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Blueprint for OPAT standardization – Full Text

“We intend our registry to serve as a blueprint for similar OPAT programs with limited administrative resources. Wider application of our system would allow for easier aggregation and comparisons of OPAT practice and address the lack interinstitutional standardization of OPAT data and outcomes” Canterino et al (2024).

Impact of needle bevel angle during vascular access – Full Text

vascular access

“Multiple needle punctures during central venous line insertion can lead to serious complications. Needle deterioration owing to repeated punctures may be a major cause. We hypothesized that there is an optimal bevel angle for a back-cut point needle that is resistant to deterioration” Urimoto et al (2024).

Bacterial isolates from positive paired blood cultures – Full Text

CLABSI

“This case report indicates consideration should be given to reporting whether bacteria have been identified at either species or strain level if differential time to positivity or differential quantitative blood cultures are used to define catheter or cannula bloodstream infection” Austin et al (2024).

The Canadian Nosocomial Infection Surveillance Program – Full Text

CLABSI

“Significant rate increases were observed in adult mixed intensive care unit CLABSIs (1.08-2.11 infections per 1,000 line days, p=0.014) while decreases were observed in SSIs following knee arthroplasty (0.34-0.27 infections per 100 surgeries, p=0.05)” Canadian Nosocomial Infection Surveillance Program (2023).

CLABSI rates during the COVID-19 period – Full Text

CLABSI

“Pooled data for central line-associated bloodstream infections (CLABSIs) indicated a significant increase during the COVID-19 period, but one study reported an increase in CLABSI incidence” Teus et al (2024).

Handheld ultrasound devices for peripheral IV cannulation

ultrasound guided vascular access

“Ultrasound for PIVC insertion is not widely accessible in nonspecialist areas, but more compact and affordable handheld models could provide a solution, especially for patients with difficult access” Ray-Barruel et al (2024).

Peripheral intravenous cannulation knowledge study

peripheral iv

“Peripheral intravenous cannulation and venipuncture are among the most common invasive procedures in health care and are not without risks or complications. The aim of this study was to evaluate the current training provided to nursing and midwifery undergraduate students” Hernon et al (2024).

Successful OPAT service implementation – Full Text

“Challenges and facilitators to OPAT service were identified among patients, health professionals, OPAT service providers, and health care administrators. Understanding them is crucial to designing targeted initiatives for successful OPAT service implementation” Mohammed et al (2024).

Inappropriate PICC use in pediatrics

picc

“Although the majority of PICCs met appropriateness criteria, a substantial proportion of PICCs were deemed inappropriate or of uncertain appropriateness, illustrating an opportunity for quality improvement” Burek et al (2024).

Brazilian hospital infusion phlebitis rates

“The nursing team plays an essential role in the care of patients with PIVCs, inpatient guidance, planning, and device choice, taking into account the risk factors for phlebitis to maintain the preservation of vascular health and reduce adverse events” Antequera et al (2024).

Upper or lower extremity intraosseous access

intraosseous

“In this large prehospital dataset, upper extremity IO access was associated with a small increase in the odds of ROSC in comparison to lower extremity IO access” Smida et al (2024).

Blood flow in the cavo-atrial junction

vascular access

“An in silico study is performed to investigate fluid dynamic effects of central venous catheter (CVC) placement within patient-specific cavo-atrial junctions” Su et al (2024).

Environmental impact of IV paracetamol

drug aministration

“Intravenous paracetamol has 12-fold greater life-cycle carbon emissions than the oral tablet form. Glass vials have higher greenhouse gas emissions than plastic vials. Intravenous administration should be reserved for cases in which oral formulations are not feasible” Davies et al (2024).

Colour-coded compartmentalised syringe trays – Full Text

Drug administration

“Anaesthetic drug administration is complex, and typical clinical environments can entail significant cognitive load. Colour-coded anaesthetic drug trays have shown promising results for error identification and reducing cognitive load” Laxton et al (2024).

Continuous vancomycin infusion dosing – Full Text

infusion

“Concluding, an empiric dosing regimen of 45 mg/kg results in too high vancomycin exposure and thus we recommend lower doses and differentiation according to renal function” Derijks-Engwegen and Jager (2024).