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Prevention of hemodialysis CRBSI

clabsi

“We aimed to determine whether multifaceted quality improvement interventions in hemodialysis units can prevent hemodialysis catheter-related bloodstream infections (HDCRBSI)” Lazarus et al (2023).

Removal of stuck implantable port catheter

iv port

“Port-based central venous catheters may remain indwelling for years with subsequent fibrosis resulting in a “stuck” catheter. At time of removal, this can lead to complications such as catheter fracture or require additional operative techniques for safe extraction” Urevick et al (2023).

Thromboembolism risk factors in children with CVC

UEDVT

“The findings of this study provide new insights on risk factor differences between CRT and non-CRT. Prevention efforts should be directed at modifying the type of CVC, insertion location and/or number of CVCs placed if possible, to decrease the incidence of CRT” Jaffray et al (2023).

Arterial injuries following central venous catheterization

central line

“Inadvertent supra-aortic arterial injuries during central venous catheterization can lead to devastating outcomes. These have been traditionally been managed with open repair or covered stent placement; only recently have percutaneous closure been incorporated into the management of these iatrogenic arterial injuries” Kania et al (2023).

Central venous catheter type overview

central line

“This review gives a basic overview of the differences of CVC catheters including PICCs, Hickman-catheters and port-catheters along with the criteria for CVC selection” Kehagias et al (2023).

Catheter-related UEDVT recurrence in cancer patients

UEDVT

“Catheter-related thrombosis (CRT) occurs in approximately 2-6% of cancer patients. We conducted a single-center retrospective study to assess the rate of venous thromboembolism (VTE) recurrence in cancer patients; 200 patients were included” Hakem et al (2023).

Hemodialysis vascular access coordinator

vascular access

“The vascular access coordinator can positively contribute to increase the number of arteriovenous fistulas and reduce central venous catheters” Sousa et al (2023).

HAI bundle compliance results – Full Text

IVTEAM bundles

“Compliance rates were 94%, 100%, 99%, and 76% for ventilator-associated pneumonia, central line-associated bloodstream infections, catheter-associated urinary tract infections, and hand hygiene bundles, respectively” Alrebish et al (2023)

Vasopressor administration through a midline catheter

midline catheter

“We found no significant association of vasopressor administration though a midline with catheter-related complications. However, we identified an increased odds of systemic (but not ipsilateral upper extremity) venous thromboembolism warranting further evaluation” Gershengorn et al (2023).

Managing opioid waste in the emergency department

drug aministration

“In this study, we sought to utilize real-world data to describe the magnitude of morphine and hydromorphone waste in the studied EDs. We also applied scenario analyses based on provider ordering patterns to simulate the effects of cost versus opioid waste minimization when making purchasing decisions for the dose of stock vial of each opioid” Coleska et al (2023).

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