Vancomycin infusion methods on phlebitis prevention in children
Due to high usage of Vancomycin in children and subsequent phlebitis in their intravenous lines, the current study aimed at comparing the effects of two intervention and routine vancomycin infusion methods in preventing phlebitis in hospitalized children” Tork-Torabi et al (2019). Abstract: BACKGROUND: Hospitalized children require antibiotic therapy. The most common side effect of intravenous […]
Femoral central venous line extravasation in a neonate
This report describes the case of a neonate with a femoral CVC, who developed ascites as a result of extravasation of PN” Kotinatot et al (2019). Abstract: Central venous lines are an essential part of neonatal intensive care and are used for infusion of medications and parenteral nutrition (PN). PN is usually given via either […]
Novel inside-out access approach for hemodialysis catheter placement
To enable right-sided CVC placement in patients with TCVO, an inside-out access (IOA) approach was established at 3 vascular access centers in Europe involving use of a novel IOA device advanced from the right femoral vein” Reindl-Schwaighofer et al (2019). Abstract: RATIONALE & OBJECTIVE: Left-sided internal jugular and all subclavian central venous catheters (CVCs) cause […]
Stenosis characterization and identification for dialysis vascular access
Our initial results suggest that the widely-used auditory spectral centroid is a simple way to calculate features which can estimate both the location and severity of vascular access stenosis” Chin et al (2018). Abstract: Vascular access dysfunction is the leading cause of hospitalization for hemodialysis patients and accounts for the most medical costs in this […]
Computerized intravenous insulin infusion protocol
We aimed to describe the outcome of a computerized intravenous insulin infusion (CII) protocol integrated to the electronic health record (EHR) system and to improve the CII protocol in silico using the EHR-based predictors of the outcome” Park et al (2019). Abstract: BACKGROUND: We aimed to describe the outcome of a computerized intravenous insulin infusion […]
Central venous catheter-associated bloodstream infection in children
We reported a “hierarchy” in CLABSI incidence among patients with IF and showed that CLABSI incidence and etiology were different as function of background diseases and CVC insertion site” Nassar et al (2019). Abstract: OBJECTIVES: To study the clinical, epidemiological, and microbiological associations between intestinal failure (IF) and central line-associated infections (CLABSI) in patients with […]
Defining the correct diluent for intravenous infusion
Therapeutic monoclonal antibodies (mAbs) are commonly administered to patients through intravenous (IV) infusion, which involves diluting the medication into an infusion solution (e.g., saline and 5% dextrose). Using the wrong diluent can cause product aggregation, which may compromise patient safety” Luo et al (2020). Abstract: Therapeutic monoclonal antibodies (mAbs) are commonly administered to patients through […]
Cellulitis antibiotic treatment for 6 days versus 12 days
To investigate whether 6 days of antibiotic treatment duration is non-inferior to 12 days in patients hospitalised for cellulitis” Cranendonk et al(2019). Abstract: Objectives: To investigate whether 6 days of antibiotic treatment duration is non-inferior to 12 days in patients hospitalised for cellulitis. Methods: This multicentre, randomised, double-blind, placebo-controlled, non-inferiority trial enrolled adult patients hospitalised […]
Point-of-care ultrasound use in umbilical line placement
This review analyzes the current evidence on the efficacy and utility of POCUS for identifying umbilical catheter positioning” Meinen et al (2019). Abstract: Point-of-care ultrasound (POCUS) has become a novel tool for assessing umbilical catheter tip location in the neonate. This review analyzes the current evidence on the efficacy and utility of POCUS for identifying […]
Upper limb vascular mapping with Doppler ultrasound
Doppler ultrasound is recommended by international societies for preoperative vascular mapping in vascular access surgery” Germano et al (2019). Abstract: INTRODUCTION: Doppler ultrasound is recommended by international societies for preoperative vascular mapping in vascular access surgery. Literature is scarce regarding data on Doppler ultrasound-associated errors. OBJECTIVES: Our aim was to evaluate Doppler ultrasound precision for […]
Condition of peripheral IV site during chemotherapy administration
When vesicant agents and vehicles have caused subclinical subcutaneous edema, clinical nurses may detect early slight extravasation by using ultrasonography” Murayama et al (2019). Abstract: Paclitaxel, a taxane, is frequently administered intravenously as an anticancer agent. When a peripheral intravenous catheter is used for paclitaxel infusion, clinical nurses often observe signs such as slight swelling […]
Ultrasound-guided totally implantable venous access ports
“To evaluate the feasibility and safety of ultrasound-guided totally implantable venous access port (TIVAP) implantation via the right innominate vein in patients with breast cancer” Xu et al (2019).
Tibial intraosseous insertion in pediatric emergency care
In infants 6 months of age or younger, tibial IO needle insertion had a 53% failure rate (non-medullary placement)” Harcke et al (2019). Abstract: OBJECTIVE: The proximal tibia is a recommended and commonly used site for pediatric emergency intraosseous vascular access (IO). During forensic whole body postmortem computed tomography (PMCT), we evaluated accuracy of emergency […]
Ultrasound for the cannulation and needle position in hemodialysis
Each patient underwent an ultrasound evaluation during HD treatment to assess the position of the needles inside the vascular access” Nalesso et al (2019). Abstract: A native arteriovenous fistula (AVF) is the vascular access of choice for hemodialysis (HD) treatment. Compared with other types of vascular access such as grafts and central venous catheters, it […]
Preterm infant pain during peripheral venipuncture procedures
To compare the effects of integrating mother’s breast milk (BM) with three different combinations of sensory stimuli on preterm infant pain during peripheral venipuncture procedures” Wu et al (2019). Abstract: PURPOSE: To compare the effects of integrating mother’s breast milk (BM) with three different combinations of sensory stimuli on preterm infant pain during peripheral venipuncture […]
Central venous access device securement and dressing effectiveness
The objective of this study was to test the feasibility of a randomised controlled trial (RCT) comparing standard care with three dressing and securement products to prevent CVAD failure” Mitchell et al (2019). Abstract: INTRODUCTION: Central venous access devices (CVADs) are a vital medical device for intensive care (ICU) patients; however, complications and failure are […]
Preventing PICC-related upper extremity venous thrombosis in cancer patients
To assess the preventive effects of the anticoagulants rivaroxaban and low molecular weight heparin (LMWH) on UEVT in patients receiving chemotherapy through PICCs” Lv et al (2019). Abstract: Peripherally inserted central catheter (PICC) is often applied in chemotherapy patients and commonly causes upper extremity venous thrombosis (UEVT), which should be prevented. To assess the preventive […]
Cephalic vein approach for the implantable central venous access
Long-term venous access is usually required in patients receiving chemotherapy. We hypothesized that, out of the various central line approach techniques, the cephalic vein cut-down technique can be a safe and simple alternative in terms of surgical safety, feasibility, cost-effectiveness, and functional outcomes” Rhu et al (2019). Abstract: Long-term venous access is usually required in […]
Granulocyte-colony stimulating factor (G-CSF) adsorption in infusion tubes
This study evaluated factors that affect granulocyte-colony stimulating factor (G-CSF) adsorption in the infusion tube by measuring the G-CSF concentration, rate of G-CSF infusion, and volume of flush solution” Saelue et al (2019). Abstract: Purpose: This study evaluated factors that affect granulocyte-colony stimulating factor (G-CSF) adsorption in the infusion tube by measuring the G-CSF concentration, […]
Improving workflow in phlebotomy units
To improve patients’ experience of wait times and courtesy in the phlebotomy clinic through an electronic sign-in and notification system, redesign of the area, and training of employees” Le et al (2019). Abstract: CONTEXT: The phlebotomy clinic, which sees on average 900 patients a day, was faced with issues of congestion and noise due to […]
Impact of flushing with pre-filled saline syringes
“The use of pre-filled saline syringes significantly reduced peripheral venous catheter failure and increased catheter dwell time” Saliba et al (2019).
Framework for responsible vascular access and infusion therapy
In this article we outline the framework for responsible vascular access and infusion therapy” van Boxtel and Filippini-de Moor (2019). Abstract: Intravascular catheters are indispensable in current healthcare. The introduction of a peripheral venous or central venous catheter and managing infusion therapy are care processes that over time have become integral to the organisation, and […]
Comparative study of access routes for Port-A-Cath implantation
There has been an increase in the implantation of subcutaneous reservoirs in recent years. The objective of this study was to compare puncture techniques against venous dissection” Pérez Calvo et al (2019). Abstract: INTRODUCTION: There has been an increase in the implantation of subcutaneous reservoirs in recent years. The objective of this study was to […]
Improving venipuncture skills
This paper encourages more frequent success with phlebotomy by remembering Harvey’s work and pointing the needle in the right direction” Dorrington and Frise (2019). Abstract: The taking of blood for diagnostic purposes is a frequent cause of difficulty for physicians. In patients with intact visible or palpable large veins, such as those often seen in […]
Umbilical vein presents a viable point of venous access
Umbilical vein catheterization utilizes the exposed umbilical stump in a neonate as a site for emergency central venous access up to 14 days old” Lewis and Spirnak (2019). Excerpt: Umbilical vein catheterization utilizes the exposed umbilical stump in a neonate as a site for emergency central venous access up to 14 days old. Umbilical vein […]
Components for training in ultrasound guided peripheral intravenous cannulation
Education and training of these practitioners in ultrasound-guided peripheral intravenous cannulation is becoming increasingly common, although no consensus has been reached regarding its curriculum” Loon et al (2019). Abstract: Ultrasound increases a first-attempt success rate for vascular access when considered by knowledgeable and experienced practitioners. Education and training of these practitioners in ultrasound-guided peripheral intravenous […]
Clinical practice guidelines for chemotherapy drug extravasation
The aim of this study is to assess the quality of existing Clinical Practice Guidelines (CPGs) for chemotherapy drug extravasation by Appraisal of Guidelines for Research and Evaluation II (AGREE II)” Bahrami et al (2019). Abstract: BACKGROUND: Extravasation is a potentially hazardous event that may occur during chemotherapy. The aim of this study is to […]
Patient safety culture among European cancer nurses
To explore the differences in perceived patient safety culture in cancer nurses working in Estonia, Germany, the Netherlands, and the United Kingdom” Sharp et al (2019). Abstract: Aim: To explore the differences in perceived patient safety culture in cancer nurses working in Estonia, Germany, the Netherlands, and the United Kingdom. Design: An exploratory cross‐sectional survey. […]
Effect of virtual reality during venipuncture in children
The study aimed to determine the effect of two different distractions on pain perceptions and anxiety during venipuncture in children” Koç Özkan and Polat (2019). Abstract: PURPOSE: The study aimed to determine the effect of two different distractions on pain perceptions and anxiety during venipuncture in children. DESIGN: A randomized controlled study. METHODS: A total […]
Rivaroxaban for cancer-associated venous thromboembolism
Our study aims to estimate the efficacy and safety of rivaroxaban for patients with cancer-associated VTE and to provide recommendations to key stakeholders” Liang et al (2019). Abstract: BACKGROUND: All cancers increase developing venous thromboembolism risk, and VTE is the second-leading cause of death among cancer patients. The anticoagulant drugs are considered to be the […]