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).
Iatrogenic humeral neck fracture after intraosseous vascular access
“It is important for radiologists to recognize the findings related to intraosseous access as well as this complication with its characteristic locations and morphology” Hopp et al (2020).
Pediatric intracavitary ECG-guided positioning of central vascular access device
“This study evaluated whether unnecessary ionizing radiation exposure could be spared in the pediatric population when intracavitary electrocardiography is used to guide catheter placement” Raffaele et al (2020).
Pediatric tibial intraosseous Epinephrine administration
“We compared the efficacy of tibial intraosseous (TIO) administration of epinephrine in a pediatric normovolemic versus hypovolemic cardiac arrest model” Yauger et al (2020).
What is the frequency of peripheral IV catheter-related complications?
“Our identified risk factors should be taken into account to reduce peripheral venous catheter-related complications and to increase dwell time” Ozger et al (2020).
Implementing barcode medication administration and smart infusion pumps
“Barcode medication administration and smart infusion pumps are two technologies utilized during medication administration to prevent medication errors before they reach the patient” Michalek and Carson (2020).
What is risk of PICC in patients with chronic kidney disease – Full Text
“It cannot be over emphasized that the potential long-term consequences of the PICCs must be weighed against their short-term convenience in CKD patients” Yaqub and Abdul Razzaque (2020).
What is the incidence rates of symptomatic UEDVT after PICC placement in children?
“The incidence rates of symptomatic VTE after PICC placement in children with AL in our center were relatively low and acceptable” Ren et al (2020).
How to use the cephalic vein as a IV cannulation target in infants?
“The purpose of this study is to better characterize the CV in children 1 year old or less for potential as a blind cannulation site” Lam et al (2020).
How to care for patients with peripherally inserted central catheter – Full Text
“The present study aimed to assess the level of knowledge on peripherally inserted central catheter (PICC) maintenance among nurses in China and to analyse the related factors influencing this variable” Xu et al (2020).
Flow irregularities from syringe infusion pumps caused by syringe stiction
“Infusion set rate rather than syringe brand or filling volume was a major predictor for syringe stiction-related amount of variation in the calculated plasma epinephrine concentration” Peduzzi et al (2020).
Definition for catheter related bloodstream infection
“We determined that the Dutch PREZIES definition of CRBSI is appropriate for surveillance control of CVC care bundle use in haemato-oncology patients managed with multi-lumen CVCs” de Mooij et al (2020).
Evidence-based bundles and CLABSI reduction – Full Text
“We implemented an A3 framework to achieve reductions in CLABSI through adherence to known evidence-based bundles” Mathew et al (2020).
Description of trastuzumab-emtansine extravasation and treatment
“We describe the course of a case of severe toxicity following trastuzumab-emtansine extravasation. We provide treatment recommendations and recommend amending the information on the product label on extravasation” Sallevelt et al (2020).
Intravenous fluid therapy protocol in the perioperative and critical care setting – Full Text
“Intravenous fluid administration should be considered as any other pharmacological prescription. There are three main indications: resuscitation, replacement, and maintenance” Malbrain et al (2020).
Vascular Access and IV Therapy Resource
Efficacy and safety of continuous infusions with elastomeric pumps
This study aimed to evaluate the efficacy and safety of continuous antimicrobial infusion using elastomeric pumps in an outpatient setting, while simultaneously documenting circulating antibiotic
Clinical and financial effects of smart pump-electronic medical record interoperability
A pharmacist-led implementation of smart pump-EMR interoperability led to measurable, data-based improvements in i.v. medication safety and improved accuracy, timeliness, and efficiency of i.v. infusion
Usefulness of ultrasonography for the evaluation of catheter misplacement
To assess whether ultrasonographic examination compared to chest radiography (CXR) is effective for evaluating complications after central venous catheterization” Kim et al (2018). Abstract: OBJECTIVE:
Guidewire-induced asystole following right internal jugular catheter placement
The guidewire-related complications are rare but sometimes it has significant morbidity and mortality. In this case report, we have a patient who developed asystole during
Multi-drug resistant bacteria and the role of central venous catheter lock-therapy
The objectives of this study were to analyse outcomes in cancer patients with LTCVC-associated infection, identify risks for unfavourable outcomes and determine the impact of
Can the implantable port dead-volume put patients at risk?
“The dead-volume associated with injection ports used at our institution may be clinically significant, increasing errors in medication delivery and laboratory analysis” Kuntz et al (2018).
The compliance coach for improving central line care and reducing CLABSI
A compliance coach who audits central line maintenance and provides feedback and education to bedside nurses through timely, nonpunitive conversation is an effective addition to
Handgrip exercise reduces peripherally-inserted central catheter-related venous thrombosis
Handgrip exercise using an elastic ball daily for three weeks could decrease the incidence of peripherally-inserted central catheter-related venous thrombosis. The method is simple, with
Mechanical complications of central venous catheter insertions
In this retrospective, multicenter observational study on 10 949 central venous catheter insertions, mechanical complications were rare. Preprocedural coagulopathy, number of needle passes, and arterial
Central venous catheter repair is successful in children with intestinal failure
CVC repair is a highly successful procedure with a low risk for infection. Catheter repair should be considered whenever possible as it may extend the
Dialysis catheter-related bloodstream infections in patients receiving emergency hemodialysis
Patients receiving emergency-only hemodialysis via tunneled catheters have a high CRBSI rate compared to infection rates previously reported in patients receiving scheduled maintenance hemodialysis. Increased
How to prepare children and families for venipuncture
To report the experience of development of an application program to prepare child and family for venipuncture” Cunha et al (2018). Abstract: OBJECTIVE: To report
What are the antidotes for calcium gluconate extravasation?
The aim of the present study is to analyze the beneficial effects of four possible local antidotes for calcium gluconate extravasation: hyaluronidase, sodium thiosulfate, triamcinolone
Treatment of radiographic and magnetic resonance contrast medium extravasation
In addition to anaphylactic reactions induced by contrast media (CM), extravasation is an adverse reaction that occurs immediately, requires special treatment, and attention” Hrycyk et
Risk factors of contrast media extravasation during intravenous contrast-enhanced CT scans
To evaluate the frequency, outcome, and risk factors of intravenous contrast media (CM) extravasation during contrast-enhanced CT scans in a large population” Hwang et al
Literature review of contrast media extravasation in CT and MRI
There are no uniformly accepted radiological guidelines or recommendations regarding detection and treatment of extravasation events and immanent complications in a timely manner” Mandlik et
Large-volume iodinated contrast medium extravasation
Our aim was to retrospectively investigate the frequency and outcome of large-volume iodinated contrast medium (CM) extravasation in our institution and to compare our management
Choice of a second vascular access in hemodialysis patients whose initial arteriovenous fistula failed
There was no significant difference in the total cost of access care for hemodialysis patients receiving a secondary AVF vs AVG” Al-Balas et al (2018).
Maintenance of the central venous catheters in children on long-term parenteral nutrition
CVC insertion and maintenance in children on home PN varies largely amongst centres in Europe. These differences could be at least partially explained by the
Impact of Centers for Medicare and Medicaid Services rules on withholding reimbursement
In 2008, the Centers for Medicare and Medicaid Services (CMS) stopped reimbursing for hospital-acquired conditions (HACs) not present on admission (POA). We sought to understand
Preserving skin integrity with chronic device use in diabetes
Skin integrity and diabetes device placement are ongoing concerns for people with diabetes who utilize continuous glucose monitors (CGMs) and continuous subcutaneous insulin infusion pumps”
Anemia and blood transfusion in elderly trauma patients
We hypothesized that elderly trauma patients would have lower admission hemoglobin (Hb) levels, higher transfusion rates, and worse outcomes than young trauma patients” Loftus et
Protocol examines types and frequency of infusion pump alarms
The objectives of this study protocol are to establish baseline data related to the types and frequency of infusion pump alarms from the B. Braun
Prevalence of wireless smart-pump drug library update delays
Results of a study to estimate the prevalence and severity of delays in wireless updates of smart-pump drug libraries across a large group of U.S.
Assessment of safe injection practices in health facilities in Oman
We conducted a national cross-sectional survey in 2007 using the World Health Organization tool to evaluate injection safety practices. Using 2-stage cluster sampling, 80 government
Will early availability of laboratory results increase same day ward discharge rates?
Early availability of blood results prior to ward rounds increased ward discharges but did not affect discharge time” Cornes et al (2018). Abstract: BACKGROUND: Delayed
Staphylococcus aureus decolonization in patients on home parenteral nutrition
The CARRIER trial is designed to identify the most safe and effective long-term S. aureus carriage decolonization strategy in HPN patients” Gompelman et al (2018).
Estimation of missed bloodstream infections without the third blood culture set
The aim of our study was to determine the proportion of BSIs that would be missed without the third BCS in a hospital where obtaining
Wait time following a flush and minimum waste volume required to obtain an undiluted blood sample
“This study aimed to determine the appropriate wait time following a flush and the minimum waste volume required to obtain an undiluted blood sample when using the PIVO device and how that differed from current guidelines from SPC line draws” Adams et al (2018).
Electronic evidence-based medicine tool for vascular access planning
We have developed a tool, called AVATAR, aimed to make easier the implementation of a vascular access planning. It is a newly-designed tool, developed for