Survey of neonatal peripherally inserted central catheter practices
“The goal of this secondary analysis of results from a national survey of peripherally inserted central catheters (PICCs) practices in neonates was to determine whether demographics and types of training were associated with differing radiographic confirmation practices of these catheters” Sharpe (2014).
Citrate locking to reduce long-term central line complications
“This study shows that locking with TSC in patients with hematological malignancies significantly reduced the incidence of CVC-BSI with gram-negative rods. However, the incidence of CVC-BSI with coagulase-negative staphylococcus or CVC-related thrombosis was not reduced by TSC locking” Boersma et al (2014).
Heparin compared with normal saline to maintain CVC patency
“Flushing PermCath with normal saline 0.9% is as effective as heparin in maintaining patency of the catheter, while it may reduce the risks associated with heparin” Beigi et al (2014).
Taurolidine-citrate-heparin catheter lock solution reduces bacteraemia rates
“Replacing heparin 5000 IU with Taurolidine-citrate-heparin as catheter lock solution was associated with a statistically significant 56% reduction in staphylococcal bloodstream infection rates in our TCVC haemodialysis population” Murray et al (2014).
On-demand temperature-sensitive polymer for central venous catheters
“Here we compare the ad libitum release of chlorhexidine and silver-sulfadiazine from a central venous catheter with their release from a new, on-demand release coating consisting of a temperature-sensitive copolymer of styrene and n-butyl (meth)acrylate” Sjollema et al (2014).
Confusion associated with persistent left-sided superior vena cava
“A persistent left-sided superior vena cava (PLSVC) is a rare, often asymptomatic, venous anomaly that may be first diagnosed during central venous catheterization. During chest radiograph interpretation, a PLSVC can be confused with inadvertent arterial catheterization” Mackey and Dargin (2014).
Intraosseous needle insertion video in clinical practice
“Intraosseous needle insertion is used as a temporary measure when intravascular access cannot be achieved through peripheral or central venous routes” Dev et al (2014).
Method to overcome difficult peripheral venous access
“A preliminary observational study was undertaken to evaluate the risk of failure of ultrasound-guided peripheral intravenous catheterization of a deep arm vein for a maximum of 7 days, after peripheral intravenous (PIV) cannulation failure” Meyer et al (2014).
Alternative views for imaging the subclavian vein with ultrasound
“Ultrasound guidance for central line placement in the subclavian vein (SCV) is more efficient and safer than landmark-based technique. The supraclavicular (SC) approach is an alternative to the infraclavicular (IC) approach, but the research is sparse. The objective was to determine which approach provides the best view” Stachura et al (2014).
Cardiac tamponade after withdrawal of a peripherally inserted central catheter
“A case is presented of cardiac tamponade by parenteral nutrition a few hours after moving a central venous catheter peripherally inserted a few days before” García-Galiana et al (2014).
ICU CLABSI reduction strategies can be transferred to general areas
“We have demonstrated that the CLAB prevention work proven effective in the ICU can be successfully adapted and expanded to the rest of the hospital” Seddon et al (2014).
Screening for risk factors related to peripherally inserted central catheter-associated complications
“Peripherally inserted central catheters (PICCs) are increasingly utilized. Patient and system factors that increase risk of complications should be identified to avoid preventable patient harm” Moran et al (2014).
43% reduction in CLABSI cases per 1000 central line-days
“The three initial areas of focus were (1) health care-associated infections-ventilator-associated pneumonia (VAP), central line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI); (2) sepsis mortality; and (3) perinatal care-reduction of elective deliveries prior to 39 weeks of gestation” Wang et al (2014).
Outcome indicators for home parenteral nutrition (HPN) care
“Therefore, the aim is to identify the top 3 most important outcome indicators according to patients’ perspectives and the differences between several centers, HPN regimen, and HPN experience” Dreesen et al (2014).
2014 update on strategies to prevent Central Line–Associated Bloodstream Infections
“The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their central line–associated bloodstream infection (CLABSI) prevention efforts” Marschall et al (2014).
Shielding parenteral nutrition solutions from light
“This study did not show significant beneficial effects of photoprotection. Since the decreased rate of BPD/death found with all-in-one PN relates to a center-dependent variable, this warrants further investigation” Laborie et al (2014).
Antibiotic lock therapy in pediatric patients with central line-related bloodstream infection
“This retrospective study was unable to identify any benefit of adjunctive ALT in pediatric oncology patients with CRBSI. The available evidence does not support routine ALT use, and well-conducted prospective studies are needed” Wolf et al (2014).
Cost-effectiveness of Hepatitis B protection for healthcare personnel
“To examine the cost-effectiveness of pre- and postexposure approaches for ensuring hepatitis B protection among previously vaccinated healthcare personnel (HCP)” Hoerger et al (2014).
Central line care standards in blood and marrow transplant
“Survey results indicate nationwide differences in catheter site selection, educational strategies, dressing strategies, delegation of dressing changes, and volumes of flushing and locking solutions used to manage catheter patency. Variability in practice coincides with gaps in the evidence identified in practice recommendations” Keeler (2014).
Initial vascular access type in patients with failed renal transplant
“The objective of this study was to determine the types of vascular access used by patients initiating hemodialysis after a failed renal transplant” Chan et al (2014).
Report illustrates extravasation injury from a midline catheter
“Midlines are mainly used for patients not receiving vesicant drugs, and are generally inserted without radiological guidance. They are believed to be safe, but we present the first ever-documented oxaliplatin extravasation injury from a midline catheter” masters et al (2014).
Aloe vera for prevention and treatment of infusion phlebitis
“There is no strong evidence for preventing or treating infusion phlebitis with external application of Aloe vera” Zheng et al (2014).