Technique for tunneled hemodialysis catheter exchange
“The halfway technique may be recommended over the standard technique of tunneled catheter insertion due to shorter operative time, lower rate of hematoma formation, with non-inferior 1-year patency rates and comparable technical success and infection rates” Kamhawy et al (2024).
Association between necrotizing enterocolitis and CVC type
“Umbilical venous catheters (UVC) have been associated with an increased risk of necrotizing enterocolitis (NEC). We aimed to assess the relationship between the type of initial central venous access in preterm infants and NEC” Abda et al (2024).
OPAT adverse event prediction
“This study aimed to conduct a scoping review of machine learning (ML) techniques in outpatient parenteral antimicrobial therapy (OPAT) for predicting adverse outcomes and to evaluate their validation, implementation and potential barriers to adoption” Challener et al (2024).
Catheter-related thrombosis in neonates
“he incidence of central venous catheter-related thrombosis and the long-term effects of thrombosis on catheterized veins in neonates is unknown. We therefore determined the incidence of central venous thrombosis, identified associated risk factors, and evaluated outcomes at 6 months” Xiong et al (2024).
Vascular access training in the emergency department – Full Text
“Education and training in vascular access is a critical component to delivering quality vascular access care. Given that organizations must invest resources to implement and sustain high-quality vascular access programming, we aimed to demonstrate the cost effectiveness of a program (Operation STICK (OSTICK)) in the emergency department (ED)” Bahl et al (2024).
BSI in children and role of repeat blood cultures
“Repeat blood cultures are common in children after an initial positive culture. However, in contrast to adults, there are little data to help guide clinicians when a repeat culture is necessary to assess for persistent bacteremia. This study identifies factors associated with persistent bloodstream infections (BSI) in children to inform diagnostic stewardship” Puthawala et al (2024).
Predicting catheter-related thrombosis risk associated with central venous access devices
“Our study aims to construct and validate a predictive model for CRT risk in patients with cancer. It offers the possibility to identify independent risk factors for CRT and prevent CRT in patients with cancer” Ma et al (2024).
CRBSI reduction following use of taurolidine-citrate-heparin IV locking solution
“The aim of this study was to analyze the effect of systematic sealing of hemodialysis catheters in the ICUs of the Hospital Clínic de Barcelona on the incidence of hemodialysis catheter-related blood stream infections (CRBSI)” Del Risco Zevallos et al (2024).
Review of topical skin antisepsis in neonates
“Our findings indicate that both extremely preterm and very low birth weight infants are particularly susceptible to skin toxicities from pre-procedural antiseptic preparations” Mulinda et al (2024).
CLABSI differences according to catheter type – Full Text
“CABSI in catheters other than short-term non-tunnelled CVC are more commonly caused by virulent organisms including S. aureus and Gram-negative bacteria. Catheter type should be considered when selecting empirical antimicrobial therapies” MacPhail et al (2024).
Medication errors in obstetric anesthesia
“Implementation of various types of best practice cost effective mitigation strategies include recommendations to improve drug labeling, optimize storage, determine correct medication prior to administration, use non-Luer epidural and intravenous connection ports, follow patient monitoring guidelines, use smart pumps and protocols for all infusions, disseminate medication safety educational material, and optimize staffing models” Sharpe et al (2024).
How to design a cancer infusion center
“The current study performed a post-occupancy evaluation on a new cancer infusion center with pod-like layout and compared results to a pre-occupancy evaluation to investigate the impact of different cancer infusion center designs on staff efficiency and patient and staff satisfaction” Jalalianhosseini et al (2024).
Radiopharmaceutical extravasation case report – Full Text
“We are concerned that a reluctance to recognize the true frequency of extravasations and their severity may create distrust in the relationship between the nuclear medicine community and patients” Mace and Kiser (2024).
Forearm hematoma following contrast extravasation – Full Text
“Large extremity hematoma can happen after contrast extravasation during computed tomography scan, which may require surgical treatments. Careful preparation, close monitor, and prompt managements should be applied in high-risk patients” Wu et al (2024).
Clinical role in reporting extravasation injuries – Full Text
“Extravasation, as distinct from infiltration, is when a potentially toxic agent (e.g., radiographic contrast, chemotherapy, anesthesia or radionuclide) is unintentionally administered to the surrounding tissue instead of directly into the vein” Bartholow (2024).
IV radiopharmaceutical administration best practice standards – Full Text
“In order to improve radiopharmaceutical administration and patient care, the nuclear medicine community should update technical standards to address the most recent peripheral IV access and administration best practices, provide technologists with vascular visualization tools and the proper training, develop and require annual vascular access competency, and provide active monitoring with center and patient-specific data to create ongoing feedback” Harris et al (2024).
Subclavian central line infiltration causing compartment syndrome – Full Text
“Unrecognized central venous catheter (CVC) infiltration is an uncommon but potentially life-threatening complication. For instance, a malpositioned subclavian line can infuse into the mediastinum, pleural cavity, or interstitial space of the neck” Bucyk et al (2024).
Clinical decision support system to reduce CLABSI – Full Text
” A significant proportion of active CVLs were potentially unnecessary. CDSS implementation, in conjunction with audit and feedback, correlated with a sustained increase in timely CVL removal and an increase in days between CLABSIs” Spiegel et al (2024).
Safety of PowerPICC catheters – Full Text
“The findings indicate that these catheters are safe and can be effectively used in the general patient setting and when inserted by a variety of clinicians” Troubil et al (2024)
PICC line complications in oncology – Full Text
“The study underscores the utility of LASSO logistic regression in the personalized risk evaluation of PICC line complications, recommending its integration into clinical practice” Zhang et al (2024).
Amoxicillin stability for OPAT
“Amoxicillin and clavulanate showed adequate stability at 2.9 °C for OPAT storage at 1 mg/mL and possibly 7.5 mg/mL, but not 15 mg/mL. Low shelf-life values at 25 °C also limit administration times” Kamalpersad et al (2024).
Central venous catheter insertion site options – Full Text
“Among the fast-paced and hectic demands of daily practice in the intensive care unit (ICU), the choice of insertion site for a central venous catheter may feel like a relatively minor medical decision” de Grooth et al (2024).
Vascular Access and IV Therapy Resource
Extravasation risk – Drug and patient profile study
“The findings of this study reiterate that nurses might consider closely observing patients with the risk factors identified in this study for the prevention and early detection of extravasation-related skin injuries” Maezawa et al (2024).
Vein visualization with near infrared imaging device
“Sixty-nine percent of the participants stated that they felt more secure with venipuncture after using the NIR device” Renno et al (2024).
PICC and midline catheters for palliative care patients – Full Text
“This review aimed to assess catheter indications, utilization, complications, dwell time, and patient experiences in cancer patients receiving palliative care” Gravdahl et al (2024).
Bleeding assessment following central venous catheter placement – Full Text
“Reported bleeding incidences following central venous catheter (CVC) placement highly depend on methods of bleeding assessment. To determine the direction and magnitude of the bias associated with retrospective data collection, we used data from the PACER randomized controlled trial and a previous retrospective cohort study” van Baarle et al (2024).
Cost of cancer treatment at home – Full Text
“The aim of this study is to investigate the cost and reimbursement of cancer treatment in these two HH models compared to the Standard of Care (SOC)” Misplon et al (2024).
Inadvertent arterial PICC placement in an Infant – Full Text
“We present a case of an inadvertent arterial placement of a PICC in a two-month-old infant with dilated cardiomyopathy and decompensated heart failure” Tsuboi et al (2024).
Brachiocephalic vein cannulation in adults – Full Text
“Ultrasound-guided supraclavicular BCV catheterization offers a new and safe method for central venous line catheterization in adults” Singh et al (2024).
Umbilical venous catheter placement in neonates
“The findings support the adoption of real-time ultrasound in clinical settings to enhance umbilical venous catheter placement accuracy and minimize associated risks” D’Andrea et al (2024).
CVAD utilization outside the ICU
“Central venous access device (CVAD) use outside of the ICU is trending down; however, significant variation exists between institutions. Children with CVADs hospitalized on the acute care units had a CLABSI rate of 4% and VTE rate of 3.4%. 91% of surveyed institutions have a vascular access team; however, the services provided vary between institutions” Burek et al (2024).
Review of NICE guideline for maintenance fluid therapy in adults – Full Text
“The National Institute for Health and Care Excellence’s (NICE) Guideline for Maintenance Fluid Therapy in Adults in Hospital is widely used, but the recommendations have not been evaluated properly” Hahn and Van Regenmortel (2024).
Algorithm to decrease central venous catheter utilization
“After implementation, CVC days decreased from 490 CVC days per 1000 patient days to 452 (OR 0.86, p<0.01) and catheter duration decreased from 7.71 days to 6.57 (p=0.19)" Knapek et al (2024).
Midline catheter use in the neonatal intensive care unit
“The midline catheter has advantages over short peripheral catheters, being a useful alternative in terms of efficacy and safety for treatments lasting more than 3 days in the neonatal population that requires admission to the NICU” Sánchez García et al (2024).
Candida auris central line-associated blood stream infection in critically ill patients
“C. auris is a highly resistant emerging pathogen in our ICUs that is often overlooked in identification using conventional methods” Meawed et al (2024).
Review of needle and ultrasound probe manipulation skills
“Acquisition of improved dexterity of the probe may occur before improvement in the dexterity with the needle hand for interventional radiology trainees” Weinstein et al (2024).
Study examines safety of intravenous medication administration – Full Text
“Intravenous medication errors continue to significantly impact patient safety and outcomes. This study sought to clarify the complexity and risks of the intravenous administration process” Uramatsu et al (2024).
PICC complication rates in oncologic and non-oncologic patients
“In this study, the catheter-related complication rate between oncologic and non-oncologic patients was compared” Dominikus et al (2024).
Esmarch bandage does not increase peripheral vein size
“This study showed that the use of an Esmarch bandage does not increase basilic vein size in healthy volunteers but is associated with a mild increase in discomfort” Paterson et al (2024).
The use of telenursing to support PICC care self-management – Full Text
“The use of telenursing for patient education in cancer centers can reduce nurses’ working time, improving the self-management capacity of patients with a long-term PICC” Basili et al (2024).
Virtual reality to reduce discomfort during implantable port access – Full Text
“The use of VR helped reduce pain and/or discomfort in pediatric oncology patients, mainly in the older age group as they can better interact with VR. Healthcare providers were satisfied with the help of VR for TIVAD management” Caballero et al (2024).
Complications risks associated long peripheral and midline catheters – Full Text
“Although widely used in clinical practice, long peripheral (LPCs) and midline catheters (MCs) are often misclassified because of their similar characteristics. Studies comparing complications associated to these devices are lacking. The study aim was to explore complications risks associated with polyurethane LPCs and MCs” Fabiani et al (2024).
PICC design and material differences systematic review – Full Text
“There may be little to no difference in the risk of VTE, PICC-associated BSI, occlusion, or mortality across PICC materials and designs. Further rigorous RCTs are needed to reduce uncertainty” Schults et al (2024).
Implementation of aseptic non-touch technique in a pediatric ward – Full Text
“The implementation of ANTT helped reduce the CLABSI rate. Training and continuous monitoring are key to maintaining ANTT adherence” Guerrero-Díaz et al (2024).
Impact of care bundle audit on CLABSI rates
“An educational intervention targeted at the healthcare workers along with daily audit of care bundle practices in the critical care setting led to an increase in the compliance to device care bundles and a reduction in the incidence of Catheter-associated Urinary Tract Infection, Central Line Associated Bloodstream Infection and Ventilator Associated Events rates in the critical care setting” Darjees et al (2024).
Improving nursing students knowledge of asepsis
“Flipped learning increased nursing students’ knowledge related to the principles of asepsis and enabled them to take responsibility for learning. This model had a positive effect on students’ higher order thinking skills such as critical organization and decision making” Acun (2024).
Self-collection of capillary blood samples in clinical trials – Full Text
“Capillary blood self-collection, yielding slightly less than 500 μl, proves to be a safe and relatively painless method for adults and children, with high satisfaction and low failure rates” Dasari et al (2024).
Management of patients with complications of dialysis
“This issue describes the pathophysiology arising from hemodialysis and peritoneal dialysis-related complications, as well as the evaluation and initial treatment within the emergency department, based on best available evidence” Acharya et al (2024).
Neonatal hospital-onset bacteremia review
“This study found that HOB events in the NICU are associated with increased mortality. Birth weight is an important risk factor for HOB; however, the relative rate of HOB decreases over postnatal age among low-birth-weight infants and increases among infants born more than 2500 g” Prochaska et al (2024).
Skin microbes associated with tunneled cuffed central venous catheters – Full Text
“This study aims to compare the skin microbiota changes around the exit site of tunneled cuffed catheters (peri-catheter group) and the contralateral site (control group)” Xiao et al (2024).
Does cleaning venipuncture sites with alcohol affect blood ethanol concentration – Full Text
“This study aimed to determine whether sterilization of venipuncture site with ethanol, which is frequently used in practice in the ED would affect BEC” Kılıç et al (2024).
CVC tip location can affect drug clearance during continuous renal replacement therapy – Full Text
“The distance between CVC and CDC tips can affect drug clearance during CRRT. A cranial versus a caudal tip position of the CVC in relation to the tip of the CDC led to the highest clearance” Bandert et al (2024).