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Current state of dialysis vascular access management in Korea

dialysis vascular access

Recently, the number of central venous hemodialysis catheter insertion has decreased, and tunneled hemodialysis catheter has been inserted more than non-tunneled hemodialysis catheter, indicating that vascular access has been created timely and the vascular access team has been educated about and following international guidelines” Kim et al (2019). Abstract: The prevalence rate and the incidence […]

Effectiveness of ECG PICC tip location in patients with AF

Intravenous Admixing

The observational study evaluated the effectiveness in terms of reliability of the intracavitary tip location system (ITLS) method, better known as the ECG method, for the correct positioning of the catheter tip in patients with atrial fibrillation (AFIB); the method exploits the recording of the electrical potential produced by the f waves, expression of the […]

Simulation-based central venous catheter insertion training

jugular central line

To reduce costs and increase the availability of training, a randomized controlled study evaluated central venous catheter (CVC) insertion training in the simulation laboratory with nonphysician competent facilitators (NPCFs) as instructors” Musits et al (2019). Abstract: INTRODUCTION: Healthcare simulation supports educational opportunities while maintaining patient safety. To reduce costs and increase the availability of training, […]

Removal of entrapped central venous catheter guide wire

picc tip

Guide wire entrapment due to fraying during central venous catheter placement using the Seldinger technique is a rare complication” Bruthans et al (2019). Abstract: Extravasal guide wire entrapment due to fraying during central venous catheter placement using the Seldinger technique is a rare complication, which should be resolved as soon as possible. A 68-year-old male […]

Drawing blood from peripheral intravenous cannula compared with venepuncture

Venipuncture

To synthesise the evidence evaluating if blood samples are similar if obtained from peripheral intravenous cannula compared with venepuncture” Coventry et al (2019). Abstract: AIMS: To synthesise the evidence evaluating if blood samples are similar if obtained from peripheral intravenous cannula compared with venepuncture. DESIGN: A systematic review and meta-analysis was undertaken. DATA SOURCES: Searches […]

Review of web-based learning for vascular access skills

Vascular access guide

The aim of this study was to explore the perception and effectiveness of web-based learning in facilitating the development of clinical skills in undergraduate nursing students” Barisone et al (2019). Abstract: Web-based learning, on its own or in combination with traditional teaching methods, has become a consolidated practice in many countries, and has been described […]

Central venous catheter digital education tool to deliver instructions to parents

cannulation training

The goal was to investigate whether the use of a DVD education intervention reduced adverse complications and improved parent education for homecare management of CVADs for pediatric patients with cancer” Raybin et al (2019). Abstract: BACKGROUND: Research on parent understanding of homecare management of external central venous access devices (CVADs) for children with cancer is […]

Superior vena cava syndrome associated with central venous catheter insertion

CVC

We present the first case of hyperacute SVC syndrome that developed within 6 hours of insertion of a CVC into a patient’s right internal jugular vein alongside a pre-existing right internal jugular tunnelled dialysis line. With removal of the line, the patient’s symptoms resolved completely within hours” Edginton and Fundytus (2019). Abstract: Superior vena cava […]

Needlestick injury prevention training among health care workers

needlestick injury

The rate of human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) infections among health care workers that is caused by sharps injuries is higher in the Caribbean and Latin America than in other regions of the world” Akpinar-Elci, et al (2018). Abstract: The rate of human immunodeficiency virus (HIV), hepatitis […]

Central venous line associated deep vein thrombosis in children

vascular access

The presence of central venous line (CVL) is a major contributing risk factor with conflicting data on the relative risk of DVT with various types of central lines” Dhir et al (2019). Abstract: An increase in the incidence of deep vein thrombosis (DVT) has been reported in pediatric patients over the past decade. The presence […]

CLABSI reduction following implementation of an oral care bundle

intravenous cannulation

Since the oral care and hygiene bundle was implemented, laboratory-confirmed bloodstream infection rates decreased from 1.05 to 0.54 per 1,000 catheter days, while mucosal barrier injury rates decreased from 2.98 to 1.27 per 1,000 catheter days” Kemp et al (2019). Abstract: Children with cancer often undergo treatments that render them severely immunocompromised. Side effects of […]

Systematic review examines chlorhexidine-impregnated dressings for CLABSI prevention

PICC research

Chlorhexidine-impregnated dressing is beneficial to prevent CVC-related complications. Future studies are warranted to assess the role and cost-effectiveness of Chlorhexidine-impregnated dressings” Wei et al (2019). Abstract: BACKGROUND: Several randomized controlled trials (RCTs) evaluated the role of Chlorhexidine-impregnated dressing for prophylaxis of central venous catheter (CVC) related complications, but the results remained inconsistent, updated meta-analyses on […]

Outcomes of femoral and jugular tunneled hemodialysis catheters

hemodialysis

Regarding this, the present study aimed to assess the success, patency, as well as early and late complications of cuffed femoral and jugular hemodialysis catheters” Sepas et al (2019). Abstract: The design of a suitable catheter to achieve a permanent, economical, and efficient vascular pathway for hemodialysis has been always accompanied by difficult and potential […]

Evaluation of the quality of sterile compounding videos available on YouTube

intraosseous

The objective of this study was to evaluate the quality of instructional sterile compounding videos posted on a popular video-sharing website (YouTube)” Sluggett et al (2019). Abstract: The objective of this study was to evaluate the quality of instructional sterile compounding videos posted on a popular video-sharing website (YouTube). YouTube was systematically searched using relevant […]

Procalcitonin as a predictive marker for CLABSI in children

sepsis conference

In this study, we sought to determine the diagnostic accuracy of procalcitonin in predicting bacteremia in children with a central line and fever” Damman et al (2019). Abstract: OBJECTIVES: Unnecessary use of antibiotics is an increasing problem. In this study, we sought to determine the diagnostic accuracy of procalcitonin in predicting bacteremia in children with […]

Management of candidaemia with reference to the ECMM quality indicators

CLABSI

The European Confederation of Medical Mycology (ECMM) has recently proposed the ECMM Quality of Clinical Candidemia Management (EQUAL) scoring criteria which provide an objective measure of adherence to various good practice recommendations” Nemer et al (2019). Abstract: BACKGROUND: Candidaemia is associated with high mortality. The European Confederation of Medical Mycology (ECMM) has recently proposed the […]

Usefulness of fenestrated intravenous catheters for coronary CT angiography

IV port

We suggest that fenestrated IV catheter is useful in terms of higher vascular attenuation and lower injection pressure for coronary computed tomography angiography” Kim et al (2019). Abstract: PURPOSE: To compare the fenestrated intravenous (IV) catheter and nonfenestrated conventional IV catheter in terms of contrast enhancement and injection pressure for coronary computed tomography angiography. METHODS: […]

Prescribing intravenous fluid therapy in acutely ill patients

IV Fluid

Prescribing intravenous fluids is a complex process involving a decision on the type, composition, dose, rate and possible toxicity of the particular solution” Matějovič et al (2019). Abstract: Intravenous fluid therapy is the most frequent therapeutic intervention in acutely hospitalized patients. They are administered in order to resuscitate the circulation in hypovolemia-associated shock states, to […]

Vertebral artery injury following misplaced internal jugular vein catheter withdrawal

The following is an unusual case of delayed presentation of a right vertebral artery injury due to central venous cannulation which resulted in a posterior circulation stroke” Pau and Aini (2019). Abstract: Central venous cannulation is a common procedure done for various medical indications. The use of the central venous cannula is associated with various […]

Training family members in home parenteral nutrition care

OPAT

To report the experience of the training in home parenteral nutrition (PN) directed to family members of children and adolescents participating in a multidisciplinary intestinal rehabilitation program of a tertiary public hospital” Witkowski et al (2019). Abstract: OBJECTIVE: To report the experience of the training in home parenteral nutrition (PN) directed to family members of […]

Lymphocytic choriomeningitis virus meningitis after needlestick injury

sharps injuries

We report of a case of LCMV meningitis in a laboratory worker who sustained a penetrating needlestick injury with a LCMV-contaminated hollow needle whilst disposing of a used syringe into the sharps waste bin” Dräger et al (2019). Abstract: Background: Needlestick accidents while handling of infectious material in research laboratories can lead to life-threatening infections […]

Patient-reported outcome measures in vascular access

CVC

The aims of this review article are to explore the concepts of quality of care in vascular access” Field et al (2019). Abstract: Quality improvement initiatives should be aimed to enhance clinical outcomes, service delivery and quality of life for patients. For patients reliant on haemodialysis, vascular access is a lifeline. Survival differences relating to […]

Factors associated with successful completion of OPAT

Outpatient parenteral antibiotic therapy (OPAT) is an established antimicrobial delivery method in the United Kingdom. OPAT services differ nationwide with a paucity of high-quality outcome data to enable benchmarking. We studied clinical outcomes and adverse events of patients identifying factors associated with success and failure” Hatcher et al (2019). Abstract: OBJECTIVES: Outpatient parenteral antibiotic therapy […]

Educational value of internet videos in vascular access

ECMO catheter

The aim of the study was to evaluate individually uploaded Internet materials about catheter insertion and removal in terms of their educative value” Sevinc (20190. Abstract: AIM: The aim of the study was to evaluate individually uploaded Internet materials about catheter insertion and removal in terms of their educative value. METHODS: YouTube videos for both […]

Ultrasound-guided cannulation of the right internal jugular vein in infants

Ultrasound

The aim of this study was to share our observations pertaining to the anatomy and position of the right internal jugular vein with respect to carotid artery using ultrasound and our experience with ultrasound-guided right internal jugular vein access in neonates and small infants” Uzumcugil et al (2019). Abstract: BACKGROUND: The commonly preferred right internal […]

Malposition of hemodialysis catheter into the hepatic veins

dialysis vascular access

Here we present a 44 year old female hemodialysis patient with a malpositioned permanent hemodialysis catheter, catheter tip was found in hepatic vein after three months of insertion” Yucel and Gumusel et al (2019). Abstract: Permanent central vein catheter for hemodialysis is a choice for hemodialysis vascular access. Permanent dialysis catheters may be inserted through […]

Choosing an implantable port or PICC for patients with breast cancer

infusion

Our aim was to compare the applications of totally implanted vascular access devices (TIVAD) and peripherally inserted central catheter (PICC) in breast cancer patients” Tang et al (2019). Abstract: BACKGROUND: Our aim was to compare the applications of totally implanted vascular access devices (TIVAD) and peripherally inserted central catheter (PICC) in breast cancer patients. METHODS: […]

Use of hair nets and face masks to decrease blood culture contamination rates

venipuncture

Overall, the mean contamination rate progressively declined in a stepwise manner from 3.2% to 1.2% (P = .0013), with the greatest decline after adding hair nets and face masks” Sanders et al (2019). Abstract: Owing to a persistently high blood culture contamination rate of 3.2% exceeding the target rate of

Home parenteral nutrition in pediatric patients with intestinal insufficiency

CLABSI

The prevalence of patients with long-term PN and their clinical characteristics were identified. No differences were found to support the administration of this treatment in the hospital over the home” Zapata Olivares et al (2019). Abstract: INTRODUCTION: Home parenteral nutrition (HPN) has been shown to offer important benefits for patients and the health system. In […]

Method of long-term central venous catheterization in pigs for research

ava 2015

This method of catheterization and catheter care allows the realization of long-term experiments with comfortable and stress-free blood sampling” Klein et al 92019). Abstract: INTRODUCTION: The pig is one of the most valuable in vivo models in biomedical research, however with only a few well-accessible veins suitable for venipuncture. Moreover, most of the known methods […]