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Vascular access for long-term parenteral nutrition

vascular access

“Securing safe and effective intravenous (IV) access is of utmost importance for administering parenteral nutrition (PN). Sustaining this access can indeed pose challenges, especially when dealing with the risk of complications associated with long-term PN. This review emphasizes best practices to optimize intravenous access and reviews the current evidence-based recommendations and consensus guidelines” Hurt et al (2024).

CVC malposition into the azygos vein – Full Text

vascular access

“Here, we report a patient with CVC malposition into the azygos vein via the right subclavian vein. We conduct a comprehensive review of the anatomical structure of the azygos vein and the manifestations associated with azygos vein malposition” Feng et al (2024).

Intraosseous and intravenous access comparison

intraosseous

“Increasing evidence supports intraosseous (IO) access due to faster medication administration and higher first-attempt success rates compared to intravenous (IV) access. However, the impact on patient outcomes has been inconclusive” Lee et al (2024).

Pediatric vascular access team

vascular access team

“Vascular access is essential in the care of hospitalized pediatric patients. Planning and device selection are important for optimal patient outcomes. Vessel preservation is critical for pediatric patients” Holt et al (2024).

Stuck haemodialysis catheter case report – Full Text

central line

“This case serves as a timely reminder of the risks of long-term tunnelled haemodialysis catheters and as a caution towards proceeding with kidney transplantation in those with long-term haemodialysis catheters in situ” Burnett et al (2024).

Vascular access type for melflufen administration – Full Text

Drug administration

“Melflufen PVC and CVC administrations are bioequivalent based on melphalan pharmacokinetic parameters. Melflufen via PVC was well tolerated, with no infusion-related reactions or new safety signals and may represent an alternative route of administration” Pour et al (2024).

Stigma within inpatient care for people who inject drugs – Full Text

vascular access

“While existing literature predominantly addresses personal and interpersonal stigma, the influence of structural stigma on care delivery practices remains understudied. Our research aims to investigate the impact of structural stigma on care processes for individuals with SUD admitted to acute medicine units” Rehman et al (2024).

IV passport end-user experience – Full Text

vascular access

“In this study, we evaluated the utility, usability and feasibility of children, families and adults requiring long-term intravenous therapy using a recently developed mobile health application (App), intravenous (IV) Passport” Ullman et al (2024).

Impact of needle bevel angle during vascular access – Full Text

vascular access

“Multiple needle punctures during central venous line insertion can lead to serious complications. Needle deterioration owing to repeated punctures may be a major cause. We hypothesized that there is an optimal bevel angle for a back-cut point needle that is resistant to deterioration” Urimoto et al (2024).

Blood flow in the cavo-atrial junction

vascular access

“An in silico study is performed to investigate fluid dynamic effects of central venous catheter (CVC) placement within patient-specific cavo-atrial junctions” Su et al (2024).

Temperature-responsive intravenous needle

vascular access

“In mice, the needles had similar fluid-delivery performance and caused substantially less inflammation than commercial devices for intravenous access of similar size. We also show that an intravenous needle integrated with a thin-film temperature sensor can monitor core body temperature in mice and detect fluid leakage in porcine tissue ex vivo” Agno et al (2023).

Dialysis nurses vascular access knowledge

vascular access

“This multicenter study aims to review the dialysis nurses’ knowledge, attitude, practice, and self-efficacy toward providing care for patients’ VA” Meng et al (2024).

Peripheral IV management systematic review protocol – Full Text

vascular access

“This review will synthesize and integrate current research on the practices relating to the insertion, removal, and management of short and midline peripheral intravenous catheters on consumer experiences and outcomes in acute health care” Nelson et al (2024).

Reusable tourniquet contamination systematic review – Full Text

IVTEAM Vascular Access

“Based on available studies, this review aims to analyse the indirect transmission of antimicrobial-resistant pathogens present on blood collection tourniquets, which may spread infectious diseases between patients in daily clinical practice” Szymczyk et al (2023).

Vascular access team activity analysis – Full Text

vascular access team

“The aim of the study was to analyse our centre’s VAT first 12 months of activity. The primary outcome was reported complications. Secondary outcomes were cause of catheter removal, consultancy activity and economic impact of VAT implantation” Rosich-Soteras et al (2024).

Fatal superior vena cava rupture during catheter exchange

vascular access

“In this report, we describe a case of a 25-year-old woman who presented with an extensive history of multiple dialysis access failure for left internal jugular vein central venous tunneled catheter exchange. The procedure was complicated by a fatal superior vena cava rupture likely related to the dislodgment of the guidewire causing perforation into the pericardium space with subsequent cardiopulmonary collapse” Ali et al (2024).

Out-of-hospital cardiac arrest vascular access

vascular access

“Our objective was to evaluate the association between peripheral intravenous (PIV), tibial intraosseous (TIO), or humeral intraosseous (HIO) as first vascular attempt strategies and outcomes for patients suffering OHCA” Benner et al (2023).

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