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Case of recurrent malignant lymphoma occurring at an implanted central venous port

clabsi

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

IV port

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

CVC

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

neonatal io access

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

CLABSI

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 […]

Electronic health record to help prevent CLABSI

“To explore this issue, this study focused on interprofessional communication around a specific clinical issue, the prevention of central line-associated bloodstream infections” Thate et al (2019).

A prospective audit evaluating use of urokinase in oncology patients

Antibiotic infusion

This article reports the results of a single-site prospective audit evaluating the safety and effectiveness of urokinase (Syner-Kinase®) to restore patency in central venous access devices (CVADs) for cancer patients” Harrold et al (2019). Abstract: This article reports the results of a single-site prospective audit evaluating the safety and effectiveness of urokinase (Syner-Kinase®) to restore […]

Patients’ perception and attitude to totally implantable venous access

Totally implanted venous access (TIVA) improves the safety and welfare of patients treated with cancer chemotherapy (CCT). We aimed to evaluate patients’ perception of TIVA placement, TIVA use, and information on TIVA, and to assess the association between patients’ perception and their attitude regarding a potential TIVA re-implantation” Vermeulin et al (2019). Abstract: INTRODUCTION: Totally […]

PICC dwell time and late-onset sepsis in very low birth weight infants

neonatal picc

To study the clinical features and pathogenic bacteria of late-onset sepsis (LOS) in very low birth weight (VLBW) and extremely low birth weight (ELBW) infants” Liu and Tong (2019). Abstract: OBJECTIVE: To study the clinical features and pathogenic bacteria of late-onset sepsis (LOS) in very low birth weight (VLBW) and extremely low birth weight (ELBW) […]

Skin coupled microphone array for point of care dialysis vascular access monitoring

dialysis vascular access

This work describes a flexible and body-conforming multi-channel sensor and associated signal processing methods for automated DOS characterization of vascular access” Panda et al (2019). Abstract: Point-of-care screening for hemodialysis vascular access dysfunction requires tools that are objective and efficient. Listening for bruits during physical exam is a subjective examination which can detect stenosis (vascular […]

Anatomy of arteries described in this online article

PICC uedvt

Arteries make up a major part of the circulatory system, with the veins and heart being the other main components. Arteries make up tubelike structures that are responsible for the transportation of fluid (i.e., blood for of the circulatory system, and lymph for the lymphatic system) to and from every organ in the body” Mercadante […]

Mini-midline in difficult intravenous access patients in emergency department

intraosseous infusion sites

This study aimed to reduce the number of attempts needed for a short-cannula insertion or preventing insertion of a central vascular access by placing an ultrasound-guided long cannula during the emergency department visit” Gilardi et al (2019). Abstract: BACKGROUND: “Difficult intravenous access” patients represent a challenge within an emergency department as they often require many […]

WoCoVA 2020 registration is open

iv conference

Following the 5th successful World Congress on Vascular Access, WoCoVA is proud to announce the 6th World Congress, to be held in Athens, Greece from June 17 – 19, 2020″ WoCoVA report “Following the 5th successful World Congress on Vascular Access, WoCoVA is proud to announce the 6th World Congress, to be held in Athens, […]

Cyanoacrylate tissue adhesive in vascular access

ECMO catheter

Cyanoacrylate tissue adhesive has been approved for use with vascular access devices and the benefits of this aid to device securement are now being recognised” Nicholson and Hill (2019). Abstract Health professionals are responsible for preventing and minimising complications related to vascular access devices. This is important from the perspectives of both the patient and […]

Impregnated catheters decrease colonization rates in neonates

CLABSI reduced

The use of antibiotic and antimycotic impregnated PICC-lines in neonates tended to decrease colonization rates in neonates in our centers but this difference was not significant” Klemme et al (2019). Abstract: OBJECTIVE: Nosocomial infections increase mortality and morbidity in preterm infants. Central venous line colonization is a major risk factor for the development of such […]

Lipoteichoic acid as a potential noninvasive marker of biofilm

PICC

The purpose of this pilot study was to characterize LTA concentrations in hemodialysis (HD) patients with TCVCs compared to other access types and to evaluate biofilm morphology and microbiology in TCVCs removed by clinical decision” Pai et al (2019). Abstract: Tunneled central venous catheters (TCVCs) are colonized by Gram-positive organisms and form biofilm. Lipoteichoic acid […]

Proximal penholding method for ultrasound guided central venous cannulation

Ultrasound Vascular Access

A significant incidence of Posterior Vessel Wall Puncture (PVWP) was reported during ultrasound guidance (USG) for internal jugular vein (IJV) catheterization. We studied a new technique of USGIJV cannulation to minimize or avoid PVWP, thereby decreasing overall complication rate, irrespective of the operators’ experience level” Gupta et al (2019). Abstract: AIMS: A significant incidence of […]

Effect of ultrasound-guided central venous catheter insertion on CLABSI

PICC research

Central venous catheters (CVCs) are necessary for critically ill patients, including those with hematological malignancies. However, CVC insertion is associated with inevitable risks for various adverse events” Imataki et al (2019). Abstract: BACKGROUND: Central venous catheters (CVCs) are necessary for critically ill patients, including those with hematological malignancies. However, CVC insertion is associated with inevitable […]

Implementing OVIVA criteria on patients with bone and joint infections in OPAT

potassium intravenous solutions

We report that 79.7% of OPAT patients being treated for BJI at our centre would be eligible for oral antibiotics” Marks et al (2019). Abstract: The OVIVA study demonstrated non-inferiority for managing bone and joint infections (BJI) with oral antibiotics. We report that 79.7% of OPAT patients being treated for BJI at our centre would […]

Intraosseous flow rates and ease of placement in canine cadavers

IO

To compare intraosseous catheter placement difficulty, success rates, and flow rates at four different locations in canine cadavers” Lange et al (2019). Abstract: Objective: To compare intraosseous catheter placement difficulty, success rates, and flow rates at four different locations in canine cadavers. Design: Prospective study. Setting: Private referral center. Animals: Eleven fresh canine cadavers. Interventions: […]

Iatrogenic blood loss in extreme preterm infants due to frequent laboratory tests

neonatal vascular access

Extreme preterm infants lose almost one-third of their total blood volume in the first month of life as a result of blood loss due to multiple blood draws for laboratory investigations, and procedures” Counsilman et al (2019). Abstract: Objective: To evaluate the cumulative amount of iatrogenic blood loss in extreme preterm infants during the first […]

Chemoport option for children who require chronic venous access

paediatric BSI

Long-term venous access is cumbersome in children because of their thin caliber veins, less cooperative nature, and easy compromise of venous integrity. Hence, a study was conducted to evaluate the indication, efficacy, and safety of chemoport in children who require chronic venous access” Radhakrishna et al (2019). Abstract: PURPOSE: Long-term venous access is cumbersome in […]

Patterns of phlebotomy blood loss in extremely low birth weight infants

peripheral IV catheter management

Characterize frequency and volume of blood draws and transfusions in extremely low birth weight infants in the first 10 weeks of life” Puia-Dumitrescu et al (2019). Abstract: OBJECTIVE: Characterize frequency and volume of blood draws and transfusions in extremely low birth weight infants in the first 10 weeks of life. STUDY DESIGN: We included infants […]

How to avoid malpositioning of central venous catheter using ultrasound?

ultrasound cvc insertion

A guide wire is inserted, and the CVC is introduced in the vein after dilating the skin. A chest radiograph is used to confirm the position of catheter after the procedure” Nair et al (2019). Extract: Central venous catheter (CVC) placement is a common procedure done in the practice of anesthesia and critical care medicine […]

Vascular access point-of-care ultrasound in pediatric units

CLABSI

Recent growth of supportive evidence makes a strong case for using point-of-care ultrasound for pediatric interventions such as vascular access…” Fraga et al (2019). Abstract: Point-of-care ultrasound is currently widely used across the landscape of pediatric care. Ultrasound machines are now smaller, are easier to use, and have much improved image quality. They have become […]

Inadvertent vascular device implantation in the subclavian artery

infusion pump

We present a case of a female patient with ovarian cancer who had an inadvertent vascular access device implantation in the subclavian artery” Coroleu Lletget et al (2019). Abstract: We present a case of a female patient with ovarian cancer who had an inadvertent vascular access device implantation in the subclavian artery, being detected after […]

Review of home-based elastomeric pump chemotherapy administration service

Elastomeric pumps are preferred by the patients, as they get them connected at the hospital or cancer centres, then go back home where they can have visits from the district nursing team” Shereen and Salman (2019). Abstract: Ambulatory chemotherapy offers many advantages from supporting a closer to home treatment approach to lowering the cost of […]

Blood stream infections associated with central and peripheral venous catheters

clabsi rca

The purposes of this study were to determine the incidence of central and peripheral venous catheter-related bacteraemias, the relationship between the suspected and final confirmed bacteraemia origins, and the differences in microbiological, epidemiological, clinical, and analytical characteristics between the groups, including evolution to death” Ruiz-Giardin et al (2019). Abstract: BACKGROUND: The purposes of this study […]

Prevalence and associated factors for needlestick injuries in Jeddah

needlestick

Our study aims to address knowledge gaps on prevalence and associated factors for needlestick and sharp injuries (NSIs) for the first time in Saudi Arabia” AlDakhil et al (2019). Abstract: BACKGROUND: Dental personnel are subject to exposure to a number of occupational factors including needlestick and sharp injuries (NSIs). Our study aims to address knowledge […]

Optimal loading and maintenance doses for continuous infusion of vancomycin

Peripheral IV

Our aim was to develop a rational approach for optimized dosage of vancomycin given in continuous infusion in critically ill patients” Vu et al (2019). Abstract: Despite extensive clinical use, only limited data is available regarding optimal loading and maintenance doses of vancomycin in critically ill patients. Our aim was to develop a rational approach […]