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Vascular access device complications in pregnancy

“The objectives are 3-fold: (1) discuss indications and contraindications, approach to placement, and associated complications for PICC lines, arterial catheters, centrally inserted central catheters, and peripheral intravenous catheters; (2) review available data regarding complications associated with these catheters in pregnancy; and (3) propose an evidence-based approach to clinical decision making regarding vascular access in 2 clinical scenarios among pregnant patients” Sarosi et al (2025).

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Repeated peripheral IV catheterization in neonates

“The aim of this study was describe the clinical characteristics of neonates requiring multiple PIVCs during hospitalization. A secondary case series of neonates requiring three or more PIVCs during their admission were identified from a cohort admitted to an Australian Neonatal Unit between October 2020 and February 2021” Hall et al (2025).

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Home intravenous diuretic administration for heart failure – Full Text

“Intravenous (IV) diuretic administration is essential for treating worsening HF. Emerging strategies include home-based IV diuretic therapy administration; however, limited practical implementation guidance is available. This scoping review aims to summarize the literature on home IV diuretic administration for HF patients, focusing on the interventions’ characteristics, and facilitators and barriers to its implementation” Krauter et al (2025).

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Red blood cell transfusions in NICU

“Large variation in transfusion practice remains between Dutch NICUs despite a national guideline. Extreme prematurity and cumulative blood draws were associated with increased use of RBC transfusions” Heeger et al (2025).

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Enhanced adult DIVA score in an emergency department

“The EA-DIVA scale, originally validated in a preoperative setting, was effectively implemented for the first time in the ED. This study established a lower cutoff score for expert intervention utilizing ultrasound guidance compared with previous applications of the EA-DIVA scale” Petta et al (2025).

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Algorithm to reduce blood culture false positives

“Overusing blood cultures (BCxs) can lead to false positives, unnecessary antibiotics, and increased healthcare costs. Despite studies on inpatient BCx algorithms, none have focused on cardiothoracic surgery (CTS) patients, with complex postoperative care and invasive devices” Seidelman et al (2024).

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Oral vancomycin induced flushing syndrome – Full Text

“Oral vancomycin is a first-line treatment for CDI. Vancomycin has been widely reported to induce flushing syndrome (also known as Red man syndrome), a well-known hypersensitivity reaction mostly occurs after intravenous administration. However, a few cases of flushing syndrome due to oral vancomycin have been reported” Zeng et al (2024).

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PICC catheter material comparison

“Among adults and children who were referred for PICC placement, the risk of device failure due to noninfectious or infectious complications was not lower with hydrophobic or chlorhexidine PICCs than with standard polyurethane PICCs” Ullman et al (2025).

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Showering for patients with hemodialysis central venous catheters

“There is variability in personal hygiene recommendations to patients with CVCs, highlighting the need for high quality evidence in this area. A rigorous prospective study examining patient-reported outcomes and CVC-related infections is needed prior to recommending to patients with a CVC that showering is safe” Collins et al (2025).

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Risk factors for extravasation in children

“Extravasation injuries are prevalent in pediatric hospitals and often result in tissue damage and extended hospital stays. However, limited data exist regarding risk factors for extravasation in children. This study aimed to identify these risk factors in pediatric patients receiving intravenous (IV) therapy” Amini et al (2025).

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Heparin versus saline IV flush comparative study

“This nurse-led research study investigates the comparative effectiveness of heparin versus 0.9% sodium chloride locking in blood cancer patients with peripherally inserted central catheters (PICCs). Subjects were randomly assigned to receive either heparin or 0.9% sodium chloride locking for up to 7 days” Denke et al (2025).

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Untoward impact of misdiagnosed penicillin allergy – Full Text

“This review seeks to present the clinical phenotypes with which a beta-lactam allergy may present, define the untoward effects that a fictitious penicillin allergy label may confer to a patient, and propose clinical investigational prompts for nurses and other allied health professionals when interacting with a patient that has a penicillin or other beta-lactam allergy in their medical history” Johannesmeyer (2025).

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Infusion pump flow accuracy systematic review

“Intravenous pumps (IVPs) deliver IV medications to millions of acute care patients each year and result in many adverse events reported to the US Food and Drug Administration (FDA). Although the use of IVPs has improved overall safety, there are still high rates of error that risk the safety of all patients, especially those of advanced age and those suffering from critical illness” Blake (2025).

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Workflow for treating inadvertent arterial CVC placement – Full Text

“Any suspected arterial misplacement should be immediately reported to the Patient Safety Department to clarify all authorities and instructions. One aspect of this process is the workflow. In our experience, misplaced catheters in arteries are a common example of a medical incident related to central venous catheter insertion” Tokumine et al (2024).

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Standardizing blood culture collection

“CDC developed this quality measure to promote the standardization of blood culture best practices and improve laboratory diagnosis of bloodstream infections nationally. This special report will emphasize the importance of standardizing blood culture collection and describe the need for a national patient safety measure, new quality tools, and next steps” Bunn and Cornish (2025).

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Hemodialysis catheter lock solution comparison

“Our study concluded that heparin locking is not superior to normal saline locking in terms of catheter dysfunction. We aimed to emphasize that the technique of catheter locking is more important than the type of lock solution used” Ergül et al (2025).

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Central venous catheter tip positioning in children – Full Text

“Children who need to have major surgery or are critically ill often require the insertion of a central venous catheter (CVC). To avoid serious complications, it is important to correctly position the CVC tip at the junction of the distal superior vena cava and the right atrium (cavoatrial junction)” Thomsen et al (2025).

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Review of sharps handling in the operating room

“The goals of this study are to analyze OR nurses and surgical technologists’ experiences and their current level of sharps education. An anonymous survey was sent to a single institution asking whether the participants have been stuck by a sharp, when they were stuck, and their perspective on sharp safety” Vesely et al (2024).

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Peripheral IV catheter-associated injuries in neonates

“However, PIV catheters are not without risks and complications such as infiltration and extravasation. While prevention of these complications remains a persistent challenge, a variety of treatment options may be used to reduce or avoid permanent harm. This review summarizes the range of strategies aimed at reducing PIV catheter-associated injuries and their complications” Patel et al (2025).

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Effect of adding heparin to parenteral nutrition

“PN without heparin was non-inferior to the addition of 0.5 IU/mL heparin to PN during infusion on reducing catheter intraluminal obstruction based on SEM of PICC in preterm neonates. These findings could reduce the unnecessary exposure to heparin in preterm neonates” Li et al (2024).

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Technique for reinsertion of tunneled cuffed central venous catheters – Full Text

“This study explores the feasibility, safety, and efficacy of percutaneous transluminal angioplasty (PTA) for reinserting tunneled cuffed catheters (TCC) with a Dacron sheath in the right internal jugular vein (RIJV) in hemodialysis patients with a history of prior RIJV catheterization and subsequent stenosis or occlusion of the RIJV, right innominate vein, and superior vena cava” Wang et al (2024).

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