Central line dressing change procedural kits
“Procedural kits for central line dressing changes are effective in reducing unscheduled dressing changes and may have a role in reducing CLABSI” Bahl et al (2024).
Ceftazidime-avibactam stability in elastomeric infusion devices – Full Text
“To evaluate the stability of ceftazidime/avibactam in elastomeric infusers, utilizing the UK’s Yellow Cover Document (YCD) stability testing framework, in conditions representative of OPAT practice” Naicker et al (2024).
Early prediction of massive transfusion requirement
“We aimed to develop and validate a new scoring system, hemorrhagic shock transfusion prediction (HSTP) score, to predict the need for massive transfusion (MT) in these patients, compared to the widely used Assessment of Blood Consumption (ABC) score” Kasraian et al (2024).
Removing knotted epicutaneo-caval catheter from a neonate
“In this case, we introduced a spontaneous knot formation during the insertion of the central catheter, which was finally successfully removed” Shi et al (2024).
IV hub disinfection technique
“To verify the association of Nursing professionals’ work shift and training time with proper disinfection of intravenous catheter devices in pediatric units” Silva et al (2024).
Malignant superior vena cava syndrome and CVC placement
“Large-bore stent placement can effectively prevent stent occlusion by tumor ingrowth in most cases, and it can provide a sufficient diameter for subsequent insertion of central venous catheters” Lim Choi et al (2024).
PICC insertion technique in young children – Full Text
“We have developed a new approach for peripherally inserted central catheter (PICC) insertion that we think has several advantages, including ease of insertion, access to a larger vein and patient comfort” Frykholm et al (2024).
Pediatric patient comfort during PIV insertions
“From February 2021 to April 2023, the VAT team was able to improve procedural comfort scores from 68% to 90% of pediatric patients with adequate comfort for lab draws and/or PIV insertions” Lorenc et al (2024).
Iatrogenic injuries associated with central venous catheters
“CVC contributed toward 31% of all non-operation related iatrogenic injuries. One in 54 admissions (946/51 178) and one in 47 (574 /27 342) patients undergoing an operation sustained an iatrogenic injury. The annual rate of iatrogenic injuries did not decrease over the decade despite a multifaceted approach to reduce them” Wain et al (2024).
DERS and SMART pump event 29th April 2024 – Read More
“A chance to see infusion devices connected to networks, Dose Error Reduction Software (DERS) and SMART pumps in action and the current infusion pumps on the market today” NAMDET (2024).
Lower extremity PICC case study – Full Text
“We report the case of a patient with a lower extremity PICC ectopic to the ascending lumbar vein, to indicate and verify PICC catheterisation in the lower extremity is safe and feasible. And hope to provide different perspectives for clinical PICC venipuncture to get the attention of peers” Zhu et al (2024).
Rapid detection of BSI in patients on home parenteral nutrition – Full Text
“ddPCR showed a high sensitivity and specificity relative to blood cultures and enables rapid pathogen detection and characterization. Clinical studies should explore if integrated ddPCR and blood culture outcomes enables a more rapid pathogen guided CLABSI treatment and enhancing patient outcomes” Gillis et al (2024).
IO access training for paramedics – Full Text
“The aim of this technical report is to describe the process of development and the final product of the LMS as a research and educational tool to scaffold remote learning of emergency IO skills by paramedics-in-training” Jolly et al (2024).
Air embolism caused by peripheral vein catheterization – Full Text
“A 59-year-old woman was sent to our hospital with spontaneous cerebral hemorrhage and treated conservatively with a left forearm peripheral venous catheter infusion drug. After 48 hours, the patient’s oxygen saturation decreased to 92 % with snoring breathing. Computer tomography of the head and chest revealed scattered gas in the right subclavian, the right edge of the sternum, the superior vena cava, and the leading edge of the heart shadow” Zhou et al (2024).
ivWatch evaluation prevented 122 cases of infiltration and extravasation
“Out of 2254 infusions monitored with ivWatch, the device prevented 122 cases of infiltration and extravasation from causing any harm to the patient, corresponding to a 5.4% ‘check IV’ notification rate” Barton (2024).
Near-infrared technology for PIVC placement
“To share lessons learned from an evidence-based practice (EBP) initiative that implemented near-infrared (NIR) technology in a large US hospital system” Hart and Weathers (2024).
CLABSI bundle implementation strategy – Full Text
“Using a champion role in the critical care setting may be an important implementation strategy for CLABSI bundle adoption and sustainment efforts” Patton et al (2024).
Candidemia cases during the COVID-19 pandemic
“As our study observed, the COVID-19 pandemic brought increasing numbers of immunosuppressed patients, widespread use of antibacterials, and central venous catheters, increasing the frequency and mortality of candidemia cases” Ozalp et al (2024).
Difficult IV access research study protocol
“The aim of this study is to investigate whether the use of long GW-PVADs, compared with standard PVADs, reduces the risk of first-time insertion failure, in patients admitted to emergency departments (EDs)” Xu et al (2024).
Peripheral IV catheter failure in pediatrics
“Peripheral intravenous catheter (PIVC) insertion is one of the most common medical procedures experienced by pediatric patients. A high incidence of catheter failure (CF) and associated sequelae are widely documented” Wiseman et al (2024).
Pediatric vascular access team
“Vascular access is essential in the care of hospitalized pediatric patients. Planning and device selection are important for optimal patient outcomes. Vessel preservation is critical for pediatric patients” Holt et al (2024).
How to improve knowledge about hypodermoclysis – Full Text
“The problematization methodology had a positive impact on the students’ knowledge about hypodermoclysis. The number of correct answers after the educational intervention was higher than the initial assessment” Coutinho et al (2024).
Extravasation of total parenteral nutrition – Full Text
“An urgent explorative laparotomy demonstrated a large amount of white, milky-appearing fluid in the abdominal cavity. Together with the sonographic findings, this led to the diagnosis of hepatic total parenteral nutrition extravasation” Berger et al (2024).
Intramuscular vaccination needle length – Full Text
“The standard needle length for deltoid intramuscular injection is 25 mm. Unfortunately, for up to 45% of adults with obesity, the standard needle can be inadequate to ensure intramuscular deposition of vaccine, with the specific deltoid injection site location also influencing the depth the needle must penetrate to reach muscle” Doppen et al (2024).
Pediatric blood transfusion management errors – Full Text
“Pediatric patient blood management (PBM) programs require continuous surveillance of errors and near misses. However, most PBM programs rely on passive surveillance methods. Our objective was to develop and evaluate a set of automated trigger tools for active surveillance of pediatric PBM errors” Kandaswamy et al (2024).
PICC-related venous thrombosis in patients with lymphoma – Full Text
“The objective of this study is to examine the risk factors associated with the occurrence of PICC-Related Venous Thrombosis (PICC-RVTE) in individuals diagnosed with lymphoma, as well as to develop a predictive risk nomogram model” Wang et al (2024).
Treatment of iatrogenic left vertebral artery injury – Full Text
“We describe a case of endovascular treatment for an iatrogenic left vertebral artery injury after central line catheter placement in a 68-year-old male patient” Endo et al (2024).
Patient experience with implanted venous access ports – Full Text
“The participants highlighted both the positive and negative aspects of venous access ports, while also identifying insufficient knowledge and “fear and anxiety” as barriers to accepting these devices” Janatolmakan et al (2024).
How to manage major bleeding – Full Text
“The management of major bleeding is a critical aspect of modern healthcare and it is imperative to emphasize the importance of applying Patient Blood Management (PBM) principles” Oliveira et al (2024).
CVC fragment found ten years after catheter insertion – Full Text
“Here, we presented a case of the lost fragmented catheter in a young female who underwent a central venous catheter insertion 10 years ago, incidentally detected during an echocardiographic examination” Natale et al (2024).
Synthetic haemostatic sealants for PICC stabilization – Full Text
“The obtained results showed that the application of Glubran 2 and AristaTMAH as surgical wound closure systems is effective and safe, as the success achieved was ≥94% on anastomoses of FAV, 100% on stabilization of PICC catheters, and ≤95% on pseudoaneurysms” Curcio et al (2024).
CVC insertion results in subclavian artery pseudoaneurysm – Full Text
“A pseudoaneurysm of the subclavian artery following central venous catheter placement is a rare but potentially fatal complication that often requires surgical intervention. However, surgical repair of the subclavian artery remains challenging” Kim et al (2024).
CLABSI in stem cell recipients – Full Text
“Peripheral catheters (PCs), such as peripherally inserted central catheters (PICCs) and MidLine catheters (MLCs), appear to be adequate vascular catheters to be used for stem cell infusion, although their utilization in this indication is not yet common” Milczarek et al (2024).
PICC length equation – Full Text
“The appropriate PICC length was predicted based on the patient’s height, weight, sex, and age. The equations in our study can help predict the optimal catheter length and can be automatically calculated using computerized patient information for bedside procedures in PICC” Kim et al (2024).
Peripheral IV cannulation in children – Full Text
“The aim of this study was to determine the relative incidence of PIVC complications secondary to lower limb cannulation, compared to upper limb, in children with SNI” Kluckow et al (2024).
VTE prophylaxis in cancer patients with CVC – Full Text
“The introduction of direct oral anticoagulants (DOACs), with its proven efficacy and safety in multiple clinical indications, have renewed the attention to VTE prophylaxis in cancer patients with CVC” Abdel-Razeq and Al-Jaghbeer (2024).
CVC tip location study – Full Text
“A microbubbles test (MBT) can be used to confirm correct CVC positioning. However, there is serious doubt regarding whether the currently applied threshold of a 2 s push-to-bubbles time (PTB time) for rapid atrial swirl sign (RASS) in an MBT is reliable and accurate” Ley et al (2024).
11-component CLABSI reduction bundle
“We implemented the INICC multidimensional approach, incorporating an 11-component bundle, in 122 ICUs spanning nine Asian countries. We computed the CLABSI rate using the CDC/NSHN definition and criteria” Rosenthal et al (2024).
Antimicrobial dosing recommendations for obese patients
“This is a comprehensive review of the dosing of different types of antimicrobials (antibiotics, antifungals, antivirals, and antituberculosis drugs) in obese patients, where the literature on PK and possible dosing strategies in obese adults was critically assessed” Castro-Balado et al (2024).
Early blood administration by Emergency Medical Services – Full Text
“Prehospital blood programs must be thoughtfully planned, have multiple safeguards, ensure adequate training and credentialing processes, and be responsible stewards of blood resources” Levy et al (2024).
Neonatal central venous catheterization protocol
“Recently, the GAVeCeLT has proposed a protocol called SICA-PED (i.e. Safe Insertion of Central Access in Pediatric patients) and includes seven evidence-based strategies” Spagnuolo et al (2024).
Oncology infusion center daily nurse staffing ratio
“This study assessed three acuity models across multiple centers to determine whether acuity was superior to patient volumes or patient hours in predicting the number of nurses needed to care for scheduled patients in an OIC, as well as the effect on objective metrics of missed nurse lunch breaks and patient wait times” Tobias et al (2024).
Evolution of intravenous medication errors
“This narrative review demonstrates a growing interest in systems-based risk management for intravenous drug therapy and in introducing new technology, particularly smart infusion pumps and preparation systems, as systemic defenses” Kuitunen et al (2024).
Hospital-acquired bloodstream infections in cancer patients
“We summarise strengths and weaknesses of commonly used surveillance definitions and denominators in the setting of cancer care; existing surveillance practice; epidemiology of haBSI and CLABSI; prevention strategies; and current knowledge gaps” MacPhail et al (2024).
Impact of CVC removal on neonatal CLABSI – Full Text
“Staphylococcus capitis is an increasingly prevalent pathogen in the neonatal setting, frequently causing central-line-associated bloodstream infections (CLABSIs) that can be difficult to eradicate. Central venous catheter (CVC) removal versus in situ treatment with CoNS CLABSIs is a controversial treatment strategy with no clear consensus” Sala et al (2024).
Fillable elastomeric pump technology
“Due to advances in elastomeric pump technology, there are now devices available that can be filled with intravenous (IV) therapy at the bed or chair side. These devices are safe, reliable and enable the patient to be mobile when having their infusion” Barton et al (2023).
Parenteral nutrition as a vehicle for drug delivery
“This review focuses on the utilization of Total Parenteral Nutrition (TPN) as a method for delivering drugs. It discusses the benefits and difficulties associated with its commercial application and offers suggestions for future research endeavors” Bakrey et al (2024).
What is the effect of taurolidine on the time-to-positivity of blood cultures – Full Text
“In the presence of taurolidine, the TTP was considerably delayed or vials even remained negative as compared to vials containing heparin, citrate or NaCl. This effect was dose-dependent. The delayed TTP was much less pronounced in the presence of blood, but still notable” van den Bosch et al (2024).
Wrong-route drug administration errors – Full Text
“Oral drug formulations and enteral feeds may inadvertently be administered intravenously. Intravenous medications may be inadvertently administered intra-arterially. These examples of wrong-route drug administration errors have the potential to cause significant organ dysfunction and even death” Taylor and Blockman (2023).
PICC related CLABSI in neonates – Full Text
“Low birth weight, premature delivery, off-site nutrition, long catheterization time, and 5-minute APGAR score ≤7 are independent risk factors for catheter-related bloodstream infection in neonates with peripherally inserted central venous catheters. The pathogenic bacteria are fungi and multidrug-resistant bacteria” Zhang et al (2024).
Home parenteral nutrition best practice examples – Full Text
“This article is based on presentations and discussions held at the International Safety and Quality of PN Summit, providing insights into aspects of home PN (HPN) and examples of good HPN practice” Kumpf et al (2024).
Intravenous protection device to prevent self-injection – Full Text
“The misuse of medical IV access is a potential source of prolonged hospitalizations and fatal overdoses nationwide. On two separate occasions, patients were found dead in our ED bathroom after overdosing by accessing their IV site for self-injection. These events prompted the development of the IV SafeLock prototype” Bragg et al (2024).