Inadvertent epidural and intravenous line swap – Full Text

“This paper reports on the accidental misconnection of intravenous acetaminophen to an epidural line and of the patient-controlled epidural analgesia (PCEA) pump to intravenous access, as a result of patient error” Dias et al (2023).

Chlorhexidine anaphylaxis case report

“We present a case of life-threatening anaphylaxis after CVC insertion caused by chlorhexidine used for skin preparation” Amano et al (2023).

Impact of fatigue on clinical performance

“An increasing body of evidence suggests that fatigue among healthcare staff is widespread, owing to a combination of high work intensity, long daytime hours and night-shift working. This has been linked to poorer outcomes for patients and longer inpatient stays, and to increased risks of work-related accidents, errors and injuries for practitioners” Sutherland et al (2023).

Pinch-off syndrome intervention – Full Text

“Knowledge of pinch-off syndrome among physicians is essential for early intervention, thereby preventing adverse events. Percutaneous approach seems an effective, safe, and simple procedure” Matta et al (2023).

Medical device-related pressure injuries – Full Text

“The stages of pressure injury stages were more for vascular access devices than for respiratory devices” Jung et al (2023).

Infusion-related local complications of vancomycin administration

“Our data support safe administration of vancomycin if infused at a concentration under 5 mg/mL, through the volumetric pump on PIVC” Ammar et al (2023).

Comparison of PICC and midline complication rates – Full Text

“Our findings suggest that patients who use midlines might experience fewer CRBSIs than those who use PICCs. However, the use of midline catheters was associated with greater risk of superficial vein thrombosis” Urtecho et al (2023).

Calcified fibrin sheath embolism case study

“The purpose of this report is to present bilateral pulmonary artery embolism in a patient who presented with cough and chest pain caused by calcified fibrin sheath of the port catheter” Gürhan and Kılınçer (2023).

Air embolism following opening CVC port – Full Text

“When the patient’s wife’s anamnesis was detailed, it was learned that in order to mobilize the patient, she separated the TPN from the catheter and left the catheter tip open” Yıldırım et al (2022).

Fibrin sheath related CVC failure – Full Text

“Catheter-related sheath (CRS) formation secondary to chronic indwelling central venous catheters (CVC) is a well-documented complication” Newman et al (2022).

Hemolytic events explained

“Hemolysis is a problem associated with a variety of red cell pathologies and physiologies not limited to the transfusion of cells” Cook (2023).

Insulin pump complications – Full Text

“What are the potential pitfalls of insulin pumps in children and how can these be prevented” Hou et al (2022).

Vascular access complications in cancer patients – Full Text

“We performed a meta-analysis to evaluate the complications of implanted port catheters and peripherally inserted central catheters in chemotherapy-treated cancer patients” Sun and Wu (2022).

Fractured IV port retrieval – Full Text

“Migration of central venous catheters is a rare but serious complication. The endovascular approach has been widely used for the retrieval of such fragment, with the two-step technique used for removal of catheter fragments with inaccessible ends” Sokwalla et al (2022).

Double superior vena cava – Full Text

“PSLVC is an uncommon condition that can complicate common procedures and therefore must be well-understood by physicians across many medical and surgical specialties” Unrue et al (2022).

Neonatal catheter-related pericardial effusion – Full Text

“Central catheters in Seldinger Technique (with a guidewire) put neonates at greater risk of PCE and consequent death” Wang et al (2022).

Air embolism after central venous catheter removal – Full Text

“Retrograde venous air embolism (RVAE) occurs when central venous pressure (CVP) is lower than atmospheric pressure, as is the case with deep inhalation, vertical positions above 45°, and hypovolaemia” Balboa et al (2022).

CVC induced hydrothorax – Full Text

“We reported here a patient with pleural effusion caused by the tip of the catheter hitting the side wall of the superior vena cava (SVC) because of changing the patient’s position repeatedly” Huang and Cui (2022).

Injury from opening a glass ampoule – Full Text

“We present two cases of HCWs with hand injuries from opening a medicinal glass ampoule” Estrella and Gavino (2022).

Cardiac tamponade caused by needle embolism – Full Text

“We present an unusual case of an intravenous drug user presenting with severe anginal pain with a history of intravenous needle use one month back, whose bedside echocardiography demonstrated pericardial effusion leading to tamponade” Rijal et al (2022).

Superior vena cava syndrome – Full Text

“It is important to realize that VCS syndrome can occur late after removal of central venous catheters, and thus, clinicians should be aware of its symptoms in any patient who has had an upper central line in the past medical history” Janssen and Logtenberg (2022).

Vein stripping during venepuncture – Full Text

“Initial venesection was successful, however blood flow then stopped. The needle was withdrawn, and surprisingly attached to the end of it was a thin, string-like structure” Wade et al (2022).

Inadvertent guidewire retention during cvc placement – Full Text

“We report the case of a patient with a late diagnosis of a guidewire retained in her venous system. The distal end of the guidewire pierced the pulmonary artery, crossed the chest wall and remained in the left breast tissue” Alves Ramos Diniz et al (2022).

Avoidable deaths related to drug-induced anaphylaxis

“To identify patterns and key issues though a systematic review in order to support prevention strategies and reduce avoidable deaths related to drug-induced anaphylaxis (DAF)” Tanno et al (2022).

Management of CVC associated vascular injury – Full Text

“Here we present the successful endovascular management of an injury to the proximal left common carotid artery following attempted cannulation of the right internal jugular vein” Dagher et al (2022).

Pinch off and catheter fracture

“Identify pinch off sign, especially with an upright check X-ray after chemoport placement. Consider repositioning of chemoport if pinch off sign is present” Lakshmi et al (2022).

IV complications and management – Full Text

“Even if the CVL utilization ratio is 70.1% of the patient-days in Europe, the decision of CVL insertion should be carefully balanced with the risk of complications” Timsit et al (2022).