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).
Vascular Access and IV Therapy Resource
CLABSI surveillance criteria – Full Text
“Modified criteria were not superior to CDC/NHSN criteria for surveillance. Thus, there is a scope of improving the modified criteria for the purpose of surveillance. CLBSI load was higher; CLABSI bundle for prevention is thus highly recommended” Rai et al (2023).
Intravenous fluid therapy in major trauma patients – Full Text
“Hypertonic crystalloid use did not result in superior 28- to 30-day survival. Increasing evidence supports the scientific rationale for early use of high-ratio blood components, but their use requires careful consideration” Gianola et al (2023).
Home parenteral nutrition study from a national UK IF reference centre
“This is the largest series reporting disease behaviour and long-term outcomes in CD-IF and the first describing prophylactic therapy use. The incidence of disease recurrence was low. Immunosuppressive therapy appears to be safe in HPN-dependent patients with no increased risk of CRBSI” Kopczynska et al (2023).
Central venous catheter length and bubble test accuracy
“Catheter length can change both the time between the injection of the contrast media and its appearance at the catheter tip and the injection duration. Hub-to-tip times obtained with 20 and 40 cm and overall injection duration did not differ significantly; skilled personnel could substantially reduce both values analyzed in this study” Giustivi et al (2023).
Cardiac arrest outcomes following intraosseous and intravenous access – Full Text
“Intraosseous drug delivery in out-of-hospital cardiac arrest is associated with overall poorer outcomes than intravenous drug delivery” Nilsson et al (2023).
Clinical outcomes of ultrasound-guided totally implantable venous access ports
“Ultrasound-guided TIVAP implantation via the posterior approach of the IJV is feasible, safe, and effective, with a low rate of intraoperative and postoperative complications” Wang et al (2023).
Hemodialysis central venous catheter management
“The results showed that thanks to a series of interventions it was possible to decrease the risk of CRBSI and lowered the risk of catheter removal, hospitalization rate and morbidity rate” Sellami et al (2023).
Blood component use in the United States
“Blood transfusion is one of the most common medical procedures and can be lifesaving. In the US, approximately 11 million units of red blood cells (RBCs), 2.5 million units of platelets, 2.2 million units of plasma, and 1.2 million units of cryoprecipitate are transfused annually” Cohn and Shaz (2023).
Number of blood culture sets from patients who inject drugs
“The benefits of possibly isolating a pathogen from a third blood culture set do not universally outweigh the risks for contaminant growth for people who inject drugs. A third blood culture should be considered in specific clinical scenarios” Shih et al (2023).
Neonatal PICC complication – Full Text
“Cardiorespiratory compromise due to hyperalimentation fluid extravasation caused by a peripherally inserted central venous catheter (PICC) that migrated into the mediastinum was reported previously” Alawi and Maddali (2023).
Out-of-hospital cardiac arrest vascular access
“Our objective was to evaluate the association between peripheral intravenous (PIV), tibial intraosseous (TIO), or humeral intraosseous (HIO) as first vascular attempt strategies and outcomes for patients suffering OHCA” Benner et al (2023).
Evaluation of novel rapid infusion device
“We conducted a comparative effectiveness study of a novel rapid infusion device for prehospital fluid delivery in suspected sepsis patients” Patel et al (2023).
CLABSI education linked to total parenteral nutrition administration
“There is a major need to improve the knowledge and practice of critical care nurses in India regarding central line-associated bloodstream infection (CLABSI), which is a serious potential complication of total parenteral nutrition (TPN)” Gaur and Natha (2023).
Pediatric blood culture bottle choice
“The purpose of this study is to evaluate the usefulness of anaerobic blood culture in pediatric patients by comparing the detection rate and distribution of bacteria between aerobic and anaerobic blood culture bottles” Noh et al (2023).
How to reduce the carbon footprint of anaesthesia – Full Text
“We identified opportunities and challenges to reducing the carbon footprint of anaesthesia in Australian hospitals by way of system-level and individual behavioural change. Our findings will be used to inform the development of communication and behavioural interventions aiming to mitigate carbon emissions of healthcare” etBreth-Petersen al (2023).
Hepatic arterial infusion pump imaging
“Hepatic arterial infusion (HAI) pumps are used to deliver liver-directed therapy by allowing the administration of selective chemotherapy to the liver via a catheter implanted most commonly into the gastroduodenal artery connected to a subcutaneous pump” Bonde et al (2023).
Organizational factors and CLABSI prevention
“Organizational culture is the most significant factor affecting nurses’ practice of CLABSI prevention” Kim and Choi (2023).
Did COVID-19 increase CLABSI rates – Full Text
Did COVID-19 increase CLABSI rates Abstract: This study investigated how the Coronavirus Disease 2019 (COVID-19) pandemic has affected the rate of healthcare-associated infections (HAIs). PubMed,
Animal-assisted therapy effect on pediatric venipuncture – Full Text
“Utilization of a CCLS and facility dog dyad during painful needlestick procedures decreases patient-reported pain compared with utilization of CCLS support alone” Spikestein et al (2023).
Lessons learnt from home apomorphine infusions – Full Text
“Home initiation of APO infusion can be undertaken successfully and has benefits for both patients and healthcare teams. This protocol will now continue as a standard of care at our centre” Kobylecki and Partington-Smith (2023).
Central venous access registry development – Full Text
“Central venous access device-related complications can be life-threatening and add tens of billions of dollars to health care costs, while their incidence is most likely grossly mis- or underreported by medical institutions. In this communication, we review the challenges that impair retention, exchange, and analysis of data necessary for a meaningful understanding of critical events and outcomes in this clinical domain” Iorga et al (2023).
Insulin infusion protocols for canine and feline diabetic ketoacidosis – Full Text
“Describe the use of fixed-rate intravenous insulin infusions (FRIs) in cats and dogs with diabetic ketoacidosis (DKA) and determine if this is associated with faster resolution of ketosis compared to variable-rate intravenous insulin infusions (VRIs)” Gant et al (2023).
Candida biofilm related catheter bloodstream infections
“Use of mixed-oil intravenous fat emulsion (MO-IFE) was shown to inhibit C. albicans biofilm formation and overall rate of catheter-related bloodstream infections (CR-BSIs) compared to soybean-oil IFE (SO-IFE)” Alvira-Arill et al (2023).
IV lock salvage strategy for implantable port infections
“Little is known about efficacy and safety of ethanol lock therapy (ELT) to treat totally implantable venous access device (TIVAD) infections. The objective of this trial was to evaluate the effectiveness and safety profile of a local treatment with ELT without removal for TIVAD infection due to coagulase-negative staphylococci” Lesens et al (2023).
Implantable port catheter misplaced into the right subclavian artery – Full Text
“Radiologic identification of an arterially placed catheter is crucial not only because of the risks associated with using the port system but also due to the potential for severe hemorrhage during catheter removal. For these patients, a vascular occluder can be employed to seal the puncture site, preventing significant trauma that could result from open surgery” Chen et al (2023).
Dalbavancin for skin and soft tissue infections
“With the arrival of new drugs, there is a need to refine the appropriate drug’s decision-making. Drugs with a long half-life (long-acting lipoglycopeptides such as dalbavancin or oritavancin), which allows weekly administration (or even greater), can reduce hospital admission and length of stay with fewer healthcare resources through outpatient management (home hospitalization or day hospitals)” Blanes Hernández et al (2023).
5-FU contamination and closed-system transfer device
“Occupational exposure to cytotoxic drugs can lead to significant health problems. This study was designed to evaluate the risk of 5-fluorouracil (5-FU) contamination for nurses when disconnecting the infusion line of an elastomeric pump from a non-coring needle” Raphaëlle et al (2023).
Closed system transfer device review
“The aim of the present article is to review of medical devices used for safe chemotherapy applications in line with the information obtained from the literature” Tekin et al (2023).
Extravasation of iodinated contrast during CT
“The purpose of this study was to retrospectively assess the prevalence, severity, management, and outcome of contrast extravasations in our institution and to perform a comparison to what has been reported in the existing literature” Dien Esquivel et al (2023).
PICC length formula – Full Text
“In the test set, there was no case of length prediction failure. Moreover, the catheter tip position was evaluated as optimal in 82 cases (90.1%). This study’s results suggest an updated formula to predict the ideal PICC length using only AP-CXRs for bedside placement” Lee et al (2023).