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Review of antiseptics for neonatal skin disinfection

“All three antiseptics [2% chlorhexidine gluconate in 70% isopropyl alcohol(CHG + IPA), 10% Povidone Iodine(PI), and 70% isopropyl alcohol(AL)] cause significant reduction in bacterial colony counts. CHG + IPA has the maximum efficacy as assessed by log reduction of bacterial colony counts with optimal residual effect favouring its usage in term neonates” Jagalasar et al (2024).

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Phlebotomy order of draw

“A phlebotomist (or any medical professional who is tasked with collecting blood samples from patients) must remember several key principles regarding blood collection. One of these principles is what’s known as “the order of draw.” At first glance, the average person may think that the order of draw is merely an optional suggestion. Many are not even aware that an order of draw exists or see the importance of adhering to it” Williams-Montgomery (2024).

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Extravasation of radiopharmaceuticals

“The likelihood of epidermal erythema resulting from extravasation during PET imaging is low, as the simulated absorbed doses to the epidermis remain below the thresholds that trigger such effects” Tiwari et al (2024).

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CVC lock with 4% tetrasodium EDTA

“CVC locking with 4% tetrasodium EDTA was associated with sustained reductions in CRBSI and CVC replacement procedure incidence. Incorporation of 4% tetrasodium EDTA locking into standardized CVC care bundles may prolong vascular access survival” Robinson et al (2024).

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Experience of 500 implantable port placements

“The cephalic vein cutdown approach for CICVAD placement appears to be a safe and better alternative to the percutaneous subclavian vein approach in cancer patients. Cephalic vein cut down approach is LESS with More benefits” Kumar et al (2024).

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Analysis of wrong blood in tube phlebotomy events

“We found that WBITs occurred at a rate comparable to that reported from developed countries. Use of software and automation may reduce the rate of WBIT but not eliminate it completely. Strict adherence to SOPs and continuous training of phlebotomy staff would help reduce it to a minimum” Krishna et al (2024).

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Vascular Access and IV Therapy Resource

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Impact of the recent pandemic on CLABSI rates

“This article presents a summary of the impact of the recent SARS-CoV-2 pandemic on CLABSI incidence, an overview of current standard-of-care practices for reduction of CLABSI, and a look toward future changes in bacteremia metrics and challenges in prevention” Torres et al (2024).

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Extravasation risk with midline catheters

“This review highlights the variations in catheter terminology and tip locations, the frequency of infiltration and extravasation in published studies, and case reports of infiltration and extravasation from midline catheters” Hadaway and Gorski (2024).

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Evidence-based list of non-antineoplastic vesicants

“In this article, the Vesicant Task Force (VTF) updates the previously published Infusion Nurses Society (INS) vesicant list from 2017. The 2024 INS list diverges from earlier vesicant lists, such as the 2017 VTF list, by adopting a risk stratification approach based upon documented patient outcomes, in contrast to the reliance on expert consensus or only surrogate risk indicators, such as pH and osmolarity” Gorski et al (2024).

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Peripheral vasoactive infusion in children

“Based on the findings of this meta-analysis, the incidence rate of local adverse events associated with peripheral vasoactive infusion appears to be low. Peripheral infusion of vasoactive agents, including epinephrine and norepinephrine, can be considered when necessary” Takeshita et al (2024).

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IC-ECG guided PICC tip location in a dextrocardia

“Column of saline technique can assist operator estimate the tip position in real-time according to P-wave changes. When the height of P-wave reaches to its highest, it means that the tip of catheter has advanced to the target position of cavo-atrial junction (CAJ)” Qiao et al (2024).

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Intraosseous access pediatric patients

“This retrospective analysis of pediatric patients in a prehospital setting suggests that IO line placement at the distal femur might offer a marginally higher success rate compared to the proximal tibia” Zitek et al (2024).

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Impact of UEDVT in pediatric cancer patients

“Venous thromboembolism (VTE) is a well-recognized complication in pediatric cancer patients. We aimed to determine the frequency of central venous catheter (CVC) removal and survival impact of children with cancer who develop VTE” MacDonald et al (2024).

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IVTEAM24 – Free Annual IV Conference from IVTEAM

EVENT ENDED “The event is still free (thanks to our sponsors). Our speakers (as usual) are delivering sessions that focus on putting evidence and expertise into practice; we have continued to design the day around short sessions interspersed with plenty of networking opportunities” IVTEAM (2024)

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Review of fluid resuscitation in trauma

“There have been numerous changes in resuscitation strategies for severely injured patients over the last several decades. Certain strategies, such as aggressive crystalloid resuscitation, have largely been abandoned because of the high incidence of complications and worsening of trauma-induced coagulopathy” Dhillon et al (2024).

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