Extravasation injury case study – Full Text
“Extravasation injury (EVI) is common, yet it is always underestimated and underreported” Chong et al (2021).
Neonatal vascular access decision-making pathway
“Adopting a structured approach to gaining neonatal vascular access can improve efficiency and potentially reduce complications” Osmond and Williams (2021).
Candida catheter-related sepsis – Full Text
“The port-a-cath was removed after blood collection for culture, which gave isolation of Candida pararugosa strains” Piatti et al (2021).
CLABSI reduction in pediatric units
“Findings suggest that CLABSI elimination is not the result of a single new product or practice but rather an approach that supports and empowers those most closely responsible for care of the patient and their CVC is key” Mezoff et al (2021).
CRBSI prolongs hospital stay
“CRBSI prolongs the hospital stay for patients who would have otherwise been discharged, hence increases the burden on hospital and human resources” Balaji et al (2021).
CLABSI reduction with chlorhexidine baths – Full Text
“CHG bathing documentation compliance and CLABSI rates did not significantly improve; however, there was a clinically significant 27.4% decrease in CLABSI rates” Reynolds et al (2021).
Elastomeric pump system for pain control
“We aimed to evaluate the efficacy of continuous local anesthetic infusion to the incision site with the On-Q elastomeric pump system in postoperative acute pain control after thoracotomy” Cinar et al (2021).
Same site tunneled CVC replacement
“A new TDC was advanced over the guidewire through the existing tunnel and the catheter tip was positioned into the mid-right atrium” Sharma and Vachharajani (2021).
Peripheral norepinephrine and severe hyponatremia
“We describe a case of severe hyponatremia and seizure resulting from administration of norepinephrine concentrated at 4 μg/mL in dextrose 5% in water” Alibhai et al (2021).
Antimicrobial lock solution for CVC salvage
“The addition of an antimicrobial lock solution seems beneficial for successful catheter salvage in HPN-dependent patients with a CRBSI” Gompelman et al (2021).
Catheter to vein ratio on peripheral IV cannulation success – Full Text
“This study tries to give insight into the consideration that must be made when selecting the target vein and the type of catheter” van Loon et al (2021).
Thromboprophylaxis in cancer patients with CVC – Full Text
“Thrombotic complications are common in patients with cancer and a newly inserted CVC. The pilot trial achieved its enrollment targets and supports that a large multicenter RCT is feasible in this area” Ikesaka et al (2021).
SNACET CVC lock solution
“A >90% reduction in viable bacteria on the catheter surfaces was observed after instilling the 75 mM SNACET lock solution within the lumen of the infected catheter for only 2 h” Kumar et al (2021).
IV drug infusion-related pain and effect of cold application
“Cold application was effective in relieving drug infusion-related pain” Şermet et al (2021).
Peripheral IV catheter insertion outcomes
“Compliance with the insertion-maintenance recommendations for PVC showed differences between the departments; however, the incidence of complications was similar” López-López et al (2021).
Safe vascular access roundtable – Full Text
“Specialised teams can help to better organise vascular access and enhance patient safety, an HSJ roundtable heard”
Fibrin sheath disruption during guidewire exchange
“Fibrin sheath disruption (FSD) during exchange is not standard practice for infected catheters. Here we present the first analysis of outcomes after such exchanges (ExW-FSD)” Voiculescu and Hentschel (2021).
CLABSI risk in pediatric oncology patients
“Overall CLABSI rate was 0.24 infections/1000 line-days (14 episodes in 58,830 line-days), with little fluctuations” Kristinsdottir et al (2021).
Umbilical venous catheter insertion complication Full Text
“It should always be thought out in neonate with a central line who develops unexplained cardiorespiratory failure” Huseynova et al (2021).
Intracavitary ECG and PICC complications
“To investigate the effect of intracavitary electrocardiogram (IC-ECG) guidance on peripherally inserted central catheter (PICC) related complications in neonatal patients” Tang et al (2021).
RCN report suggests fifty percent rise in sharps injuries – Full Report
“Pressures of the pandemic and a lack of training has led to a 50% rise in needlestick injuries, a Royal College of Nursing (RCN) report suggests today” RCN (2021).
Medical convenience kit with Chloraprep recall – US Recall
“Medical Action Industries is recalling the Medical Convenience Kits that include the BD/Carefusion Chloraprep 3mL applicator” FDA (2021).
Vascular Access and IV Therapy Resource
Conference on the safety of intravenous drug delivery systems
The Third Consensus Conference on the Safety of Intravenous Drug Delivery Systems was convened to evaluate the benefits and risks of available systems and assess
Influence of arm position change on ECG PICC tip location
The aim of this study is to evaluate the influence of arm movements from adduction to abduction on intracavitary electrocardiogram and the position of a
Postexposure prophylaxis following needlestick injury
Occupational exposures following needlestick injuries are far from being uncommon and require a standardised approach in counselling the respective healthcare worker” Strobel and Eis (2019).
Totally implantable central venous port complications
To analyze postoperative complications of totally implantable central venous port system (TIPCVP) deployment and develop methods of their prevention” Smolyar et al (2019). Abstract: OBJECTIVE:
The clinical performance of midline catheters
The median dwell time of the midline catheters was 8 days with substantial variation whereas the incidence for premature catheter removal was 71.8/1000 catheter days.
Assessing the quality of life in patients with vascular access
A well-functioning vascular access (VA) and the absence of complications are certainly associated with better health in patients on dialysis but unfortunately VA-related perceived HRQoL
How to prevent legal disputes with central line positioning
The use of ultrasound during central venous catheter placement has significantly reduced the number of complications” Fiorini and Granata (2019). Abstract: Central venous catheterization is
What is the impact of air bubbles in infusion tubing
However, even modest amounts of air can cause pulmonary vasoconstriction, right ventricular outflow tract obstruction, myocardial ischemia and even complete cardiovascular collapse” Bulsara et al
Effect of small volume vacuum phlebotomy tubes on anaemia
We aimed to determine whether low volume blood sampling using SVTs for routine diagnostic purposes translates to decreased fall in haemoglobin concentration, and examine downstream
Injection and infusion technology for MRI use
In this paper, the development of a highly portable, lightweight, and MRI-compatible pump system is explained” Kalmar et al (2019). Abstract: INTRODUCTION: Contrast media injections,
Complications associated with totally implantable venous access port
“The aim of the study is to elucidate the characteristics and risk factors of late complications associated with TIVAP implantation via the IJV” Tsuruta et al (2019).
Comparison of in-suite versus portable tunneled femoral central line placement
Compare the cost of placing tunneled femoral central lines in the interventional radiology suite to portable bedside placement using time-driven activity-based costing” Hayatghaibi et al
Intraosseous administration of 4-factor prothrombin complex concentrate
We describe a case of a 69-year-old female receiving oral apixaban that was successfully administered 4F-PCC using intraosseous access prior to emergent surgery to obtain
Safety of phenylephrine administration through peripheral IV catheters
Protocol-driven peripheral administration of lower concentration phenylephrine in an ICU setting is safe and feasible” Ballieu et al (2019). Abstract: BACKGROUND/OBJECTIVE: Blood pressure optimization and
Effects of patient age on patency of hemodialysis vascular access
In this single-center, retrospective observational study, we assessed the long-term patency of vascular access (VA) after first VA placement to uncover independent risk factors associated
Study of intravenous infusion safety in English hospitals
Some behaviours that may be considered deviations from policy or best practice are the result of reasoned clinical judgement to improve infusion safety in response
Vancomycin compatibility with parenteral nutrition admixtures
The present study aimed to determine the compatibility between vancomycin (VMC) and five ready-to-use PN admixtures utilized worldwide (Kabiven, Nutriflex Lipid Special, Olimel N9E, Nutriflex
Ultrasound-based simulation for cannulation in outpatient hemodialysis units
This article details an educational protocol including hands-on simulation for training dialysis technicians and nurses in ultrasound-guided cannulation techniques” Niyyar (2019). Abstract: Portable ultrasounds are
Clinical outcomes among elderly patients undergoing hemodialysis
We evaluated the impact of comorbidity burden on the association between vascular access type and mortality risk among 23,100 hemodialysis patients aged ≥65 years from
Virtual reality during pediatric vascular access
Vascular access is a minor procedure that is associated with reported pain and fear in pediatric patients, often resulting in procedural incompliance. Virtual reality has
Lean methodology and central line dressing kits
Since supplies was noted as the number one concern, the team worked to create all-inclusive central line dressing kits” Jake Yaglowski (2020). Abstract: A team
Intracavitary electrocardiogram-guided PICC placement in premature infants
The objective was to evaluate the effectiveness and safety of intracavitary electrocardiogram (IC-ECG)-guided peripherally inserted central catheter (PICC) placement and tip positioning in premature infants”
Central venous access device complications with parenteral nutrition
The results showed that patients receiving PN through CVADs within general ward settings experience CRBSI at rates no different from those reported within critical care
Antibiotic administration practices involving patients with sepsis
To find out whether any common practice exists for intravenous antibiotic administration in critical care units across UK NHS Trusts, and identify factors influencing the
Considerations for vascular access polymer coating embolism
Lubricious polymer coatings are increasingly used on intravascular devices to facilitate easier access and navigation through tortuous blood vessels. Recent reports highlight the separation and
Prospective randomized controlled trial of needlefee connectors and CRBSI
Needle-free connectors (NFC) have been suggested to reduce the rate of bacterial contamination and subsequent catheter-related bloodstream infection (CRBSI), but data remains ambiguous. Thus, we
Trisodium citrate central catheter lock solution reviewed
The use of low concentration citrate as catheter lock was cost-effective when compared with heparin” Jayaprakash et al (2019). Abstract: INTRODUCTION: Unfractionated heparin is the
Implantation strategy for totally implantable venous access ports
A primary open strategy by cut-down of the cephalic vein, if necessary enhanced by a modified Seldinger technique, reduces the frequency of pneumothorax or haemothorax
Literature review of epicutaneo-caval catheters in neonates
The aim of this editorial is to give 10 recommendations that correspond to 10 novelties in the field of epicutaneo-caval catheter: some are already evidence-based
Catheter-free fistula use in hemodialysis patients
In our study, older patients who underwent a fistula attempt were just as likely as younger patients to achieve catheter-free fistula use, within a similar