Management of central venous catheter complications in intestinal failure – Full Text
“Different complication rates and CDT were seen depending on CVC type. Tunneled catheters were significantly superior concerning CRI. Interventional catheter recanalization is a viable alternative to fibrinolytics to restore CVC patency, but long-term patency data is scarce” etJahns al (2024).
Calcified fibrin sheath following CVC removal
“We describe the clinical case of a hemodialysis patient who, following the removal of a malfunctioning, stuck CVC, presented a calcified tubular structure in the lumen of the superior vena cava, diagnosed as calcified fibrin sheath (CFS)” Taurisano et al (2024).
Ultrasound-guided axillary artery catheter placement
“Ultrasound-guided axillary arterial catheters are an alternative in patients in whom radial or femoral arterial access is difficult or not possible to achieve” Cardona et al (2024).
Malposition of central venous catheters – Full Text
“This case emphasizes the importance of radiological techniques for CVC procedural placement, as well as the detection of congenital abnormalities. Providers regularly placing CVCs should have an in-depth knowledge of the possible complications and potential anatomical variations, especially as seen in high-risk patients” Syska et al (2024).
Clinical review of vasopressors in emergency medicine
“Across the categories of shock states, norepinephrine has wide applicability and is a reasonable first-line agent for shock of uncertain etiology” Stampfl and DeBlieux (2014).
Popliteal venous access for renal replacement therapy
“Due to an earlier central line-related infection, the right femoral site exhibited signs of infection and the presence of a pus pocket, making it unsuitable for haemodialysis access. To address this, the right popliteal vein was chosen for catheterisation using a 20-cm, 12 French catheter, the longest available catheter in the country at the time” Hamed et al (2024).
Long peripheral catheters for intravenous infusions of iloprost
“Our experience shows that LPCs could be valuable and safe for rheumatologic outpatients. The increased number of insertions and new and total patients enrolled each year defines the satisfaction of patients and health care professionals” Donadoni et al (2024).
Central venous access in the prone position
“Successful VAD insertion techniques in prone patients encompassed multiple anatomical sites, including the internal jugular, brachial, femoral, and popliteal veins. However, challenges persisted, particularly with respect to anatomical variations and technical complexities in cannulation” Longo et al (2024).
Dressings and securement devices to prevent arterial catheter complications – Full Text
“To evaluate the effectiveness of peripheral AC dressing and securement devices to prevent failure and complications in hospitalised people” Schults et al (2024).
Fluid volume administered with intravenous antibiotics
“The majority of physicians were unaware of fluid volumes administered as a drug diluent with IV antibiotics. The majority chose not to make post-prescribing adjustments to their planned fluid administration” Aghaie et al (2024).
Umbilical catheter extravasation injury
“Despite a preliminary NEC diagnosis, further evaluation revealed umbilical catheter complications, leading to total parenteral nutrition extravasation. Removal of the catheter, drainage, and antibiotic adjustment resulted in improved clinical outcomes” Armağan et al (2024).
Blood cultures drawn from central venous catheters – Full Text
“We urge clinicians to obtain catheter-drawn blood cultures when the catheter may be the source of suspected infection” Mermel and Rupp (2024).
Transillumination improves neonatal peripheral IV cannulation – Full Text
” Transillumination improves the first-attempt success rate of peripheral vein cannulation performed by pediatric residents in neonates >1,500 g, while no benefit was found in infants ≤1,500 g” Hinterstein et al (2024).
Fat embolisation associated with intraosseous infusions – Full Text
“The aim of this systematic review is to synthesise the existing evidence describing fat intravasation, fat embolism and fat embolism syndrome (FES) following IO infusion” Ellington et al (2024).
BSI risk in patients receiving peripheral parenteral nutrition – Full Text
“This study identified the incidence of and risk factors for developing BSI, such as a longer average daily infusion time of PPNs and all intravenous fluids, in patients receiving PPN therapy” Shimoda et al (2024).
IV medication administration error during the perioperative period – Full Text
“Intravenous (IV) medication administration error remains a major concern during the perioperative period. This review examines inadvertent IV anaesthesia induction agent administration via high-risk routes” Patel (2024).
Purple glove syndrome management
“Purple glove syndrome (PGS) is a rare condition characterized by limb edema, discoloration, and pain associated with intravenous and oral phenytoin administration” Mutsago et al (2024).
CLABSI rates in trauma patients
“This study aimed to identify the rate of positive (+)CLABSI in trauma patients and risk factors associated with (+)CLABSI” Aryan et al (2024).
Ultrasound-guided peripheral IV catheter placement by nurses – Full Text
“Ultrasound-guided technique can be a safer, faster, and more effective alternative to the traditional approach for nurses to establish intravenous access across different clinical settings and age groups” Tian et al (2024).
Home CLABSI rate decreased by 52%
“The ambulatory CLABSI rate decreased by 52% from 0.25 to 0.12 per 1000 CL days post intervention, achieved within 27 months; 117 CLABSI were prevented, with $4.2 million hospital charges and 702 hospital days avoided” Wong et al (2024).
Improving appropriate PICC use
“A large-scale, multihospital QI initiative to improve appropriate PICC use yielded substantial return on investment from cost-offset of prevented complications” Heath et al (2024).
PICC placement in neonates study – Full Text
“This study aims to assess the comparative effectiveness of a conventional splitting needle or a peelable cannula vs. the modified Seldinger technique (MST) by utilizing a dedicated micro-insertion kit across various clinically significant metrics, including insertion success, complications, and catheter-related infections” van Rens et al (2024).
Vascular Access and IV Therapy Resource
Adverse events associated with peripherally administered norepinephrine
“Extravasation of peripherally administrated norepinephrine in the perioperative period occurred at similar rates as in previous studies in critically ill patients. In our setting, where we regularly inspected the infusion site and shifted site in case of swelling or paleness of skin, we observed no case of severe adverse events. Given that severe adverse events were absent, the potential benefit of this preventive approach requires confirmation in a larger population” Christensen et al (2024).
Fatal superior vena cava rupture during catheter exchange
“In this report, we describe a case of a 25-year-old woman who presented with an extensive history of multiple dialysis access failure for left internal jugular vein central venous tunneled catheter exchange. The procedure was complicated by a fatal superior vena cava rupture likely related to the dislodgment of the guidewire causing perforation into the pericardium space with subsequent cardiopulmonary collapse” Ali et al (2024).
Intracavitary ECG for PICC placement in patient with PLSVC – Full Text
“Intracavitary electrocardiogram (IC-ECG) guidance is widely used for peripherally inserted central catheter (PICC) placement. The P wave variation has rarely been reported in persistent left superior vena cava (PLSVC)” Zhang and Zhao (2024).
Integrated short peripheral intravenous cannula failure rates – Full Text
“This systematic review and meta-analysis aimed to analyze randomized controlled trials (RCTs) and quasi-randomized studies in hospitalized patients, analyzing the risk of overall catheter failure as well as the risk of each type of complication (occlusion, infiltration, thrombophlebitis, and dislodgement) for ISPCs compared to non-integrated SPCs” Gidaro et al (2024).
OPAT experience with dalbavancin – Full Text
“This report adds to clinical experience with dalbavancin for off-label indications whilst further validating its role in ABSSSI. Dalbavancin as primary therapy in deep-seated infections merits investigation in formal clinical trials” McSorley et al (2024).
Interventions for UEDVT in cancer patients – Full Text
“Therapeutic anticoagulation was not associated with a reduction in the incidence of recurrent VTE or increase the incidence of bleeding in adult cancer patients following a CVC-associated DVT diagnosis” Ngo et al (2024).
Home care of PICC – Full Text
“Adults living with a PICC at home report a broad range of supportive care needs. In addition to practical and information needs, health consumers may also require support to accept living with a device inside their body and to assume responsibility for the PICC” Sharp et al (2024).
Tunneled central venous access in children – Full Text
“Ultrasound-guided percutaneous insertion was considered to be a safe and effective technique for the insertion of central venous catheters. Our study also demonstrated a decrease in operating times when performed by operators with increasing expertise, increased preservation of the diameter of the venous lumen, and no increase in complication rates when the ultrasound-guided technique was selected” Kouna et al (2023).
Dalbavancin use in cardiovascular prosthetic infections – Full Text
“Because of pharmacokinetic individual variability, dalbavancin TDM-guided administration could improve clinical outcomes by individualizing dosing and selecting dosing intervals. This case series seems to suggest a promising role of long-term suppressive dalbavancin treatment for difficult-to-treat cardiovascular prosthesis infection, also with limited surgical indications” Gallerani et al (2023).
Misplaced CVC results in emphysematous thrombophlebitis – Full Text
“Emphysematous thrombophlebitis is a fulminant and life-threatening CVC-BSI associated with thrombosis and gas formation in the vein. A misplaced CVC may facilitate the development of emphysematous thrombophlebitis. POCUS can easily identify the artifacts produced by gas and thrombosis, facilitating rapid diagnosis at the bedside” Chen et al (2023).
Infusion phlebitis published studies review – Full Text
“Phlebitis secondary to vascular access is one of the most frequent complications in hospital care. This study aims to evaluate the scientific activity related to this complication through a bibliometric analysis” Torné-Ruiz et al (2023).
CVC blood sampling in the presence of AV fistula – Full Text
“It seems most likely in our case that the distal CVC lumen was situated sufficiently close to the fistula to allow aspiration from an arterial, well-oxygenated stream of blood” Evans and Hall (2023).
Defaulting to single lumen PICC orders – Full Text
“Defaulting the order for peripherally inserted central catheters (PICCs) placement to single lumen increased proportion of single-lumen insertions over total insertions from 42/126 (33%) to 57/104 (51)%” Trautman et al (2023).
Preventing healthcare-associated MRSA bacteremia – Full Text
“Overall, HA-MRSA-B incidence decreased from 1.72 cases/10000BD in 2008 to 0.18/10000BD in 2019; a reduction of almost 90%. Intravenous device interventions were also associated with a reduction of methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia rates” Borg et al (2023).
IV fluid administration rate and acute kidney injury – Full Text
“The foundation of early septic shock management includes early fluid resuscitation, but the association between fluid resuscitation rates and kidney outcomes remains unclear. This investigation examines the association between fluid resuscitation rate and AKI recovery” Reddy et al (2023).
Microplastics released from disposable PVC infusion sets – Full Text
“Our findings indicate PVC MNPs can enter the blood vessel directly with the infusion fluids during intravenous infusion and the PVC MNPs exposure risk towards patients deserves more attention” Zheng et al (2023).
Effectiveness of ceftaroline-F and ceftobiprole-M – Full Text
“The fifth-generation cephalosporins, ceftaroline-F and ceftobiprole-M, are safe and effective in real life, with no difference between them in health outcomes” Arnés García et al (2023).
CLABSI rates in low-middle income countries
“We implemented a multidimensional approach, incorporating an 11-element bundle, education, surveillance of CLABSI rates and clinical outcomes, monitoring compliance with bundle components, feedback of CLABSI rates and clinical outcomes, and performance feedback in 316 ICUs across 30 low- and middle-income countries (LMICs)” Rosenthal et al (2023).
Electronic chemotherapy order verification checklist
“This study demonstrates the effectiveness of implementing the ECOV checklist in increasing the rate of pharmacy reported medication errors” Wat et al (2023).
Chemotherapy infusion site induration – Full Text
“Selecting the vein with 3.7 times higher diameter than the catheter diameter for the catheterization site may help prevent induration on the next treatment day” Abe-Doi et al (2023).
Removal of stuck tunnelled dialysis catheter
“Tunnelled central venous dialysis catheters can usually be removed easily. However, their removal can become rarely complicated requiring more invasive techniques. We report a case in which cardiopulmonary bypass and repair of great veins was required for safe removal” Bakr and Ali (2023).
Multifunctional sensor for real-time infusion monitoring
“The SDTS placed in a disposable infusion set has high potential application in clinical practice and is low cost and easy to prepare. Specifically, we demonstrate the feasibility of the detection of the current infusion flow rate and identification of the infusion medicine type according to the triboelectric signals, providing a new solution for real-time monitoring of patient infusion in nursing wards” Qian et al (2023).
Point-of-care ultrasound for vascular access in neonates and children
“Recent evidence suggests that ultrasound is useful for many purposes in the field of vascular access (preprocedural scan, ultrasound-guided puncture, tip navigation, tip location, diagnosis of most non-infective complications)” Pittiruti et al (2023).
Short-term peripheral IV catheter infection risk
“Greater PVC size may increase the risk of PVC-associated BSI. Diameter size should be considered when selecting PVCs to reduce the burden of PVC-associated BSI” Faltoni et al (2023).
Lost central venous catheter guidewire – Full Text and Video
“A right internal jugular central venous catheter (CVC) placed under ultrasound guidance in the intensive care unit was complicated by a lost guidewire during skin dilation” Devanand et al (2023).
CHG IV dressing for tunneled dialysis catheters
“Growing evidence supports using chlorhexidine gluconate (CHG) dressings to prevent catheter-related bloodstream infections in patients with short-term central venous catheters” Harward et al (2023).
Effect of Valsalva maneuver on jugular venous diameter
“This pilot study reveals the variations in JV diameter in response to VM intervention in young and middle-aged groups which has potential utility in assessing age dependent changes in vasculature” George et al (2023).
Infusion pump procurement process in Spain – Full Text
“A review of the procurement teams responsible for the evaluation of the tenders showed no reported human factors or patient safety expertise. We conclude that infusion pump procurement considers usability as a relevant criterion for selection” Herrero et al (2023).
Ethanol lock for CLABSI prevention in pediatric patients – Full Text
“Ethanol lock therapy is effective in preventing infection related to central venous catheter use in pediatric patients. Further study is warranted to determine the optimal protocol for, and incidence of, adverse events related to use of ELT” Sierra et al (2023).
Elastomeric pump drug stability study – Full Text
“Our objective was to investigate the stability of nine antipseudomonal and broad-spectrum beta lactam antibiotics (aztreonam, cefepime, cefiderocol, ceftazidime, ceftazidime/avibactam, ceftolozane/tazobactam, meropenem, meropenem/vaborbactam, and piperacillin/tazobactam) to allow the spread of OPAT programs” Fernández-Rubio et al (2023).