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Hepatic arterial infusion pump imaging

vascular access

“Hepatic arterial infusion (HAI) pumps are used to deliver liver-directed therapy by allowing the administration of selective chemotherapy to the liver via a catheter implanted most commonly into the gastroduodenal artery connected to a subcutaneous pump” Bonde et al (2023).

Did COVID-19 increase CLABSI rates – Full Text

CLABSI

Did COVID-19 increase CLABSI rates Abstract: This study investigated how the Coronavirus Disease 2019 (COVID-19) pandemic has affected the rate of healthcare-associated infections (HAIs). PubMed, Scopus and Google Scholar were searched to identify potentially eligible studies published from December 2019 to September 2022. A random effect model was used to determine the changes in the […]

Central venous access registry development – Full Text

central line

“Central venous access device-related complications can be life-threatening and add tens of billions of dollars to health care costs, while their incidence is most likely grossly mis- or underreported by medical institutions. In this communication, we review the challenges that impair retention, exchange, and analysis of data necessary for a meaningful understanding of critical events and outcomes in this clinical domain” Iorga et al (2023).

Candida biofilm related catheter bloodstream infections

clabsi

“Use of mixed-oil intravenous fat emulsion (MO-IFE) was shown to inhibit C. albicans biofilm formation and overall rate of catheter-related bloodstream infections (CR-BSIs) compared to soybean-oil IFE (SO-IFE)” Alvira-Arill et al (2023).

IV lock salvage strategy for implantable port infections

iv lock

“Little is known about efficacy and safety of ethanol lock therapy (ELT) to treat totally implantable venous access device (TIVAD) infections. The objective of this trial was to evaluate the effectiveness and safety profile of a local treatment with ELT without removal for TIVAD infection due to coagulase-negative staphylococci” Lesens et al (2023).

Implantable port catheter misplaced into the right subclavian artery – Full Text

iv port

“Radiologic identification of an arterially placed catheter is crucial not only because of the risks associated with using the port system but also due to the potential for severe hemorrhage during catheter removal. For these patients, a vascular occluder can be employed to seal the puncture site, preventing significant trauma that could result from open surgery” Chen et al (2023).

Dalbavancin for skin and soft tissue infections

drug aministration

“With the arrival of new drugs, there is a need to refine the appropriate drug’s decision-making. Drugs with a long half-life (long-acting lipoglycopeptides such as dalbavancin or oritavancin), which allows weekly administration (or even greater), can reduce hospital admission and length of stay with fewer healthcare resources through outpatient management (home hospitalization or day hospitals)” Blanes Hernández et al (2023).

5-FU contamination and closed-system transfer device

needleless connector

“Occupational exposure to cytotoxic drugs can lead to significant health problems. This study was designed to evaluate the risk of 5-fluorouracil (5-FU) contamination for nurses when disconnecting the infusion line of an elastomeric pump from a non-coring needle” Raphaëlle et al (2023).

Closed system transfer device review

needleless connector

“The aim of the present article is to review of medical devices used for safe chemotherapy applications in line with the information obtained from the literature” Tekin et al (2023).

Extravasation of iodinated contrast during CT

extravasation

“The purpose of this study was to retrospectively assess the prevalence, severity, management, and outcome of contrast extravasations in our institution and to perform a comparison to what has been reported in the existing literature” Dien Esquivel et al (2023).

PICC length formula – Full Text

picc

“In the test set, there was no case of length prediction failure. Moreover, the catheter tip position was evaluated as optimal in 82 cases (90.1%). This study’s results suggest an updated formula to predict the ideal PICC length using only AP-CXRs for bedside placement” Lee et al (2023).

Reducing pain and fear during phlebotomy

procedural pain

“This study aimed to evaluate the effects of two different distraction methods in reducing pain and fear during the phlebotomy procedure in children” Oluc et al (2023).

Neonatal PICC placement meta-analysis

picc

“We aimed to evaluate the effects and safety of PICC placement through upper versus lower limb vein in neonates, to provide insights into the clinical PICC nursing care” Zhao et al (2023).

Central catheter-associated thrombosis study

UEDVT

“The results showed that the focus population of CVC-RT research has changed from pediatric patients to cancer patients, the management of CVC-RT has become more formal and standardized, and the focused CVC type has shifted to port and peripherally inserted central catheters” Liu et al (2023).

Iatrogenic central venous injury

central line

“We describe an unusual case of central venous injury in a 69-year-old lady with a poorly functioning left internal jugular vein catheter, which was in situ at the time of attempting insertion of a replacement right internal jugular catheter” Singh et al (2023).

Vascular access in hypotensive patients

vascular access

“Owing to the increased vascular tone and the absence of readily palpable veins typically seen in exsanguinating trauma patients, intravascular access remains a challenging task” Succar et al (2023).

CLABSI diagnosis – CVC salvage or removal – Full Text

CLABSI

“The aim was to determine whether salvage treatment with systemic antibiotics is a safe and effective strategy for Enterobacterales bloodstream infections (BSI) in pediatric oncology patients with a central venous catheter (CVC)” van den Bosch et al (2023).

CLABSI mortality risk factors – Full Text

CLABSI

“The microbiological trends of the study population demonstrated a steady increase of CLABSI caused by Candida spp. with a predominance of Gram-negative pathogens” Alwazzeh et al (2023).

IV flush best practice implementation project

iv flush

“Post-implementation audit compliance rates increased to 100% for the following criteria: the organization had a standardized flushing and locking solution protocol (0%), the CVAD lumen was locked upon completion of the final flush (10%), a single-dose system was used for flushing and locking the CVAD (60%), and preservative-free 0.9% sodium chloride was used to flush the CVAD (60%). Furthermore, the CVC occlusion rate decreased from 33% to 5%” Fan et al (2023).

Paediatric smart-pump IV drug library

Infusion pump

“Children’s Health Ireland (CHI) developed a paediatric ‘smart-pump’ drug library using standardised concentrations” Howlett et al (2023).

Non-conventional paediatric PICC placement – Full Text

picc

“The PICC via an EJV approach without GA is a feasible and safe practice with acceptable success and complication rates, and low costs. It might be an attractive alternative for obtaining central vascular access for paediatric patients” Zhang et al (2023).

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