Aseptic technique review from the RCN
“This publication is an RCN investigation into clinical views to guide the practice of aseptic technique” RCN (2020).
Impact of preventive measures on CLABSI rates
“We found significant reduction in the CLABSI rate after implementation of the bundle of care” Khodare et al (2020).
Quality and safety measures in transfusion practice
“Gaps in the processing and in the quality/safety measures applied to the manufacture of blood components are quite evident in most eastern/southern Mediterranean countries” Haddad et al (2020).
Appropriateness of PICC use among general medical inpatients
Haddad, A., Elgemmezi, T., Chaїb, M., Bou Assi, T., Abu Helu, R., Hmida, S., Benajiba, M., Ba, K., Alqudah, M., Abi Hanna, P., Najjar, O. and Garraud, O. (2020) Quality and safety measures in transfusion practice: The experience of eight southern/eastern Mediterranean countries. Vox Sanguinis. March 2nd. doi: 10.1111/vox.12903. (Epub ahead of print).
Management of peripheral IV infiltration injuries
“We performed a retrospective review of all patients who had an IV infiltration at a tertiary care center’s inpatient and outpatient facilities between January 1, 2016, and December 31, 2018” Gibian et al (2020).
Pharmacokinetics of ceftriaxone administered as continuous or intermittent infusion
“To describe the population pharmacokinetics and protein-binding characteristics of unbound ceftriaxone administered as continuous or intermittent infusion” Leegwater et al (2020).
CLABSI significantly adds to the cost and outcome burden in critical care
“CLABSI has added significantly to the cost and outcome burden in critical care, irrespective of the etiology of the critical sickness” Gopal (2020).
Infusion duration for preventing platinum-induced hearing loss
“In an effort to prevent this ototoxicity, different platinum infusion durations have been studied. This review is the third update of a previously published Cochrane Review” As et al (2020).
Centrally inserted tunnelled peripherally inserted central catheter
“We evaluated the feasibility of centrally placed non-cuffed tunnelled peripherally inserted central catheter in the chest as an alternative to conventional peripherally inserted central catheter” Lingegowda et al (2020).
Ultrasound-guided arterial cannulation or by pulse palpation
“The aim of this study is to compare the outcomes of US-guided arterial catheterisation with the traditional landmark (LM) technique in critically ill children” Oulego-Erroz et al (2020).
Vascular access guidewire entrapped in the right ventricle
“The guidewire was rotated anticlockwise with simultaneous soft pulls coinciding with the cardiac cycle. The guidewire was successfully and safely removed” Verma et al (2020).
Review of iatrogenic anaemia in adult intensive care
“High volumes of blood were taken and discarded from the study population, possibly reflecting the fact that there are no guidelines for ICU staff in terms of the amount of blood that needs to be withdrawn in order to “prime” access lines” Holland et al (2020).
Recurrent severe hypophosphatemia following intravenous iron administration
“Hypophosphatemia postintravenous iron is frequent but under-recognized. If prolonged or recurrent, it can cause osteomalacia” Nataatmadja and Francis (2020).
Risk factors associated with difficult peripheral venous cannulation
“This study intends to identify risk factors associated to the incidence of ‘difficult peripheral venous access’ in adults at hospital” Rodríguez-Calero et al (2020).
Vascular access and hemodialysis session stability
“Bad runs were characterized primarily by cramping, low blood pressure (“crashing”), cannulation-related difficulties (“bad sticks”), and clotting of the dialysis circuit or vascular access” Kuo et al (2020).
Propofol infusion syndrome affecting critically ill patients
“Propofol infusion syndrome is a rare condition that mainly affects critically ill patients who receive high doses of this hypnotic for a long time” Subirà González et al (2020).
Massive hemoptysis following cannulation of right internal jugular vein
“Here we report an extremely rare presentation of internal jugular vein catheterization, presenting as massive hemoptysis which was noted during right internal jugular vein cuffed hemodialysis catheter insertion” Ghoddusi Johari et al (2020).
Midline catheter in patients for HPC collection by apheresis
“We prospectively analyzed the use of midline for performing apheresis on 3 healthy donors and 3 adults patients requiring autologous transplantation” Caime et al (2020).
De-implementation strategy to reduce inappropriate use of intravenous catheters
“Our de-implementation strategy reduced inappropriate use of short peripheral intravenous catheters in patients who were not in the intensive care unit” Loan et al (2020).
Incidence of implantable port-related thrombosis
“In patients with digestive cancers who had implantable venous access ports, the incidence of the CRT was 4.5% with no association with anti-VEGF therapies” Tanioka et al (2019).
Influence of CVC insertion on the hemodynamics in the central veins
“The placement of CVC makes significant changes on the hemodynamic environment in the central veins. A great disturbance and increase of velocity can be observed in central veins after the insertion of CVC” Park et al (2020).
Vascular Access and IV Therapy Resource
Errors and discrepancies in the administration of intravenous infusions
Errors and discrepancies are relatively common in everyday infusion administrations but most have low potential for patient harm” Lyons et al (2018). Abstract: INTRODUCTION: Intravenous
Guidelines for preventing the transmission of infections in hemodialysis facilities
This special report summarizes the key recommendations from the Korean clinical practice guidelines for preventing the transmission of infections in hemodialysis facilities” Park et al
Can you avoid placing that central venous catheter?
The purpose of this retrospective study is to identify the unnecessary application of central venous catheter placement and determine the factors associated with the unnecessary
Impact of defaulting to single lumen peripherally inserted central catheters
Changing the default for peripherally inserted central catheters (PICCs) ordered from non-critical care units to single-lumen devices resulted in a sustained reduction in PICC-related complications”
Quality improvement protocol to reduce neonatal CLABSI rates
Therefore, we intend to introduce evidence-based CLABSI prevention package in our practice to improve CLABSI rates in our NICU within limited resources” Hussain et al
Recanalization of occluded veins in a parenteral nutrition-dependent children
We propose a new paradigm that uses these techniques to prevent access site exhaustion in patients who do not respond to anticoagulation therapy. This approach
Creating a multidisciplinary dialysis access program
We conclude that a formalized access program decreases catheter rates, central line-associated bloodstream infection, and the resultant hospitalizations, mortality, and costs” Rosenberry et al (2018).
Relocation of blood gas laboratory to the emergency department
Emergency physicians often rely on Lactic Acid (LA) values to make important clinical decisions. Accuracy of LA values improve when blood gas analysis is performed
Skin disinfection before CVC insertion in patients receiving intensive chemotherapy
We aimed to compare the effectiveness of 1% chlorhexidine gluconate in 70% alcohol (CH) vs. PI for skin disinfection before CVC insertion in patients receiving
Article explains laboratory tests of renal function
In this article we will discuss tests frequently used to assess renal function” Stewart and Pasha (2018). Abstract: The kidneys are vital organs in the
Interventional management of central vein occlusion in patients with PICC placement
This study evaluated the incidence of central vein occlusion (CVO) and analyzed the interventional management for CVO during peripherally inserted central catheter (PICC) placement to
Central venous catheter use among haemodialysis patients in the Irish health system
The goal of this study was to determine the prevalence and variation in CVC use across centres in the Irish health system” Hussein et al
Ultrasound guidance for internal jugular vein cannulation in PICU
We investigated whether ultrasound guidance was advantageous over the anatomical landmark technique when performed by inexperienced paediatricians” de Souza et al (2018). Abstract: OBJECTIVE: We
How much variation in central venous catheter insertion technique?
Surgery residents do not strictly adhere to the guidelines for CVC and CT insertions, and there is substantial variation in the practice of the procedures,
Intraosseous versus intravenous access in pediatric septic shock
The IO route was successfully secured in all cases with a significant shorter time of vascular access insertion, shorter length of stay and reduction in
Is chest X-ray necessary after ultrasound-guided central venous line placement?
Routine CXR consumes valuable time and resources (≅$155,000 annually) and rarely affects management. Selection should be guided by clinical factors” Woodland et al (2018). Abstract:
Treatment of superior vena cava syndrome through catheter-directed thrombolysis
This case shows that catheter-directed thrombolysis may be used as a safe treatment for catheter-induced acute SVC syndrome in patients who have undergone catheter insertion
Antimicrobial lock solutions for preventing catheter-related infections in haemodialysis
To assess the efficacy and safety of antimicrobial (antibiotic, non-antibiotic, or both) catheter lock solutions for preventing CRI in participants undergoing HD with a CVC”
Impact of pediatric outpatient parenteral antibiotic therapy
Our data suggest that p-OPAT is safe and effective, with the potential to offer considerable savings for the healthcare economy through reduced length of inpatient
Complications in the central venous catheterization in children under 18 years of age
To describe the frequency of immediate complications of central venous catheterisation guided by the ultrasound in a general university hospital, compared to the anatomical landmarks
The venous patterns of the cubital fossa is mapped in this study
The present study aims to analyze the venous pattern of the cubital fossa among individuals from Brazil” Pires et al (2018). Abstract: Venous punctures are
Continuous passive disinfection cap for the decontamination of needle-free connectors
The objective of this study was to determine if a continuous passive disinfection cap is as effective as standard cleaning for the microbial decontamination of
Effect of central line bundle compliance on CLABSI rates
This study provides direct evidence that completing all CL bundle components perfectly is essential for preventing CLABSIs. Customized education should be provided, according to specific
Sustaining CLABSI reduction in neonatal intensive care
We describe our experience with lessons learned, with an emphasis on the areas of difficulty during implementation of the bundle elements and the strategies and
Effects of thickness of muscle and subcutaneous fat on efficacy of IM injection sites
Intramuscular injections given at the dorsogluteal and ventrogluteal sites are intended for the gluteus maximus and gluteus medius muscles, respectively. However, little research has confirmed
Home parenteral nutrition for patients with advanced cancer
This article describes how to identify which cancer patients would benefit from this therapy and how to ensure it is safely and correctly administered in
Reasons for removal of non-tunnelled central catheters in dialysis patients
To evaluate the reasons of removal of non-tunneled double lumen catheters (NTDLC) in incident hemodialysis (HD) patients in a tertiary renal care hospital” Qureshi et
Description of subclavian vein central venous access
Once an indication for central venous catheterization is established, the clinician has multiple sites to select from including the internal jugular vein, subclavian vein, femoral
Upper extremity DVT and central venous catheters
With the increased use of central venous catheters, cardiac pacemakers/defibrillators, and peripherally inserted central catheter (PICC) lines. DVTs in the upper extremities have become more
Overview of the regulation of fluid and electrolyte balance
Disorders in sodium balance with consequent effect on osmolality come about mainly due to disturbances in water homeostasis rather than an abnormality of sodium intake