Treatment of PICC-related thrombosis reviewed
We performed a retrospective analysis of hospitalized adult patients diagnosed with CRT at our center. We determined rates of progressive thrombosis and bleeding in cohorts
National evaluation of safety peripheral intravenous catheters
This article presents an excerpt of a national evaluation undertaken by an independent team of NHS senior clinicians from different fields, commissioned by the Department
Stability of cefuroxime for administration by continuous infusion
This study aims to determine the stability of a 90 mg/mL cefuroxime sodium solution. Cefuroxime sodium was reconstituted and mixed with 50-mL 0.9% saline to produce
Experience of a subcutaneously anchored sutureless system for securing central venous catheters
This article reports the results of three prospective clinical studies conducted in a university hospital regarding the efficacy, safety and cost effectiveness of a subcutaneously
Implementing an e-learning education program for syringe pump use
The aim of the present study was to challenge the implementation of an e-learning education program for syringe pump use” Saint-Marc metal (2019). Abstract: To
Sodium bicarbonate catheter lock solution reduces hemodialysis catheter loss
The objective of this study was to determine the safety and efficacy of using sodium bicarbonate catheter lock solution (SBCLS) as a means of preventing
Paediatric nurses’ adoption of aseptic non-touch technique
To provide insight into the challenges faced by clinical staff adopting ANTT during intravenous therapy” Isaac et al (2019). Abstract: BACKGROUND: In 2015, NHS Wales
Oral 24% sucrose for pain control in healthy newborns receiving venipuncture
To test the hypothesis that oral administration of 24% sucrose associated with nonnutritive sucking in healthy newborns receiving venipuncture beyond the first week of life
Azygos vein cannulation after catheterisation of the left internal jugular vein
Hereby, a case of a 15-month-old child is presented with a fully functional Hickman catheter introduced via the left internal jugular vein. The tip of
Antibiotic stewardship and the treatment of uncomplicated lower limb cellulitis
The expense of these visits is vast and places avoidable strain on health care dollars. The average hospital stay (5 days) for patients treated for
Adverse effects associated with parenteral nutrition overfeeding
Parenteral nutrition (PN) overfeeding is a potential risk factor in the development of infections and other complications including hyperglycaemia, refeeding syndrome and liver dysfunction. This
Overview of total intravenous anaesthesia
Total intravenous anaesthesia (TIVA) is a technique to induce and maintain general anaesthesia exclusively with intravenous anaesthetic agents, thereby avoiding the use of inhalational agents”
Identification of early migration of peripherally inserted central catheter
Focused ultrasound identified a hyperechoic tube with thrombosis in left jugular vein, which indicated migration of PICC” Shih et al (2018). Abstract: A peripherally inserted
Ultrasound-guided placement of a midline catheter
The midline catheter is a viable choice in patients with difficult vascular access due to extensive postburn scar contractures” Yokota et al (2019). Abstract: RATIONALE:
Sequential intravenous-to-oral outpatient antibiotic therapy for MRSA bacteraemia
We provide preliminary evidence that selected patients with MRSA BSI may have at least equivalent clinical outcomes with OOAT versus OPAT and provide support to
Barriers to ultrasound guidance for central venous access
The goal of this study was to investigate current practice for central venous catheterization in anaesthesiology and intensive care in the Netherlands, identify barriers for
Conservative fluid management after sepsis resuscitation
The feasibility and clinical outcomes of conservative fluid management after sepsis resuscitation remain unknown” Semler et al (2019). Abstract: RATIONALE: The feasibility and clinical outcomes
Central venous catheter outcomes in critically ill children
This data suggests that the femoral site may be an important risk factor that should be considered in prevention strategies for catheter-associated VTE in children”
Long peripheral IV catheters for deep arm vein venous access
Long peripheral catheters (LPCs) offer a quick, simple and cost-effective alternative for venous access in intensive care patients with difficult venous access, but the decision
Focal myositis and contracture secondary to amiodarone extravasation
Amiodarone extravasation is well recognised to cause local injection site reactions. Involvement of deeper tissues is rare. To our knowledge, this is only the second
Complications associated with central venous access for hemodialysis in cancer patients
Central venous catheter implantation for hemodialysis is commonly performed in large centers and its complications are sometimes associated with insufficient training of those who perform
Impact of perioperative dextrose infusion and postoperative nausea and vomiting
In this meta-analysis, we investigated the use of an intraoperative or postoperative infusion of dextrose for the prevention of postoperative nausea and vomiting” Zorrilla-Vaca et
Promotion of hand hygiene practices is sustainable in a resource-constrained setting
Promotion of hand hygiene is feasible and sustainable in a resource-constrained setting using a multimodal improvement strategy” Pfäfflin et al (2017). Abstract: Background: The burden
Implementation of a chlorhexidine gluconate bed bathing protocol
The objective of this study was to determine understanding of bed bathing practices over time after the implementation of a standardized bed bathing protocol” Reese
Which is the best skin antiseptic solution before blood culture collection?
The rates of blood contamination were not different when isopropyl alcohol and chlorhexidine were compared. Isopropyl alcohol could be used for skin antisepsis before blood
Guidewire associated arrhythmia during central venous catheterization
During central venous catheterization through the right internal jugular vein, inserting guywires to depths of 15 or 17.5 cm before tissue dilation reduced the incidence of
Adequacy of antimicrobial therapy in patients with CLABSI
Our CLABSI patients had a high mortality, although antimicrobial therapy was appropriate. Gram-negative bacteria were responsible for almost half of the cases and there was
Study attempts to reduce the number of intravenous catheters inserted
This study aims to reduce the use of urinary and intravenous catheters with an inappropriate indication, and as a result reduce the catheter-related complications. If
Choosing peripheral intravenous catheter for CT contrast injection
To compare the 24-gauge side-holes catheter and conventional 22-gauge end-hole catheter in terms of safety, injection pressure, and contrast enhancement on multi-detector computed tomography (MDCT)”
Improving the standard of central line care to reduce CLABSI rates
The purpose of this quality improvement project was to determine the effect of providing feedback to managers and bedside nurses on the nurses’ central line-associated
How reliable is point-of-care testing measurements?
We investigated the agreement between the latest generation blood gas analyzer and central laboratory measurements of electrolytes, bicarbonate, hemoglobin, hematocrit, and glucose” Allardet-Servent et al
Handheld ultrasound is a safe and useful aid in cannulation of dialysis access
Handheld ultrasound is a safe and useful aid in cannulation of dialysis access” Kumbar et al (2017). Abstract: Background: Infiltrations from cannulation result in significant
What is the association between parenteral nutrition and CLABSI rates?
PN remains a significant risk factor for CLABSIs; further work is needed to identify effective strategies to reduce rates of CLABSI among patients receiving PN” Fonseca
Vein visualization device for successful peripheral IV catheter placement
Peripheral intravenous catheterization using vein visualization device support reduces the number of attempts per patient and the operation duration but increases the rate of first
Placing internal jugular dialysis catheter tips in the inferior vena cava
This study suggests that exchanging the catheter and placing the tip in the IVC is effective and safe in certain situations especially when the tip
Venipuncture pain assessment tools for preschool-aged children
This study evaluated two novel simplified pain assessment tools for preschool-aged children undergoing blood sampling. These scales demonstrated good validity and feasibility compared with the
How often and why do implantable ports flip?
The incidence of port inversion without suture fixation of the port base to the pocket is extremely low. The present study shows differences in inversion
Reasons for removal of totally implantable venous devices in children?
“The aim of this study is to determine the reasons for port removal. The port catheters, implanted and removed in patients between January 2000 and June 2013 were evaluated retrospectively” Kılıç et al (2016).
Complication and removal of totally implantable venous access port
The aim of this study is to investigate the impact of the time interval between port placement and initiation of chemotherapy and the neutropenia-inducing potential
Central venous catheter-related tachycardia in the newborn
We present a case of a preterm neonate with a preexisting umbilical venous catheter (UVC), who then developed a supraventricular tachycardia (SVT)” Amer et al
Extent of needleless connector blood contamination after routine flushing
The aim of this study was to find the magnitude of blood contamination of PIV catheter hub after routine flushing” Krishnamurthy et al (2016). Abstract:
Suture or glue for skin closure after implantable port placement
To compare early outcomes of skin closure with octyl cyanoacrylate skin adhesive versus subcuticular suture closure” Martin et al (2017). Abstract: PURPOSE: To compare early
Aesthetic considerations for implantable port placement
The aim of this technical note is to report our revised surgical technique for TIVAD placement” Liberale (2016). Abstract: Major progress has been made in
Considerations for implantable port placement in a neutropenic patients?
To determine if severe neutropenia at the time of chest port insertion is a risk factor for port removal and central catheter-associated bloodstream infection (CCABSI)
Techniques to overcome difficult implantable port insertion
The monorail technique is helpful to overcome the difficult anatomical course via left internal jugular vein in implantable port insertion” Kim et al (2016). Abstract:
Implantable port thrombosis rates in cancer patients
Implantable port thrombosis (IPT) in cancer patients is a relatively rare but severe complication” Dridi et al (2016). Abstract: OBJECTIVE: Implantable port thrombosis (IPT) in
PICC complications and a negative impact on neonatal body weight gain?
The aim of this study was to determine the risk of PICC complications in NICU, and further identify the effects of PICC complications on body
Is a three-step hand rub technique as effective as the WHO six-step version?
The WHO six-step “how to hand rub” technique can be simplified to a 3-step procedure based on the reduction of bacterial counts on HCW’s hands
What is the future of intravenous fluid resuscitation in sepsis?
Fluid resuscitation continues to be recommended as the first-line resuscitative therapy for all patients with severe sepsis and septic shock” Byrne and Van Haren (2017).
PICC line practices in neonatal intensive care units
Neonatal intensive care units (NICUs) commonly utilize peripherally inserted central catheters (PICCs) to provide nutrition and long-term medications to premature and full-term infants. However, little
Intraosseous infusion of Adenosine in an infant
In most cases, antecubital intravenous access can be established, and adenosine can be administered in a rapid and timely fashion. The role and administration of
Distraction-based interventions for children undergoing venipuncture
Little is known about the effects of distraction techniques when undertaking medical procedures with hospitalized pediatric patients in Asian countries” Kuo et al (2016). Abstract: