Pancytopenia as a consequence of sepsis and intravenous antibiotic drug toxicity
This case presents a unique case of pancytopenia involving elements of drug-induced aplastic anemia as well as DIC-related sepsis” Cho et al (2019). Abstract: This
What US hospitals are currently doing to prevent common device-associated infections?
Despite focused initiatives to reduce device-associated infection among hospitalised patients, the practices US hospitals are currently using are unknown. We thus used a national survey
Clinical impact of peripherally inserted central catheters vs implanted port catheters
Our aim was to study the incidence of catheter-related deep venous thrombosis in patients with cancer receiving chemotherapy through either a PICC or a PORT”
Interventions to improve hand hygiene compliance in emergency departments
To investigate hand hygiene compliance (HHC) rate, factors affecting the HHC rate, and intervention strategies to improve HHC in EDs” Sea et al (2019). Summary:
Catheter-related bloodstream infection by Microbacterium paraoxydans in a pediatric patient
We herein reported an 11-year-old girl with acute leukemia who was found to have catheter-related bloodstream infection in her neutropenic phase. Gram-positive bacilli repeatedly grew
Vascular access decision making in hemodialysis
Finally, CVC use is believed to result in excess mortality in patients on hemodialysis. However, recent data suggest that CVC use is simply a surrogate
Peripheral IV catheter failure in 2019
Based on these data, we asked the lead author to update readers on the status of catheter failure and what has been improved since 2015″
Peripheral IV catheter failure from 2015
“Peripheral intravenous (IV) catheter insertion, the most common invasive hospital procedure performed worldwide, is associated with a variety of complications and an unacceptably high overall failure rate of 35% to 50% in even the best of hands” Helm et al (2019).
Flow properties of cannulae for extracorporeal membrane oxygenation
The use of extracorporeal life support devices such as extracorporeal membrane oxygenation in adults requires cannulation of the patient’s vessels with comparatively large diameter cannulae
Genetics and functionality of vascular access devices in dialysis
Thromboses and stenoses of permanent vascular access appear to be a serious hazard for patients with end-stage kidney disease on programmed haemodialysis” Kalinin et al
Economic impact of antimicrobial stewardship programmes in hospitals
Antimicrobial stewardship programmes (ASPs) include strategies that enable sustainable management of rational anti-infective treatment in the clinical setting” Huebner et al (2019). Summary: Background: Antimicrobial
Patient diaries during use of central venous catheters
Limited data exist regarding patients’ experiences with outpatient CVADs. This study characterized outpatient CVAD care via 14-day patient diaries” Nailon et al (2019). Abstract: Patients
Effectiveness of the K-Card process for central venous catheter maintenance bundle
The purpose of this study was to evaluate the effectiveness of the K-Card process for central venous line (CVL) maintenance bundle compliance in a pediatric
Leaching of DEHP into solution during various infusion situations
The work explored the DEHP migration parameters in PVC infusion in clinic, based on the previous research on the test model of DEHP migrated from
Clinical prediction model for CLABSI in children
We were able to identify risk factors and develop a clinical prediction model for CLABSI in children presenting to the emergency department” Figueroa-Phillips et al
Feasibility of extracorporeal photopheresis in pediatric patients
We retrospectively studied the feasibility, safety, and efficacy of ECP in 15 children with steroid-dependent/refractory acute or chronic GVHD, who initiated ECP treatment between April
Role of the VIP score in clinically indicated peripheral IV replacement
A pre-post quality improvement initiative was implemented following complications surrounding removal of timed SPC catheters compared with those removed by clinical indication, using the Visual
Closed-loop documentation system for IV infusion administration
Many studies have highlighted the patient safety risks in intravenous medication administration, and various technological solutions have been proposed to mitigate those risks, including ‘smart
Thrombolytic therapy with urokinase for thrombosed hemodialysis arteriovenous fistula
Arteriovenous fistula (AVF) thrombosis is a common complication in patients undergoing hemodialysis, and early intervention is required. Urokinase has been used as a thrombolytic agent
Teaching clinical skills in pre-registration nurse education
This article explores the value of teaching clinical skills in pre-registration nurse education. It touches on stages of competence and the knowledge necessary to enable
Chronic venous changes induced by central lines in children
To explore the hypothesis that central venous stenosis/obstructions (CVS/O) in children are influenced by prior central venous access devices (CVADs) and are associated with future
Prevalence of idle peripherally inserted central catheters
We aimed to assess the prevalence and risks of idle peripherally inserted central catheters in adult patients” Xiong et al (2019). Abstract: BACKGROUND: Increasing studies
The critical role of ultrasound guidance for vascular access in Pakistan
The aim of this letter is to create awareness among the practicing anaesthetists and critical care physicians regarding the critical role of ultrasound guidance for
Intraosseous access devices improve the resuscitation process
Key steps health care systems can take to enhance the quality of CPR and, potentially, to improve outcomes, include optimizing chest compressions; avoiding hyperventilation; encouraging
Skin antisepsis application method is an important aspect of CLABSI prevention
However, in the opinion of the authors, current guidelines fail to address a key element: the method of application of the antiseptic agent” Casey et
Ultrasound-guided catheterization of the left subclavian vein in a patient with PLSVC
Ultrasound is used for safe and correct placement of CVC; however, the presence of PLSVC could not be detected by ultrasonography in this case” Park
Implantable port placement via the anterior jugular venous system
We report on a patient who was referred for port implantation with a two-chamber pacemaker aggregate on the right and total occlusion of the central
Endoluminal dilation as an implantable port removal technique
Sometimes scar tissue can develop around the device, making it resistant to removal even after application of forceful traction. We report a case of stuck
Relationship between alterations in intestinal microbiota and central line infections
Marked alterations of the intestinal microbiota with decreased level of acetate were shown in SBS patients compared with healthy controls. Over-abundance of Proteobacteria (especially Enterobacteriaceae)
Psychological safety and reporting nonadherence to CLABSI checklist
Patient safety checklists are ubiquitous in health care. Nurses bear significant responsibility for ensuring checklist adherence. To report nonadherence to a checklist and stop an
Study offers comparison of four intraosseous access devices
“The aim of the study was to compare the success rate, procedure time, and user satisfaction of pediatric NIO™ compared to Pediatric BIG®, EZ-IO®, and Jamshidi intraosseous access devices” Bielski et al (2017).
Costs of outpatient parenteral antimicrobial therapy (OPAT) administered in Spain
The aim of this study was to assess the direct healthcare costs of outpatient parenteral antimicrobial therapy (OPAT) administered by hospital at home (HaH) units
Review of core competency medical training includes central line placement
Invasive bedside procedures are core competencies for internal medicine, yet no formal training guidelines exist. The authors conducted a scoping review and realist synthesis to
Technique for tunneled central line placement in children
The single-incision technique for central venous access has comparable procedure time and fluoroscopy time with no difference in complication rates between the two techniques in
Continuous thermographic observation may predict extravasation
As macroscopic observation may overlook symptoms during infusion, we focused on skin temperature changes at puncture sites and studied thermographic patterns related to induration or
Surface fabrication of central venous catheters to combat biofilm formation
So, herein we sought to compare the performance of AgNPs generated through biogenic routes using bacteria and plant extract for their antibacterial and antibiofilm potential
Central venous catheter fracture during pacemaker lead extraction
In this case report, we present an unusual and potentially life- threatening complication of cardiac electronic device lead extraction…” Rizkallah et al (2017). Introduction: In
Accidental intravenous administration of paracetamol syrup
An 18-month-old child presented with vomiting and diarrhea. Due to a rise in temperature, paracetamol syrup was prescribed, but a nurse inadvertently administered the drug
Oncology nurses’ knowledge of guidelines for CLABSI prevention
This descriptive cross-sectional survey evaluated Jordanian oncology nurses’ knowledge of the guidelines for preventing central venous catheter–associated infection” Al Qadire (2017). Abstract: This descriptive cross-sectional
Quality improvement study of the CLABSI App implementation
The objective was to determine if a digital self-assessment application (CLABSI App), bundling line care best practices with social gamification and in-context microlearning, could engage
Ultrasonography for the placement of long-term venous catheters in infants
The objective is to analyze our experience in ultrasound-guided implantation of reservoir type and tunneled catheters, as well as to compare it between both age
Review of parenteral nutrition and intestinal failure
Chronic IF may be reversible, depending on anatomy and intestinal adaptation, but most patients require long-term nutritional support, generally in the form of parenteral nutrition”
What is the optimal autoinjector needle length for use in infants
Our data suggest that the optimal EAI needle length for infants and toddlers weighing 7.5 to 15 kg should be shorter than the needle length
Randomized controlled trial of care bundles with chlorhexidine and advanced IV dressings
To compare the effects of the care bundles including chlorhexidine dressing and advanced dressings on the catheter-related bloodstream infection (CRBSI) rates in pediatric hematology-oncology patients
Relationship between anatomical IV site and risk of infusion phlebitis
To explore the relationship between the anatomical site of peripheral venous catheterization and risk of catheter-related phlebitis” Comparcini et al (2017). Abstract: AIM: To explore
Femoral central venous catheters in autologous peripheral blood stem cell collection
Autologous peripheral blood hematopoietic progenitor cell collection (A-HPCC) in children typically requires placement of a central venous catheter (CVC) for venous access. There is scant
A case of persistent left superior vena cava and partial left inferior vena cava
The coexistence of a double superior vena cava (SVC) and a partially left inferior vena cava (PLIVC) with a circumaortic collar, associated with other congenital
Efficacy of antimicrobial CVC impregnation in reducing catheter-related infections
In this network meta-analysis, we aimed to assess the comparative efficacy of antimicrobial CVC impregnations in reducing catheter-related infections in adults” Chong et al (2017).
Global device-associated infection prevention practices reviewed
Numerous evidence-based practices for preventing device-associated infections are available, yet the extent to which these practices are regularly used in acute care hospitals across different
Prevalence of healthcare-associated infections and antimicrobial use in Singapore
We conducted a national point prevalence survey (PPS) to determine the prevalence of healthcare-associated infections (HAIs) and antimicrobial use (AMU) in Singapore acute-care hospitals” Cai
Consequences of CVC misplacement from the right subclavian vein to the left
This is a case report of a 21-year-old male with a rare incident of CVC misplacement from the right subclavian vein to the left” Gleesborg
Improving Bisphosphonate infusion monitoring in the medical day unit
The aim of this quality improvement project was (1) to avoid preventable bisphosphonate induced adverse effects, (2) to improve safety of bisphosphonate prescribing and administration