Invasive devices are risk factor for HAI
“The use of invasive devices is a risk factor for the occurrence of HAI caused by bacteria and fungi” Menezes et al (2021).
IV filters for parenteral nutrition
“This Position Paper aims to review past guidance regarding the filtration of PN, examine the clinical consequences of infusing particulate matter, discuss the challenges and issues related to filtration, and clarify the American Society for Parenteral and Enteral Nutrition (ASPEN) recommendations for the use of filters for PN administration” Worthington et al (2021).
Management of catheter related thrombosis – Full Text
“Regardless of the type of locking solution, if prophylaxis with a thrombolytic agent is chosen, it should be started from the very beginning to reduce the risk of thrombotic complications” Szymańska et al (2021).
Peripheral IV access ultrasound education
“An ultrasound-guided IV curriculum can be successfully implemented resulting in increased first stick success and increased longevity” Bhargava et al (2021).
Chemotherapy order second check and error rates
“This project illustrates that chemotherapy-trained pharmacy technicians may be capable of performing chemotherapy second checks as accurately as pharmacists” Gundrum et al (2021).
Stuck implantable port fragment
“Management of a stuck fragment remains controversial in asymptomatic patients, and we suggest careful, close observation rather than aggressive and invasive treatment” Jung et al (2021).
Peripheral IV catheters indications for use
“The ERPIUP Consensus (ERPIUP = European Recommendations for Proper Indication and Use of Peripheral venous access) was designed to offer systematic recommendations for clinical practice, covering every aspect of management of peripheral venous access devices in the adult patient: indication, insertion, maintenance, prevention and treatment of complications, removal” Pittiruti et al (2021).
Plasma piperacillin minimum inhibitory concentration advice – Full Text
“To be effective, piperacillin/tazobactam (PTZ) unbound plasma levels need to be above the minimum inhibitory concentration (MIC) at least 50% of the time between dosing intervals (50% fT>MIC)” Chongcharoenyanon et al (2021).
Upper extremity deep vein thrombosis
“Upper extremity deep vein thrombosis (UEDVT) has been increasing in incidence due to the escalating use of central venous catheters such as peripherally inserted central catheters” Yuen et al (2021).
New technology for hemodialysis vascular access
“Recently, major innovations in devices and technology for hemodialysis vascular access care have rapidly changed the landscape” Vachharajani et al (2021).
Using distraction to prevent venipuncture pain
“In children with solid organ transplants, there was no difference in pain and distress associated with venipuncture between those who did and did not receive distraction. There was also no difference in other procedure-related outcomes except for greater phlebotomist satisfaction when distraction was implemented” Grabinski et al (2021).
Subcutaneously anchored securement for tunneled central catheters
“In our retrospective analysis of a vast population of oncological pediatric patients with tunneled central catheters, the subcutaneously anchored securement device was tolerated very well, and it was highly effective in preventing dislodgment, both in cuffed and non-cuffed catheters” Crocoli et al (2021).
Prevention and treatment of infusion phlebitis – Full Text
“Actions that promote the efficacy and safety of intravenous therapy include maintenance of venous access, infusion volume control, verification of signs of phlebitis during saline solution and medication administration, and constant monitoring” Guanche-Sicilia et al (2021).
Persistent left superior vena cava
“Herein, we report a case of dialysis catheter placed into a left sided superior vena cava, only diagnosed after CT scan study” Santos et al (2021).
Umbilical catheter complications
“Adverse events associated with umbilical catheters include malposition, bloodstream infections, thrombosis, tip migration, and extravasation, resulting in loss of vascular access and increased risk of morbidity and mortality” Gibson et al (2021).
Risk of unplanned hospitalization in OPAT patients
“A simple risk prediction model for unplanned readmission in OPAT patients demonstrated reproducible predictive performance, broad clinical transportability and clinical usefulness” Durojaiye et al (2021).
Infusion techniques for patient-controlled analgesia
“To evaluate the outcomes of the different drug combination and infusion techniques for patient-controlled analgesia (PCA)” Wang et al (2021).
Ultrasound-guided central venous catheterization – Full Text
“We investigated whether two needle insertion techniques for ultrasound-guided internal jugular vein (IJV) catheterization differ in the number of needling attempts and complication rate between inexperienced and experienced practitioners” Yoon et al (2021).
Needlestick hepatitis C infection rates – Full Text
“This cross-sectional study was performed to investigate the change in the actual HCV RNA positivity rate in source patients before and after the interferon (IFN)-free DAA era” Okushin et al (2021).
Vascular access options after kidney transplant – Full Text
“In the majority of the patients, vascular access blood flow was below the threshold of the negative cardiovascular effect of vascular access. Creation of a distal AVF is a protective measure to avoid a high flow and preserve the vessels for future access. The approach to VA should be individualized and adjusted to the patient’s profile” Letachowicz et al (2021).
Pseudomonas aeruginosa OPAT treatment – Full Text
“The aim of this study was to evaluate the efficacy and safety of outpatient antimicrobial therapy with piperacillin-tazobactam in continuous infusion using elastomeric pumps and to evaluate the economic impact compared with conventional hospital treatment in patients with Pseudomonas aeruginosa (PA) infections” Ferreiro et al (2021).
Midline catheters for peripherally compatible infusions in children
“Midline catheter for peripherally compatible infusions is acceptable to patients and staff, might negate the need for general anesthesia and results in significant cost savings” Kleidon et al (2021).
Vascular Access and IV Therapy Resource
Guidelines and protocols for subcutaneous hydration
To evaluate the availability of, adherence to, and perceived usefulness of guidelines and protocols for managing hydration and subcutaneous hydration in palliative care settings” Cabañero-Martínez
Inferior vena cava syndrome in neonates
This review comprised 61 neonates across 33 reports. Thrombosis occurred in 98% and 42% involved a central venous catheter” Tieu et al (2019). Abstract: Neonatal
Aerobic-only blood cultures for routine detection of bacteraemia
Sampling practices determine the accuracy of blood culture in diagnosing bloodstream infection. Our main acute hospital introduced aerobic-only routine blood cultures aiming to increase the
Standard of care following extravasation of chemotherapy drugs
The recommended procedures will contribute to reducing the risk and consequences of extravasation” Vokurka et al (2019). Abstract: BACKGROUND: Extravasation (paravasation) of chemotherapy drugs is
Designated nurse PICC teams and CLABSI prevention
These data suggest that nurse PICC teams play an integral role in PICC use at many hospitals and that use of such teams may promote
Patient position affects venodilation for peripheral IV cannulation
Vein size during tourniquet application was greater in the supine than in the seated position even in cases of DPIVC” Yamagami and Inoue (2019). Abstract:
Review of Ethanol lock therapy in pediatric patients
Ethanol lock therapy (ELT) has been performed for the purpose of preserving central venous catheter (CVC) against central venous catheter-related blood stream infection (CRBSI), but
Procedural analgesia in newborns from the viewpoint of professionals
To identify the procedures considered painful and stressful by health professionals from a neonatal intensive care unit and check the measures of analgesia” Moraes and
Are intraosseous infusion needles long enough for children?
The EZ-IO intraosseous (IO) needle is available in 2 needle sizes for children based on the patient weight. To date, there is no published evidence
Intraosseous access devices in small children
Perhaps a more suitable question would be: which strategy adopt based on the type of IO device used, the age of the child and the
Review of intravenous device occlusion during syringe pump use
Unintentional catecholamine flush caused by inappropriate release of an intravenous occlusion during use of a syringe pump in the intensive care unit (ICU) can have
Job burnout reduces hand hygiene compliance among nursing staff
The aim of the study was to examine whether job burnout reduces hand washing compliance among nursing staff” Manomenidis et al (2019). Abstract: Objectives: Health
Implementation of extended-infusion Piperacillin-Tazobactam dosing protocol
Piperacillin-tazobactam infusions were administered faster than recommended during implementation (i.e., peri-EI) despite standardized orders” J Rhodes et al 92019). Abstract: Compliance with recommended infusion rates
Totally implantable venous access ports in the upper arm
This retrospective study investigated the safety, technical feasibility, and device-related complications of totally implantable venous access ports implanted in the upper arm” Xu et al
Ultrasound guided techniques for peripheral IV placement in children
Different techniques have been used to improve first pass success rates in children with known history of difficult venous access including surface landmarking, local warming,
Twice daily Cefazolin in the OPAT setting
The use of twice daily cefazolin for serious MSSA infection on an OPAT program is safe and effective. Further study is needed to assess for
Insulin therapy in hospitalized patients
Hyperglycemia is prevalent and is associated with an increase in morbidity and mortality in hospitalized patients. Insulin therapy is the most appropriate method for controlling
Subcutaneous Magnesium Sulfate to correct hypomagnesemia
We describe the management of chronic hypomagnesemia and dehydration secondary to a high-output ileostomy following radiation and chemotherapy for anal squamous cell carcinoma with intermittent
Contamination of hospital facilities by intravenous antineoplastic drugs
Over the past 40 years, numerous actions have been undertaken to decrease the contamination of hospital facilities by intravenous conventional antineoplastic drugs (ICADs) such as
Arrhythmias in children with Peripherally Inserted Central Catheters
To analyze the prevalence, types, and risk factors for cardiac arrhythmias associated with peripherally inserted central catheters (PICCs) in children” Dhillon et al (2019). Abstract:
Retrospective analysis of central venous catheters in elective intracranial surgery
It remains unclear whether the use of central venous catheters (CVC) improves a patient’s clinical outcome after elective intracranial supratentorial procedures” Löser et al (2019).
ECG-guided technique for umbilical venous catheterisation
To investigate the effectiveness and safety of modified electrocardiogram (ECG)-guided technique in umbilical venous catheterisation in neonates” Wu et al (2019). Abstract: AIM: To investigate
Lactic acidemia due to an infliximab infusion reaction
After ruling out other potential causes of lactic acidemia, her final diagnosis was determined to be the rare presentation of an infliximab infusion reaction” Vigh
Venipuncture nerve injuries from more than 1 million procedures
The purpose of this study was to investigate the nerve injury rate for 1 million venipunctures and the efficacy of attempts to avoid severe nerve
Early intravenous iron administration reduces red blood cell transfusion
The implementation of Patient Blood Management principles and early intravenous iron therapy in the Emergency Department have proved to be effective tools to optimise resources
Design and implementation of infusion monitor software
To design an infusion monitor software and implement the establishment of wireless intelligent infusion monitoring system in hospital infusion area combined with the existing platform
Practical guide for safe central venous catheterization
However, because it may occasionally cause lethal complications, we developed this practical guide that will help a novice operator successfully perform central venous catheterization using
Review of trimmed PICC for neonatal patients
PICCs are generally the venous access method of choice for long term access in neonates despite the risk of complications” Jahagirdar and Featherstone (2019). Excerpt:
Intraosseous catheterization during pediatric resuscitation
Our objective is to identify factors associated with the attempt and timing of IO catheterization in a pediatric emergency department (ED) resuscitation setting” Lee et
Needle migration in intravenous drug users
While intravenous drug users occasionally report the breaking of a needle into the skin or subcutaneous tissue, central needle migration remains a rare but potentially