Subcutaneous tissue thickness prediction equations – Full Text
“This study clarifies the predicted subcutaneous shoulder depth and investigates the safety of the conventional (three-finger breadth method) and new (axillary method) intramuscular injection methods” Kowatari et al (2023).
Review of central venous catheter insertion tray system – Full Text
“Anesthesia providers preferred CVC systems promoting patient safety, ease-of-use and reduce clinician error. Significantly higher (p < 0.05) satisfaction scores were awarded to a novel system featuring a sequentially organized tray, enhanced labeling, and a guidewire funnel" Wagner et al (2023).
Impact of pre ICU admission peripheral IV access failure – Full Text
“Failure of initial insertion may be a risk factor for adverse events. We could potentially provide various interventions to avoid failure of initial PIVC insertion. For example, PIVC insertion could be performed by experienced practitioners” Kishihara et al (2023).
ICU medication administration errors questionnaire results – Full Text
“Nurses showed negative perceptions toward medication administration errors. The majority of participants agreed that “The packaging of many medications is similar” (76.7%), followed by “different medications look alike” (76.2%), as the main reasons for medication error occurrence” Alzoubi et al (2023).
Case study demonstrates PICC tip location in multiple patient positions – Full Text
“Echocardiography performed in the left lateral recumbent position suggested the PICC tip to be in the right atrium, deepest at the level of the tricuspid annulus. However, trans-catheter contrast-enhanced echocardiography, performed with a different posture involving left shoulder abduction and slight external rotation, revealed the tip to be at the cavo-atrial junction” He et al (2023).
Venous access assessment to reduce chemotherapy extravasation – Full Text
“An evidence-based quality improvement project was developed to standardize venous access assessment using the Modified Adult Difficult IV Access Scale in conjunction with competency validation for safe administration of vesicant chemotherapy agents according to practice standards” Arangoa Miller et al (2023).
Central line patency management with normal saline flushes – Full Text
“The aim of this study was to analyze changes in reported CVC line patency via tissue plasminogen activator (tPA) administration rates in ports and other central lines because of an institutional switch from heparin to NS as preferred flushes in adult ambulatory patients with cancer” Baek et al (2023).
Infusion particles associated with IV pump or gravity infusions – Full Text
“To investigate the impact of an infusion system on the level of subvisible particles, we compared two types of infusion set based on peristaltic movement (Medifusion DI-2000 pump) and a gravity-based infusion system (Accu-Drip) using intravenous immunoglobulin (IVIG) as a model drug” Hada et al (2023).
CLABSI rates during the COVID-19 pandemic – Full Text
“Although regular use of CLABSI and VAE preventive practices continued to increase (or plateaued), use of several CAUTI preventive practices decreased during the COVID-19 pandemic” Saint et al (2023).
Safety engineered device designed to prevent guidewire retention – Full Text
“The WireSafeTM is a novel procedure safety pack engineered to prevent guidewire retention and sharps injury during central venous catheter insertion. This is a pilot study aimed to determine its acceptability, usability and safety during clinical practice” Patel et al (2023).
Spontaneous migration of PICC into azygos vein – Full Text
“We identified the position of the PICC tip step-by-step, using ultrasound, intracavitary electrocardiogram, and chest X-ray, and confirmed that the tip of the PICC migrated into the azygos vein” Liu et al (2023).
PICC tunnel length in adult patients with cancer – Full Text
“Patients with 4 cm, 5 cm, and 6 cm PICC tunnel lengths had a longer catheter dwell time and fewer PICC-related complications. No significant differences were found among all groups regarding patients’ pain and comfort levels” Li et al (2023).
Risk classification of extravasation injury from noncytotoxic agents – Full Text
“In this paper, we review case reports and animal experiments and classify the severity of extravasation injury by noncytotoxic agents into three categories. Parallel to cytotoxic agents, the classification provides appropriate warning of possible injury severity, helping medical personnel better understand the severity of tissue damage and prevent injury severity during extravasation” Shibata et al (2023).
How COVID-19 impacted on CLABSI rates – Full Text
“The study objective was to quantify infection rate trends for central-line associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) in 89 Alabama hospitals from 2015-2021 to analyze how the COVID-19 pandemic impacted healthcare delivery” Hyte et al (2023).
Subcutaneous drug administration in pediatric palliative care – Full Text
“In the pediatric palliative-care patients studied, the subcutaneous route is most frequently used for administering morphine and midazolam in continuous infusion. The main complication was induration, especially with longer dwell times or higher infusion rates” García-López et al (2023).
CVC insertion associated with a higher in-hospital mortality – Full Text
“In patients with ASCC, CVC insertion during hospitalization is associated with higher in-hospital mortality” Mohamed Jiffry et al (2023).
Ultrasound-guided arterial cannulation protocol
“The authors propose the Safe Insertion of Arterial Catheters (SIA) protocol, an ultrasound-guided insertion bundle applying a systematic approach to arterial cannulation, with a focus on improving insertion practices, reducing procedural complications, increasing the patient safety profile, and improving device performance” Spencer et al (2023).
Perforated intravenous catheter design for CT contrast
“This pilot RCT suggests perforated PIVCs provide expected flow rate, with no evidence of differences in contrast enhancement to non-perforated PIVCs. The feasibility of conducting a larger powered RCT was demonstrated” Gavin et al (2023).
Eliminating CLABSI in pediatric oncology patients – Full Text
“Our SMART aim was to reduce the CLABSI rate by 50% from a baseline of 1.89/1000 central line days to less than 0.9/1000 central line days by December 31, 2021” Willis et al (2023).
Electronic central line maintenance audits
“The purpose of this project was to implement a revised audit and feedback data collection process. The specific aims of the project were to evaluate: (1) the number of completed audits and, (2) central line maintenance bundle compliance rates before and after implementing a new process” Fritz et al (2023).
Ultrasound guided brachiocephalic vein access in pediatrics
“Compared to the out-of-plane approach of left BCV cannulation, US-guided in-plane cannulation of the left BCV increased the first-attempt success rate, decreased the number of puncture attempts, and decreased the time required for cannulation” Kumar et al (2023).
Local peripheral IV catheter complications in older patients
“To assess the incidence density of local complications of peripheral venous catheters in patients aged 70 years and older, to identify risk factors for local complications of peripheral venous catheters, to describe microbiological epidemiology and to assess the impact of complications on patient outcomes” Gras et al (2023).
Safety outcomes for OPAT continuous infusion vancomycin
“Given limited published experience with continuous infusion vancomycin in outpatient parenteral antimicrobial therapy (OPAT) programs, we reviewed outcomes from our center” Benefield et al (2023).
Upper arm implanted venous access port insertion – Full Text
“Traditional tunnelling technique increases the operation time and has an unsatisfied cosmetic effect, so we explored the feasibility, cosmetic effect and complications of an upper arm port with a novel incision in this retrospective study” Song et al (2023).
Criteria for central venous access device selection
“Central venous access devices may be nontunneled, tunneled, or implantable. They may be centrally or peripherally inserted by way of veins in the neck, extremities, or elsewhere. Each device and access site presents specific risks that should be considered in each clinical scenario to minimize the risk of harm” Massouh et al (2023).
CLABSI prevention compliance among registered nurses in Jordan
“The rate of CLABSI was the lowest in the hospital that applies the CVC bundle of care. Nurses’ knowledge about CLABSI prevention practices was significantly correlated with their compliance to CVCs maintenance care bundle” Matlab et al (2023).
Ultrasound-guided central venous catheterization narrative review – Full Text
“This narrative review aims to synthesize current knowledge on evidence-based best practices for CVC that improve the use and feasibility of real-time ultrasound-guided insertion procedures” Boulet et al (2023).
Peripherally inserted central catheter migration case study – Full Text
“We describe two clinical cases in which apparently correctly positioned PICCs migrated spontaneously from their original position” Caramia et al (2023).
Needle holding method for ultrasound-guided vascular access – Full Text
“The primary objective of this study was to compare the incidence of posterior vessel wall puncture (PVWP) using conventional needle holding technique with pen holding method of needle holding technique for IJV cannulation” Ramachandran et al (2023).
Ultrasound-guided peripheral IV access with dynamic needle-tip positioning
“Dynamic needle-tip positioning is efficacious for peripheral venous catheterization in children. It would be better to include dynamic needle-tip positioning for the ultrasound-guided short-axis out-of-plane approach” Takeshita et al (2023).