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 […]
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
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
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
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
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
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
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
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
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
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
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
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
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
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: […]