: To confirm the feasibility of intracavitary electrocardiogram guidance to verify tip’s position during insertion of peripherally inserted central catheter and to identify clinical factors or intracavitary electrocardiogram patterns associated […]
Cost-effectiveness of antimicrobial lock solutions for the prevention of CLABSI
The aim of this study was to evaluate the cost-effectiveness of antimicrobial locks for the prevention of CLABSI” Pliakos et al (2018). Abstract: BACKGROUND: Antimicrobial lock solutions are a low-cost strategy that can reduce the incidence of Central Line-Associated Bloodstream Infections (CLABSI). The aim of this study was to evaluate the cost-effectiveness of antimicrobial locks […]
Hot compress with Chinese herbal salt packets reducing PICC complications
To explore the preventive effect of applying hot compress with Chinese herbal salt packets (CHSP) to puncture vessels under aseptic conditions during peripherally inserted central catheter (PICC) on postoperative phlebitis” Wu et al (2018). Abstract: OBJECTIVE: To explore the preventive effect of applying hot compress with Chinese herbal salt packets (CHSP) to puncture vessels under […]
Impact of biofilm formation on the persistence of candidemia
This study aimed to determine the predictors of persistent candidemia and examine the impact of biofilm formation by Candida isolates in adult patients with candidemia” Li et al (2018). Abstract: This study aimed to determine the predictors of persistent candidemia and examine the impact of biofilm formation by Candida isolates in adult patients with candidemia. […]
Three-step procedure for safe internal jugular vein catheterization under ultrasound guidance
To avoid these complications, we perform a three-step procedure to place an internal jugular vein catheter under ultrasound guidance” Tampo (2018). Abstract: Real-time ultrasound guidance for central venous catheterization has become a standard technique. This technique has been reported to yield high success rates and fewer complications compared with landmark techniques. However, it can be […]
Totally implantable venous access port implantation via the axillary vein
These data indicate that totally implantable venous access port implantation via the axillary vein in patients with head and neck malignancy is safe and feasible, with a low axillary vein access-related complication rate” Hong et al (2018). Abstract: PURPOSE: To evaluate the clinical outcomes and complications of totally implantable venous access port implantation via the […]
Jugular vs femoral vein for central venous catheterization in pediatric cardiac surgery
The purpose of the present protocol is to evaluate the risk for infectious complications in terms of catheter colonization, catheter line-associated bloodstream infections, and catheter-related bloodstream infections (CRBSIs), and the mechanical complications from different central venous access sites in infants and newborns undergoing cardiac surgery” Silvetti et al (2018). Abstract: BACKGROUND: Placement of central venous […]
Outcomes associated with tunneled central venous catheters in infants and children
This study aims to evaluate the success, safety, and complications leading to surgical revision or premature removal of TCVC in this particular patient group” Martynov et al (2018). Abstract: BACKGROUND: There is a paucity of information on procedural and long-term outcomes of tunneled central venous catheters (TCVC) in infants and children younger than 3 years […]
Increased central line placement rates in patients with sepsis
We hypothesized that the percentage of CVPL placed for sepsis has increased over time, whereas the frequency of lines placed for other conditions has not changed” Close et al (2018). Abstract: BACKGROUND: Early goal directed therapy for sepsis patients requires placement of central lines (CVPL) to measure central pressure. OBJECTIVE: We hypothesized that the percentage […]
Effectiveness of early planned removal of PICCs on CLABSI prevention?
To determine the effectiveness of early planned removal of PICCs (up to two weeks after insertion) compared to an expectant approach or a longer fixed duration in preventing bloodstream infection and other complications in newborn infants” Gordon et al (2018). Abstract: BACKGROUND: Duration of use may be a modifiable risk factor for central venous catheter-associated […]
Predictive factors for CLABSI in pediatric cardiac surgery patients
To assess the prevalence of central line-associated bloodstream infections in pediatric patients with and without chylothorax after cardiac surgery and identify risk factors that predict those patients at highest risk for developing a central line-associated bloodstream infection” Waterhouse et al (2018). Abstract: OBJECTIVES: To assess the prevalence of central line-associated bloodstream infections in pediatric patients […]
Optimal scrub-time for the disinfection of injection ports
Though the optimal technique or disinfection time has not formally been identified through RCTs, nevertheless scrubbing with chlorhexidine-alcohol for 15 sec is seen as a reasonable recommendation and consistent with conclusions of three big reviews during the past three years (two from the UK, and one from Australia/USA)” Breimer et al (2018). Abstract: Central venous […]
Carotid artery infusion via implantable catheters for squamous cell carcinoma of the tonsils
To avoid exceeding toxicity limits in patients with primary and recurrent cancers of the tonsils, chemotherapy was administered intra-arterially via implantable Jet-Port-Allround catheters” Aigner et al (2018). Abstract: BACKGROUND: Chemoradiotherapy has a dominant role in therapy for head and neck cancers. However, impressive results are often disturbed by adverse events such as dysphagia, xerostomia, and […]
Central line bundle for prevention of implantable port infection
Central line bundle programs were found to be effective in decreasing central line-associated bloodstream infection rates, improving patients’ quality of life by preventing ports removal due in pediatric cancer patients” Devrim et al (2018). Abstract: OBJECTIVE: The clinical impact of central line bundle programs for central line-associated bloodstream infections has been well demonstrated in intensive […]
Minocycline, EDTA and ethanol lock for salvaging of central line associated bloodstream infections
Our study suggests that M-EDTA-EtOH lock therapy may be an effective intervention to salvage long-term CVCs in the setting of CLABSI/CRBSI and hemodialysis cancer patients with limited vascular access” Hachem et al (2018). Abstract: BACKGROUND: The use of long-term central venous catheters (CVCs) could lead to serious bloodstream infections. Removal of the infected CVC and […]
Vascular access complications in patients undergoing percutaneous procedures
To map the production of knowledge on vascular access complications in patients undergoing percutaneous procedures in hemodynamic laboratories” Reich et al (2018). Abstract: OBJECTIVE: To map the production of knowledge on vascular access complications in patients undergoing percutaneous procedures in hemodynamic laboratories. METHODS: Scoping review study. The search strategy was developed in three stages, considering […]
Costs of pediatric home parenteral nutrition central line infections
To evaluate institutional cost of community-acquired CLABSI in pediatric HPN patients” Raphael et al (2018). Abstract: BACKGROUND: While previous literature suggests home parenteral nutrition (HPN) dependent children experience frequent complications like community acquired central line associated bloodstream infections (CLABSI), few studies have characterized the cost. OBJECTIVES: To evaluate institutional cost of community-acquired CLABSI in pediatric […]
Abstracts from the 5th World Congress on Vascular Access WoCoVA 2018
Abstracts from the 5th World Congress on Vascular Access WoCoVA 2018″ WoCoVA (2018). The abstracts of WoCoVA 2018 are published in the Journal of Vascular Access and are available to read if you click the link below. [button link=”http://journals.sagepub.com/doi/10.1177/1129729818778929″ color=”default”]Read Abstracts[/button] [spacer height=”20px”] <!– ClickToTweet Embed Code Start –> <script type=”text/javascript” src=”//clicktotweet.com/embed/rn1Ia/1″></script> <!– ClickToTweet Embed […]