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Complications associated with PICC tunneling

“The findings of this study suggest that both standard and pseudo-tunnels provide comparable levels of safety and comfort for patients. It was noted that Pseudotunnel offers an equivalent level of safety for patients with coagulation disorders related to PLT and INR, rendering it comparable to a “minimally invasive procedure,” which necessitates the same precautions as a non-tunneled PICC” Elli et al (2024).

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Cellulitis home-based treatment in children

“Implementing a directed ambulatory care pathway for children with moderate periorbital cellulitis proved to be an effective and safe management strategy. This approach reduces the strain on hospital bed occupancy while promoting community-based patient care” McPherson et al (2024).

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Dehydration and rehydration strategies – Full Text

“Overall, this review aims to enhance the understanding of the conditions in which in vivo dehydration models and rehydration strategies are applicable, thereby advancing research into the physiological and pathological mechanisms of dehydration and supporting the development of effective rehydration therapies” Wang et al (2024).

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Predictors of successful long-term hemodialysis access outcomes

“Understanding predictors of successful long-term access outcomes can guide decision-making regarding access type and alternative strategies. In our cohort, increased age and prior central venous catheter placement are associated with a shorter time to failure of permanent hemodialysis access and an increased risk of needing revision” Talebi et al (2024).

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Improved CLABSI prevention bundles

“Sensitizing physicians to the existence and duration of CVCs accompanied with improved bundle-prevention measures, resulted in reduction of pCVCs, and outside the ICU, also in reduction of CVC-UR and CLABSI rates” Regev et al (2024).

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Using central venous access devices outside of ICU settings

“Reliable and long-lasting venous access in children is preferred outside the ICU settings where CVADs are essential for long-term treatment involving administration of long-term nutrition in gut enteropathies, chemotherapy, hemodialysis as well as in palliative situations requiring pain medications or administration of antibiotics as in chronic osteomyelitis” Rajkumar et al (2024).

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Impact of inappropriate central line blood cultures

“The infectious diseases service was consulted for possible catheter related bloodstream infection (CRBSI). The consultant determined that the risk of CRBSI was low because the tunneled line was nontender without surrounding erythema or drainage, and the patient had a known alternative source of infection” Fuher et al (2024).

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Management of persistent withdrawal occlusion in venous ports – Full Text

“We created a method for resolving PWO using MD +/- application of thrombolytics with 97.4% success rate. Current evidence showed that FS is not likely to be affected by thrombolytic drugs; however, we have ascertained an effect of these drugs, proposing a hypothesis of microthrombotic events at the tip of the catheter if fibroblastic sleeve is present” Maňásek et al (2024).

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CLABSI prevention in the Intensive Care Unit

“We observed a reduced knowledge of the guidelines for the prevention of CLABSI despite the attitudes and practices of the nurses being satisfactory. In addition to implementing training, strategies for disseminating guidelines should be adopted” Muschitiello et al (2024).

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Predicting PICC-related deep vein thrombosis

“This study aims to use patient feature and catheterization technology feature variables to train the corresponding machine learning (ML) models to predict peripherally inserted central catheters-deep vein thrombosis (PICCs-DVT) and analyze the importance of the two types of features to PICCs-DVT from the aspect of “input-output” correlation” Sheng and Gao (2024).

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Exercise to prevent femoral PICC-related thrombosis

“The maximum angle ankle pump exercise mode can reduce the incidence of catheter-related thrombosis and unplanned catheter removal in patients with lung cancer with PICC catheterization through femoral vein, increase catheter retention time, but it can easily cause patient fatigue” Liao and Wu (2024).

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Oncology pharmacy staffing survey

“Oncology pharmacy operations and staffing models are unique to each pharmacy and practice setting. The results of the pharmacy staffing model survey provide an insight into operations across the country and highlight a need for staffing model benchmarking and metrics” Wechter et al (2024).

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National Association of Neonatal Nurses PICC guidelines

“The NANN PICC Guideline has served as a respected resource for vascular access protocol development in neonatal intensive care units around the world. This most recent edition continues as the foundational resource for protocols, policies, and procedures development for nurses and other clinicians inserting PICCs and managing neonates and infants with PICCs around the world” Sharpe et al (2024).

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Implantable port flip rate in children – Full Text

“The CVP inversion rate was 4.6% (n = 7/153), equivalent to 0.08 × 1,000 catheter-days. The inversion rate was significantly higher in the younger group (under two years old, 11.2%) than in the older group (≥two years old, 1.0%) according to the univariate analysis (p = 0.00576)” Koretsune et al (2024).

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