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Impact of virtual reality during implantable port placement – Full Text

“In this prospective analysis, patients undergoing port implantation at the Klinikum rechts der Isar Technical University Munich were divided into two groups. The intervention group wore VR headsets during the surgical procedure, while the control group did not. Various validated questionnaires were used to measure psychological parameters such as pain perception, stress, calmness, and relaxation. The amount of local anesthesia administered was also documented” Sargut et al (2024).

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Evaluation of intraosseous access – Full Text

“The advantages of using the intraosseous route for circulatory access include its reliability, ease of teaching, rapid use, and low complication rates. Despite sufficient knowledge of intraosseous access and training received at various courses; provider preference and other systemic barriers, lead to an overall reduction in intraosseous access being used in the clinical setting” Hlanze et al (2024).

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How to insert peripheral intravenous cannula

“To provide holistic care, nurses should understand the indications for peripheral IV cannulation, which can be a short-term intervention for administering medicines, fluids and blood products, and for parenteral nutrition” Hill (2024).

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AI model for central catheter tip verification

“This study illustrates the potential of AI-based models in accurately and reliably determining CVC placement in chest x-rays. The proposed method shows high accuracy and offers improved interpretability, important for clinical decision-making. The findings also highlight the importance of dataset quality and diversity in training AI models for medical image analysis” Stroeder et al (2024).

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Removal of knotted guidewire during CVC placement – Full Text

“A very rare complication of guidewire knotting was observed despite the use of US-guidance during needle and wire placement. The use of US, computed tomography, and fluoroscopy were beneficial for diagnosis, while the hybrid operating room provided the optimal environment for the removal procedure” Matsushita et al (2024).

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Bundle to reduce ECMO blood stream infection

“There is a high prevalence of blood stream infections (BSI) associated with Extracorporeal Membrane Oxygenation (ECMO) in adults. The increasing use of ECMO coupled with the patient risk factors places patient at high risk for BSIs” Radhakrishnan et al (2024).

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Central venous catheterisation training – Full Text

“The study focused on addressing the challenges in learning central venous catheterisation, particularly in reducing learner discomfort and enhancing procedural efficiency. A significant barrier faced by learners is fear and lack of awareness regarding arterial puncture, a common complication during CVC” Tsai et al (2024).

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Complications associated with PICC tunneling

“The findings of this study suggest that both standard and pseudo-tunnels provide comparable levels of safety and comfort for patients. It was noted that Pseudotunnel offers an equivalent level of safety for patients with coagulation disorders related to PLT and INR, rendering it comparable to a “minimally invasive procedure,” which necessitates the same precautions as a non-tunneled PICC” Elli et al (2024).

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Cellulitis home-based treatment in children

“Implementing a directed ambulatory care pathway for children with moderate periorbital cellulitis proved to be an effective and safe management strategy. This approach reduces the strain on hospital bed occupancy while promoting community-based patient care” McPherson et al (2024).

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Dehydration and rehydration strategies – Full Text

“Overall, this review aims to enhance the understanding of the conditions in which in vivo dehydration models and rehydration strategies are applicable, thereby advancing research into the physiological and pathological mechanisms of dehydration and supporting the development of effective rehydration therapies” Wang et al (2024).

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Predictors of successful long-term hemodialysis access outcomes

“Understanding predictors of successful long-term access outcomes can guide decision-making regarding access type and alternative strategies. In our cohort, increased age and prior central venous catheter placement are associated with a shorter time to failure of permanent hemodialysis access and an increased risk of needing revision” Talebi et al (2024).

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Improved CLABSI prevention bundles

“Sensitizing physicians to the existence and duration of CVCs accompanied with improved bundle-prevention measures, resulted in reduction of pCVCs, and outside the ICU, also in reduction of CVC-UR and CLABSI rates” Regev et al (2024).

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Using central venous access devices outside of ICU settings

“Reliable and long-lasting venous access in children is preferred outside the ICU settings where CVADs are essential for long-term treatment involving administration of long-term nutrition in gut enteropathies, chemotherapy, hemodialysis as well as in palliative situations requiring pain medications or administration of antibiotics as in chronic osteomyelitis” Rajkumar et al (2024).

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Impact of inappropriate central line blood cultures

“The infectious diseases service was consulted for possible catheter related bloodstream infection (CRBSI). The consultant determined that the risk of CRBSI was low because the tunneled line was nontender without surrounding erythema or drainage, and the patient had a known alternative source of infection” Fuher et al (2024).

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Flushing interval for totally implantable venous access ports – Full Text

“The incidence and burden of intraluminal clots did not increase significantly within the first 3 months. Occlusion was rare, even in the presence of clots, and was successfully treated. Therefore, a 3-month flushing interval appears to be a safe and practical option, aligning with the common recommendation for surveillance intervals in patients with cancer” Yang et al (2024).

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