Closed-system drug transfer device reduces contamination during bolus injection – Full Text
“Use of a CSTD significantly decreased the number of spills and level of contamination compared with the currently used technique and, consequently, the use of such devices offers a safer working environment for nurses” Marler-Hausen et al (2020).
Central catheter surface type encourages biofilm formation
“This information provides guidance in regard to the preparation of hyperosmolar total parenteral nutrition and the engineering of CVC surfaces that can minimize the risk of catheter-related bloodstream infections caused by S. capitis in the NICU” Qu et al (2020).
Medication errors and needlestick injury exposure to student nurses
“Nursing students are subject to clinical safety-related events during their practices, mostly concerning medication errors and sharps and needlestick injuries” García-Gámez et al (2020).
Chlorhexidine allergy associated with IV site skin cleansing
“We present a case-report of a teenager, treated for acute lymphoblastic leukemia who developed an anaphylactic shock after repeated chlorhexidine use for skin disinfection at the insertion of a central venous catheter during his chemotherapy treatment” Devinck et al (2020).
Management of ampicillin infusions in the outpatient setting
“The use of ampicillin in the outpatient setting has traditionally been avoided due to its short half-life and instability in solution. However, recent in vitro data and two recent case series have supported the safe and effective administration of ampicillin by continuous infusion in the community” Parsonson et al (2020).
How to implement an emergency department vascular access team
“It is possible that hospitals benefit from the services of vascular access specialists to provide higher quality care” Bell and Spencer (2020).
Study-related needlestick injuries among academic students – Full Text
“Needlestick and sharps injuries (NSIs) as well as lab accidents play a pivotal role. Furthermore, above 40% of the study-related commuting accidents were cycling accidents”
Peripherally inserted central catheter tip damages tricuspid valve
“For echocardiographers, precise evaluation of the position of the PICC tip and the detection of endocarditis is important to devise the optimal clinical strategy” Chen et al (2020).
Vancomycin nephrotoxicity when administered as a continuous 24 hour infusion
“We retrospectively investigated the rate of nephrotoxicity and associated risk factors in outpatients on VCI between May 2013 and November 2018” Chambers et al (2020).
UEDVT in children with heart failure on continuous IV milrinone
“The aim of this study was to determine the incidence of thrombosis, identify thrombosis risk factors, and determine the impact of anticoagulation in pediatric patients receiving continuous milrinone via CVC” Vesper et al (2020).
Blood culture collection kit with checklist amongst methods to reduce false positives – Full Text
“Apart from teaching and training, the concept of blood culture collection kit with checklist and dedicated blood collection team was found to be vital in reducing blood culture contamination” Shaheen et al (2020).
Central catheter-associated complications in the PICU
“We aimed to identify the occurrence and risk factors for unplanned catheter removal due to catheter-associated complications and the effects on catheter survival probability in a PICU” Shimizu et al (2020).
IV site observation during total intravenous anaesthesia – Full Text
“These publications also recommend processed EEG ‘depth of anaesthesia’ monitoring when TIVA is used with a neuromuscular blocking (NMB) drug and the TIVA guidelines recommend a lower threshold for its use when the i.v. access site is not continuously visible” Davies et al (2020).
Ultrasound visualization of central venous catheter guidewire
“A chest radiograph can be waived provided the ultrasound examination (identification of the guidewire and exclusion of puncture-related complications such as pneumothorax) is unambiguous” Zick et al (2020).
Antimicrobial susceptibility of central line-associated bloodstream infections
“The CLABSI rates at a well-equipped tertiary care hospital are still significantly higher than the USA benchmarks. Alarming rates of drug resistance in Gram-negative pathogens were seen” Singhal et al (2019).
When should intraosseous access be considered a first-line option?
“In cases in which there is an urgent need for medications and fluid resuscitation, whether in infants, children, or adults, and immediate intravenous access is not easily obtainable, intraosseous access should be considered as a first-line option” DeBoer et al (2020).
Practical anatomical landmark for central venous catheter tip positioning
“This study aimed to evaluate a new, simple, and feasible method based on surface anatomy for the proper placement of tunneled CVC in the left internal jugular vein for hemodialysis or chemotherapy” Salimi et al (2020).
Protocols for massive transfusion in pediatric trauma
“Implementation of PMT protocols have been limited in showing significant improvement of overall pediatric trauma mortality but may reduce associated morbidity” Kinslow et al (2020).
Ultrasound-guided supraclavicular cannulation may reduce CLABSI in preterm infants – Full Text
“The objective of this study was to assess the risk of central line-associated bloodstream infection (CLABSI) of ultrasound (US)-guided cannulation of the brachiocephalic vein (BCV) compared to standard epicutaneous cava catheters (ECCs) in preterm infants” Oulego-Erroz et al (2020)
Preventing infusion-related pain during Oxaliplatin infusion
“In this retrospective cohort study we compared the incidence of infusion-related pain in patients treated with oxaliplatin with or without simultaneous fluid infusion” van Ravensteijn et al (2020).
Using purchase data to determine the incidence of sharps injuries
“This study demonstrated the use of purchase data to determine the incidence of sharps injuries in a major tertiary referral hospital in Australia” Wong et al (2020).
What is the impact of CLABSI in adult home parenteral nutrition patients
“We investigated potential predictors of CLABSI to determine a predictive model in a cohort of adult HPN patients” Xue et al (2020).
Vascular Access and IV Therapy Resource
Successful hemodialysis through persistent left superior vena cava
We hereby present a case of persistent left superior vena cava that was incidentally encountered after the placement of a hemodialysis catheter through the left
Home infusion teaching practices at hemophilia treatment centers
Home management of hemophilia is standard of care in many countries. This study examined current nursing practices in teaching home infusion (HI) at hemophilia treatment
How has the global hand hygiene improvement project progressed?
This represents a snapshot of the current position of global hand hygiene improvement efforts, outlining facility progress and highlighting the value of such an assessment
Taurolidine lock is a cost-effective intervention in patients on HPN with high risk of CRBSI
Our study shows that taurolidine lock is a cost-effective intervention in patients on HPN with high risk of CRBSI” Arnoriaga Rodríguez et al (2018). Abstract:
Optimizing the electronic health record in the parenteral nutrition workflow
Surveys have shown that current electronic health record (EHR) systems are in need of functionality enhancement for safe and optimal delivery of PN” Vanek et
What is the effect of increased flow rate on intravenous fluid warming?
The efficacy of fluid warming was inversely associated with the increase in flow rate” Thongsukh et al (2018). Abstract: INTRODUCTION: In patients who require a
Efficacy of the Buzzy System for pain relief during venipuncture in children
The Buzzy System combined to distraction cards showed a greater reduction of perceived pain than “magic glove” technique” Susam et al (2018). Abstract: BACKGROUND AND
Perfused cadaver model for trauma training in the out-of-hospital setting
We endeavor to describe a transportable central-perfused cadaver model suitable for training in the battlefield environment. Goals of design were to create a simple, easily
Seroconversion after needlestick injuries in Germany
The injuries occurred most often during waste disposal and high-risk procedures such as taking blood samples. The injuries were most often caused by cannulas for
Exposure to biological agents result from injuries caused by needles
In Italy, about 70-80% of all cases of exposure to biological agents result from injuries caused by needles or other sharp instruments used during healthcare
Best dressing and securement for the prevention of peripheral intravenous catheter failure?
Two billion peripheral intravenous catheters (PIVCs) are used globally each year, but optimal dressing and securement methods are not well established. We aimed to compare
External or internal jugular vein for tunneled central line insertion in children?
The aim of this study is to compare the outcomes of external jugular vein (EJV) and internal jugular vein (IJV) tunneled catheters inserted using the
Heparin versus 0.9% sodium chloride locking for prevention of IV occlusion?
This review looks at the effectiveness and safety of intermittent locking with heparin compared to 0.9% NaCl to see if the evidence establishes whether one
Central venous catheter position confirmation by point of care ultrasound
We hypothesize that a knowledge translation gap exists in this area. We aim to describe the current clinical practice regarding POCUS alone for CVC position
National CLABSI surveillance data in paediatric patients
The broad objective of this study was to establish national benchmark data around rates of CLABSI in neonatal and paediatric intensive care units (NICUs and
Considering the cause of chronic inflammation in dialysis patients
One important aspect of cardiovascular risk among dialysis patients is chronic inflammation. Iatrogenic sources of chronic inflammation in the form of failed renal allografts, old
Efficacy of lactated Ringer’s versus normal saline in shock
To compare the clinical efficacy of lactated Ringer’s (LR) and normal saline (NS) in treating patients with septic shock” Mao et al (2018). Abstract: Objective:
Blood-borne viral infections in pediatric hemodialysis
Here we review risk factors of blood-borne viral infections, strategies for prevention, and approach to therapy in the pediatric hemodialysis population” Menon and Munshi (2018).
Catheter and non-catheter-related upper extremity deep vein thrombosis in patients with cancer
Patients with cancer have an increased risk of venous thromboembolism. Upper extremity venous system is a peculiar site, and little is known about the clinical
Case study examines PICC safety in orthopedic patients
PICC is a safe intravenous device that can be successfully utilized for medium- and long-course intravenous therapy in hospitalized and discharged orthopedic patients” Santolim et
Hospital-acquired infections under pay-for-performance systems
The purpose of this review is to explore the impact of hospital-acquired infection on payment under pay-for-performance systems, and provide perspective on the role of
Effectiveness of heparin to prevent occlusion in central venous access devices
To evaluate the effectiveness of HS compared to PS to prevent occlusion in CVAD” Re et al (2018). Abstract: INTRODUCTION: Prevention of central venous access
Standard long IV catheters versus extended dwell IV catheters
A longer extended dwell catheter represents a viable and favorable alternative to the standard longer IVs used for US-guided cannulation of veins >1.20 cm in depth”
Intravenous catheter survival impacted by amount of catheter residing in the vein
The quantity of catheter residing in the vein is a key predictor of long-term functionality of US-guided IVs and is strongly associated with the hazard
Test-enhanced learning for ultrasound-guided peripheral intravenous insertion
In this study of novice learners, both TEL with structured practice and structured practice alone lead to high success rates performing USG IV insertion on
Malfunction of a central venous multilumen access catheter caused by kinking
Nevertheless, ultrasonographic findings did not reveal the reason for the malfunction. We found kinking in the distal part of the catheter after removing it” Cho
The role of private rooms for reducing central line-associated bloodstream infections
We sought to determine whether private rooms were associated with a lower risk of central-line infections” O’Neill et al (2018). Abstract: Private hospital rooms are
Arterial blood gas sampling using pre-heparinised safety syringe
This article provides an overview of this subject area. It includes case studies where the Pulsator Plus Arterial Blood Gas Syringe (Smiths Medical) was used
Quality improvement of emergency inserted peripheral intravenous catheters
A quality improvement project involving key stakeholder engagement, the roll out of a sticker to readily identify ambulance/emergency inserted PIVCs and education of ward staff
Medical device classification in vascular access
This article aims to give a simple explanation of device classification as it relates to vascular access devices. It aims to provide the reader with