GAVeCeLT consensus on central venous access devices in critically ill patients
“Thus, the Italian Group of Venous Access Devices (GAVeCeLT) has decided to offer an updated compendium of the main strategies-old and new-that should be adopted for minimizing catheter-related complications in the adult critically ill patient” Pinelli et al (2024).
Arterial port implantation for hepatic arterial infusion chemotherapy
“Total complication rate of hepatic arterial infusion chemotherapy port use is high, but serious complications are rare” Meyblum et al (2024).
Extravasation treatment in dogs – Full Text
“This report describes 3 cases of VE-induced tissue injury in dogs. In addition, this report describes the use of perivascular terbutaline infiltration and topical nitroglycerin application as therapeutic management for VE in dogs” Lathroum et al (2024).
Thromboembolism after removal of tunnelled central venous haemodialysis catheter
“There was no evidence of fatal or non-fatal PE’s occurring in the 7 days following TCVC removal. This would support the practice of removing TCVCs without the need for ultrasound screening and without a period of systemic anticoagulation” Macpherson et al (2024).
Ultrasound assessment of short peripheral catheter failure
“Currently, the Visual Infusion Phlebitis score (VIP) is the most used tool to verify the presence of inflammatory complications (phlebitis and thrombophlebitis). However, ultrasound signs (US) may be an attractive alternative” Giustivi et al (2024).
Needleless connector technology as a CLABSI risk reduction strategy – Full Text
“The use of the Clave NCT, in and of itself, is an effective risk reduction strategy for CLABSI prevention, reduced mortality, and substantial cost savings” Ryder and Battle (2024).
Graduated vascular access in the hypotensive patient – Full Text
” Obtaining intravenous access in hypotensive patients is challenging and may critically delay resuscitation. The Graduated Vascular Access for Hypotensive Patient (GAHP) protocol leverages intraosseous fluid boluses to specifically dilate proximal veins” Saab et al (2024).
Prevention and management of catheter-related thrombosis in sickle cell disease – Full Text
“Indwelling CVADs (CVCs) require a surgical procedure for insertion, but have lower infection rates and present much simpler and quicker access on transfusion days and at other times. These are often therefore the preferred option for this patient cohort. However, catheter-associated VTE is a common and significant complication in these patients” Woodward et al (2024).
Central venous access device removal complications in children – Full Text
“In our experience, almost 10% of CVAD removals in children result in complications. These findings are associated with an indwelling time >2 years; strategies to prevent complicated removals should be considered in children requiring long-term central venous access” Liu et al (2024).
IV fluid therapy in infants with sepsis – Full Text
“This study aimed to compare the effect of two methods of maintenance intravenous fluid therapy on hyponatremia in hospitalized infants with sepsis” Milani et al (2024).
Difficult intravenous access in the paediatric emergency department – Full Text
“The present study identified multiple patient, proceduralist and situational factors that were associated with DIVA in the paediatric ED” Dunstan et al (2024).
Jugular vein central catheter length prediction – Full Text
“This study aimed to determine an equation to estimate the optimal insertion length for catheter placement via the posterior approach of the sternocleidomastoid muscle in cancer patients” Chen et al (2024).
VTE risk assessment model for inpatients with cancer – Full Text
“This study developed a new VTE risk assessment model – Alfalfa-inpatient-CAT model – for hospitalized cancer patients at high risk of thrombosis” Chen et al (2024).
Improving neonatal central venous catheter safety – Full Text
“This quality improvement project was initiated after two episodes of cardiac tamponade occurred in infants in a tertiary neonatal unit. The investigation highlighted that they were caused by malpositioned CVCs” Pappa et al (2024).
CLABSI risk in patients with COVID-19 – Full Text
“To investigate the association between central line-associated bloodstream infections and clinical and care variables of intensive care unit patients with COVID-19 hospitalized at a reference public health institution” Acosta et al (2024).
Management of persistent withdrawal occlusion in venous ports – Full Text
“We created a method for resolving PWO using MD +/- application of thrombolytics with 97.4% success rate. Current evidence showed that FS is not likely to be affected by thrombolytic drugs; however, we have ascertained an effect of these drugs, proposing a hypothesis of microthrombotic events at the tip of the catheter if fibroblastic sleeve is present” Maňásek et al (2024).
Ultrasound guided central venous catheter tip location check – Full Text
“This study confirms the feasibility of a new ultrasound method to ensure the correct CVC tip position. This protocol could potentially become a standard method reducing costs, post-procedural irradiation, and time of CVC placement in emergency” Volpicelli et al (2024).
PICC-related thrombosis in patients with liver cancer – Full Text
“Age, KPS score, parenteral nutrition, TNM staging, distant metastasis, bone marrow suppression, and activities of daily living impairment are independent risk factors for PICC-related thrombosis in hospitalized patients with liver cancer, while catheter duration is a protective factor for the disease” Chen et al (2024).
Risk of extravasation associated with peripheral vasopressors – Full Text
“We discuss the guidelines and data for optimal dose, duration, intravenous line (IV) size, IV location, and nursing IV site monitoring for peripheral vasopressors. We then explore adverse events associated with peripheral vasopressors. Finally, we describe how this practice change may impact hospital medicine providers” Kalinoski et al (2024).
Central venous catheter-related thrombosis in critically ill patients – Full Text
“Almost all CVCs in the internal jugular vein in critically ill surgical patients developed an asymptomatic CRT in the first days after catheterization” Gibb et al (2024).
Neontatal central venous access device tip location
“Intracavitary electrocardiography and real time ultrasound can both be applied in the neonatal setting, but they offer different advantages or disadvantages depending on the type of central venous access device” Natile et al (2024).
Peripheral arterial catheters in extremely preterm infants
“Peripheral artery catheters can be used for continuous blood pressure measurement and blood draw even in extremely preterm infants” Bruckner et al (2024).
Vascular Access and IV Therapy Resource
Reducing pain during arteriovenous fistula puncture
“The aim of this study was to assess the effectiveness of pre-puncture application of an ice pack, EMLA cream, or lidocaine spray to reduce pain associated with access puncture” Al-Jubouri et al (2024).
Bedside tunneled central venous catheter placement
“To determine if TDCs and other tunneled central venous catheters (tCVC) can be placed safely using anatomical landmark techniques without the use of fluoroscopy” Sawaf et al (2024).
Dacron-cuff catheter related infection – Full Text
“The main risk factors for a Dacron-cuffed CRI in hemodialysis were combined with diabetes, hemoglobin level, age, catheter indwelling time, serum albumin level, femoral vein catheter indwelling and catheterization times” Chen et al (2024).
Needlestick injury awareness and prevention – Full Text
“Therefore, we did a descriptive cross-sectional study involving healthcare workers in a tertiary care hospital to find the level of awareness, perception, and practice associated with needle stick injury and its prevention” Anandadurai et al (2024).
CVC-related complications in pediatric patients – Full Text
“Central venous catheter (CVC)-related complications remain a significant cause of morbidity in pediatric hematology-oncology. We prospectively surveyed the incidence of CVC-related complications in children with hematologic-oncologic diseases” Garonzi et al (2024).
Blood cultures and time to positivity in children – Full Text
“An audit of positive blood cultures from the Children’s Hospital of Eastern Ontario (CHEO) from November 1, 2019, to October 31, 2020, was performed to determine TTP, defined as the start of incubation to a positive signal from automated incubators” Yeung et al (2024).
Peripheral IV catheter complications in cats – Full Text
“These results suggest that smaller-gauge (22-gauge) PIVCs and greater body weights are associated with an increased risk of complications in cats hospitalized in the CCU. When possible, a larger-gauge (20-gauge) PIVC should be placed in cats admitted to the CCU” Granger et al (2024).
Peripheral intravenous catheter infection prevention – Full Text
“Despite their frequent use and concern about PIVC-associated complications, this review underscores the urgent need for more high-quality studies on effective IPC methods regarding safe PIVC management” Dobrescu et al (2024).
Peripheral IV cannulation standards in a teaching hospital – Full Text
“This study investigated the procedure and results of peripheral venous cannulation in a teaching center using a prospectively completed audit loop study. The “Royal College of Nursing’s criteria for infusion therapy” is one such set of recommendations” Lissy Ben et al (2024).
CRBSI central catheter salvage – Full Text
“Catheter salvage in S aureus CRBSIs in children receiving HPN can be attempted after careful consideration by a multidisciplinary team in an HPN expertise center” Demirok et al (2024).
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).