Scalp intravenous catheter infiltration leading to subdural and intraparenchymal fluid collection
The scalp is a common site for obtaining IV access, and in children with hydrocephalus or wide fontanelles and sutures, there is a high probability of penetrating the meninges and brain matter with the scalp IV needle” Alexandru-Abrams et al (2019). Abstract: INTRODUCTION: Preterm infants require intravenous (IV) access for administration of medications, IV fluids, […]
Medication preparation and administration in pediatric and adult intensive care units
To determine the type, frequency, and factors associated with medication preparation and administration errors in adult intensive care units (ICUs) and neonatal ICUs (NICUs)/pediatric ICUs (PICUs)” Hermanspann et al (2019). Abstract: PURPOSE: To determine the type, frequency, and factors associated with medication preparation and administration errors in adult intensive care units (ICUs) and neonatal ICUs […]
Perioperative fluid management in children
Physiologically composed balanced isotonic electrolyte solutions are beneficial for maintaining homeostasis, shifting the status more towards the normal range in patients with preexisting imbalances and have a wide margin of safety in case of accidental hyperinfusion” Sümpelmann et al (2019). Abstract: PURPOSE OF REVIEW: The composition and type of intravenous fluids during paediatric anaesthesia have […]
The DermaPort percutaneous vascular access system
Although widely used, the polyester, cuffed, and hemodialysis catheter is far from ideal, and there is a need for an improved vascular access system to allow catheter adjustment and replacement, to reduce infections and to reduce medical costs. The DermaPort percutaneous vascular access system (PVAS) was developed to meet this need” Lobl et al (2019). […]
Vascular access catheters inserted with a vessel-sparing technique
This study was aimed at determining the flow pattern and constitution of the IJV after vessel-sparing implantation of an HC or Port and comparing the outcomes to those of implantation with the Seldinger technique” Ritz et al (2019). Abstract: Introduction: Both a Hickman catheter (HC) and port catheter (Port) can be inserted either percutaneously by […]
Current state of dialysis treatment and vascular access management in Japan
According to the data from the Japanese Society for Dialysis Therapy, the number of dialysis patients was about 330,000 at the end of 2016″ Sato et al (2019). Abstract: According to the data from the Japanese Society for Dialysis Therapy, the number of dialysis patients was about 330,000 at the end of 2016. The mean […]
Current concepts in hemodialysis vascular access infections
This review will provide an overview of hemodialysis catheter-, graft-, and fistula-related infections with emphasis on diagnosis and management in specific settings” Kumbar and Yee (2019). Abstract: Infection-related causes are second only to cardiovascular events for mortality among end-stage renal disease patients. This review will provide an overview of hemodialysis catheter-, graft-, and fistula-related infections […]
Prevalence of antiseptic tolerance genes among staphylococci and enterococci
Antiseptic tolerance is common among bloodstream staphylococci and E. faecalis isolates at TCH. Among CoNS, the presence of AT genes is strongly correlated with nosocomial acquisition of infection, consistent with previous studies in S. aureus” Sommer et al (2019). Abstract: OBJECTIVE: The smr and qacA/B genes in Staphylococcus aureus confer tolerance to antiseptics and are […]
Direct cost of peripheral IV catheterization by nurses
To measure the average direct cost of peripherally inserted central catheterization performed by nurses in a pediatric and neonatal intensive care unit” Pires and Lima (2019). Abstract: OBJECTIVE: To measure the average direct cost of peripherally inserted central catheterization performed by nurses in a pediatric and neonatal intensive care unit. METHOD: A quantitative, exploratory-descriptive, single-case […]
Bundled strategies for pediatric central venous catheter insertion
To investigate the factors that influence the knowledge and behavior of professionals of neonatal and pediatric units about bundled strategies of insertion of central venous catheter” Manzo et al (2019). Abstract: OBJECTIVE: To investigate the factors that influence the knowledge and behavior of professionals of neonatal and pediatric units about bundled strategies of insertion of […]
Management of obstruction caused by precipitated medication in central venous access devices
The target of this study was to analyze data regarding obstruction caused by precipitated medication or lipids in CVADs and to calculate the efficacy of different treatment methods” Zheng et al (2019). Abstract: At present, central venous access devices (CVADs) are widely used in clinical practice. The reasons for CVAD obstruction caused by precipitated medication […]
Comparison of performance among split-tip and symmetrical-tip hemodialysis catheters
Different tip designs (step, split, and symmetrical) have been developed to ameliorate the catheter-related problems. The aim of the study was to compare the efficacy and safety of split-tip, step-tip, and symmetrical-tip HD catheters” Ling metal (2019). Abstract: OBJECTIVE: Patients with end-stage renal disease need vascular access to ensure sufficient blood flow during hemodialysis (HD). […]
Modified approach for ultrasound-guided axillary venipuncture in the infraclavicular area
The ultrasound-guided oblique-axis/in-plane approach is a safe and reliable alternative to the routine ultrasound-guided approach for axillary venous catheterization” Yao et al (2019). Abstract: BACKGROUND: Catheterization of the axillary vein in the infraclavicular area has important advantages in patients with long-term, indwelling central venous catheters. The two most commonly used ultrasound-guided approaches for catheterization of […]
Survivorship rate of peripheral IV catheters placed in the emergency department
We compare the use and survivorship rate of peripheral intravenous catheters placed in the emergency department (ED) by insertion method” Shokoohi et al (2019). Abstract: STUDY OBJECTIVE: We compare the use and survivorship rate of peripheral intravenous catheters placed in the emergency department (ED) by insertion method. METHODS: We analyzed a prospective cohort of ED […]
Narrative review addresses vascular access device choice
This narrative review addresses vascular access device choice from peripheral intravenous catheters through central venous catheters, including the evolving use of midline catheters” Cawcutt et al (2019). Abstract: This narrative review addresses vascular access device choice from peripheral intravenous catheters through central venous catheters, including the evolving use of midline catheters. The review incorporates best […]
Effect of impregnated central venous catheters on thrombosis in paediatric intensive care
The CATheter infections in CHildren (CATCH) trial reported reduced risks of bloodstream infection with antibiotic impregnated compared with heparin-bonded or standard central venous catheters (CVC) in paediatric intensive care” Wu et al (2019). Abstract: PURPOSE: The CATheter infections in CHildren (CATCH) trial reported reduced risks of bloodstream infection with antibiotic impregnated compared with heparin-bonded or […]
Risk Factors associated with upper extremity deep vein thrombosis following PICC insertion
PICC-related UEDVT is a common complication. Active cancer and higher baseline C-reactive protein level were associated with the occurrence of this condition” Levy et al (2019). Abstract: BACKGROUND: The occurrence of upper extremity deep vein thrombosis (UEDVT) is not uncommon following peripherally inserted central catheter (PICC) insertion. However, the risk factors associated with this condition […]
Antibiotic treatment following coagulase-negative staphylococci CLABSI
CoNS is the main cause of catheter-related bloodstream infections (CRBSI). Current guidelines recommend catheter withdrawal followed by antibiotics for at least 5 days. We aimed to assess the efficacy and safety of a shorter course of antibiotherapy in patients with CoNS CRBSI” San-Juan et al (2019). Abstract: CoNS is the main cause of catheter-related bloodstream […]
Clinical use of electrical stimulation with the Veinplicity® device
Increase in first attempt success was clinically relevant when electrical stimulation with the Veinplicity® device was combined with the application of a tourniquet in participants at moderate risk of a difficult peripheral intravenous access” van Loon et al (2019). Abstract: BACKGROUND: Peripheral intravenous cannulation is one of the most frequently performed medical procedures. Venodilation, which […]
Variation in use and outcomes related to midline catheters
While midline vascular catheters are gaining popularity in clinical practice, patterns of use and outcomes related to these devices are not well known” Chopra et al (2019). Abstract: BACKGROUND: While midline vascular catheters are gaining popularity in clinical practice, patterns of use and outcomes related to these devices are not well known. METHODS: Trained abstractors […]
Clinical decision support system for IV fluid administration
The aim of this study is to make a first step towards a model predictive clinical decision support system for fluid administration, by extending the current fluid exchange models with a regulated cardiovascular circulation, to allow prediction of these indices” Rosalina et al (2019). Abstract: The optimal fluid administration protocol for critically ill perioperative patients […]
Total intravenous anesthesia and target-controlled infusion in children
Propofol administered in conjunction with an opioid such as remifentanil is used to provide total intravenous anesthesia for children. Drugs can be given as infusion controlled manually by the physician or as automated target-controlled infusion that targets plasma or effect site” Anderson and Bagshaw (2019). Abstract: Propofol administered in conjunction with an opioid such as […]
IV lidocaine utilized as an opioid-sparing analgesic
A 55-year-old man with well-controlled human immunodeficiency virus on highly active antiretroviral therapy was prescribed a lidocaine infusion at 1 mg/kg/h for postoperative pain” Kramer (2019). Abstract: IV lidocaine is increasingly being utilized as an opioid-sparing analgesic. A 55-year-old man with well-controlled human immunodeficiency virus on highly active antiretroviral therapy was prescribed a lidocaine infusion […]
Safety outcomes of 100,000 PICC used for IV treatments
This multicenter retrospective study aimed to provide a comprehensive assessment of the safety of PICCs in administering parenteral supportive treatments” Campagna et al (2019). Abstract: The type of central vascular access device providers chosen for providing parenteral supportive treatments has evolved over the past years, going from routinely used centrally inserted catheters to a more […]
Seasonal differences in central line-associated bloodstream infection
Using prospectively collected surveillance data at a tertiary care hospital in Central Europe, we investigated seasonal differences in central line-associated bloodstream infection incidence” Schreiber et al (2019). Abstract: Using prospectively collected surveillance data at a tertiary care hospital in Central Europe, we investigated seasonal differences in central line-associated bloodstream infection incidence. Central line-associated bloodstream infection […]
Catheter-related thrombosis rate of midline and PICC
This was a retrospective comparison spanning 13 months of MCs and PICCs for symptomatic CR thrombosis at an 1100 bed tertiary care academic medical center” Bahl et al (2019). Abstract: Catheter-related (CR) thrombosis is a significant complication of midline catheters (MCs) and peripherally inserted central catheters (PICCs). Limited existing data for MCs suggest a favorable […]
Behavior of health care workers in the area of needlestick injuries
The aim of this study was to analyze behaviors of health care workers (HCWs) in the field of needlestick injuries (NSIs) as well as to learn about their attitudes to patients infected with blood-borne viruses” Garus-Pakowska and Górajski (2019). Abstract: Blood-borne infections represent an important occupational health issue in health care settings. The aim of […]
Use of ECG to verify PICC tip position during follow-up period
To evaluate the feasibility and accuracy of intracavitary electrocardiogram for verifying tip position of peripherally inserted central catheters in cancer patients during follow-up period” You et al (2019). Abstract: PURPOSE: To evaluate the feasibility and accuracy of intracavitary electrocardiogram for verifying tip position of peripherally inserted central catheters in cancer patients during follow-up period. METHODS: […]
Migration of totally implantable venous device into coronary sinus
Totally implantable venous device has a good safety profile, although certain complications may occur. Late mechanical complications include catheter fracture and cardiac migration which are rarely occurring in approximately 0.1% to 1% of patients” Lukito et al 92019). Abstract: INTRODUCTION: Totally implantable venous device has a good safety profile, although certain complications may occur. Late […]
Risk of needlestick injuries in a tertiary university hospital in southern Italy
Worldwide the needlestick injuries of health care workers (HCWs) still represent a major health problem. The authors aimed to evaluate the risk of HCW needlestick injuries in a tertiary university hospital in southern Italy” Bianco et al (2019). Abstract: Worldwide the needlestick injuries of health care workers (HCWs) still represent a major health problem. The […]