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Review of antiseptics for neonatal skin disinfection

“All three antiseptics [2% chlorhexidine gluconate in 70% isopropyl alcohol(CHG + IPA), 10% Povidone Iodine(PI), and 70% isopropyl alcohol(AL)] cause significant reduction in bacterial colony counts. CHG + IPA has the maximum efficacy as assessed by log reduction of bacterial colony counts with optimal residual effect favouring its usage in term neonates” Jagalasar et al (2024).

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Phlebotomy order of draw

“A phlebotomist (or any medical professional who is tasked with collecting blood samples from patients) must remember several key principles regarding blood collection. One of these principles is what’s known as “the order of draw.” At first glance, the average person may think that the order of draw is merely an optional suggestion. Many are not even aware that an order of draw exists or see the importance of adhering to it” Williams-Montgomery (2024).

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Extravasation of radiopharmaceuticals

“The likelihood of epidermal erythema resulting from extravasation during PET imaging is low, as the simulated absorbed doses to the epidermis remain below the thresholds that trigger such effects” Tiwari et al (2024).

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CVC lock with 4% tetrasodium EDTA

“CVC locking with 4% tetrasodium EDTA was associated with sustained reductions in CRBSI and CVC replacement procedure incidence. Incorporation of 4% tetrasodium EDTA locking into standardized CVC care bundles may prolong vascular access survival” Robinson et al (2024).

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Phlebotomy order of draw

“A phlebotomist (or any medical professional who is tasked with collecting blood samples from patients) must remember several key principles regarding blood collection. One of these principles is what’s known as “the order of draw.” At first glance, the average person may think that the order of draw is merely an optional suggestion. Many are not even aware that an order of draw exists or see the importance of adhering to it” Williams-Montgomery (2024).

Read More »

Extravasation of radiopharmaceuticals

“The likelihood of epidermal erythema resulting from extravasation during PET imaging is low, as the simulated absorbed doses to the epidermis remain below the thresholds that trigger such effects” Tiwari et al (2024).

Read More »

CVC lock with 4% tetrasodium EDTA

“CVC locking with 4% tetrasodium EDTA was associated with sustained reductions in CRBSI and CVC replacement procedure incidence. Incorporation of 4% tetrasodium EDTA locking into standardized CVC care bundles may prolong vascular access survival” Robinson et al (2024).

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Experience of 500 implantable port placements

“The cephalic vein cutdown approach for CICVAD placement appears to be a safe and better alternative to the percutaneous subclavian vein approach in cancer patients. Cephalic vein cut down approach is LESS with More benefits” Kumar et al (2024).

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Analysis of wrong blood in tube phlebotomy events

“We found that WBITs occurred at a rate comparable to that reported from developed countries. Use of software and automation may reduce the rate of WBIT but not eliminate it completely. Strict adherence to SOPs and continuous training of phlebotomy staff would help reduce it to a minimum” Krishna et al (2024).

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Prone position ultrasound-guided CVC placement

“The review includes sonographic illustrations of the two techniques and surrounding arteries and nerves for the eight major veins. The aim of this review is to help clinicians assess the eight major veins and safely insert various types of catheters for patients in the prone position” Yu et al (2024).

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CVC removal complication case study – Full Text

“We herein report a case of a patient who underwent anesthesia for the removal of a CVC, which was inadvertently inserted in the epidural space. The catheter was used to monitor central venous pressure and as a route for medicine administration before the recognition of its abnormal position” Hibino et al (2024).

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Frequency and risk factors of HAI in a trauma center

“44 patients contracted HAI, resulting in a frequency of 49.4%. The incidence rates (IR) were 21/1000 central venous catheter (CVC) days for catheter-related bloodstream infections (CRBSI), 10/100 urinary catheter days for catheter-associated urinary tract infections (CAUTI), and 34/1000 ventilator days for ventilator-associated pneumonia (VAP)” Melhem et al (2024).

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CLABSI reduction in hemodialysis patients – Full Text

“This quality improvement project was initiated to reduce hospital-acquired catheter-associated bloodstream infections (CLABSI) in hospitalized patients receiving dialysis. A team dedicated to reducing hospital-acquired infections led the implementation of evidence-based interventions across all the included hospitals” Roderman et al (2024).

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Sex-specific differences of CVC-related bloodstream infections – Full Text

“In patients with hematological malignancies, men have a higher risk of CRBSI than women. This finding may be attributed to the high number of jugular vein inserted CVCs which in men may be associated with higher rates of skin colonization than in women. Special preventive measures such as earlier removal of CVCs in men may be studied in future” Schalk et al (2024).

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Surgical technique for the placement of a totally implantable venous access port – Full Text

“Although scarce and focused on adult populations, the preceding literature concerning using the cephalic vein for TIVAP placement shows promising results. In this manuscript, I present my experience using this technique in pediatric populations, detailing the necessary preoperative preparation to perform the procedure safely, the technical aspects of its implantation, and the most relevant postoperative considerations” Arredondo Montero (2024).

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