Fluoroscopic versus bedside placement of PICC and CICC
“Fluoroscopic placements of PICCs and CVCs had a lower incidence rate of central line-associated bloodstream infection (CLABSI) compared to portable placements (.71 vs 2.22 cases per 1000 line-day, P=.046)” Nguyen et al (2024).
CLABSI prevention teaching programs for cancer patients
“To evaluate the effectiveness of teaching-learning programs for cancer patients and/or their caregivers or family in preventing and controlling infections associated with long-term central venous access devices” Vieira et al (2024).
Femoral to abdomen vascular access device tunneling
“Femoral to abdomen tunneling provides an alternative exit site useful in select patients with complex intravenous access. The data of this small retrospective review suggests this a safe and minimally invasive bedside procedure” Ostroff et al (2024).
FICC-ports – novel femoral implantable port
“In the last 3 years, we have implanted 47 FICC-ports in young adults with mediastinal lymphoma compressing the superior vena cava. We had no immediate/early complication, and only three late complications” Annetta et al (2024).
Risk of PICC-associated deep venous thrombosis – Full Text
“PICC is a safe and suitable intravenous device for medium and long-term therapy, with low rates of DVT even in a cohort of critically ill and cancer patients” Silva et al (2024).
Polish nurse-led vascular access team
“This study aimed to analyse the use of MCs in a 3-year perspective of their introduction in daily clinical practice based on a nurse-led Vascular Access Team (VAT)” Latos et al (2024).
Taurolidine and heparin lock solution in hemodialysis
“Taurolidine and heparin lock solution represents a novel preventive strategy for those undergoing hemodialysis through a CVC by reducing the risk of CRBSI” Nguyen et al (2024).
PICC-related complications in adult patients with haematological malignancies – Full Text
“This study aimed to determine the incidence of and factors associated with PICC-related complications in patients with haematological malignancies” Lee et al (2024).
Intraosseous route in out-of-hospital cardiorespiratory arrest – Full Text
“IO vascular access provides a suitable route for out-of-hospital stabilization of critically ill patients when peripheral vascular access is difficult or impossible” Burgos-Esteban et al (2024).
CVC tip migration case study – Full Text
“Clinicians must be vigilant of catheter tip migration and malposition risks. Relying solely on postinsertion radiographs is insufficient. Once identified, prompt management of the malpositioned catheter is paramount in reducing morbidity and mortality and improving patient outcomes” Amllay et al (2024).
Oral versus intravenous antibiotics for orthopedic infections – Full Text
“There were no appreciable differences in outcomes between patients discharged on PO compared to IV regimens. Antimicrobial stewardship interventions to increase prescribing of PO antibiotics for the treatment of orthopedic infections should be encouraged” Gray et al (2024).
Biofilm prevention with novel central catheter coating – Full Text
“The resulting pMPC coating armor exhibits super-hydrophilicity, thereby forming a highly hydrated shell that effectively prevents bacterial adhesion and inhibits the adsorption and activation of fibrinogen and platelets in vitro” Ke et al (2024).
Pitfalls of internal jugular vein cannulation – Full Text
“Herein, we aim to inform readers about the existing literature on the plethora of complications with potentially disastrous consequences for patients undergoing IJV cannulation” Nag et al (2024).
IV push or piggyback antibiotic administration in sepsis – Full Text
“This study was performed to compare the effects of administering ceftriaxone via intravenous push (IVP) and intravenous piggyback (IVPB) on 28-day mortality in patients with sepsis” Lim et al (2024).
Vascular access out-patient procedure service – Full Text
“Our study thus aims to compare the safety and wait times between procedural teams and IR placement of outpatient temporary hemodialysis catheters (THDC) for patients undergoing Chimeric antigen receptor T-cell (CAR-T) therapy apheresis” Ghanem et al (2024).
Cost-effective ultrasound-guided vascular access model – Full Text
“We propose a simple, cost-effective, and effective ultrasound-guided vascular access simulation model that utilizes chicken breast and a urine catheter to address this need” Chakroun-Walha et al (2024).
Dalbavancin for acute bacterial skin infections – Full Text
“In our experience, particularly in a setting with a high methicillin-resistance rate, dalbavancin demonstrated safety and efficacy, simplifying ABSSSI management in childhood” Scarano et al (2024).
Impact of using ultrasound-guided longer length peripheral IV catheters
“The procedure provides a better patient experience as successful first attempts avoid unnecessary further insertion attempts. Other benefits are increased nursing time efficiency, a reduction in clinical waste and the lower cost of the equipment required” Godfrey and Gallipoli (2024).
CLABSI rate decreased by over 40%
“We decreased our CLABSI rate by over 40% from 2021 (1.6 per 1,000 line days) to the fourth quarter of 2022 (0.91) and kept the rate below or around the national rate (0.86) for the last three quarters of 2022” Bohan et al (2024).
Vascular access teams improve optimal selection of vascular access devices – Full Text
“Specialist vascular teams should evolve and pivot towards leading the implementation of quality improvement interventions, optimizing resource use and enhancing their role” Fernández-Fernández et al (2024).
Vascular access for long-term parenteral nutrition
“Securing safe and effective intravenous (IV) access is of utmost importance for administering parenteral nutrition (PN). Sustaining this access can indeed pose challenges, especially when dealing with the risk of complications associated with long-term PN. This review emphasizes best practices to optimize intravenous access and reviews the current evidence-based recommendations and consensus guidelines” Hurt et al (2024).
Central catheter salvage and prophylaxis in the PICU
“The use of ELT for catheter salvage and prophylaxis in the PICU is safe in a variety of polyurethane catheters. Dwell times ranging from 30 minutes to 2 hours were effective in sterilizing the catheters while allowing other therapies to continue” Weber et al (2024).
Basilic vein variation during arm port placement – Full Text
“Basilic vein variation usually presents without any clinical symptoms and is often regarded as a benign alteration. This case was a patient with congenital basilic vein variation encountered during surgery for an infusion port” Hu et al (2024).
Biofilm formation in hemodialysis patients – Full Text
“These insights contribute to a better understanding of the molecular characteristics associated with Staphylococcus aureus, infections in hemodialysis patients and provided more targeted and effective treatment approaches” Lai et al (2024).
Central venous catheter maintenance – quality improvement project – Full Text
“The i-PARIHS framework is an effective tool for developing targeted, evidence-based improvement strategies and applying these to the clinical setting. The quality of the nurses’ clinical practice improved during CVC maintenance” Wang et al (2024).
PICC-related infection risk factors – Full Text
“PICC-related infections are associated with factors such as age >60 years, catheter movement, catheter maintenance cycle, insertion technique, immune function, complications, and body temperature ≥37.2 °C before PICC placement” Li et al (2024).
Dalbavancin as an OPAT alternative – Full Text
“Dalbavancin is an efficacious and safe alternative to standard OPAT, especially in those with barriers to traditional long-term intravenous antibiotics” Bao et al (2024).
Risk factors of central catheter bloodstream infections in ICU – Full Text
“Effective interventions targeting the above modifiable factors may reduce the risk of developing CRBSI in ICU and improve the clinical outcome of patients. Further prospective studies are needed to confirm these findings” Huang et al (2024).
Midline catheter use in outpatient pain management – Full Text
“The person whose case is described below had poor peripheral veins. He intravenously received lidocaine for 10 days via a midline catheter with a good response” Olczyk-Miiller et al (2024).
Combination systemic and catheter lock-therapy – Full Text
“The study demonstrates that combining systemic and lock therapies with micafungin effectively eradicates catheter-based biofilms and infections caused by C. albicans or C. parapsilosis, particularly in persistently neutropenic conditions, offering promising implications for managing vascular catheter-related candidemia and providing clinical benefits in cases where catheter removal is not feasible” Petraitiene et al (2024).
Adherence to neonatal parenteral nutrition guidelines – Full Text
“While guidelines provide recommended ranges for parenteral nutrition (PN) intakes, they generally recommend enteral nutrition as soon as possible. Thus, in clinical practice, gradually increasing EN intakes complicates assessments of PN guideline adherence” Nguyen et al (2024).
Organising intravenous antibiotic therapy at home – Full Text
“The UK’s recommendations can serve as a good starting point. A national standard for outpatient parenteral antimicrobial therapy should be utilised in combination with local teams that follow up patients” Fjeld and Vukovic (2024).
PICC-related thrombosis in solid neoplasm patients – Full Text
“This study aims to assess the effectiveness of ultrasound-guided management in detecting and treating asymptomatic CRT in cancer patients with PICC” Cominacini et al (2024).
Pharmacist role in OPAT – Full Text
“The TOC pharmacists can play a key role in the evaluation of OPAT prescriptions at hospital discharge. This intervention demonstrated how TOC pharmacists can effectively collaborate with the OPAT team, which builds on prior evidence of the role and value of pharmacists in the transitional care setting” Stashluk et al (2024).
Interventions to manage occluded central venous access devices – Full Text
“This umbrella review concluded that education enhances patient outcomes and decreases occlusion rates. Further studies are required to explore occlusion reduction strategies in relation to flushing and locking” Elliott et al (2024).
Iatrogenic anaemia prevention – Blood-sparing techniques in ICU – Full Text
“In this regard, within patient blood management bundles, with the objective of minimizing the use of blood products, it is recommended to use blood-sparing techniques: small volume tubes (SVT) or closed-blood sampling devices (CBSD)” Raurell-Torredà et al (2024).
Ultrasound-guided CICC placement in newborns – Full Text
“We planned a training program for neonatologists for ultrasound-guided CICCs placement at our level III neonatal intensive care unit (NICU) in Modena, Italy” Zini et al (2024).
CLABSI prevention survey
“Most US hospitals continue to use evidence-based methods to prevent CLABSI as recommended by leading organizations. Opportunities to focus on socio-adaptive interventions such as feedback of infection rates, use of appropriateness criteria for CVC placement, and improving the “culture of pan-culturing” remain” Pisney et al (2024).
Needleless connector flow rates
“In this study we utilised a rapid infuser to deliver room-temperature normal saline through two introducer sheath configurations with and without the addition of needleless connectors and the placement of catheters through the introducer sheaths” Smeltz et al (2024).
Arterial catheterization clinical outcomes – Full Text
“We aimed to determine the incidence of abnormal duplex vascular ultrasound and catheter related infections following perioperative arterial catheterization” Eley et al (2024).
PICC and CVC complication rates comparison
“Patients who received CVCs or PICCs between April 2010 and March 2018 were identified from the Diagnosis Procedure Combination database, a national inpatient database in Japan” Takahashi et al (2024).
Intravenous iron infusions in pediatric patients
“This single-institution retrospective chart review was conducted to assess the safety, efficacy, and adherence of intravenous (IV) iron infusions compared to oral iron in pediatric patients who had failed a trial of oral iron supplementation” Strachan et al (2024).
Intraosseous access in trauma patients – Full Text
“While intravenous access has traditionally been considered the primary method for vascular access, intraosseous (IO) access is gaining popularity as an alternative for patients with unsuccessful attempts” Qasim and Joseph (2024).
Treatment of UEDVT using apixaban – Full Text
“After 66 days of oral apixaban, the thrombus completely dissolved, the CV catheter was removed, and no recurrence was observed for 8.5 months” Matsunaga et al (2024).
Microparticle release during continuous renal replacement therapy – Full Text
“Particle infusion and related damage must be counted among the pathophysiological mechanisms supporting iatrogenic damage due to artificial cross-talk between organs during CRRT applied to critically ill patients. This damage can be reduced by using in-line filters in the extracorporeal circuit” Ruffa et al (2024).
Impact of sharps injuries on healthcare workers – Full Text
“Injuries caused by sharp objects persist as a significant danger for hospital employees, posing immediate harm and long-term health risks linked to bloodborne pathogens. The findings stress the continuous responsibility of healthcare institutions to prioritize staff safety by addressing the root causes of sharp object injuries and fostering reporting and prevention cultures” Ibrahim et al (2024).
Right subclavian artery injury during CVC insertion – Full Text
“The patient later developed mild dyspnea and dysphagia. Computed tomography scans indicated thrombus formation and tracheal deviation. Contrast-enhanced computed tomography scans showed right subclavian artery injury with extravasation and a large pseudoaneurysm” Tamaoki et al (2024).
Midline catheter use in pediatric apheresis
“In conclusion, this study supports the use of midline catheters as a safe and effective alternative for venous access during therapeutic and donor apheresis procedures in pediatric patients” Geile et al (2024).
Patient sleep patterns during home parenteral nutrition
Patient sleep patterns during home parenteral nutrition Abstract: Background: Patients receiving home parenteral nutrition (HPN) are known to experience psychological distress and have profoundly disrupted
OPAT for infective endocarditis patients – Full Text
“In a setting where there was good adherence to BSAC criteria, treating IE patients using OPAT services was safe. Complications observed were likely independent of treatment location. Significant bed days were saved” Schwiebert et al (2024).
Subclavian vein cannulation in children with congenital heart disease
“For children with congenital heart disease requiring central venous catheterization during the perioperative period, the subclavian vein is a feasible site for catheterization. The supraclavicular approach, especially the left side, has a higher first-puncture success rate, shorter access time, lower complications, and a trend of lower incidence of catheter malposition” Gong et al (2024).
Patient awareness of blood transfusion risk
“Many patients consider blood transfusion as a high-risk procedure. Healthcare professionals need to understand patient’s perceptions and conduct patient counselling accordingly. This will help physicians in addressing patient-specific concerns related to blood transfusion” Dev and Ahmed (2024).