MRSA sepsis following clandestine intravenous infusion
Intravascular devices aid in drug administration and fluid replacement for hospitalized patients and are thus an integral part of modern medical care; however, poor aseptic
Presentation of a central venous catheter misplacement case
Placement was performed under ultrasound guidance, with confirmation of the wire within the venous lumen. Radiographs suggested that the introducer had perforated the innominate vein.
Peripheral intravenous access for extracorporal photopheresis
Extracorporal photopheresis (ECP) was shown to be effective without severe side effects in the treatment of cutaneous T cell lymphoma (CTCL) and graft versus host
Treatment of cancer-related venous thromboembolism
Cancer patients develop a hypercoagulable state with a four- to seven-fold higher thromboembolic risk compared to non-cancer patients” Grandoni and Alberio (2019). Abstract: Cancer patients
Financial impact of approaches to reduce bacterial contamination of platelet transfusions
Bacterial contamination of platelets remains the leading infectious risk from blood transfusion. Pathogen reduction (PR), point-of-release testing (PORt), and secondary bacterial culture (SBC) have been
Continuous etomidate infusion for the management of severe Cushing syndrome
Demonstrate the safety and efficacy of a standardized intravenous etomidate infusion protocol in normalizing cortisol levels in patients with severe and life-threatening hypercortisolism” Carroll et
Using Lean methodology to reduce infusion pump errors
Since previous attempts to reduce medication errors with infusion pumps failed in our intensive care unit, we chose the Lean approach to accomplish a 50%
End of life palliative sedation via intraosseous vascular access
No complications were noted from this route of administration. We advocate the use of IO access in the palliative care of terminal ill patients when
Contamination of health care personnel during removal of contaminated gloves
In simulations of contaminated glove removal, 37% of health care personnel using their typical doffing technique contaminated their skin with a fluorescent solution” Alhmidi et
Review of the dosing and monitoring of vancomycin
We have evaluated the literature to review optimal dosing and monitoring of intravenous vancomycin in adults, in response to evolving understanding of targets associated with
Review of the safety of intravenous drug delivery systems
The purpose of this conference was to evaluate the safety of intravenous (IV) infusion systems used for medication administration” Rodriguez (2018). Abstract: This review was
How to treat extravasation injuries in infants and young children
There is some uncertainty about which are most the promising treatments for extravasation injuries in infants and young children. Saline flush-out techniques and conservative management
Variation of central line infections in United States hospitals
Our descriptive analyses show a wide distribution in rates of central line device days and central line–associated bloodstream infections for a given standardized infection ratio—the
Economic burden of chronic diabetic osteomyelitis
Diabetic foot ulcer (DFU) prevalence is as high as 25% and 40-80% of DFUs become infected (DFI). About 20% of infected ulcers will spread to
Reducing blood culture contamination using an initial specimen diversion device
A diversion device diverts the initial 1-2 mL of blood to remove any potentially contaminated skin plug. This study investigates the effect of the device
Night optical device technology enables vascular access in blackout conditions
Because definitive surgical care is often delayed until a white light environment is permissible, we sought to determine if night optical device (NOD) technology could
Report of embolized PICC following power injection
Immediately after the contrast media power injection, the PICC line was embolized to the right segmental pulmonary artery” Vlasenko et al (2019). Abstract: The recent
Hemodialysis vascular access options in the elderly
Choosing the optimal hemodialysis vascular access for the elderly patient is best achieved by a patient-centered coordinated multidisciplinary team approach that aligns the patient’s end-stage
Simulation for clinical preparedness in pediatric emergencies
The aim of this pilot study exploring the outcomes of repeated pediatric mock code simulations with structured debriefing demonstrated statistically significant differences in participants’ knowledge
Invasive fungal disease in patients with hematological malignancies
Invasive fungal disease (IFD) is a major infectious complication in patients with hematological malignancies” Wang et al (2018). Abstract: Invasive fungal disease (IFD) is a
Closure of common carotid artery perforation caused by misplaced central venous catheter
A 7-year-old boy with medulloblastoma, after neurosurgical resection of an intracranial tumor, was sent for echo-cardiography examination, because of unsuccessful administration of the second course
Risk factors associated with PICC-related venous thrombosis in patients of advanced age
This study was performed to determine the risk factors associated with peripherally inserted central catheter (PICC)-related venous thrombosis in patients of advanced age (>65 years)”
Chemotherapy-induced implantable port extravasation
The lesion was slowly progressive with ulceration and bullae formation. A dye study showed that the catheter was intact and it was in position” Das
Missing guide wire after placement of peripherally inserted central catheter
Here we present a case of a missing guide wire after placement of peripherally inserted central catheter (PICC), which was incidentally picked up by bedside
Ultrasound for confirmation of central venous catheter position and exclusion of pneumothorax
Bedside ultrasound is faster than radiography at identifying pneumothorax after central venous catheter insertion. When a central venous catheter malposition exists, bedside ultrasound will identify
Case study describes PICC line placement alongside cardiac pacemakers
We share a case of two successful PICC insertions in a 97-year-old patient with bilateral pacemaker placement, that have not been reported previously” Sun et
Internal jugular dimensions and common carotid overlapping mapped
This preclinical study was designed to determine by ultrasound technique relative topographic characteristics in humans of the internal jugular veins and common carotid arteries at
Proctoclysis as a method of fluid administration in an emergency setting
A novel device is now available that offers an easy route for administration of medications or fluids via rectal mucosal absorption (also referred to as
Transient paresis after neonatal PICC line insertion
Obtaining intravascular access in the neonatal intensive care unit (NICU) is not only critical but also technically challenging” Payne et al (2016). Abstract: Obtaining intravascular
Outpatient parenteral antimicrobial therapy in Spain
This is the first programme of OPAT administration not dependent on Home Hospitalization Service in Spain, which could allow to optimize the hospital and primary
How to increase the accuracy of ultrasound-guided vascular access?
The aim of this observational cohort study was to investigate whether adding guidance markers on a US system would increase the accuracy of US-guided needle
Air embolism prevention after tunnelled central venous catheter removal
We present a useful technique that may prevent vascular air embolism and severe bleeding” Letachowicz et al (2016). Abstract: Introduction: Severe, life-threating, complications might occur
Vascular access cannulation is an essential skill for dialysis nurses
The risk of an acute VA complication could be reduced with appropriate training of nurses, physicians and patients. This could potentially prolong the VA life”
Article describes how to insert a peripheral cannula
Peripheral cannulation is a common procedure that requires high standards of care and management to optimise patient outcomes” Shaw (20016). Rationale and key points: This
PICC line and Midline catheter comparison
Peripherally inserted central catheters (PICCs) are a commonly used central intravenous (IV) access device, which can be associated with significant complications. Midline catheters (MCs) are
Are peripherally inserted central catheters superior to central venous catheters?
A Power PICC may be a better choice than a CVC in patients undergoing devascularisation requiring catheterisation” Jing et al (2016). Abstract: Peripherally-inserted central catheters
Development of a peripheral intravenous catheter insertion skills checklist
To date, there is no published, psychometrically validated, short peripheral intravenous catheter (PIVC) insertion skills checklist” Schuster et al (2016). Abstract: To date, there is
Potential outcome of PICC tip verification with bedside chest radiographs
This case report details the experience of 1 patient and the difficulties encountered identifying the PICC tip using bedside chest radiographs” Gordon, S. (2016). Abstract:
How to train community nurses in evidence-based PICC line care?
An education program targeting nurses in the community who care for complex patients with CVCs can decrease community-acquired infection rates and complications” Falder-Saeed et al
Patient positioning for PICC placement in critically ill ventilated patients
The ability to place a PICC in any critically ill, prone patient can expedite the administration of fluids and drugs by the critical care team
How to successfully implement ECG PICC placement?
The following article outlines the use of a change process theoretical framework to plan, implement, and sustain successful outcomes with integration of electrocardiogram-placed peripherally inserted
PICC tip malposition is a significant source of clinical inefficiency
PICC malpositioning is a significant source of inefficiency, especially for inpatient services, that should be addressed to reduce expenditures and maximize patients’ perceptions of quality
Current status and future direction of health care in Spain
This article highlights the health care situation in Spain, which is mostly public and free for all citizens” Hernández and Miluy, G. (2016). Abstract: This
How to manage central line associated venous thrombosis in children
Central venous catheters (CVCs) account for the largest proportion of thrombotic events in pediatric patients. Questions remain regarding adequate treatment and prevention methods” Witmer et
Needlestick injury prevention support for clinical staff
All professional groups must be encouraged to be more aware of the risks in disposing of sharps. Safe handling practices for disposal of insulin pens
How to identify power-injectable implantable arm ports?
The results illustrate that our local cancer center infusion nurses were a very experienced group who have been able to adapt to the 2 different
Anaphylaxis algorithm aids in the recognition and treatment of an anaphylactic reaction
The use of the Resuscitation Council Anaphylaxis Algorithm aids in the recognition and treatment of an anaphylactic reaction” Chapman and Lalkhen (2016). Abstract: Anaphylaxis is
Extravasation wound management in neonatal intensive care units
Among the 211 neonates observed, wound management was required in 10 cases of diaper dermatitis, 7 epidermal stripping, 6 extravasation injuries, 5 pressure ulcers, 1
MALDI-TOF-MS-based infection identification and patient management
Rapid identification of pathogens directly from positive blood cultures (BC) in combination with an antimicrobial stewardship programme (ASP) is associated with improved antibiotic treatment and
Complex regional pain syndrome following venipuncture
Complex regional pain syndrome was suspected and triple-phase radioisotope bone scan was done which was highly suggestive of this diagnosis” Pruthi et al (2016). Abstract:
Reduction of central-line associated infection in pediatric intensive care
To determine the central-line associated bloodstream infection rate after implementation of central venous catheter-care practice bundles and guidelines and to compare it with the previous
Research on how to secure peripheral intravenous catheters
To assess the effects of peripheral venous catheter dressings and securement devices on the incidence of peripheral venous catheter failure” Marsh et al (2014). Abstract: