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Valsalva maneuver in relieving venipuncture pain

procedural pain

“The purpose of this systematic review and meta-analysis was to evaluate the efficacy and safety of the Valsalva maneuver (VM) for the relief of venipuncture pain in children and adults” Shi et al (2024).

Predicting difficult intravascular access – Full Text

vascular access

” Ask (about a history of DIVA or IV drug abuse), Feel, and Evaluate BMI. By recognizing patients with DIVA before the first insertion attempt and treating them from the outset with advanced vein visualization techniques, patients with DIVA could be subject to less frequent painful venipunctures, fewer delays in treatment, and a reduction in other DIVA-associated burdens” Bahl et al (2024).

Embolisms caused by central venous catheter thrombus – Full Text

UEDVT

“Here, we report a case of simultaneous coronary and lower limb artery embolism in a PFO patient carrier of a CVC. The patient presented to the hospital with acute chest pain and lower limb fatigue. Doppler ultrasound showed a large thrombus in the right internal jugular vein, precisely at the tip of the CVC” Li et al (2024).

Implantation of venous access port tip – Full Text

iv port

“To assess the safety and feasibility of intentionally positioning the catheter tip in the right atrium (RA) without an abutment during implantation of a totally implantable venous access port (TIVAP)” Park et al (2024).

Outpatient treatment for MSSA infection – Full Text

IVTEAM opat

“In this cohort of MSSA BSI patients discharged on OPAT, there were no differences in outcomes of readmission with the same infection and 90-day all-cause readmission in patients treated with ceftriaxone compared to oxacillin/nafcillin or cefazolin” Hamad et al (2024).

ECG PICC placement in neurosurgical patients – Full Text

ECG

“The study encompassed a total of 354 cases. Our findings reveal distinct P wave amplitude percentages among the groups: 0% in the conventional group, 88.46% in the IECG group, and 91.78% in the IECG-IBP group” Wu et al (2024).

Knowledge and skills in CLABSI prevention – Full Text

CLABSI

“ur validated and clinically tested tool could facilitate the transfer of ICU nurses’ knowledge and skills learning in VAP and CRB prevention to critically ill patients, decreasing infection rates and, therefore, improving patient safety” Raurell-Torredà et al (2024).

Multiple retained needles in patients neck – Full Text

iv complications

“Our study emphasizes on the importance of suspecting a retained foreign body in intravenous drug users to ensure an adequate management of the possible complications and to protect the medical team from incidental needle injuries” Bouzid et al (2024).

Central line tip misplacement study – Full Text

central line

“In this large prospective multicentre cohort study, performed in the ultrasound-guided era, we demonstrated the incidence of tip misplacements to be 3.7 (3.3-4.1)%. Right internal jugular vein catheterisation had the lowest incidence of both minor and major tip misplacement” Ängeby et al (2024).

Ultrasound-guided peripheral IV catheter insertion program

ultrasound guided vascular access

“A nurse-focused quality improvement program focused on teaching and promoting USGIV as a modality for managing difficult IV access was associated with increases in USGIV placement and improvements in core process measures related to quality of patient care” Kessler et al (2024).

Neonatal cardiac tamponade following PICC insertion

picc

“Neonatal cardiac tamponade is a serious and rare complication of PICC line insertion. Early detection by point of care ultrasound (POCUS) and management by pericardiocentesis improves the chances of survival” Jain et al (2024).

Infection risk in neonates with intestinal failure

clabsi

“Neonates with intestinal failure (IF) are at risk for infection due to central venous access, and intestinal surgery. Infection can cause systemic inflammation and sepsis, potentially affecting growth” Wu et al (2024).

Temperature-responsive intravenous needle

vascular access

“In mice, the needles had similar fluid-delivery performance and caused substantially less inflammation than commercial devices for intravenous access of similar size. We also show that an intravenous needle integrated with a thin-film temperature sensor can monitor core body temperature in mice and detect fluid leakage in porcine tissue ex vivo” Agno et al (2023).

Dialysis nurses vascular access knowledge

vascular access

“This multicenter study aims to review the dialysis nurses’ knowledge, attitude, practice, and self-efficacy toward providing care for patients’ VA” Meng et al (2024).

Refeeding syndrome in hospitalized adults

IVTEAM Parenteral Nutrtion

“RFS was common among hospitalized patients receiving PN. The amount of energy delivered on the first day of PN was independently associated with RFS, raising a concern regarding initiation of PN with higher energy” Apiromruck et al (2024).

CVC colonization rate in patients with severe burns

clabsi

“The CVC colonization rate in patients with severe burns and routine CVC changing was not high. Lengthening the CVC duration might be attempted in patients at a lower risk of catheter-related BSI although further prospective studies are necessary” Jeon et al (2024).

Smart pump dose error reduction systems

Infusion pump

“The purpose of this performance improvement initiative was to increase IV smart pump DERS usage from 77% to 95% at a large, urban academic medical center” Abboudi et al (2023).

CLABSI reduction in a low middle-income country – Full Text

CLABSI

“Our multi-faceted approach using the CUSP model was associated with reduced CLABSI-associated morbidity and mortality in resource limited settings. Our findings suggest that higher attendance rate (>80%) at meetings may be necessary to achieve sustained effects post-intervention” Latif et al (2024).

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