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The impact of heparin on peripheral venous catheters?

intravenous dressings

In conclusion, the use of heparin as continuous infusion in peripheral intravenous catheters improved the duration of patency, reduced infusion failure and phlebitis, whereas heparin as intermittent flushing showed more benefits in ameliorating phlebitis rather than in patency profiles” You et al (2017). Abstract: Heparin has typically been used as a flushing or infusion solution […]

Preventing malposition of central venous catheters with ultrasound

Ultrasound

We used linear USG probe to check malposition of guidewire and microconvex probe to confirm position of central venous catheter” Midha et al (2017). Abstract: Ultrasound (USG) guidance has long been used for guiding central venous catheterization. USG provides direct visualization of needle puncture through the skin into the vein. Most of the time USG […]

A model to predict CLABSI among patients with Peripherally Inserted Central Catheters

clabsi

To operationalize or prioritize CLABSI risk factors when making decisions regarding the use of PICCs using a risk model to estimate an individual’s risk of PICC-CLABSI prior to device placement” Herc et al (2017). Abstract: BACKGROUND: Peripherally inserted central catheters (PICCs) are associated with central-line-associated bloodstream infections (CLABSIs). However, no tools to predict risk of […]

Formulae to guide umbilical arterial catheter tip placement in newborn infants

neonatal ultrasound

Success rates for accurate UAC placement are highest when formulae that involve body measurements are used” Lean et al (2017). Abstract BACKGROUND: Umbilical arterial catheter (UAC) insertion is a common procedure in the neonatal intensive care unit (NICU). Correct placement of the tip of the UAC at first attempt minimises handling of the infant and […]

Case study describes misplaced subclavian central venous catheter

central tip

This is a case report of a patient on whom a third attempt of re-inserting a CVC for fluid and total parenteral nutrition (TPN) was made. X-ray showed that left Subclavian inserted catheter was mis-directed to internal jugular vein of the same side creating discomfort to the patient” Bekele et al (2017). Abstract: Percutaneous Central […]

What is the incidence of device-associated healthcare-associated infections?

cvad wire exchange

Mean rates of VAP, CLABSI, and CAUTI were 14.4, 8.1, and 4.5 per 1000 device days, which are comparable with Indian and global ICUs” Khan et al (2017). Abstract: BACKGROUND: Device-Associated Healthcare-Associated Infections (DA-HAI), including Ventilator-Associated Pneumonia (VAP), Central-Line-Associated Blood Stream Infection (CLABSI), and Catheter-Related Urinary Tract Infection (CAUTI), are considered as principal contributors to […]

rt-PA thrombolysis to treat CVC associated thrombosis of the superior vena cava

vascular access

According to the literature, thrombolytic therapy with rt-PA may be considered the treatment of choice in symptomatic thrombosis of SVC secondary to long-term catheter, uncertainty still exists about dosage, optimal rate of infusion, and optimal duration of treatment, as well as the criteria for choosing local versus systemic infusion” Zaccone et al (2017). Abstract: Introduction: […]

Extent and treatment of vascular device associated air embolism

To narratively review published information on prevention, detection, pathophysiology, and appropriate treatment of vascular air embolism (VAE)” Brull and Prielipp (2017). Abstract: PURPOSE: To narratively review published information on prevention, detection, pathophysiology, and appropriate treatment of vascular air embolism (VAE). MATERIALS AND METHODS: MEDLINE, SCOPUS, Cochrane Central Register and Google Scholar databases were searched for […]

Cerebral air embolism following central venous catheter removal

CVC Malposition

Air embolism is a rare but potentially fatal complication of central venous catheterization. Venous air emboli can paradoxically enter the arterial circulation through a patent foramen ovale” Arcinas et al (2017). Air embolism is a rare but potentially fatal complication of central venous catheterization. Venous air emboli can paradoxically enter the arterial circulation through a […]

Landmark-guided subclavian vein catheterization

femoral line

But even with proficient skills, subclavian vein catheterization guided by palpation of anatomical landmarks have a lower success rate and higher rate of complications” Xu and Zhang (2017). The internal jugular vein, subclavian vein and femoral vein are the most commonly used insertion sites for central venous catheterization. A multicenter clinical trial compared theses commonly […]

Centralized control interface for infusion pump management

Peripheral IV

The objective of this study was to assess the usability benefits of adding a bedside central control interface that controls all intravenous (IV) infusion pumps compared to the conventional individual control of multiple infusion pumps” Doesburg et al (2017). Abstract: The objective of this study was to assess the usability benefits of adding a bedside […]

Electronic trigger tool to optimise intravenous to oral antibiotic switch

iv audit

We have introduced a time-efficient and easily implementable intervention that relies on a computerized trigger tool, which identifies patients who are candidates for an iv to oral antibiotic switch” Berrevoets et al (2017). Abstract: Background: Timely switch from intravenous (iv) antibiotics to oral therapy is a key component of antimicrobial stewardship programs in order to […]

Vocal cord paralysis following central venous catheter insertion

ultrasound training

In this article, we present a case of recurrent laryngeal nerve palsy not caused by nerve injury but due to local anesthetic infiltration that was applied prior to central venous catheterisation” Pamukçu Günaydın et al (2017). Abstract: In this article, we present a case of recurrent laryngeal nerve palsy not caused by nerve injury but due […]

Human factors prevents retained central venous catheter guidewires

central line exchange

A novel locked procedure pack was designed to contain the equipment required for completing the procedure after the guidewire should have been removed: suture, suture holder, and antimicrobial dressings” Mariyaselvam et al (2017). Abstract: BACKGROUND: Retained central venous catheter guidewires are never events. Currently, preventative techniques rely on clinicians remembering to remove the guidewire. However, […]

Implementation of an ultrasound-guided peripheral intravenous catheter program

ultrasound assisted vascular access

Establishment of an effective didactic and hands-on training program resulted in emergency department nurses becoming competent in placement of ultrasound guided PIV catheters to provide optimal patient care” Edwards and Jones (2017). Abstract: PROBLEM: Emergency medical care often necessitates placement of peripheral intravenous (PIV) catheters. When traditional methods for obtaining PIV access are not successful, […]

Exploration of central line-associated blood stream infection and antibiotic resistance

clabsi

Here we explore a case of MRSA central line-associated blood stream infection in which dalbavancin and vancomycin non-susceptibility emerged in a urine isolate collected after the patient was treated with vancomycin and dalbavancin sequentially” Werth et al (2017). Abstract: OBJECTIVES: Dalbavancin is a long-acting lipoglycopeptide with activity against Gram-positives, including methicillin-resistant Staphylococcus aureus(MRSA). The potential […]

Comparison of time to obtain IO versus jugular catheterization on canine cadavers

AccuVein reviewed

IO catheterization using an automatic rotary insertion device was performed more rapidly and successfully than jugular venous catheterization using a cut-down technique in canine cadaver” Allukian et al (2017). Abstract OBJECTIVE: To compare the time required and the success rate of personnel with 4 different levels of experience to place a humeral intraosseous (IO) catheter […]

Detecting biofilm-biomaterial interactions at the molecular level

chlorhexidine–silver sulfadiazine-impregnated venous catheters

The combination of increased healthcare access, universal aging, and infallible therapy demands, synergistically drive the need for the development of biomaterial technologies that mitigate the challenge of biomaterial-associated infections (BAI)” Juhlin et al (2017). Abstract: The combination of increased healthcare access, universal aging, and infallible therapy demands, synergistically drive the need for the development of […]

Taurolidine-citrate-heparin lock reduces catheter-related bloodstream infections

CLABSI reduced

This study investigates the efficacy and safety of the antimicrobial catheter lock solution, taurolidine-citrate-heparin, compared with heparin 100 IE/mL on CRBSI occurrence” Tribler et al (2017). Abstract: Background: In patients with intestinal failure who are receiving home parenteral support (HPS), catheter-related bloodstream infections (CRBSIs) inflict health impairment and high costs. [ctt link=”Fcdq1″ template=”1″]ReTweet if useful… […]

Differences in fluoroscopy time for common vascular access procedures

central access device

To evaluate differences in fluoroscopy time (FT) for common vascular access and gastrointestinal procedures performed by radiology trainees vs faculty radiologists” DeSimone et al (2017). Abstract: To evaluate differences in fluoroscopy time (FT) for common vascular access and gastrointestinal procedures performed by radiology trainees vs faculty radiologists. Report information was extracted for all 17,966 index […]

Alcoholic versus aqueous chlorhexidine for skin antisepsis

clabsi outcomes

Preoperative skin antisepsis is routine practice. We compared alcoholic chlorhexidine with aqueous chlorhexidine for skin antisepsis to prevent surgical site infection after minor skin excisions in general practice” Charles et al (2017). Abstract: BACKGROUND: Preoperative skin antisepsis is routine practice. We compared alcoholic chlorhexidine with aqueous chlorhexidine for skin antisepsis to prevent surgical site infection […]

The Michigan PICC-DVT risk score described in this article

The Michigan PICC-DVT Risk Score offers a novel way to estimate risk of DVT associated with PICCs and can help inform appropriateness of PICC insertion” Chopra et al (2017). Abstract BACKGROUND: Peripherally inserted central catheters (PICCs) are associated with upper extremity deep vein thrombosis (DVT). We developed a score to predict risk of PICC-related thrombosis. [ctt […]

Clinical outcomes among elderly patients on hemodialysis

picc uedvt

Despite extended central venous catheter dependence, elderly patients initiating hemodialysis with a central venous catheter who underwent arteriovenous fistula placement within 6 months had fewer hospitalizations due to infections and a lower likelihood of death than those receiving an arteriovenous graft” Lee et al (2017). Abstract: BACKGROUND AND OBJECTIVES: The optimal type of initial permanent […]

Effect of different venous sampling sites on postmortem blood sampling-results

preanalytical error

Drug concentrations in postmortem blood samples can differ considerably, depending on the sample site – a phenomenon named postmortem redistribution” Zilg et al (2017). Abstract: Drug concentrations in postmortem blood samples can differ considerably, depending on the sample site – a phenomenon named postmortem redistribution. In this study, blood samples from 48 cases of suspected […]

Outpatient clinic versus operating room placement of implantable ports

picc dressing

Our results suggest that chest ports can be safely placed in most patients under local anesthesia in the office setting without fluoroscopy or ultrasound guidance” Feo et al (2017). Abstract: BACKGROUND: Totally implantable venous access devices (TIVADs) represent a convenient way for the administration of medications or nutrients. Traditionally, chest ports have been positioned by […]

Symptomatic superior vena cava syndrome in hemodialysis patients

picc teams

This clinical report details the results of endovascular treatment of symptomatic superior vena cava syndrome due to central vein stenosis or obstruction (CVSO) by stent angioplasty in patients with dialysis-dependent end-stage renal disease” Massara et al (2017). Abstract: This clinical report details the results of endovascular treatment of symptomatic superior vena cava syndrome due to […]

Rapid infusion of rituximab is well tolerated in children

extravasation

All patients tolerated the rapid infusion of rituximab and no patient had an infusion-related reaction. We conclude that rapid infusions of rituximab are well tolerated and safe in our pilot group of patients” Bernhardt et al (2017). Abstract: Traditional administration of rituximab requires careful titration and may involve many hours to minimize the risk of […]

Diagnosis of catheter-related bloodstream infections in neonatology

neonatal picc

This study aimed to analyze articles on the clinical usefulness of catheter-drawn blood samples and catheter tip cultures for the diagnosis of intravascular catheter-related bloodstream infection (CRBSI) in neonates” Ferreira et al (2017). Abstract: Objectives: Neonatal sepsis is the most frequent health care-associated infection in neonatal units. This study aimed to analyze articles on the […]

How to perform extracorporeal photopheresis via an implantable port vascular access device?

CVC

A port catheter may, in certain circumstances, constitute a patient-friendly alternative for venous ECP access when patients’ peripheral veins are unsuitable. However, a prolonged ECP procedure duration must be taken into account for decision making” Schwede et al (2017). Abstract: BACKGROUND: Extracorporeal photopheresis (ECP) is commonly performed via peripheral venous access catheter. If this is […]