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Integrated home dialysis model – Full Text

IVTEAM Intravenous Literature

“In this review, we will examine the conceptual advantages and disadvantages of integrated home dialysis, present the evidence that underlies it, identify challenges that prevent its success and finally, propose solutions to increase its adoption” Desbiens et al (2024).

Antibiotic stewardship in critically ill patients – Full Text

Drug administration

“Quality improvement actions focused primarily on antimicrobial management and prevention of healthcare-associated infection are feasible and have the potential to decrease antibiotic use and healthcare-associated infection rates” Custódio et al (2024).

PICC malposition into the azygos vein

picc

“However, complications such as incorrect placement into the azygos vein can result in significant health issues. A thorough understanding of these aspects is crucial to enhance the safety and effectiveness of PICC procedures, thereby improving patient care outcomes” Luo et al (2024).

Intravenous extravasation injuries in children

extravasation

“The incidence of extravasation at the study institution remained low, with the medications involved being similar to those reported in the literature and the majority of patients having mild outcomes” Devsi et al (2024).

Analysis of smart pump event logs – Full Text

IV pump

“This study provides clinicians with insights into the specific types of infusion that warrant more intense observation or proactive management of intravenous access; additionally, it can offer valuable information regarding the average duration of uninterrupted infusions that can be expected in these care areas” Kia et al (2024).

Incidence of PICC-associated thrombosis

UEDVT

“Incidence of PICC-associated thrombosis is low and apparently less prognostically aggressive than other forms of thrombosis associated with cancer, without identify predictive factors” Sánchez Cánovas et al (2024).

IV drug contamination from vials with a rubber stopper – Full Text

Drug administration

“The aim of this study was to assess the compliance of parenteral fluids regarding particulate contamination after withdrawing fluid using both conventional needles and filter needles, following the guidelines of European Pharmacopoeia (Ph. Eur.) and United States Pharmacopoeia (USP)” van den Berg et al (2024).

Challenges of outpatient parenteral antimicrobial therapy – Full Text

IVTEAM Intravenous Literature

“Despite its benefits, OPAT has numerous challenges, including complications from medication administration devices, antimicrobial side effects, monitoring requirements, antimicrobial instability, patient non-adherence, patient OPAT rejection, and challenges related to OPAT team structure and administration, all of which impact its outcome” Wolie et al (2024).

Peripheral vascular access device comparison

vascular access

“Midline is more economic than the SPC (saving of 39€ over 7 days and 174€ over 14 days), and than the PICC (saving of 102€ over 14 days and 95€ over 21 days)” Meto et al (2024).

Vascular access device selection in children – Pediatric DAV-expert algorithm

vascular access

“After a systematic review of the available evidence, the panel of the consensus (which included Italian experts with documented competence in this area) has provided structured recommendations answering 10 key questions regarding the choice of venous access both in emergency and in elective situations, both in the hospitalized and in the non-hospitalized child” After a systematic review of the available evidence, the panel of the consensus (which included Italian experts with documented competence in this area) has provided structured recommendations answering 10 key questions regarding the choice of venous access both in emergency and in elective situations, both in the hospitalized and in the non-hospitalized child” Pittiruti et al (2024).

Meropenem degradation in infusion bags – Full Text

Drug administration

“In summary, this study indicated that for continuous infusion of meropenem, eight-hourly infusion bag changes improved PK/PD target attainment and might be beneficial particularly for high meropenem concentrations of saline infusion solutions and for plasma concentrations in close proximity to the MIC” Minichmayr and Friberg (2024).

Confirming placement of peripheral venous catheters

peripheral iv

“Confirmation of adequate peripheral intravenous catheter placement is essential before using venous catheters. The color flow injection test has been reported as a method with high sensitivity and specificity for this purpose” Kamata (2024).

Combined intracavitary ECG and ultrasound for CVC placement – Full Text

ECG

“The combined use of ultrasound and intracavitary ECG localization in critically ill patients undergoing central venous catheterization can help increase the success rate of catheter placement, shorten the catheter placement duration, reduce the incidence of various catheter-related complications, and also reduce the length of stay and hospitalization expenses” Pan et al (2024).

Acyclovir extravasation in a newborn – Full Text

extravasation

“Early diagnosis of acyclovir extravasation and immediate management could prevent severe complications in neonates. Further studies are needed to suggest a standard approach and treatment protocol for acyclovir extravasation” Shamel and Zarkesh (2024).

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