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Flushing interval for totally implantable venous access ports – Full Text

“The incidence and burden of intraluminal clots did not increase significantly within the first 3 months. Occlusion was rare, even in the presence of clots, and was successfully treated. Therefore, a 3-month flushing interval appears to be a safe and practical option, aligning with the common recommendation for surveillance intervals in patients with cancer” Yang et al (2024).

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Intravenous line labels for high-alert drugs

“The label can be used as a technology to prevent misidentification of high-alert medications administered to critically ill patients through intravenous lines, thereby enhancing medication safety in healthcare institutions” de Kassio Nunes et al (2024).

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Pediatric emergency department based OPAT

“Our results affirm that pediatric emergency-based OPAT is a safe yet effective practice in children with good clinical outcome. We believe that a reduction in admissions translates to better hospital resource utilization” Bin Salleeh et al (2024).

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Vascular Access and IV Therapy Resource

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Implantable port fracture case study

“This case underscores the importance of early identification and interdisciplinary collaboration in managing port catheter fractures and migrations, even in the absence of typical symptoms” Chandna et al (2024).

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Pharmacy-led neonatal CLABSI reduction initiative

“Pharmacists and pharmacy technicians received training on how to properly prime tubing, document when a patient received a new central line, document if a central line was removed, and record when new tubing was due based on a department policy” Zackeroff et al (2024).

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Canadian nosocomial infection surveillance program – Full Text

“A significant rate increase was observed in adult mixed intensive care unit CLABSIs (1.07-1.93 infections per 1,000 line days, p=0.05) and a non-significant rate increase was observed in SSIs following knee arthroplasty (0.31-0.42 infections per 100 surgeries, p=0.45)” Canadian Nosocomial Infection Surveillance Program (2024).

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Pediatric infusion extravasation – Full Text

“Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients, improve children’s compliance and satisfaction of their families, and reduce family complaints” Lv et al (2024).

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StatSeal catheter exit site protection evaluation trial

“The findings demonstrate StatSeal’s effectiveness in improving patient outcomes by reducing exit site bleeding and associated complications, enhancing the efficiency of vascular access maintenance and potentially lowering associated healthcare costs” Hastings and Barton (2024).

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Neonatal PICC-related thrombosis risk factors

“This systematic review and meta-analysis illuminates the incidence and risk factors linked to neonatal PICC-related thrombosis, delivering essential insights pivotal for clinical decision-making and enhancing patient care within neonatal health care settings” Chen et al (2024).

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Strategies to reduce central line-associated bloodstream infection

“Interview themes suggested that staffing shortages (83%) and less vigilant central line practices (100%) contributed to increased CLABSI SIR during the pandemic. Interviewed organizations described evidence-based interventions, such as using chlorhexidine gluconate for skin preparation, along with other innovative strategies they used to establish reduced CLABSI rates” Patrianakos et al (2024).

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Arterial catheter adverse events in ICU

“It was evidenced that patients are subjected to risks of adverse events from the insertion moment to removal of the arterial catheter, focusing on the infusion solution used to fill the circuit, the type of securement and dressings chosen, as well as the Nursing care measures for the prevention of bloodstream infection” Mariano-Gomes et al (2024).

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CVC management in children with cancer

“Central venous access through tunneled central venous catheters (CVCs) are one of the cornerstones of modern oncologic practice in pediatric patients since CVCs provide a reliable access route for the administration of chemotherapy” van den Bosch et al (2024).

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Clinically assisted nutrition and hydration

“Clinically assisted nutrition and hydration (CANH) decision-making in adult patients presents complex ethical dilemmas that require careful consideration and navigation. This clinical review addresses the multifaceted aspects of CANH, emphasising the importance of ethical frameworks and the role of advanced clinical practitioners (ACPs) in guiding decision-making processes” Alsararatee (2024).

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How to secure noncuffed CVC in pediatrics

“In the SECURED trial, noncuffed CVCs secured with SASS had fewer dislodgements compared with SSDs, with a lower cost per patient and an acceptable safety profile. Future efforts should be directed at SASS implementation at the health service level” Kleidon et al (2024).

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PIVC-induced phlebitis study

“This study aimed to determine the incidence of peripheral intravenous catheter (PIVC)-induced phlebitis and its predictors among adult patients hospitalized at Dow University Hospital, Karachi, Pakistan” Yaqoob et al (2024).

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