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Pharmacist role in OPAT – Full Text

“The TOC pharmacists can play a key role in the evaluation of OPAT prescriptions at hospital discharge. This intervention demonstrated how TOC pharmacists can effectively collaborate with the OPAT team, which builds on prior evidence of the role and value of pharmacists in the transitional care setting” Stashluk et al (2024).

CLABSI prevention survey

clabsi

“Most US hospitals continue to use evidence-based methods to prevent CLABSI as recommended by leading organizations. Opportunities to focus on socio-adaptive interventions such as feedback of infection rates, use of appropriateness criteria for CVC placement, and improving the “culture of pan-culturing” remain” Pisney et al (2024).

Needleless connector flow rates

needleless connector

“In this study we utilised a rapid infuser to deliver room-temperature normal saline through two introducer sheath configurations with and without the addition of needleless connectors and the placement of catheters through the introducer sheaths” Smeltz et al (2024).

PICC and CVC complication rates comparison

picc

“Patients who received CVCs or PICCs between April 2010 and March 2018 were identified from the Diagnosis Procedure Combination database, a national inpatient database in Japan” Takahashi et al (2024).

Intravenous iron infusions in pediatric patients

infusion

“This single-institution retrospective chart review was conducted to assess the safety, efficacy, and adherence of intravenous (IV) iron infusions compared to oral iron in pediatric patients who had failed a trial of oral iron supplementation” Strachan et al (2024).

Intraosseous access in trauma patients – Full Text

intraosseous

“While intravenous access has traditionally been considered the primary method for vascular access, intraosseous (IO) access is gaining popularity as an alternative for patients with unsuccessful attempts” Qasim and Joseph (2024).

Microparticle release during continuous renal replacement therapy – Full Text

IV filter

“Particle infusion and related damage must be counted among the pathophysiological mechanisms supporting iatrogenic damage due to artificial cross-talk between organs during CRRT applied to critically ill patients. This damage can be reduced by using in-line filters in the extracorporeal circuit” Ruffa et al (2024).

Impact of sharps injuries on healthcare workers – Full Text

needlestick

“Injuries caused by sharp objects persist as a significant danger for hospital employees, posing immediate harm and long-term health risks linked to bloodborne pathogens. The findings stress the continuous responsibility of healthcare institutions to prioritize staff safety by addressing the root causes of sharp object injuries and fostering reporting and prevention cultures” Ibrahim et al (2024).

Right subclavian artery injury during CVC insertion – Full Text

central line

“The patient later developed mild dyspnea and dysphagia. Computed tomography scans indicated thrombus formation and tracheal deviation. Contrast-enhanced computed tomography scans showed right subclavian artery injury with extravasation and a large pseudoaneurysm” Tamaoki et al (2024).

Midline catheter use in pediatric apheresis

midline catheter

“In conclusion, this study supports the use of midline catheters as a safe and effective alternative for venous access during therapeutic and donor apheresis procedures in pediatric patients” Geile et al (2024).

Patient sleep patterns during home parenteral nutrition

Patient sleep patterns during home parenteral nutrition Abstract: Background: Patients receiving home parenteral nutrition (HPN) are known to experience psychological distress and have profoundly disrupted sleep. The aim of this analysis was to examine the relationship between sleep patterns with depressive symptoms and HPN characteristics. Methods: The study was a secondary analysis of cross-sectional data […]

OPAT for infective endocarditis patients – Full Text

“In a setting where there was good adherence to BSAC criteria, treating IE patients using OPAT services was safe. Complications observed were likely independent of treatment location. Significant bed days were saved” Schwiebert et al (2024).

Subclavian vein cannulation in children with congenital heart disease

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“For children with congenital heart disease requiring central venous catheterization during the perioperative period, the subclavian vein is a feasible site for catheterization. The supraclavicular approach, especially the left side, has a higher first-puncture success rate, shorter access time, lower complications, and a trend of lower incidence of catheter malposition” Gong et al (2024).

Patient awareness of blood transfusion risk

transfusion

“Many patients consider blood transfusion as a high-risk procedure. Healthcare professionals need to understand patient’s perceptions and conduct patient counselling accordingly. This will help physicians in addressing patient-specific concerns related to blood transfusion” Dev and Ahmed (2024).

Implantable port insertion pocket-first technique – Full Text

iv port

“The pocket-first technique can be considered as a safe, feasible and convenient technique for TIVAP implantation. The time consuming is significantly shortened compared with the puncture-first technique and this advantage may be more obvious when using SCV/AxV approach” Wu et al (2024).

CVC malposition into the azygos vein – Full Text

vascular access

“Here, we report a patient with CVC malposition into the azygos vein via the right subclavian vein. We conduct a comprehensive review of the anatomical structure of the azygos vein and the manifestations associated with azygos vein malposition” Feng et al (2024).

PICC placement in premature infants – Full Text

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“This study aimed to investigate the effectiveness of ultrasonography (US) and in vitro measurement (IVM) methods in localizing peripherally inserted central catheters (PICCs) in premature infants and analyze the relevant factors affecting the accuracy of IVM” He et al (2024).

Maki technique for CLABSI diagnosis – Full Text

CLABSI

“To determine whether the combined use of vortexing and Maki techniques provides profitability versus the Maki technique for the diagnosis of catheter tip colonization (CTC) and CRBSI” Lorente et al (2024).

Just-in-case peripheral IV catheters in ED

peripheral iv

“PVC were not used in 23.7% of cases. Predictors of nonuse were the prescribing physician’s expectation of nonuse and the reason for prescribing “just in case”. A PVC should probably not be prescribed if the prescribing physician thinks it will not be used or prescribes it “just in case” Noel et al (2024).

Central venous catheter options in pediatric oncology

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“Although over 15,000 tunneled catheters are placed annually in North America into children with cancer, there is a paucity of evidence to guide practice, suggesting multiple opportunities to improve care” Christison-Lagay et al (2024).

PICC associated cardiac tamponade case study – Full Text

picc

“Although the use of peripherally inserted central catheters (PICCs) has many advantages, misplacement can lead to serious life-threatening complications such as pericardial effusion (PCE) and cardiac tamponade (CT). This report aims to describe four cases of CT resulting from misplaced PICC, which were successfully managed” Trinh et al (2024).

Epicutaneo-cava catheter insertion bundle

“This paper proposes a structured, sequential insertion bundle-nicknamed “the SIECC protocol” (SIECC = Safe Insertion of Epicutaneo-Cava Catheters)-which includes seven evidence-based strategies which have been proven to increase the safety, effectiveness, and cost-effectiveness of the procedure” D’Andrea et al (2024).

Cancer-associated thrombosis risk assessment

UEDVT

“Machine learning (ML) is a novel technique used for the diagnosis and prognosis of several diseases, including cancer-associated thrombosis, when trained on specific diagnostic modalities. Consolidating the literature on the use of ML for the prediction of cancer-associated thrombosis is necessary to understand its diagnostic and prognostic abilities relative to KS” El-Sherbini et al (2024).