Detection of micro-bubbles in the right atrium to confirm peripheral IV catheter position
The micro-bubble detection test is a useful technique for detecting extravasation and confirming proper positioning of peripheral IV catheters in pediatric patients” Takeshita et al (2019). Abstract: OBJECTIVES: In pediatric patients, indwelling peripheral venous catheters are sometimes displaced to extravascular positions, causing infiltration or extravasation. No reliable techniques are available to confirm accurate IV catheterization. […]
Impact of vascular access types on hemodialysis patient long-term survival
This study aimed to explore the impact of vascular access types, including arteriovenous shunts and central venous catheter on all-cause mortality after adjustment of other risk factors” Yeh et al (2019). Abstract: Vascular access (VA) is the cornerstone for carrying out hemodialysis, yet it may bring in complications and leads to hemodialysis quality decline. This […]
Arm port vs chest port systematic review and meta-analysis
Arm port is associated with higher procedure conversion rate, but lower incidence of intra-operative complications, and age may be a risk factor for intra-operative events” Li et al (2019). Abstract: BACKGROUND: Two prevailing, totally implantable venous access ports are routinely utilized in oncology: chest port or arm port. This systematic review with meta-analysis was conducted […]
Report of surgical flap necrosis following PICC insertion
Pedicled latissimus dorsi musculocutaneous flaps are reliable options for reconstruction of torso and head and neck defects. After ensuring that no kink or external compression occurs on the pedicle, the survival rate exceeds 99%. However, we experienced a complete necrosis of the flap after insertion of a peripherally inserted central catheter line” Efanov et al […]
Review of dedicated central line procedure team and CLABSI rates
We compared hospital-wide CLABSI rate pre- and post-implementation of a dedicated procedure team as well as central line checklist completion and patient-specific variables between the procedure team and other providers” Styslinger et al (2019). Abstract: A primary strategy of central line-associated bloodstream infection (CLABSI) prevention is standardized, aseptic insertion of central lines. We compared hospital-wide […]
Comparison of intraosseous versus arterial and venous blood sampling
There is no consensus regarding whether and which laboratory analyses may be performed on IO aspirates, and research on hemodynamically unstable subjects is limited” Strandberg et al (2019). Abstract: BACKGROUND: Intraosseous (IO) access is often indicated for administration of drugs and fluids in emergencies when venous access is challenging. There is no consensus regarding whether […]
Central venous line placement and ultrasound probe damage
The most damaged areas are located on the short side of the probe (arrows) and on the median point of the long sides” De Cassai and Tonetti (2019). Extract: “The image [Figure 1] shows a linear US probe used for CVC placement in at least three-thousand procedures, mostly by resident anesthesiologists. The most damaged areas […]
Patient experience with peripherally inserted central catheters
We sought to better understand patient perspectives on having a urinary catheter or a PICC by reviewing open-ended comments made by patients about having either of these 2 devices” Trautner et al (2019). Abstract: BACKGROUND: Little is known about the patient experience with urinary catheters or peripherally inserted central catheters (PICCs). We sought to better […]
Power contrast injections through a totally implantable venous power port
To evaluate the feasibility and safety of power injection of contrast media through totally implantable venous power ports during computed tomography scans in oncologic patients” Son et al (2019). Abstract; Objectives; To evaluate the feasibility and safety of power injection of contrast media through totally implantable venous power ports during computed tomography scans in oncologic […]
Microbial colonization of intravascular catheter connectors
We assessed the colonization of the split septum catheter connector system, and subsequently the luer lock catheter connector system” Hankins et al (2019). Abstract: Background: Central line–associated bloodstream infections may be due to catheter connector colonization and intraluminal migration of pathogens. We assessed the colonization of the split septum catheter connector system, and subsequently the […]
Implementation of disinfecting port protectors to reduce CLABSI
Disinfecting port protectors are a supplement to the central line-associated bloodstream infection prevention bundle as an optional recommendation from the Centers for Disease Control and Prevention” Beeler et al (2019). Abstract: Disinfecting port protectors are a supplement to the central line-associated bloodstream infection prevention bundle as an optional recommendation from the Centers for Disease Control […]
Review of hemodialysis catheter associated right atrial thrombus
To study the magnitude of the complication of catheter associated right atrial thrombus (CRAT) in patients with tunnelled central venous hemodialysis catheters (THC) for maintenance hemodialysis (MHD)” Bichu et al (2018). Abstract: OBJECTIVE: To study the magnitude of the complication of catheter associated right atrial thrombus (CRAT) in patients with tunnelled central venous hemodialysis catheters […]
Ultrasound-guided peripheral IV catheter placement using a guidewire
The purpose of this pilot study was to investigate whether use of a guidewire improves successful placement of ultrasound-guided peripheral IVs (PIV) in difficult intravenous access patients in the emergency department (ED)” Cochrane et al (2019). Abstract: Objective: The purpose of this pilot study was to investigate whether use of a guidewire improves successful placement […]
Outcomes of implementing a central venous catheter bundle
This study done at All India Institute of Medical Sciences showed improved outcome in terms of catheter infection and mechanical complications” Krishnan et al (2018). Abstract: INTRODUCTION: Central venous catheter (CVC) associated infection are many times higher in India compared to western countries. A group of interventions called as CVC bundle, if implemented effectively prevents […]
Skin colonization at peripheral intravenous catheter insertion sites
In this study, the impact of PIVC skin site colonization on tip colonization and the development of CRBSI was investigated” Choudhury et al (2019). Abstract: BACKGROUND: Peripheral intravenous catheters (PIVCs) break the skin barrier, and preinsertion antiseptic disinfection and sterile dressings are used to reduce risk of catheter-related bloodstream infection (CRBSI). In this study, the […]
Implantable port placement in patients at risk of lymphedema
There was no difference in port complications or lymphedema rates between patients who had ports placed on the ipsilateral side compared with the contralateral side for breast cancer treatment” Isom et al (2019). Abstract: BACKGROUND: Central venous ports placed for breast cancer treatment have traditionally been placed contralateral to the disease. This is done out […]
Report of PICC embolization following surgical procedure
In this report, we describe a rare scenario of catheter breakage, entrapment, and embolization in a patient caused by inadvertent surgical clip and suture placement” More et al (2019). Abstract: Peripherally inserted central catheters (PICCs) are a feasible alternative to conventional central venous access. PICCs are often used perioperatively for central venous pressure monitoring and […]
Evaluation of implanted venous ports in children with complex needs
To analyze the use of implanted port-a-caths in children with medical complexity who have neurologic impairment and difficult venous access” Pezeshkpour et al (2019). Abstract: BACKGROUND: Children with medical complexity and associated neurologic impairment frequently face difficulties with venous access. Intermittently they require urgent intravenous administration of fluids and medication. OBJECTIVE: To analyze the use […]
Augmented ultrasound technique for central venous cannulation
Two-dimensional ultrasound (2DUS) guidance for central venous cannulation is a best-practice for patient safety identified by the Agency for Healthcare Research and Quality and the American College of Emergency Physician” Broder et al (2019). Abstract: Two-dimensional ultrasound (2DUS) guidance for central venous cannulation is a best-practice for patient safety identified by the Agency for Healthcare […]
Analysis of insurance claims from central venous access injuries
The aim was to analyse injuries reported to the Swedish National Patient Insurance Company (Löf) within 7 days after insertion or removal of a CVAD” Lindgren et al (2019). Abstract: INTRODUCTION: Insertion and use of central venous access devices (CVADs) can be associated with serious adverse events. The incidence is generally low but considering the […]
Loss of guidewire and its sequelae after central venous catheterization
Here, we report a peculiar case of a missed guidewire puncturing the aortic arch and cerebrum” Zhao et al (2019). Abstract: RATIONALE: Central venous catheterization is a common tool used to monitor central venous pressure and administer fluid medications in patients undergoing surgery. The loss of a broken guide wire into the circulation is a […]
Implementation of second-tier prevention practices and CLABSI rates
Implementation of second-tier preventive practices was protective against CLABSI. Use of more practices was correlated with lower rates” Ben-David et al (2019). Abstract: BACKGROUND: Prevention of central-line-associated bloodstream infection (CLABSI) represents a complex challenge for the teams involved in device insertion and maintenance. First-tier practices for CLABSI prevention are well established. OBJECTIVE: We describe second-tier […]
Etiology and management of upper-extremity catheter-related thrombosis
Catheter-related thrombosis (CRT) is a common complication of central venous access devices in oncology patients. Risk factors for CRT include patient-, device-, and treatment-related risk factors” Rajasekhar et al (2019). Abstract: Central venous access devices are a critical instrument in the treatment and supportive care delivery for oncology patients. Catheter-related thrombosis (CRT) is a common […]
Removing unnecessary centrally inserted central catheters
This probably shows that the combination of the five evidence-based procedures recommended by the Centers for Disease Control and Prevention together with that of ultrasound-guided peripheral venous cannulation method can increase the compliance with the Category IA recommendation for removal or avoidance of unnecessary placement of centrally inserted central catheters” Iordanou et al (2019). Abstract: […]
Impact of multiple concurrent central lines on CLABSI rates
The current methodology for calculating central-line-associated bloodstream infection (CLABSI) rates, used for pay-for-performance measures, does not account for multiple concurrent central lines” Couk et al (2019). Abstract: BACKGROUND: The current methodology for calculating central-line-associated bloodstream infection (CLABSI) rates, used for pay-for-performance measures, does not account for multiple concurrent central lines. OBJECTIVE: To compare CLABSI rates […]
Air embolism through open hub of external jugular vein intravenous cannula
We are reporting a case of sudden pulmonary air embolism in a patient through the open hub of an intravenous cannula” Mohanty et al (2019). Abstract: INTRODUCTION: Venous air embolism is a catastrophic complication that can result in sudden cardiac arrest and death. Massive air embolism has been reported with central venous catheter through the […]
Prehospital interventions performed on wartime pediatric trauma casualties
We describe injury characteristics and prehospital interventions performed on wartime pediatric trauma casualties in Afghanistan and Iraq, stratified by medical evacuation platform” Naylor et al (2019). Abstract: Background: Traumatic injuries were the most common reason for pediatric admission to military hospitals during the recent wars in the Middle East. We describe injury characteristics and prehospital […]
The case for using a disinfecting cap for needlefree connectors
Catheter-related bloodstream infections (CRBSIs) are a signification cause of infection. When CRBSI rates are high, the cost to the patient and the organisation can be significant” Barton (2019). Abstract Catheter-related bloodstream infections (CRBSIs) are a signification cause of infection. When CRBSI rates are high, the cost to the patient and the organisation can be significant. […]
Health professionals’ lack of knowledge of central venous access devices
It suggests that patients accept having a CVAD as it should reduce episodes of repeated cannulations. However, a recent doctoral study found the reality did not live up to this hope” Kelly et al (2019). Abstract Background: the literature on the patient experience of living with a central venous access device (CVAD) is growing, but […]
Clinical experiences of using ports and non-coring needles
The following case studies describe the use of the Smith Medical implanted ports and Gripper huber needles” Meade et al (2019). Abstract: The following case studies describe the use of the Smith Medical implanted ports and Gripper huber needles. Smiths Medical produces a range of implanted ports that include the Port-A-Cath and P.A.S. Port Power […]