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Perioperative fluid management in colorectal surgery – Full Text

“The present review discusses restrictive perioperative fluid protocols within enhanced recovery after surgery (ERAS) pathways. Standardized definitions of a restrictive or liberal fluid regimen are lacking since they depend on conflicting evidence, institutional protocols, and personal preferences” Deslarzes et al (2024).

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Home parenteral nutrition in Italy – Full Text

“This study confirms the importance of setting up and maintaining structured registries to monitor and improve home parenteral nutrition care. Safety outcomes have improved over the years, most likely due to the underlying efficient nursing service” Guglielmi et al (2023).

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Neonatatal vascular access study

“Infiltration and extravasation were the most frequent cause of PIVC failure (12%; n = 35). A birth weight less than 1500 g was associated with a significant decrease in PIVC failure (hazard ratio 0.58; 95% CI 0.34-0.99)” McIntyre et al (2023).

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Outcomes of difficult PICC insertion

“PICC insertion was successful in both RI and DI patients. Of the analyzed parameters, the number of needle punctures was associated with DI, and complications during the 1-month follow-up were more frequently noted in the DI group” Lisova et al (2024).

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Infusion pump innovation

“Many Canadian healthcare institutions regularly undergo a comprehensive re-evaluation of infusion fleets, to modernize infusion delivery for patients across the country. Amid the availability of new technologies with evidence demonstrating their ability to elevate the current standards of care, this article argues for the need for healthcare systems to prepare for, and embrace, change when it comes to new technologies” Edwards (2024).

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Implantable port infection risk

“In many patients with port infection, the ports are removed because antibiotics are ineffective. We evaluated the risk factors associated with port removal due to port infection” Hara et al (2024).

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Isopropanol leakage from antiseptic barrier caps

“Needleless connectors (NCs) can be disinfected using antiseptic barrier caps (ABCs) to reduce the risk of catheter-related bloodstream infections. However, recent evidence suggests that isopropanol can leak from the ABC into the NC, posing concern about their safe use” Boissière et al (2024).

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Correction of PICC malposition

“US-guidance can help reduce catheter malposition during bedside PICC insertion. Patients with risk factors such as multiple previous central vein insertions, failed peripheral line insertions, left arm insertion, or high BMI should undergo thorough sonographic evaluation of the arm vessels to prevent malposition” Jang et al (2023).

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Valved PICC comparison study – Full Text

“In this study, to identify the most suitable PICC for continuous pumping of 5-fluorouracil (5-FU) in patients undergoing chemotherapy for gastrointestinal tract tumors, the clinical application of the double-lumen high-pressure-resistant PICC generally adopted in clinical practice was compared with the traditional anterior-valved single-lumen non-high-pressure-resistant PICC” Chen et al (2024).

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Reinsertion of tunneled-cuffed central venous catheter

“This maneuver is a safe and convenient technique that can be used to reinsert a TCC for patients with long-time catheter loss. It helps to preserve the limited central venous resources for patients who have difficulty establishing other stable vascular access” Jin et al (2024).

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EDTA line-locking solutions

“This study showed that use of EDTA 4% as a line-locking agent reduced alteplase usage in the CVCs of HD patients while maintaining adequate pump speed (i.e., ≥ 300 mL/min)” Gage et al (2024).

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Vascular access team activity analysis – Full Text

“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).

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Infusion pump flow rate deviation

“The pump reported an infused amount greater than what was infused and did not provide any alarm or information indicating a reduced output. Using an elongated infusion set, the pump can be brought into an erroneous operating state where the infused amount delivered by the pump is considerably less than what has been programmed and what is shown on the pump display. This could put the patient at risk of not receiving the intended medication within the appropriate time” Hult et al (2024).

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Impact of age on fluid and electrolyte balance

“There is a growing body of evidence about physiological changes with age that impact fluid and electrolyte balance. It is important that infusion nurses have knowledge in managing care for geriatric patients so they can identify these changes when they are exhibited” Purvis and Gion (2024).

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CLABSI misclassification outcomes

“We present examples of misclassification of bloodstream infections into CLABSI by the CDC’s definition and present the financial implications of such misclassification and potential long-term implications” Sopirala et al (2024).

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Clinic infusion pharmacist role

“Retention of outpatient infusion therapy can be significantly increased with a positive ROI through allocation of pharmacist resources to areas initiating infusions” Harsh et al (2023).

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Guidewire assisted CVC replacement

“The aim of this article is to explain our replacement technique over guidewire of silicone cuffed and valved tunneled CICCs with a power injectable polyurethane cuffed tunneled CICC” Benvenuti et al (2024).

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Infusion phlebitis and endothelial dysfunction – Full Text

“Phlebitis is accompanied by endothelial dysfunction and may involve multiple molecular and cellular mechanisms. These findings improve our understanding of the molecular targets of interventions and help identify effective candidates for the prophylaxis and treatment of phlebitis” Zhu et al (2023).

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