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Impact of topical refrigerant spray on disinfected skin

“This study demonstrates that the application of Gebauer’s Pain Ease to ChloraPrep disinfected skin areas does not negatively affect the reduction of the bacterial load, supporting its potential as an alternative to injectable lidocaine and other superficial anesthetics for vascular access or invasive medical procedures” Attali et al (2024).

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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).

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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).

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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).

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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).

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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).

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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).

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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).

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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).

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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).

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PICC insertion in patients with chronic kidney disease

“Peripherally Inserted Central Catheters play an increasingly important role in Central Venous Access Devices. However, the use of these devices should be carefully considered in specific situations such as central catheterisation in patients with chronic kidney disease” Ajello et al (2024).

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Health-related quality of life in OPAT patients

“OPAT is associated with improved patient-reported quality of life and facilitates early return to work or school. Nevertheless, it is crucial to closely monitor patients with a lower baseline quality of life to optimize their overall OPAT experience” Durojaiye and Kritsotakis (2024).

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Environmental impact of blood transfusion

Environmental impact of blood transfusion Abstract: Background: Healthcare activities significantly contribute to greenhouse gas (GHG) emissions. Blood transfusions require complex, interlinked processes to collect, manufacture,

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CVC placement with eye-tracking glasses

“In this observational study, the study authors describe their experience using first-person wearable video-recording technology to precisely measure the timing of discrete events during CVC placement by anesthesia residents and anesthesiologists” Vergara-Escudero et al (2024).

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Peripheral arterial catheter securement

“Peripheral arterial catheters (PACs), and their associated complications, are common in the pediatric intensive care unit (PICU). Accidental catheter displacement and non-functional PACs are the most common complications, and this may be related to inadequate catheter securement” Pilarz et al (2024).

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Blood culture bottle fill volume – Full Text

“Therefore, it is crucial to fill a blood culture bottle with enough blood to maximize the detection of bacteremia. Current CLSI guidelines for adult blood culture collection recommend 2 sets, that is, 4 bottles of blood cultures, each filled with 10 mL of blood to maximize detection of bacteremia” Keller et al (2024).

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Tobramycin serum sample collection from PICC – Full Text

” Tobramycin serum samples collected by PICC appear to be similar in value to PV collections. Collecting aminoglycoside levels by PICC rather than PV may reduce patient discomfort and improve quality of life. Additional multicenter studies are needed to confirm these results” Sherwood et al (2024).

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Infection prevention practice gaps – Full Text

“The top three IPC gaps were absence of drug diversion program (77%), lack of audits and feedback for insertion and maintenance of central venous catheters (76%), and missing laboratory risk assessments to identify tests that can be offered safely for patients under investigation for HRP/SCD (76%)” Soma et al (2024).

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High flow PICC for apheresis

“High flow PICC is a viable alternative for apheresis to maintain an adequate flow of 5 ml/s and can be used as a single catheter throughout the HSCT process, reducing the risks from anesthesia and the catheter insertion procedure” Kremer et al (2024).

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Dalbavancin OPAT treatment – Full Text

“We present a case of a homeless patient with MRSA bacteremia and osteomyelitis successfully treated with dalbavancin. Our case highlights the potential of dalbavancin’s once-weekly dosing to improve adherence and treatment outcomes in challenging outpatient scenarios” Sabina et al (2024).

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Turkish version of the Difficult Intravenous Access Scale

“The Turkish version of the scale is a valid and reliable scale for determining the risk of difficult intravenous access. The practical use of this scale by healthcare professionals will enable earlier diagnosis of patients with difficult vascular access” Taşkın and Günay İsmailoğlu (2024).

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