Review of implantable port insertion methods
One of the leading venous access methods in chemotherapy is the use of a venous port catheter (VPC). An open surgical or ultrasound-guided technique can be performed. In our study, the VPC placement via both of these techniques was compared” Balkanay and Demiryas (2019). Abstract: OBJECTIVE: One of the leading venous access methods in chemotherapy […]
How to reduce venipuncture pain in children
This study was conducted to determine the effects of procedural restraint (PR) and cognitive-behavioral intervention package (CBIP) on venipuncture pain in children between 6-12 years of age” Yilmaz Kurt et al (2019). Abstract: BACKGROUND: Invasive interventions can produce fear, anxiety, and pain in children. This may negatively affect the children’s treatment and care. AIM: This […]
Ultrasound examination of umbilical catheter placement
To describe the learning curve and provide an estimate of the accuracy of physicians’ US examinations (US skills) and self-confidence when examining umbilical catheter tip placement” Kaae et al (2019). Abstract: BACKGROUND: The training required for accurate assessment of umbilical catheter placement by ultrasonography (US) is unknown. OBJECTIVE: To describe the learning curve and provide […]
Positive-pressure needleless connectors did not increase catheter hub colonization
The aim of this study was to compare the colonization rates of central venous catheter (CVC) and arterial catheter (ArtC) hubs fitted with two types of needleless connectors (NCs)” Delgado et al (2019). Abstract: INTRODUCTION: The aim of this study was to compare the colonization rates of central venous catheter (CVC) and arterial catheter (ArtC) […]
The role of biofilm in central venous catheter related bloodstream infections
Biofilm is a fundamental component in the pathogenesis of infections related to the use of the central venous catheter (CVC,) which can represent an important health issue in every day practice of nursing and medical staff” Ielapi et al (2019). Abstract: BACKGROUND: Biofilm is a fundamental component in the pathogenesis of infections related to the […]
Tunneled central venous catheter insertion in outpatients
Our analysis shows that placement of LTCVC by a nephrologist in an OR of a dialysis center is effective, safe, and results in substantial cost savings” Quintiliano and Praxedes (2019). Abstract: INTRODUCTION: Invasive procedures performed by trained nephrologists can reduce delays in making a definitive vascular access, complications, number of procedures on the same patient, […]
Population pharmacokinetics of vancomycin in obesity
This prospective study quantifies vancomycin pharmacokinetics in morbidly obese and non-obese individuals, in order to guide vancomycin dosing in the obese” Smit et al (2019). Abstract: AIMS: For vancomycin treatment in obese patients, there is no consensus on the optimal dose that will lead to the pharmacodynamic target (AUC 400-700 mg*h L-1 ). This prospective […]
Bundle prevents premature peripheral IV failure
To create, apply and analyze in clinical practice the effectiveness of a bundle to prevent peripheral vascular trauma to approach the peripheral venous puncture process” Krempser et al (2019). Abstract: OBJECTIVE: to create, apply and analyze in clinical practice the effectiveness of a bundle to prevent peripheral vascular trauma to approach the peripheral venous puncture […]
Central venous access in interventional radiology
Interventional radiology could provide solutions with the implant and monitoring of PICC-lines and ports” Habert et al (2019). Abstract: Some patients require iteratives intravenous administrations on a central catheter, for example in oncology or infectiology, which represents a challenge for ambulatory treatment. Interventional radiology could provide solutions with the implant and monitoring of PICC-lines and […]
Discharge delays and costs associated with OPAT
“OPAT with high-priced antibiotics requires significant care coordination. PA delays for these antibiotics are common and contribute to discharge delays” Bianchini et al (2019).
Risk of hair loss due to chemotherapy treatment
Damage and loss of hair (alopecia) is a predictable adverse event of oncological therapy. It can be caused by chemotherapy, radiotherapy, or targeted and hormonal therapy. From the point of view of patients with malignant disease, hair loss is one of the most feared side effects and adversely affects their mental health” Jedličková et al […]
Infusion of alteplase following unsuccessful thrombolysis with urokinase
The aim of the present study was to investigate whether the rescue of thrombolysis with the recombinant tissue plasminogen activator (rt-PA) alteplase was an effective and safe therapeutic option in patients who did not respond to urokinase” Gong et al (2019). Abstract: The aim of the present study was to investigate whether the rescue of […]
Surveillance of home health central venous catheter care outcomes
Limited data are available regarding central venous catheter (CVC)-related complications that occur in home care. A practical out-of-hospital surveillance mechanism is needed” Nailon and Rupp (2019). Abstract: Background: Limited data are available regarding central venous catheter (CVC)-related complications that occur in home care. A practical out-of-hospital surveillance mechanism is needed. Methods: Home health/infusion agencies in […]
The impact of CLABSI cost reimbursement policy
We analyzed the impact of the IC cost reimbursement policy on central line–associated bloodstream infections (CLABSIs)” Park et al (2019). Abstract: Background: In September 2016, the Korean National Health Insurance Service began reimbursing infection control (IC) costs on the condition that a certain number of doctors and full-time nurses for IC be allocated to supported […]
Implantable port occlusion due to curcumin infusion
A woman with metastasized endometrial sarcoma presented repeatedly with occlusion of the catheter port” Kildal et al (2019). Extract: “A woman with metastasized endometrial sarcoma presented repeatedly with occlusion of the catheter port. The Figure shows the explanted catheter system with the port chamber opened; the latter is covered with an oily granulate. The outlet […]
Types of pre-analytical errors in the clinical laboratory
This study was conducted to investigate and analyze pre-analytical errors. The author intended to reduce these errors by some measures in order to enhance the credibility of the laboratory” Lee (2019). Abstract: BACKGROUND: The results of laboratory tests play a critical role in patient management, so the clinical laboratory is obligated to report accurate results. […]
Prevalence and mortality analysis of upper extremity DVT
Upper extremity deep venous thrombosis (UEDVT) and its associated complications are increasing in incidence, but management strategies are largely derived from experience treating lower extremity deep venous thrombosis (LEDVT)” Rokosh et al (2019). Abstract: OBJECTIVE: Upper extremity deep venous thrombosis (UEDVT) and its associated complications are increasing in incidence, but management strategies are largely derived […]
Ultrasound-guided peripheral venous cannulation in critically ill patients
Key concepts regarding ultrasound-guided peripheral vein cannulation should be well known for practitioners, aiding in improving cannulation success and catheter dwell time, and avoiding complications” Blanco (2019). Abstract: BACKGROUND: Up to one-third of critically ill patients have difficult intravenous access (DIVA). This occurs often in obese patients, those with generalized edemas or in patients with […]
Time to positivity for assessing catheter-related yeast fungaemia
Time to positivity (TTP) and differential time to positivity (DTTP) between central and peripheral blood cultures are commonly used for bacteraemia to evaluate the likelihood of central venous catheter (CVC) related bloodstream infection. Few studies have addressed these approaches to yeast fungaemia” Gits-Muselli et al (2019). Abstract: BACKGROUND: Time to positivity (TTP) and differential time […]
Microbial colonization patterns in central venous catheters
This study was performed to provide epidemiological information on microbial colonization in central venous catheters (CVCs)” He et al (2019). Abstract: OBJECTIVES: This study was performed to provide epidemiological information on microbial colonization in central venous catheters (CVCs). METHODS: CVCs submitted to Medical Microbiology Laboratory from January 1, 2013, through October 1, 2017, which met […]
Research protocol for mechanical complications after central venous catheterisation
The purpose of this study is to determine the incidence of and potential risk factors associated with early mechanical complications of central venous catheterisation in an era where real-time ultrasound guidance has become clinical practice” Adrian et al (2019). Abstract: INTRODUCTION: Central venous catheterisation is a common procedure in intensive care therapy and the use […]
FDA report of single lot of IV fluid voluntary recall by ICU Medical
ICU Medical, Inc. (Nasdaq: ICUI) is voluntarily recalling one single lot of Lactated Ringer’s Injection, USP, and one single lot of 0.9% Sodium Chloride Injection, USP. The products are being recalled to the hospital level due to the presence of particulate matter” FDA (2019). FDA report “ICU Medical, Inc. (Nasdaq: ICUI) is voluntarily recalling one […]
Central venous access ports in the interventional radiology suite
Central venous access ports (CVAP) are widely used to provide long-term vascular access for the delivery of chemotherapeutic medications. The aim of this study was to evaluate the clinical outcomes and complications following CVAP implantation in the interventional radiology suite” Zabicki et al (2019). Abstract: PURPOSE: Central venous access ports (CVAP) are widely used to […]
Comparison of subclavian and peripheral intravenous cannula insertion
This study will compare PIVC and percutaneous subclavian vein cannula insertion through supraclavicular approach, and determine which method is more effective and fast in critically ill patients arriving in the emergency department” Azam et al (2019). Abstract: INTRODUCTION: Peripheral intravenous cannulation (PIVC) is a universal procedure to get venous access in hospital emergency settings. Sometimes, […]
Use of comfort measures during venipuncture in pediatric care
Phlebotomist training tends to focus on clinical technique rather than pediatric or patient comfort support. The study includes aims to develop a measurement for phlebotomists’ use of comfort techniques for pediatric blood draws” Piazza et al (2019). Abstract: BACKGROUND: Blood draws are a routine element of the pediatric patient experience. They are also associated with […]
Case of recurrent malignant lymphoma occurring at an implanted central venous port
In cases of refractory wound healing around an implanted CV port in patients with lymphoma, lymphoma recurrence and port infection should be considered” Hamano et al (2019). Abstract: A man in his 40s presented with fever and nasal congestion. NK-T cell lymphoma was pathologically diagnosed. A central venous(CV)port was implanted via a right subclavian approach. […]
Central venous access device-related fibrin sheaths
Central vascular access device (CVAD)-related sheaths, sometimes described as ‘fibrin sheaths’, may result in minor or significant sequelae, from persistent withdrawal occlusion (PWO) to infective sheaths associated with increased morbidity and mortality” Hill et al (2019). Abstract: Central vascular access device (CVAD)-related sheaths, sometimes described as ‘fibrin sheaths’, may result in minor or significant sequelae, […]
Landmark versus ultrasound-guided insertion of femoral venous catheters
To compare the effectiveness and safety in the insertion of femoral central venous catheters guided by ultrasound (US) versus the anatomical method (LM) in critical care pediatric patients” Pietroboni et al (2019). Abstract: BACKGROUND: Central venous cannulation (CVC) is common and necessary in pediatric intensive care. However, this procedure is not without risks or complications. […]
Point-of-care ultrasound for peripherally inserted central catheter monitoring
To assess the feasibility and accuracy of point-of-care ultrasound (POCUS) in monitoring peripherally inserted central catheter (PICC) location in neonates by non-radiologist physicians” Motz et al (2019). Abstract: Objective: To assess the feasibility and accuracy of point-of-care ultrasound (POCUS) in monitoring peripherally inserted central catheter (PICC) location in neonates by non-radiologist physicians. Methods: A prospective […]
CLABSI in pediatric hematology/oncology and stem cell transplant patients
Pediatric hematology/oncology (PHO) patients receiving therapy or undergoing hematopoietic stem cell transplantation (HSCT) often require a central line and are at risk for bloodstream infections (BSI). There are limited data describing outcomes of BSI in PHO and HSCT patients” Dandoy et al (2019). Abstract: Background: Pediatric hematology/oncology (PHO) patients receiving therapy or undergoing hematopoietic stem […]