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).
Post CLABSI antimicrobial de-escalation
“An institutional protocol was developed for the evaluation and empirical antibiotic treatment of possible CLABSIs. The potential impact of de-escalating antimicrobial therapy based on initial Gram stain and molecular identification was assessed” Beckman et al (2024).
Implantable port site complications post bevacizumab infusion
“The results of this study show an inverse relationship between the risk of wound dehiscence and port site complication and the timing of bevacizumab infusion to port placement, with an increase in absolute risk of wound dehiscence when bevacizumab is given within 2 days of port placement” Yun et al (2024).
Totally implantable ports in infants and children – Full Text
“The type of port, including the material of the port’s venous catheter, and the underlying disease have an impact on the durability of implantable intravenous systems” Sosnowska-Sienkiewicz et al (2024).
Proposal for the development of German central venous access guidelines
“In our opinion, the most needed recommendation for central venous access is to utilize ultrasound guidance, a practice that many international societies have already incorporated into their published national guidelines. In our view, it is time to implement a national guideline for central venous access using ultrasound in Germany” Armbruster et al (2024).
Mycobacterium senegalense CLABSI diagnosis and management
“Blood cultures from a permanent catheter and peripheral taken concurrently yielded Mycobacterium senegalense, identified by matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry, which established the diagnosis of CRBSI atypically presented with concurrent acute intracranial bleeding and cerebrovascular infarction at initial presentation” Badarol Hisham et al (2024).
Study of home antibiotic infusion therapy using elastomeric pumps – Full Text
“Outpatient antimicrobial therapy in elastomeric infusion pumps is an alternative in patients requiring prolonged intravenous treatment, and age is not a conditioning factor for inclusion in these programs” Ferro Rodríguez et al (2024).
Disinfection of needleless connectors with ultraviolet light – Full Text
“We demonstrated the efficacy of UV-C for the disinfection of NCs in one second using the UV-C device in benchtop studies” Fourkas et al (2024).
Vascular Access and IV Therapy Resource
Impact of PICC materials and design on PICC complications – Full Text
“Meta-analysis results showed that PICC designs reduce the incidence of obstruction, and at the critical value of PICC-associated bloodstream infection, but may have no effects on other complications” Ding et al (2023).
Neonatal CVC related pericardial effusion – Full Text
“CVC-associated PCE mostly occurs in the early post-catheterization stages (within 4 days) in infants. Some cases may have critical clinical manifestations and progress rapidly, with some even developing pericardial tamponade” Zhang et al (2023).
CVC replacement after candidemia – Full Text
“Deferred central venous catheter (CVC) replacement places children with intestinal failure (IF) at risk of complications. We hypothesized that early CVC replacement after uncomplicated candidemia is safe and beneficial” Katz et al (2023).
Home-based and facility-based OPAT – Full Text
“In this systematic literature review and meta-analysis, we did not find a statistically significant difference in readmission and treatment failure rates between home-based and facility-based OPAT” Hasegawa et al (2023).
Chemotherapy infusion rate considerations – Full Text
“Clinicians should consider how to further standardize infusion therapy, and innovate new infusion strategies to increase efficacy, reduce toxicity, improve patient satisfaction and save health resource costs” Lan et al (2023).
PLSVC detected during implantable port placement – Full Text
“We present the case of an 85-year-old female with PLSVC that was accidentally detected during central venous port placement” Masaki and Kawamoto (2023).
Low infusion rates for premature neonates – Full Text
“Delayed drug delivery to premature neonates due to multi-infusion systems may compromise accurate drug administration and lead to dosing errors” Krysiak et al (2023).
Epirubicin extravasation injury – Full Text
“Among various chemotherapeutic drugs, DNA binding vesicants like epirubicin and doxorubicin can lead to extensive tissue necrosis following extravasation” Yellinedi et al (2023).
Intravenous infusion administration rate variation – Full Text
“The analysis of the infusion rate according to fluid height and PVC diameter provided basic data on intravenous infusion nursing. The results are expected to provide evidence for the standardization of intravenous infusion nursing” Han et al (2023).
FDA evaluating plastic syringes made in China – Full Alert
“The FDA received information about quality issues associated with several Chinese manufacturers of syringes. We are concerned that certain syringes manufactured in China may not provide consistent and adequate quality or performance” FDA (2023).
FDA announce Alaris infusion pump recall – Full Alert
“Becton Dickinson (BD)/Carefusion 303 is recalling their Alaris Infusion Pumps due to compatibility issues with Cardinal Health Monoject syringes” FDA (2023).
FDA announce Sapphire IV pump recall – Full Alert
“Eitan Medical Ltd is recalling the Sapphire MT Infusion Pump, Sapphire Epidural Infusion Pump, and Sapphire Plus Infusion Pump due to software issues in software version Rev 16.10” FDA (2023).
Community hospital based OPAT services – Full Text
“An outpatient parenteral antimicrobial therapy team from a Veterans Affairs facility managed patients discharged from their own facility and neighboring community hospitals” Tiemann et al (2023).
CHG sponge and gel IV dressing comparison – Full Text
“The findings of this study suggest that the use of CHG gel dressings may be more effective in reducing the risk of CLABSIs and associated clinical costs compared to CHG sponge dressings in hospitalized patients. Moreover, there appears to be no significant discrepancy in contact dermatitis rates between CHG gel and CHG sponge dressings” Hou et al (2023).
PICC CLABSI pathogens – Full Text
“To describe the rate of peripherally inserted central catheter (PICC) -associated bloodstream infections, and the pathogens involved” Volpari et al (2023).
Review of checklists used in ICU – Full Text
“Future research on checklists in the intensive care unit should focus on establishing clinical guidelines for checklist types and processes for ongoing modification and improvements using post-intervention data” Erikson et al (2023).
CLABSI most commonly reported type of nosocomial infection in PICU – Full Text
“A total of 51 patients developed 145 nosocomial infections. Central line-associated bloodstream infections (CLABSIs) were the most commonly reported type of nosocomial infections (28.3%). The majority of the isolated organisms (58.7%) were gram-negative, followed by fungal infections (35.1%) and gram-positive organisms (6.2%)” Almazeedi et al (2023).
Improving peripheral intravenous catheter outcomes – Full Text
“This study aimed to show that a vascular access training program (Operation STICK) in the emergency department (ED) improves the outcomes of traditionally placed peripheral intravenous catheters (PIVC)” Mielke et al (2023).
PICC fractures in neonates – Full Text
“Vigilance during insertion, maintenance, and removal, along with care to avoid excessive force during removal and high pressure during flushing, can help prevent catheter breakage. More research is required to improve prevention strategies for PICC fractures in neonates” Balasundaram et al (2023).
How to predict OPAT readmission – Full Text
“These results suggest that a higher CCI score is associated with a non-statistically significant increased risk of unplanned hospitalization. We concluded that the CCI may therefore be used in future decision-making regarding the acceptance of patients to OPAT and requires further investigation” Stubbs et al (2023).
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).