Nursing management approach for CLABSI reduction – Full Text
“We aim to eradicate CR-BSIs within the surgical intensive care units (ICUs) of hospitals. To achieve this goal, we have introduced a comprehensive quality improvement framework designed not only to benefit our own ICU but also to serve as a model for implementation in other similar healthcare settings” Xu et al (2024).
Anaphylaxis associated with PICC catheterization
“The increasing incidence of anaphylaxis related to PICC catheterization necessitates greater awareness among healthcare providers. Further research is needed to identify the exact culprits during PICC insertion and develop effective strategies for preventing anaphylactic reactions” Wu et al (2024).
Development of sensor module for rapid detection of extravasation
“Basic characteristics of each function was evaluated and a proof of concept experiment demonstrated a rapid detection of infiltration/extravasation within a few s. Measurement of leaked fluid volume during the event was also demonstrated” Al Farisi et al (2024).
Ambulatory monitoring of PICC-associated complications
“A tool for ambulatory monitoring of PICC-associated complications with a solid content validity was obtained” Sofie et al (2024).
Factors affecting unused short peripheral IV catheters
“Unused short peripheral catheters are still quite frequent. While specific clinical needs justified some unused short peripheral catheters, a proportion remained unexplained and potentially avoidable” Canzan et al (2024).
Implantable port infection with associated intracardiac infected thrombus – Full Text
“We report on the first case of a TIVAD infection caused by Achromobacter xylosoxidans in person with cystic fibrosis. The TIVAD infection was complicated by a bacteraemia and an associated intracardiac infected thrombus at the superior atriocaval junction” Evans et al (2024).
Study of the Voyager Ark vascular access device
“We report the 6-month outcomes of the Ark Cannulation Trial (ACT) I early feasibility study. This investigation examined the Ark as a potential innovative access tool for overcoming cannulation-related challenges and improving arteriovenous fistula (AVF) dependent hemodialysis through targeted cannulation” Ross et al (2024).
Adverse events following probable CRBSI
“Tunneled dialysis catheters (TDCs) are preferred over temporary noncuffed catheters for access in patients on maintenance hemodialysis. The removal of TDC after catheter-related blood stream infections (CRBSIs) is often not practiced even when indicated, and the adverse outcomes after such salvage are presently unclear” Pandit et al (2024).
Clinical nurse specialist neonatal PICC team achieve zero CLABSI rates
“The adoption of a CNS-led PICC team was instrumental in achieving a zero CLABSI rate over a prolonged period” Bedwell et al (2024).
Peripheral intravenous infiltration risk factors
“Here, we aim to investigate risk factors associated with major adverse events following PIV infiltration, which may help risk stratify those who require early surgical consultation” Duggan et al (2024).
Spontaneous PICC migration into the azygos vein – Full Text
“This case report presents an incident of spontaneous migration of a peripherally inserted central catheter (PICC) into the azygos vein, leading to accidental transection during surgery” Mao et al (2024).
Drug resistance and CRBSI
“We analyzed the clinical distribution and the antibiotic susceptibility of pathogens for catheter-related blood stream infection (CRBSI) in the hospital retrospectively” Sun et al (2024).
Protocol differentiates between different biofilm strains
“The developed protocol successfully differentiates between the strains in various living states (planktonic and biofilm) and growth media (Tryptic Soy Broth and Brain Heart Infusion) using S. aureus USA300 LAC (MRSA) and S. aureus Newman (MSSA)” Nair et al (2024).
Appropriate tourniquet pressure for PICC placement
“When inserting a PICC into the basilic vein of the upper arm, a narrow blood pressure cuff should be used as a tourniquet to avoid concealing the puncture site. The aim of this study was to determine the appropriate tourniquet pressure using a narrow cuff when inserting a PICC into the upper arm” Tsubota et al (2024).
Catheter-related thrombosis study
“A known CRT risk factor is a high catheter-to-vein ratio (CVR), or a large catheter diameter with respect to the indwelling vein size. In this study, the CVR’s effect on CVC hemodynamics and its impact on CRT is investigated with in vitro and in silico experiments” Palahnuk et al (2024).
Totally implantable venous access port metastasis – Full Text
“This case underscores the importance of recognizing cutaneous plasmacytomas in patients with multiple myeloma and venous access ports to avoid misdiagnosis and unnecessary interventions” Gregg et al (2024).
Management of central venous catheter induced superior vena cava syndrome
“This case series describes the endovascular management of three patients with catheter-associated superior vena cava (SVC) syndrome. SVC syndrome can result from malignant (60%) or benign (40%) etiologies” Anderson et al (2024).
Radiology resident proficiency in identifying misplaced lines
“This study reveals gaps in radiology residents’ ability to identify these specific misplaced lines, tubes, and devices accurately. The consistent pattern of underperformance, primarily due to observational errors, suggests a need for targeted educational interventions to improve resident proficiency in this aspect of emergency radiology” Iakovidis et al (2024).
Dealing with a national blood culture bottle shortage – Full Text
“Within three weeks of the BC bottle shortage announcement, we successfully deployed evidence-based BC restrictions in the electronic medical record (EMR), reducing our BC orders by 29.5%” Butt et al (2024).
Prevention of air embolism in ECMO systems – Full Text
“The study identified the unprotected lumen of the central venous catheter as a potential entry point for air into the ECMO circuit. The use of a closed three-way stopcock or one-way valve was found to be a reliable protective measure against air infiltration” Franco et al (2024).
Risk factors for central venous catheter thrombosis – Full Text
“To identify the incidence and risk factors for Central Venous Catheter-Related Thrombosis (CVC-RT) among patients admitted to the Pediatric Intensive Unit” Azzam et al (2024).
Antibiotic stewardship programme for hospital at home – Full Text
“To evaluate the adequacy of empirical antibiotic prescription and the duration of antibiotic therapy for infected patients admitted for conventional hospitalization (CH) and Hospitalization at Home (HaH) after implementation of an antibiotic stewardship programs (ASP) in HaH” Moreno Núñez et al (2024).
Vascular Access and IV Therapy Resource
Identifying work-related injuries among healthcare workers – Full Text
“HCWs face numerous daily hazards including needlestick injuries, chemical exposures, ergonomic strains, and psychological stressors crucial for their health and healthcare system functionality” Alqithami et al (2024).
Epinephrine route of administration in out-of-hospital cardiac arrest
“This retrospective analysis of a national EMS database revealed that IO epinephrine was negatively associated with ROSC. Additionally, there appears to be a finite time window during which intravenous epinephrine remains superior to the intraosseous route even if there are brief initial delays in IV drug delivery” Hubble et al (2024).
Neonatal vascular access complications
“In this study, the prolonged dwell time and smaller sized catheter was found to be independent predictors of total complications and CLABSI, respectively. The independent predictive effects of postconceptional age and body weight should be addressed in larger studies as potential risk factors” Simsek et al (2024).
Central line bundle implementation study – Full Text
“The study emphasized the significance of training in enhancing understanding and adherence to central line bundling protocols in ICUs. Participants exhibited a high level of knowledge and commitment to recommended practices, indicating that this training can have a favorable effect on CLABSI rates” Singh et al (2024).
Technique for tunneled hemodialysis catheter exchange
“The halfway technique may be recommended over the standard technique of tunneled catheter insertion due to shorter operative time, lower rate of hematoma formation, with non-inferior 1-year patency rates and comparable technical success and infection rates” Kamhawy et al (2024).
Association between necrotizing enterocolitis and CVC type
“Umbilical venous catheters (UVC) have been associated with an increased risk of necrotizing enterocolitis (NEC). We aimed to assess the relationship between the type of initial central venous access in preterm infants and NEC” Abda et al (2024).
OPAT adverse event prediction
“This study aimed to conduct a scoping review of machine learning (ML) techniques in outpatient parenteral antimicrobial therapy (OPAT) for predicting adverse outcomes and to evaluate their validation, implementation and potential barriers to adoption” Challener et al (2024).
Catheter-related thrombosis in neonates
“he incidence of central venous catheter-related thrombosis and the long-term effects of thrombosis on catheterized veins in neonates is unknown. We therefore determined the incidence of central venous thrombosis, identified associated risk factors, and evaluated outcomes at 6 months” Xiong et al (2024).
Vascular access training in the emergency department – Full Text
“Education and training in vascular access is a critical component to delivering quality vascular access care. Given that organizations must invest resources to implement and sustain high-quality vascular access programming, we aimed to demonstrate the cost effectiveness of a program (Operation STICK (OSTICK)) in the emergency department (ED)” Bahl et al (2024).
BSI in children and role of repeat blood cultures
“Repeat blood cultures are common in children after an initial positive culture. However, in contrast to adults, there are little data to help guide clinicians when a repeat culture is necessary to assess for persistent bacteremia. This study identifies factors associated with persistent bloodstream infections (BSI) in children to inform diagnostic stewardship” Puthawala et al (2024).
Predicting catheter-related thrombosis risk associated with central venous access devices
“Our study aims to construct and validate a predictive model for CRT risk in patients with cancer. It offers the possibility to identify independent risk factors for CRT and prevent CRT in patients with cancer” Ma et al (2024).
CRBSI reduction following use of taurolidine-citrate-heparin IV locking solution
“The aim of this study was to analyze the effect of systematic sealing of hemodialysis catheters in the ICUs of the Hospital Clínic de Barcelona on the incidence of hemodialysis catheter-related blood stream infections (CRBSI)” Del Risco Zevallos et al (2024).
Review of topical skin antisepsis in neonates
“Our findings indicate that both extremely preterm and very low birth weight infants are particularly susceptible to skin toxicities from pre-procedural antiseptic preparations” Mulinda et al (2024).
CLABSI differences according to catheter type – Full Text
“CABSI in catheters other than short-term non-tunnelled CVC are more commonly caused by virulent organisms including S. aureus and Gram-negative bacteria. Catheter type should be considered when selecting empirical antimicrobial therapies” MacPhail et al (2024).
Medication errors in obstetric anesthesia
“Implementation of various types of best practice cost effective mitigation strategies include recommendations to improve drug labeling, optimize storage, determine correct medication prior to administration, use non-Luer epidural and intravenous connection ports, follow patient monitoring guidelines, use smart pumps and protocols for all infusions, disseminate medication safety educational material, and optimize staffing models” Sharpe et al (2024).
How to design a cancer infusion center
“The current study performed a post-occupancy evaluation on a new cancer infusion center with pod-like layout and compared results to a pre-occupancy evaluation to investigate the impact of different cancer infusion center designs on staff efficiency and patient and staff satisfaction” Jalalianhosseini et al (2024).
Radiopharmaceutical extravasation case report – Full Text
“We are concerned that a reluctance to recognize the true frequency of extravasations and their severity may create distrust in the relationship between the nuclear medicine community and patients” Mace and Kiser (2024).
Forearm hematoma following contrast extravasation – Full Text
“Large extremity hematoma can happen after contrast extravasation during computed tomography scan, which may require surgical treatments. Careful preparation, close monitor, and prompt managements should be applied in high-risk patients” Wu et al (2024).
Clinical role in reporting extravasation injuries – Full Text
“Extravasation, as distinct from infiltration, is when a potentially toxic agent (e.g., radiographic contrast, chemotherapy, anesthesia or radionuclide) is unintentionally administered to the surrounding tissue instead of directly into the vein” Bartholow (2024).
IV radiopharmaceutical administration best practice standards – Full Text
“In order to improve radiopharmaceutical administration and patient care, the nuclear medicine community should update technical standards to address the most recent peripheral IV access and administration best practices, provide technologists with vascular visualization tools and the proper training, develop and require annual vascular access competency, and provide active monitoring with center and patient-specific data to create ongoing feedback” Harris et al (2024).
Subclavian central line infiltration causing compartment syndrome – Full Text
“Unrecognized central venous catheter (CVC) infiltration is an uncommon but potentially life-threatening complication. For instance, a malpositioned subclavian line can infuse into the mediastinum, pleural cavity, or interstitial space of the neck” Bucyk et al (2024).
Clinical decision support system to reduce CLABSI – Full Text
” A significant proportion of active CVLs were potentially unnecessary. CDSS implementation, in conjunction with audit and feedback, correlated with a sustained increase in timely CVL removal and an increase in days between CLABSIs” Spiegel et al (2024).
Safety of PowerPICC catheters – Full Text
“The findings indicate that these catheters are safe and can be effectively used in the general patient setting and when inserted by a variety of clinicians” Troubil et al (2024)
PICC line complications in oncology – Full Text
“The study underscores the utility of LASSO logistic regression in the personalized risk evaluation of PICC line complications, recommending its integration into clinical practice” Zhang et al (2024).
Amoxicillin stability for OPAT
“Amoxicillin and clavulanate showed adequate stability at 2.9 °C for OPAT storage at 1 mg/mL and possibly 7.5 mg/mL, but not 15 mg/mL. Low shelf-life values at 25 °C also limit administration times” Kamalpersad et al (2024).
Central venous catheter insertion site options – Full Text
“Among the fast-paced and hectic demands of daily practice in the intensive care unit (ICU), the choice of insertion site for a central venous catheter may feel like a relatively minor medical decision” de Grooth et al (2024).
Alarm management study in pediatrics – Full Text
“To provide a contemporaneous evidentiary overview of neonatal and paediatric studies investigating alarm-related patient safety and alarm system management. Furthermore, to describe how clinical alarm burden is captured and reported, to identify clinical devices that contribute to alarm burden, to explore alarm-related and patient safety measures and terminologies and to review alarm management initiatives” Cole et al (2024).
Peripherally inserted central catheter migration – Full Text
“PICC fracture is less common and always seen without significant discomfort if not found timely, and it may lead to serious complications, such as pulmonary embolism, and even death. Early detection and removal may help to prevent significant mortality” Anand et al (2024).
Comparison of echogenic versus non-echogenic needles – Full Text
“The aim of the study was to compare needle performance during ultrasound-guided cannulation of the infraclavicular axillary vein with an in-plane needle approach, using echogenic needles or non-echogenic standard needles” Kåsine et al (2024).
Device associated healthcare associated infection – Full Text
“This study investigates the impact of invasive procedures on healthcare-associated infections (HAI) at Policlinico Universitario Tor Vergata in Rome, Italy, aiming to understand their role in device-associated HAI and to inform prevention strategies” Guarente et al (2024).