intraosseous infusion sites

Tibial intraosseous drug administration

“Our aim was to determine whether prehospital administration of resuscitative medications via the IO route was associated with lower rates of return of spontaneous circulation (ROSC) and survival to hospital discharge than peripheral intravenous (IV) infusion in the setting of OHCA” Hamam et al (2021).

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Implantable Port

Tunneled PICC complications

“We sought to compare complications associated with tunneled peripherally inserted central catheters (tPICCs) and tunneled-cuffed centrally inserted central catheters (tCICCs) in adult home parenteral nutrition (HPN)” Matysiak et al (2021).

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Long peripheral IV

Patient-centered hemodialysis care

“In this article we review the current state of vascular access practice, present arguments why SDM is necessary in vascular access planning, review barriers and potential solutions to SDM implementation, and discuss future research contingent upon an effective system of physician-patient participative decision making in hemodialysis vascular access practice” Murea et al (2021).

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ultrasound cvc insertion

Pediatric CVC tip location protocol

“The aim of this paper is to review all the evidence about the accuracy of ultrasound methods for tip navigation and tip location in pediatric patients, and to suggest a structured protocol for clinical practice” Zito Marinosci et al (2021).

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CRBSI

BSI in cancer patients – Full Text

“This study aimed to investigate the epidemiology, microbiology, and risk factors associated with mortality and multi-drug resistance bacterial bloodstream infections (BSIs) among adult cancer patients” Amanati et al (2021).

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OPAT patient flow improvement – Full Text

“The use of continuous quality improvement techniques in the OPAT unit can result in substantial and appropriate changes in the process of patient flow, leading to measurable and significant reductions in the variability of care, and optimisation of service” Khan et al (2021).

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Routine CVC replacement

“There is clear guidance for indications and maintenance of central venous catheters, but there is no clear guidance on how long a central venous catheter should remain in situ” Morzaria and Carle (2021).

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MRSA CLABSI risk

“MRSA carriers and older patients were at higher risks of CVC infection than MSSA bacteremia patients” Ishikawa and Furukawa (2021).

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Neonatal tunnelled CVC

“Tunnelled central venous catheters using non-cuffed peripherally inserted central catheters in infants is a safe technique with excellent success rate and minimal complications rates” Nourzaie et al (2021).

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CVC site choice

“Individual preference and institutional routine dominate the traditional CVC choice; however, it is lack of high-level evidence” Gu et al (2021).

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Intraosseous access complications

“Our review identified a complication rate of 2.7%, with complications including compartment syndrome, needle breakage, and a previously unreported cutaneous complication of traumatic bullae” Konopka et al (2021).

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Venipuncture and virtual reality

“Given the high participation rate, future studies to evaluate the efficacy of VR are recommended to determine whether an off-the-shelf VR headset can be a low-cost and low-risk tool to improve children’s coping during venipuncture or other related procedures” Canares et al (2021).

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