OPAT quality improvement – Full Text
OPAT quality improvement Abstract: Background: Outpatient parenteral antimicrobial therapy (OPAT) is a safe and cost-effective transitional care approach administered via different delivery models. No standards
Risk factors for central venous access device failure – Full Text
“Modifiable risk factors were identified for CVAD failure, which occurred for 1-in-10 catheters. Strict infection prevention measures and improved CVAD securement could reduce CLABSI and dislodgement risk” Corley et al (2024).
CLABSI management qualitative study – Full Text
“Management practices such as timely analysis of HAIs, collaboration between facility leadership and multidisciplinary team members, and a focus on identifying the failure of a procedure or protocol, rather than the failure of staff members, are all approaches that can support infection prevention efforts” Gaughan et al (2024).
IVsight infusion monitoring device review – Full Text
“The IVsight infusion monitoring device showed near-perfect agreement on the recorded IV infusion duration compared with manual recording, and good acceptability among the study participants” >Mejia-Chew et al (2024).
Neonatal PICC-related compartment syndrome – Full Text
“We present a case of a pre-mature neonate with diffuse discoloration, paralysis, and loss of palpable pulses of the right upper extremity after a failed PICC insertion. The clinical features led to a diagnosis of compartment syndrome” Cai et al (2024).
Patient experience of OPAT services – Full Text
“Feedback from OPAT patients in our centre was overwhelmingly positive. The key themes identified were benefits to the patients, their friends, and family, and positive feedback about OPAT staff. The mean overall satisfaction score for OPAT was 9.6 out of 10” Soni et al (2024).
Review of nursing care of peripheral intravenous catheters – Full Text
“The PIVC practices of nurses in small and medium-sized hospitals can be improved by providing education and training based on the latest standard or guideline to facilitate the acquisition of knowledge and skills. And campaigns and programs to strengthen patient safety culture perception specific to small and medium-sized hospital should be implemented. to ensure the safety of PIVC practice” Kim et al (2024).
Medical device-associated biofilm infections – Full Text
“About 60 to 70% of nosocomial infections (NIs) are linked to biofilms. The main complication is the ability of microorganisms to adhere to surfaces and form biofilms which protect them and help them to persist in the host” Bouhrour et al (2024).
Management of central venous catheter complications in intestinal failure – Full Text
“Different complication rates and CDT were seen depending on CVC type. Tunneled catheters were significantly superior concerning CRI. Interventional catheter recanalization is a viable alternative to fibrinolytics to restore CVC patency, but long-term patency data is scarce” etJahns al (2024).
Calcified fibrin sheath following CVC removal
“We describe the clinical case of a hemodialysis patient who, following the removal of a malfunctioning, stuck CVC, presented a calcified tubular structure in the lumen of the superior vena cava, diagnosed as calcified fibrin sheath (CFS)” Taurisano et al (2024).
Ultrasound-guided axillary artery catheter placement
“Ultrasound-guided axillary arterial catheters are an alternative in patients in whom radial or femoral arterial access is difficult or not possible to achieve” Cardona et al (2024).
Malposition of central venous catheters – Full Text
“This case emphasizes the importance of radiological techniques for CVC procedural placement, as well as the detection of congenital abnormalities. Providers regularly placing CVCs should have an in-depth knowledge of the possible complications and potential anatomical variations, especially as seen in high-risk patients” Syska et al (2024).
Clinical review of vasopressors in emergency medicine
“Across the categories of shock states, norepinephrine has wide applicability and is a reasonable first-line agent for shock of uncertain etiology” Stampfl and DeBlieux (2014).
Popliteal venous access for renal replacement therapy
“Due to an earlier central line-related infection, the right femoral site exhibited signs of infection and the presence of a pus pocket, making it unsuitable for haemodialysis access. To address this, the right popliteal vein was chosen for catheterisation using a 20-cm, 12 French catheter, the longest available catheter in the country at the time” Hamed et al (2024).
Long peripheral catheters for intravenous infusions of iloprost
“Our experience shows that LPCs could be valuable and safe for rheumatologic outpatients. The increased number of insertions and new and total patients enrolled each year defines the satisfaction of patients and health care professionals” Donadoni et al (2024).
Central venous access in the prone position
“Successful VAD insertion techniques in prone patients encompassed multiple anatomical sites, including the internal jugular, brachial, femoral, and popliteal veins. However, challenges persisted, particularly with respect to anatomical variations and technical complexities in cannulation” Longo et al (2024).
Dressings and securement devices to prevent arterial catheter complications – Full Text
“To evaluate the effectiveness of peripheral AC dressing and securement devices to prevent failure and complications in hospitalised people” Schults et al (2024).
Fluid volume administered with intravenous antibiotics
“The majority of physicians were unaware of fluid volumes administered as a drug diluent with IV antibiotics. The majority chose not to make post-prescribing adjustments to their planned fluid administration” Aghaie et al (2024).
Umbilical catheter extravasation injury
“Despite a preliminary NEC diagnosis, further evaluation revealed umbilical catheter complications, leading to total parenteral nutrition extravasation. Removal of the catheter, drainage, and antibiotic adjustment resulted in improved clinical outcomes” Armağan et al (2024).
Blood cultures drawn from central venous catheters – Full Text
“We urge clinicians to obtain catheter-drawn blood cultures when the catheter may be the source of suspected infection” Mermel and Rupp (2024).
Transillumination improves neonatal peripheral IV cannulation – Full Text
” Transillumination improves the first-attempt success rate of peripheral vein cannulation performed by pediatric residents in neonates >1,500 g, while no benefit was found in infants ≤1,500 g” Hinterstein et al (2024).
Fat embolisation associated with intraosseous infusions – Full Text
“The aim of this systematic review is to synthesise the existing evidence describing fat intravasation, fat embolism and fat embolism syndrome (FES) following IO infusion” Ellington et al (2024).
Purple glove syndrome management
“Purple glove syndrome (PGS) is a rare condition characterized by limb edema, discoloration, and pain associated with intravenous and oral phenytoin administration” Mutsago et al (2024).
CLABSI rates in trauma patients
“This study aimed to identify the rate of positive (+)CLABSI in trauma patients and risk factors associated with (+)CLABSI” Aryan et al (2024).
Ultrasound-guided peripheral IV catheter placement by nurses – Full Text
“Ultrasound-guided technique can be a safer, faster, and more effective alternative to the traditional approach for nurses to establish intravenous access across different clinical settings and age groups” Tian et al (2024).
Home CLABSI rate decreased by 52%
“The ambulatory CLABSI rate decreased by 52% from 0.25 to 0.12 per 1000 CL days post intervention, achieved within 27 months; 117 CLABSI were prevented, with $4.2 million hospital charges and 702 hospital days avoided” Wong et al (2024).
Improving appropriate PICC use
“A large-scale, multihospital QI initiative to improve appropriate PICC use yielded substantial return on investment from cost-offset of prevented complications” Heath et al (2024).
PICC placement in neonates study – Full Text
“This study aims to assess the comparative effectiveness of a conventional splitting needle or a peelable cannula vs. the modified Seldinger technique (MST) by utilizing a dedicated micro-insertion kit across various clinically significant metrics, including insertion success, complications, and catheter-related infections” van Rens et al (2024).
Best practice in the use of peripheral venous catheters – Full Text
“Simplified, standardized, bundled solutions are needed to reduce avoidable harm from PIVCs. Healthcare practice has changed over time and new educational tools are needed to adapt to increased workload and time constraints” Mimoz et al (2024).
Central venous access device-related thrombosis in children – Full Text
“This is the latest systematic review of risk factors and incidence of CRT in children. A total of 47 studies involving 262,587 patients were included in our meta-analysis, according to which the pooled prevalence of CRT was 9.1%. This study identified several of the most critical risk factors affecting CRT in children, including D-dimer, insertion location, type of catheter, number of lumens, catheter indwelling time, and central line-associated bloodstream infection (CLABSI)” Fu et al (2024).
Validated miniMAGIC-Brazil guide – Full Text
“The content of all recommendations, named as miniMAGIC-Brasil, was validated by the expert committee after two stages of evaluation. All recommendations had an overall agreement index of 0.91” Felipe et al (2024).
Central venous catheter fracture case study – Full Text
“The decision to remove and replace the malfunctioning catheter was made by the patient’s physician. However, during the removal process, both the retaining suture and the catheter were inadvertently severed” Sabzi et al (2024).
Patient mobilization with femoral catheters
“This study supports that the presence of femoral catheters alone should not limit the progression of mobility interventions. Using clinical judgement and specialty training, burn therapists can safely mobilize burn ICU patients with femoral catheters in place” O’Neil et al (2024).
Extravasation most reported radiopharmaceutical adverse event
“A total of 128 reports were collected, including 65 cases of extravasations, 18 adverse reactions, and 45 drug interactions. Over the years, reporting has been increasing, adverse reactions occurred at a higher incidence than reported in the literature, and each anomalous biodistribution was analysed for possible drug interaction” Martínez et al (2024).
Tunnelled femorally inserted central catheter and PICC comparison – Full Text
“There were no differences in catheter-related outcomes between the matched cohort of tFICC and PICC patients, suggesting that tFICCs are a possible alternative for vascular access when the veins of the upper extremities or thoracic region are not viable for catheterisation” McManus et al (2024).
Implantable port catheter tip location and complication rates
“The position of the catheter tip of totally implantable venous access devices (TIVAD) is a risk factor for postoperative complications. The study aim was to assess the early and late complications (EC and LC) associated with the position of the catheter tip in cancer patients” Hamri et al (2024).
Outpatient parenteral antimicrobial therapy uncompensated provider time
“In this study of a large academic OPAT program, the median amount of unbilled OPAT management time was 27 minutes per week, per OPAT course” Schranz et al (2024).
Implantable port care standards
“This study aimed to determine the practices of nurses working in pediatric and adult oncology clinics regarding totally implantable venous access device (TIVAD) care” Gündogdu et al (2024).
IV dressing changes completed by vascular access team
“The VAT consistently followed the bundled components, including use of chlorhexidine gluconate (CHG)-impregnated dressings on all patients unless an allergy was identified” Draper et al (2024).
Devices for vasopressor administration – RCT protocol – Full Text
“VIPCA is a feasibility RCT whose outcomes will inform the feasibility and design of a multicentre Phase-3 trial comparing routes of vasopressor delivery” Watts et al (2024).
Ultrasound-guided PIVC insertion reduces pain
“This study aimed to compare patients’ experience of pain during ultrasound (US)-guided peripheral venipuncture versus conventional peripheral venipuncture” Junges et al (2024).
Infusion phlebitis rates in the emergency department
“The incidence of peripheral intravenous catheter-related phlebitis was 31%, which was grade 1 in 29.7% and grade 2 in 1.3% of the emergency department participants” Bakcek Akcelik and Ayhan (2024).
Unplanned early implantable port removal – Full Text
“This study aims to determine the risk factors associated with unplanned (catheter removal other than completion of treatment plan) early (within 90 days of catheter implantation) implantable port catheter removal” Lu et al (2024).
Difficult removal of PICC case study – Full Text
“In neonates, PICC may have obstacles in insertion and removal, methods such as posture changes, wet and hot compresses, and local massage can help” He et al (2024).
Intervention delivers significant decrease in CLABSI – Full Text
“We aimed to analyze the impact of applying 10% povidone iodine (PI) twice daily to both nares in addition to chlorhexidine (CHG) bathing on nosocomial (MRSA) bacteremia in critically ill patients” Nahra et al (2024).
Dalbavancin use in people who inject drugs – Full Text
“In this first UK cohort, dalbavancin was used off licence and in persons facing barriers to conventional therapies. Where data is available, it was safe and effective. Dalbavancin appears a potentially valuable tool in improving outcomes for PWID” Bresges et al (2024).
Are routine chest radiographs still indicated after central line insertion – Full Text
“This scoping review addresses: (i) the justification for routine post-insertion radiographs, (ii) whether it would better to use post-insertion POCUS instead, and (iii) the perceived barriers to change” Brindley et al (2024).
Gram-negative bacteremia risk factors in children
“Carbapenem resistance was revealed in 27.6 % of isolates. Carbapenem and colistin resistance increased over the years. The most common risk factors were the presence of a central-venous catheter and pediatric intensive care unit admission” Gumus et al (2024).
Risk assessment models for PICC-related venous thrombosis
“This review aims to compare the performance of available risk assessment models (RAMs) for predicting peripherally inserted central catheter-related venous thrombosis (PICC-RVT) in adult patients with cancer” Hu et al (2024).
Management of implantable port complications – Full Text
“Totally implanted venous access devices (TIVAD)/chemoports are indispensable in the management of cancer patients, especially in patients requiring long duration of infusion and prolonged treatment. Although chemoports are associated with a spectrum of complications, proper technique of implantation and use makes it a safe and reliable tool” Sharma and Pandey (2024).
Detecting contrast injection extravasation
“The purpose of this study was to evaluate the usefulness of the injection pressure-to-injection rate (IPIR) ratio for the early detection of contrast extravasation at the venipuncture site during contrast-enhanced computed tomography” Kobayashi et al (2024).
Patient outcomes post tunnelled haemodialysis catheter insertion
“Despite the effort to increase the proportion of patients starting dialysis on native accesses, many of them are still dialyzed on tunnelled catheter. Catheter-related complications are often serious and responsible for re-hospital admission, high morbidity and mortality” Borghese et al (2024).