Surveillance of catheter-associated bloodstream infections – Full Text
“A fully automated algorithm for CRBSI and CLABSI detection in critically-ill patients using only structured data provided valid results” Catho et al (2024).
Pseudomonas fluorescens CRBSI outbreak – Full Text
“This outbreak led to six episodes of catheter related bloodstream infection (CRBSI) in patients with hematologic malignancies, delaying their primary treatment” Volkow et al (2024).
Impact of tissue adhesive on PIVC failure
‘In this study, PIVCs secured with integrated securement dressings and tissue adhesive, in comparison with standard care, bordered polyurethane dressings, were associated with significantly reduced PIVC failure, for children admitted to hospital via the emergency department” Charters ET AL (2024).
Self-administered outpatient parenteral antimicrobial treatment
“As OPAT services expand their inclusion criteria to include complex patient populations, there is an increased need for selecting appropriate patients to receive either healthcare-administered OPAT (H-OPAT) or self-administered OPAT (S-OPAT)” Brand et al (2024).
Persistent left superior vena cava diagnosed by ECG – Full Text
“The finding of a distinctively dilated coronary sinus in echocardiography led us to further investigation using agitated saline that revealed an infrequent anomaly termed isolated PLSVC” Smolarek et al (2024).
Inotropic support in palliative patients with advanced heart failure
“The use of continuous intravenous inotropic support (CIIS) as palliative therapy in patients with advanced heart failure (HF) has increased over the past decade” Maini et al (2024).
IV or oral antibiotic treatment for osteomyelitis
“The results of the present study suggest oral antibiotics for treatment of residual osteomyelitis are not inferior to intravenous therapy and may be more efficacious for certain patients regarding cost and ease of administration” Kipp et al (2024).
PICC placement in a patient with severe burns
“Based on evidence, we successfully placed a peripherally inserted central catheter through the popliteal vein under ultrasound while the patient was in the prone position and avoided associated complications” Shi et al (2024).
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).
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).