extravasation

Taurolidine lock solutions

“To provide an updated overview of randomized controlled trials (RCT) comparing the efficacy of taurolidine containing lock solutions (TL) to other lock solutions for the prevention of CVC-related bloodstream infections in all patients populations” van den Bosch et al (2021).

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clabsi

Bacterial contamination of lightproof covers

“These results indicate that there is a risk of bacterial contamination in the reuse of lightproof covers and that they should either be disposed off properly after usage or hand, finger disinfectants should be used while handling them to prevent any possible contamination” Hosomi et al (2021).

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hand hygiene

IV ports in sickle cell disease

“Infusion ports in patients with SCD was associated with low rates of thrombosis, infection, and malfunction, and may be considered as an alternative to frequent intravenous access, especially in patients requiring CT” Ilonze et al (2021).

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CLABSI

Catheter lock solutions and biofilm

“An in vitro model allows studies on the mechanisms by which the lock solutions exert their antimicrobial effects on catheter-associated biofilm, thus providing a better understanding of the management of devise-associated infections” Colombari et al (2021).

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Defining difficult intravenous access

“Considering the themes identified, an evidence-driven definition of DIVA is proposed: “when a clinician has two or more failed attempts at PIV access using traditional techniques, physical examination findings are suggestive of DIVA (e.g. no visible or palpable veins) or the patient has a stated or documented history of DIVA” Bahl et al (2021).

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clabsi prevention

Catheter salvage is possible in >75% CLABSI

“Catheter salvage is possible in >75% CLABSIs. Effective antibiotic treatment without removal of the CVC should be considered as first line treatment and a single-lumen CVC should be the catheter of first choice” D’Eusebio et al (2021).

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Midline catheter in critical care

“The midline catheter has had a resurgence in use because of the need for a long-term peripheral vascular access device not linked to central catheter-associated bloodstream infection risk” Nickel (2021).

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Accidental epidural catheter infusion of potassium

“An infusion of 100 cc of 0,2% potassium chloride was accidental performed through a thoracic epidural catheter, inserted to perioperative analgesia, to a 66 years old man who was scheduled for right hemicolectomy, 48 h after surgery” Schwartzmann et al (2021).

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Unjustified peripheral IV access in ED – Full Text

“The guidelines specified when PIVI was justified (life-threatening emergency, need for an exclusive intravenous drug with no oral alternative, impossibility to administer oral medication, need to maintain an empty stomach) or unjustified (KVO, “just in case”, to collect a blood sample)” Noel et al (2021).

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Community subcutaneous infusion

“The practice of anticipatory CSCI prescribing and administration can be safe in the community non-specialist setting when supported by clinical guidelines, specialist advice and ongoing multiprofessional education” Coyle et al (2021).

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Short term vascular access safety

“In this cohort study among patients with placement of midline catheters vs PICCs for short-term indications, midlines were associated with a lower risk of bloodstream infection and occlusion compared with PICCs” Swaminathan et al (2021).

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