Drug administration and persistent withdrawal occlusion
“We have recently started to assess the intravascular position of the tip and the delivery of the infusion in the proximity of the cavo-atrial junction utilizing transthoracic/subxiphoid ultrasound with the ‘bubble test'” D’Arrigo et al (2021).
Sepsis recognition and management
“Implementation of systems capitalizing on the ability of the electronic health record to constantly screen patients, paired with rapid response teams who can assess and approach sepsis with a standardized algorithm can significantly improve the recognition and management of patients with sepsis, and save lives” Cox and Voss (2021).
Peripheral inotropes in critically ill children
“Results from our study suggest that extravasation injury due to peripheral inotrope infusion is very low (3%) and it may be safely administered in children at a diluted concentration” Mooli and Sadasivam (2021).
Glue for peripheral IV catheter securement
“We conducted a prospective, single-site, parallel, two-arm randomized controlled investigation with a primary outcome of catheter failure comparing securement with standard semi-permeable dressing and clear tape (SPD) to standard semipermeable dressing and clear tape with cyanoacrylate glue (SPD + CG)” Bahl et al (2021).
Knotted PICC in premature newborn
“A clinician should take into account knotting possibility of PICC while formulating the differential diagnosis when faced up to a malfunctioning line” Yilmaz and Çeri (2021).
Why is my renal fistula difficult to access?
“This study aimed to analyze the causes for difficult fistula cannulation, using various imaging modalities” Behera et al (2021).
Back pain associated with parenteral nutrition administration
“The patient’s back pain was ultimately felt to be an adverse reaction to the multivitamin component of the infusion based on an elimination trial of the PN components” Swartz et al (2021).
Non-sterile to sterile drug compounding during a pandemic
Non-sterile to sterile drug compounding during a pandemic Abstract: The drug supply chain has suffered many interruptions over the past decade. The COVID-19 pandemic exacerbated an already fragile infrastructure for supplying critical medications to hospitals and health-systems. The purpose of this paper is to provide insight to the history, thought-processes, and response to critical medication […]
Peripheral IV catheter failure prevention
“Using ultrasonography to all target veins might have contributed to higher success rates of catheterization and extremely low incidence of catheter failure based on objective findings” Abe-Doi et al (2021).
When to use balanced intravenous solutions – Full Text
“Utilization of a large volume of isotonic saline may lead to hypervolemia, hypernatremia, hyperchloremia, metabolic acidosis, and hypokalemia. The use of balanced intravenous solutions has been advocated to avoid these complications” Tinawi (2021).
Nonorthopaedic-related VTE risk with PICC was 61%
“The primary risk factors for NORTH VTEs included intravenous peripheral inserted central catheter/central line (61%; P<0.001) and cancer (27%; P=0.001)" Samineni et al (2021).
Effect of virtual reality on pain during vascular access in children
“Effect of virtual reality on pain during vascular access in children fear, there is significant heterogeneity between studies” Saliba et al (2021).
IV fluid resuscitation in hypotensive cats
“Bolus fluid resuscitation effectively increases blood pressure in hypotensive cats; however, it does not result in normalization of blood pressure, HR, or BT in the majority of cases” Chalifoux et al (2021).
PICC placement in renal patients
“PICC insertion in patients with CKD is practiced frequently. Rigorous strategies should be implemented to improve adherence to clinical practice guidelines and reduce unnecessary insertions and preserve veins for when an AVF may be required” Othman et al (2021).
Occlusion most common implantable port complication – Full Text
“There were 127(10.6%) complications; the most common being catheter occlusion 46(36.2%)” Moralar et al (2021).
Midline catheter and PICC phlebitis rates
“This study provides the first systematic assessment of the risk of phlebitis between midline catheters and peripherally inserted central catheters” Lu et al (2021).
Invasive devices are risk factor for HAI
“The use of invasive devices is a risk factor for the occurrence of HAI caused by bacteria and fungi” Menezes et al (2021).
IV filters for parenteral nutrition
“This Position Paper aims to review past guidance regarding the filtration of PN, examine the clinical consequences of infusing particulate matter, discuss the challenges and issues related to filtration, and clarify the American Society for Parenteral and Enteral Nutrition (ASPEN) recommendations for the use of filters for PN administration” Worthington et al (2021).
Management of catheter related thrombosis – Full Text
“Regardless of the type of locking solution, if prophylaxis with a thrombolytic agent is chosen, it should be started from the very beginning to reduce the risk of thrombotic complications” Szymańska et al (2021).
Peripheral IV access ultrasound education
“An ultrasound-guided IV curriculum can be successfully implemented resulting in increased first stick success and increased longevity” Bhargava et al (2021).
Chemotherapy order second check and error rates
“This project illustrates that chemotherapy-trained pharmacy technicians may be capable of performing chemotherapy second checks as accurately as pharmacists” Gundrum et al (2021).
Stuck implantable port fragment
“Management of a stuck fragment remains controversial in asymptomatic patients, and we suggest careful, close observation rather than aggressive and invasive treatment” Jung et al (2021).
Peripheral IV catheters indications for use
“The ERPIUP Consensus (ERPIUP = European Recommendations for Proper Indication and Use of Peripheral venous access) was designed to offer systematic recommendations for clinical practice, covering every aspect of management of peripheral venous access devices in the adult patient: indication, insertion, maintenance, prevention and treatment of complications, removal” Pittiruti et al (2021).
Plasma piperacillin minimum inhibitory concentration advice – Full Text
“To be effective, piperacillin/tazobactam (PTZ) unbound plasma levels need to be above the minimum inhibitory concentration (MIC) at least 50% of the time between dosing intervals (50% fT>MIC)” Chongcharoenyanon et al (2021).
Upper extremity deep vein thrombosis
“Upper extremity deep vein thrombosis (UEDVT) has been increasing in incidence due to the escalating use of central venous catheters such as peripherally inserted central catheters” Yuen et al (2021).
New technology for hemodialysis vascular access
“Recently, major innovations in devices and technology for hemodialysis vascular access care have rapidly changed the landscape” Vachharajani et al (2021).
Using distraction to prevent venipuncture pain
“In children with solid organ transplants, there was no difference in pain and distress associated with venipuncture between those who did and did not receive distraction. There was also no difference in other procedure-related outcomes except for greater phlebotomist satisfaction when distraction was implemented” Grabinski et al (2021).
Subcutaneously anchored securement for tunneled central catheters
“In our retrospective analysis of a vast population of oncological pediatric patients with tunneled central catheters, the subcutaneously anchored securement device was tolerated very well, and it was highly effective in preventing dislodgment, both in cuffed and non-cuffed catheters” Crocoli et al (2021).
Prevention and treatment of infusion phlebitis – Full Text
“Actions that promote the efficacy and safety of intravenous therapy include maintenance of venous access, infusion volume control, verification of signs of phlebitis during saline solution and medication administration, and constant monitoring” Guanche-Sicilia et al (2021).
Persistent left superior vena cava
“Herein, we report a case of dialysis catheter placed into a left sided superior vena cava, only diagnosed after CT scan study” Santos et al (2021).