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Iatrogenic injuries associated with central venous catheters

“CVC contributed toward 31% of all non-operation related iatrogenic injuries. One in 54 admissions (946/51 178) and one in 47 (574 /27 342) patients undergoing an operation sustained an iatrogenic injury. The annual rate of iatrogenic injuries did not decrease over the decade despite a multifaceted approach to reduce them” Wain et al (2024).

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Lower extremity PICC case study – Full Text

“We report the case of a patient with a lower extremity PICC ectopic to the ascending lumbar vein, to indicate and verify PICC catheterisation in the lower extremity is safe and feasible. And hope to provide different perspectives for clinical PICC venipuncture to get the attention of peers” Zhu et al (2024).

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Air embolism caused by peripheral vein catheterization – Full Text

“A 59-year-old woman was sent to our hospital with spontaneous cerebral hemorrhage and treated conservatively with a left forearm peripheral venous catheter infusion drug. After 48 hours, the patient’s oxygen saturation decreased to 92 % with snoring breathing. Computer tomography of the head and chest revealed scattered gas in the right subclavian, the right edge of the sternum, the superior vena cava, and the leading edge of the heart shadow” Zhou et al (2024).

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Candidemia cases during the COVID-19 pandemic

“As our study observed, the COVID-19 pandemic brought increasing numbers of immunosuppressed patients, widespread use of antibacterials, and central venous catheters, increasing the frequency and mortality of candidemia cases” Ozalp et al (2024).

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Peripheral IV catheter failure in pediatrics

“Peripheral intravenous catheter (PIVC) insertion is one of the most common medical procedures experienced by pediatric patients. A high incidence of catheter failure (CF) and associated sequelae are widely documented” Wiseman et al (2024).

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Pediatric 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).

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Impact of topical refrigerant spray on disinfected skin

“This study demonstrates that the application of Gebauer’s Pain Ease to ChloraPrep disinfected skin areas does not negatively affect the reduction of the bacterial load, supporting its potential as an alternative to injectable lidocaine and other superficial anesthetics for vascular access or invasive medical procedures” Attali et al (2024).

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Intramuscular vaccination needle length – Full Text

“The standard needle length for deltoid intramuscular injection is 25 mm. Unfortunately, for up to 45% of adults with obesity, the standard needle can be inadequate to ensure intramuscular deposition of vaccine, with the specific deltoid injection site location also influencing the depth the needle must penetrate to reach muscle” Doppen et al (2024).

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Pediatric blood transfusion management errors – Full Text

“Pediatric patient blood management (PBM) programs require continuous surveillance of errors and near misses. However, most PBM programs rely on passive surveillance methods. Our objective was to develop and evaluate a set of automated trigger tools for active surveillance of pediatric PBM errors” Kandaswamy et al (2024).

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Candidemia cases during the COVID-19 pandemic

“As our study observed, the COVID-19 pandemic brought increasing numbers of immunosuppressed patients, widespread use of antibacterials, and central venous catheters, increasing the frequency and mortality of candidemia cases” Ozalp et al (2024).

Read More »

Peripheral IV catheter failure in pediatrics

“Peripheral intravenous catheter (PIVC) insertion is one of the most common medical procedures experienced by pediatric patients. A high incidence of catheter failure (CF) and associated sequelae are widely documented” Wiseman et al (2024).

Read More »

Pediatric 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).

Read More »

Impact of topical refrigerant spray on disinfected skin

“This study demonstrates that the application of Gebauer’s Pain Ease to ChloraPrep disinfected skin areas does not negatively affect the reduction of the bacterial load, supporting its potential as an alternative to injectable lidocaine and other superficial anesthetics for vascular access or invasive medical procedures” Attali et al (2024).

Read More »

Intramuscular vaccination needle length – Full Text

“The standard needle length for deltoid intramuscular injection is 25 mm. Unfortunately, for up to 45% of adults with obesity, the standard needle can be inadequate to ensure intramuscular deposition of vaccine, with the specific deltoid injection site location also influencing the depth the needle must penetrate to reach muscle” Doppen et al (2024).

Read More »

Pediatric blood transfusion management errors – Full Text

“Pediatric patient blood management (PBM) programs require continuous surveillance of errors and near misses. However, most PBM programs rely on passive surveillance methods. Our objective was to develop and evaluate a set of automated trigger tools for active surveillance of pediatric PBM errors” Kandaswamy et al (2024).

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CLABSI in stem cell recipients – Full Text

“Peripheral catheters (PCs), such as peripherally inserted central catheters (PICCs) and MidLine catheters (MLCs), appear to be adequate vascular catheters to be used for stem cell infusion, although their utilization in this indication is not yet common” Milczarek et al (2024).

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PICC length equation – Full Text

“The appropriate PICC length was predicted based on the patient’s height, weight, sex, and age. The equations in our study can help predict the optimal catheter length and can be automatically calculated using computerized patient information for bedside procedures in PICC” Kim et al (2024).

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CVC tip location study – Full Text

“A microbubbles test (MBT) can be used to confirm correct CVC positioning. However, there is serious doubt regarding whether the currently applied threshold of a 2 s push-to-bubbles time (PTB time) for rapid atrial swirl sign (RASS) in an MBT is reliable and accurate” Ley et al (2024).

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11-component CLABSI reduction bundle

“We implemented the INICC multidimensional approach, incorporating an 11-component bundle, in 122 ICUs spanning nine Asian countries. We computed the CLABSI rate using the CDC/NSHN definition and criteria” Rosenthal et al (2024).

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Antimicrobial dosing recommendations for obese patients

“This is a comprehensive review of the dosing of different types of antimicrobials (antibiotics, antifungals, antivirals, and antituberculosis drugs) in obese patients, where the literature on PK and possible dosing strategies in obese adults was critically assessed” Castro-Balado et al (2024).

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Oncology infusion center daily nurse staffing ratio

“This study assessed three acuity models across multiple centers to determine whether acuity was superior to patient volumes or patient hours in predicting the number of nurses needed to care for scheduled patients in an OIC, as well as the effect on objective metrics of missed nurse lunch breaks and patient wait times” Tobias et al (2024).

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