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The venous patterns of the cubital fossa is mapped in this study

cvc

The present study aims to analyze the venous pattern of the cubital fossa among individuals from Brazil” Pires et al (2018). Abstract: Venous punctures are among the most common procedures performed by healthcare professionals. In particular, the cubital fossa is the site where the venous accesses are frequently made due to the number of superficial […]

Continuous passive disinfection cap for the decontamination of needle-free connectors

clabsi

The objective of this study was to determine if a continuous passive disinfection cap is as effective as standard cleaning for the microbial decontamination of injection ports of two types of needle-free connectors” Casey et al (2018). Abstract: Background: The optimal decontamination method for needle-free connectors is still unresolved. The objective of this study was […]

Effect of central line bundle compliance on CLABSI rates

CLABSI

This study provides direct evidence that completing all CL bundle components perfectly is essential for preventing CLABSIs. Customized education should be provided, according to specific weaknesses of bundle performance” Lee et al (2018). Abstract: PURPOSE: The present study aimed to evaluate the effect of central line (CL) bundle compliance on central line-associated bloodstream infections (CLABSIs) […]

Sustaining CLABSI reduction in neonatal intensive care

neonatal ultrasound

We describe our experience with lessons learned, with an emphasis on the areas of difficulty during implementation of the bundle elements and the strategies and tools we utilized to overcome them” Hawes and Lee (2018). Abstract: Central venous catheters are commonly used for the provision of parenteral nutrition and medications for critically ill neonates in […]

Effects of thickness of muscle and subcutaneous fat on efficacy of IM injection sites

extravasation

Intramuscular injections given at the dorsogluteal and ventrogluteal sites are intended for the gluteus maximus and gluteus medius muscles, respectively. However, little research has confirmed the reliability of these sites for the presence and thickness of the target and other muscles, and subcutaneous fat” Elgellaie et al (2018). Abstract: Intramuscular injections given at the dorsogluteal […]

Home parenteral nutrition for patients with advanced cancer

parenteral nutrition

This article describes how to identify which cancer patients would benefit from this therapy and how to ensure it is safely and correctly administered in the home setting” Murray and Mehta (2018). Abstract: Patients who experience intestinal failure as a result of advanced malignancy can be supported with parenteral nutrition in their own home (HPN). […]

Reasons for removal of non-tunnelled central catheters in dialysis patients

IVSafety

To evaluate the reasons of removal of non-tunneled double lumen catheters (NTDLC) in incident hemodialysis (HD) patients in a tertiary renal care hospital” Qureshi et al (2018). Abstract: OBJECTIVE: To evaluate the reasons of removal of non-tunneled double lumen catheters (NTDLC) in incident hemodialysis (HD) patients in a tertiary renal care hospital. STUDY DESIGN: Observational […]

Description of subclavian vein central venous access

iv drip

Once an indication for central venous catheterization is established, the clinician has multiple sites to select from including the internal jugular vein, subclavian vein, femoral vein or a peripherally inserted central catheter (PICC)” Deere and Burns (2018). Excerpt: In the United States, more than 5 million central venous catheters are inserted every year for a […]

Upper extremity DVT and central venous catheters

intravenous

With the increased use of central venous catheters, cardiac pacemakers/defibrillators, and peripherally inserted central catheter (PICC) lines. DVTs in the upper extremities have become more commonplace and require a heightened index of suspicion from clinicians” Grigorian and Nahmias (2018). Excerpt: Researchers have extensively studied deep vein thrombosis (DVT) of the lower extremities. With the increased […]

Overview of the regulation of fluid and electrolyte balance

infusion pump

Disorders in sodium balance with consequent effect on osmolality come about mainly due to disturbances in water homeostasis rather than an abnormality of sodium intake or excretion” Maher and Macnab (2018). Abstract: Adequate tissue perfusion and cellular function is dependent on the maintenance of effective circulatory volume and serum osmolality, respectively. As sodium is the […]

Testing the mechanical properties of implantable central venous catheters

biofolm guidelines

Segments of 6F-polyurethane catheters were tested in their native status, after chemical and after mechanical aging” Busch et al (2018). Abstract: To enable causal analysis of port catheter failure, this study aimed to develop an experimental setup for uniaxial tensile tests that addresses the specific requirements of highly elastic medical catheters; and to quantify parameters […]

Short or longer term antibiotic treatment in Lyme disease?

needlestick

The treatment of persistent symptoms attributed to Lyme disease remains controversial. Recently, the PLEASE study did not demonstrate any additional clinical benefit of longer-term versus shorter-term antibiotic treatment. However, the economic impact of the antibiotic strategies has not been investigated” Berende et al (2018). Abstract: BACKGROUND: The treatment of persistent symptoms attributed to Lyme disease […]

Intravenous ketamine infusion for complex regional pain syndrome

Long peripheral IV

To find and reach a consensus on the usage of ketamine in the treatment of complex regional pain syndrome and to determine a reference protocol for future studies” Xu et al (2018). Abstract: OBJECTIVE: To find and reach a consensus on the usage of ketamine in the treatment of complex regional pain syndrome and to […]

Arterial and central venous femoral catheters use during trauma management

fda iv pump error

The aim of the present study was to describe the use and complications of fAC-CVC in the trauma bay in two centers where they are routinely used” Hamada et al (2018). Abstract: BACKGROUND: Arterial and central venous femoral catheters (fAC-CVC) use during the initial management of severe trauma patients is not a standard technique in […]

Article investigates the prevention of contaminated blood cultures

clabsi

Each institution should have an efficient policy to prevent blood culture contamination, emphasizing the importance to follow guidelines for prescribing and collecting blood cultures” Dargère et al (2018). Abstract: Background: Despite the development of new microbiological technologies, blood cultures remain the first line tool for the diagnosis of bloodstream infections. Their diagnostic value may be […]

Combining ultrasound-guided local anaesthetic administration and vein puncture

intravenous infusion

To describe a single skin puncture technique combining subcutaneous injection of anesthetic to the depth of the vessel wall with venipuncture in the same movement” Murray et al (2018). Abstract: PURPOSE: To describe a single skin puncture technique combining subcutaneous injection of anesthetic to the depth of the vessel wall with venipuncture in the same […]

Ultrasound-guided access for implantable venous port placement

Ultrasound Vascular Access

To examine whether the real-time ultrasound-guided venipuncture for implantable venous port placement is safer than the traditional venipuncture” Yıldırım et al (2018). Abstract: AIM: To examine whether the real-time ultrasound-guided venipuncture for implantable venous port placement is safer than the traditional venipuncture. METHODS: The study analyzed the results of 2153 venous ports placed consecutively from […]

Effects of virtual reality and external cold and vibration on phlebotomy pain

intraosseous Troponin I

The aim of this study was to evaluate the effects of the virtual reality (VR) and external cold and vibration methods on pain scores in children aged 7 to 12 years during phlebotomy” Gerçeker et al (2018). Abstract: PURPOSE: The aim of this study was to evaluate the effects of the virtual reality (VR) and […]

Report of rare central venous catheter malposition

CLABSI

We report the case of an unexpected malposition of a catheter in the right internal jugular vein, where it looped back on itself during placement and went upward into the right internal jugular vein” Movafegh et al (2018). Abstract: Central venous catheters (CVCs) are placed in operating rooms worldwide via different approaches. Like any other […]

Variation of internal jugular vein area measurements of newborns

peripheral IV catheter management

In this study, we aimed to compare area measurements using ultrasonography and efficiency of varying Trendelenburg degrees on the area measurements, for two different entry points used as internal jugular vein (IJV) cannulation points in newborns” Karaaslan et al (2018). Abstract: BACKGROUND: Recent guidelines from the National Institute for Clinical Excellence recommend the use of […]

What is the efficacy of a central venous catheter adhesive fixation device?

Intracavity ECG

The catheters fixed with adhesive systems had fewer infectious complications and less displacement” Molina-Mazón et al (2018). Abstract: OBJECTIVES: To assess the efficacy of a central venous catheter adhesive fixation device (CVC) to prevent associated complications. To establish the need for dressing changes, number of days’ catheterization and reasons for catheter removal in both study […]

Personalized feedback on central venous catheterization training

pain relief

Simulation training with the DHRT system and the personalized learning feedback can improve resident self-efficacy with IJ CVC procedures and provide sufficient feedback to allow residents to accurately assess their own performance” Yovanoff et al (2018). Abstract: OBJECTIVE: To compare the effect of simulator functional fidelity (manikin vs a Dynamic Haptic Robotic Trainer [DHRT]) and […]

Burden of illness among paediatric haemophilia patients with and without central venous access devices

clabsi

Paediatric haemophilia patients with CVADs experienced greater infection rates, healthcare utilization and higher hospitalization costs compared with non-CVAD patients” Buckley et al (2018). Abstract: INTRODUCTION: Central venous access devices (CVADs) facilitate repeated or urgent treatments for paediatric haemophilia patients, but are associated with complications. This study examined the burden of illness, healthcare utilization and costs […]

Removal of totally implanted venous access ports for suspected infection

CLABSI

TIVAP-related infection was confirmed in nearly one out of two cases of life-threatening sepsis in patients in whom it has been removed” Lecronier et al (2018). Abstract: Background: While no data support this practice, international guidelines recommend the removal of totally implanted venous access ports (TIVAPs) in patients with suspicion of TIVAP-related bloodstream infection admitted […]

What is the impact of blood sampling from peripheral IV catheters?

Blood Culture

Results suggest that use of a PIV based blood collection was a reliable and valid approach and was superior to routine phlebotomy in self-reported responses from patients” Mulloy et al (2018). Abstract AIM: To evaluate the effect of daily PIV-based phlebotomy using the PIVO device on PIVC dwell times and replacement rates, as well as […]

First-time phlebotomy success related to patient anxiety and fear

venipuncture

Child’s fear, anxiety before phlebotomy, and difficult vascular access affects the first-time phlebotomy success” Gerçeker et al (2018). Abstract PURPOSE: This study aimed to investigate the success of first-time phlebotomy and the affecting factors in children between 4 and 10 years of age. METHODS: This descriptive, comparative, and cross-sectional study was conducted on 155 children who […]

Axillary vein puncture for peripherally inserted central venous catheters

central access device

Our new protocol for axillary peripherally inserted central venous catheters/tunneled axillary peripherally inserted central venous catheters use for a small-diameter basilic vein is safe and feasible” Saijo et al (2018). Abstract: PURPOSE: Peripherally inserted central venous catheters are some of the most useful devices for vascular access used globally. Peripherally inserted central venous catheters have […]

Venepuncture procedure for obtaining venous blood samples

iv safety needle

This article outlines the procedure for undertaking venepuncture and obtaining venous blood samples” Shaw (2018). Abstract: Venepuncture and obtaining accurate blood samples is an important procedure in healthcare, and can assist in the diagnosis, care and treatment of patients. This article outlines the procedure for undertaking venepuncture and obtaining venous blood samples. It emphasises the […]

Intravenous antibiotic treatment in patients with substance use disorder

intravenous safety

Hospitalizations for severe infections associated with substance use disorder (SUD) are increasing. People with SUD often remain hospitalized for many weeks instead of completing intravenous antibiotics at home; often, they are denied skilled nursing facility admission” Englander et al (2018). Abstract BACKGROUND: Hospitalizations for severe infections associated with substance use disorder (SUD) are increasing. People […]

Obtaining central access in challenging pediatric patients

central catheter

Here, we present a case series of patients where central access was obtained at our institution with the utilization of a novel ultrasound-guided technique. This series represents the first of its kind where the native, parent vessels were inaccessible, resulting in a challenging situation for providers” Criss et al (2018). Abstract: PURPOSE: Central catheter placement […]