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).
IO access training for paramedics – Full Text
“The aim of this technical report is to describe the process of development and the final product of the LMS as a research and educational tool to scaffold remote learning of emergency IO skills by paramedics-in-training” Jolly et al (2024).
Air embolism caused by peripheral vein catheterization – Full Text
“A 59-year-old woman was sent to our hospital with spontaneous cerebral hemorrhage and treated conservatively with a left forearm peripheral venous catheter infusion drug. After 48 hours, the patient’s oxygen saturation decreased to 92 % with snoring breathing. Computer tomography of the head and chest revealed scattered gas in the right subclavian, the right edge of the sternum, the superior vena cava, and the leading edge of the heart shadow” Zhou et al (2024).
ivWatch evaluation prevented 122 cases of infiltration and extravasation
“Out of 2254 infusions monitored with ivWatch, the device prevented 122 cases of infiltration and extravasation from causing any harm to the patient, corresponding to a 5.4% ‘check IV’ notification rate” Barton (2024).
Near-infrared technology for PIVC placement
“To share lessons learned from an evidence-based practice (EBP) initiative that implemented near-infrared (NIR) technology in a large US hospital system” Hart and Weathers (2024).
CLABSI bundle implementation strategy – Full Text
“Using a champion role in the critical care setting may be an important implementation strategy for CLABSI bundle adoption and sustainment efforts” Patton et al (2024).
Candidemia cases during the COVID-19 pandemic
“As our study observed, the COVID-19 pandemic brought increasing numbers of immunosuppressed patients, widespread use of antibacterials, and central venous catheters, increasing the frequency and mortality of candidemia cases” Ozalp et al (2024).
Difficult IV access research study protocol
“The aim of this study is to investigate whether the use of long GW-PVADs, compared with standard PVADs, reduces the risk of first-time insertion failure, in patients admitted to emergency departments (EDs)” Xu et al (2024).
Peripheral IV catheter failure in pediatrics
“Peripheral intravenous catheter (PIVC) insertion is one of the most common medical procedures experienced by pediatric patients. A high incidence of catheter failure (CF) and associated sequelae are widely documented” Wiseman et al (2024).
Pediatric vascular access team
“Vascular access is essential in the care of hospitalized pediatric patients. Planning and device selection are important for optimal patient outcomes. Vessel preservation is critical for pediatric patients” Holt et al (2024).
How to improve knowledge about hypodermoclysis – Full Text
“The problematization methodology had a positive impact on the students’ knowledge about hypodermoclysis. The number of correct answers after the educational intervention was higher than the initial assessment” Coutinho et al (2024).
Vascular access team improve pediatric procedural comfort scores
“The goal of the interventions was to improve the percentage of pediatric patients achieving adequate levels of comfort beginning at 68% in year 1 to 90% in year 2” Lorenc et al (2024).
Impact of topical refrigerant spray on disinfected skin
“This study demonstrates that the application of Gebauer’s Pain Ease to ChloraPrep disinfected skin areas does not negatively affect the reduction of the bacterial load, supporting its potential as an alternative to injectable lidocaine and other superficial anesthetics for vascular access or invasive medical procedures” Attali et al (2024).
Extravasation of total parenteral nutrition – Full Text
“An urgent explorative laparotomy demonstrated a large amount of white, milky-appearing fluid in the abdominal cavity. Together with the sonographic findings, this led to the diagnosis of hepatic total parenteral nutrition extravasation” Berger et al (2024).
Intramuscular vaccination needle length – Full Text
“The standard needle length for deltoid intramuscular injection is 25 mm. Unfortunately, for up to 45% of adults with obesity, the standard needle can be inadequate to ensure intramuscular deposition of vaccine, with the specific deltoid injection site location also influencing the depth the needle must penetrate to reach muscle” Doppen et al (2024).
Pediatric blood transfusion management errors – Full Text
“Pediatric patient blood management (PBM) programs require continuous surveillance of errors and near misses. However, most PBM programs rely on passive surveillance methods. Our objective was to develop and evaluate a set of automated trigger tools for active surveillance of pediatric PBM errors” Kandaswamy et al (2024).
PICC-related venous thrombosis in patients with lymphoma – Full Text
“The objective of this study is to examine the risk factors associated with the occurrence of PICC-Related Venous Thrombosis (PICC-RVTE) in individuals diagnosed with lymphoma, as well as to develop a predictive risk nomogram model” Wang et al (2024).
Treatment of iatrogenic left vertebral artery injury – Full Text
“We describe a case of endovascular treatment for an iatrogenic left vertebral artery injury after central line catheter placement in a 68-year-old male patient” Endo et al (2024).
Patient experience with implanted venous access ports – Full Text
“The participants highlighted both the positive and negative aspects of venous access ports, while also identifying insufficient knowledge and “fear and anxiety” as barriers to accepting these devices” Janatolmakan et al (2024).
Vascular Access and IV Therapy Resource
Pediatric CLABSI-free care
“Extended periods of CLABSI-free care in a pediatric hematology/oncology unit are achievable. A variety of factors contribute to the sustainability of being CLABSI-free. Data collection and analysis are important factors which aided in our understanding of our own CLABSI events” Thompson and Shaheen (2023).
Hemolysis following transfusion through peripheral IV catheters
“The objective of this study was to compare hemolysis marker levels after in vitro infusion of red blood cells (RBCs) according to storage time, infusion rate, and peripheral intravenous catheter size” Kita et al (2023).
Neonatal chlorhexidine skin disinfection study – Full Text
“To inform the feasibility and design of a definitive randomised controlled trial (RCT) of two antiseptic formulations, we conducted the Antiseptic Randomised Controlled Trial for Insertion of Catheters (ARCTIC) feasibility study to assess catheter colonisation, sepsis, and skin morbidity” Clarke et al (2023).
Review of six FDA-approved intraosseous access devices – Full Text
“However, little is known regarding the application times, placement accuracy, and end-user ratings of battery-powered and manual IO access devices. This study was specifically designed to fill these knowledge gaps on six FDA-approved IO access devices” Kay et al (2023).
Pediatric medication errors – Full Text
“Preventive risk management should be targeted on high-alert medications in paediatric hospital settings. In these actions, the use of intravenous drugs, such as parenteral nutrition, concentrated electrolytes, analgesics and antineoplastic agents, and off-label use of medications should be prioritised” Kuitunen et al (2023).
Six year CVC outcome review in pediatric intensive care unit – Full Text
“This study aimed to retrospectively review the indications for central venous catheter (CVC) insertion for vascular access and removal by pediatric intensive care unit (PICU) physicians, catheter types, and catheter-associated complications” Misirlioglu et al (2023).
Nurse-led blood culture quality improvement intervention – Full Text
“The aim of this study was to assess the effect of a multi-modal, nursing-led intervention to improve the quality of BCs in the ED, in terms of single culture, underfilling and contamination rates” Williams et al (2023)
Extravasation from external jugular intravenous line – Full Text
“We describe a rare case of airway compromise necessitating intubation following iodinated contrast extravasation from an external jugular IV line” McDonald et al (2023).
ECG implantable port tip location – Full Text
“We herein describe a novel case involving a patient with dextrocardia and colon cancer who was treated by TIVAD insertion with intracavitary electrocardiography-aided tip localization” Dong et al (2023).
CLABSI rate reduction project – Full Text
“Improvement projects to reduce central line-associated bloodstream infections face challenges and complexities associated with implementing interventions in real-world healthcare settings” Odada et al (2023).
CLABSI rates associated with silver containing implantable ports – Full Text
“This study aimed to investigate the efficacy of this device in reducing port infection by examining groups with and without silver-mixed devices” Suzuki et al (2023).
Retrieval of stuck implantable port catheter – Full Text
“We present our experience with a technique using the Bard Denali inferior vena cava filter retrieval kit to remove a stuck or fractured chemoport catheter through a single vascular access” Jain et al (2023).
Vascular access excellence initiative
“The vascular access excellence initiative implemented provided an effective strategy to enhance the skills and confidence of nurses in VAD placement and improved efficiency in processes to expedite the arrival of an advanced skilled nurse to place VADs on DIVA” Campos et al (2023).
Skin antisepsis product review
“Skin antiseptics are used for several purposes before surgical procedures, for bathing high-risk patients as a means of reducing central line-associated infections and other health care associated infections” Boyce (2023).
Timely intravenous fluid administration in sepsis – Full Text
“This is the first Delphi study identifying consensus on facilitators, barriers, and strategies to specifically improve intravenous fluid administration in sepsis in Australia” Kabil et al (2023).
Guide to cannulation in adults
“This article provides clinical guidance on performing cannulation on an adult. The site, equipment selection and aseptic non-touch technique will be discussed” Ford (2023).
Central catheter hub contamination prevention
“Contamination of catheter hubs is a common cause of CLABSI. A novel, transparent line guard protects CVAD hubs from gross contamination” Doellman (2023).
Longer length peripheral IV catheters in sickle cell treatment
“In this article, the author reports on a new pathway with a longer-length peripheral intravenous catheter that reduces the nursing time burden during line insertion, requires less equipment and, crucially, results in a less painful procedure for patients” Moreta (2023).
Smart infusion pumps in the neonatal intensive care unit
“Most errors occurred due to a lack of compliance of using smart pump technology; therefore, potential exists to maximize safety related to medication administration practices in the NICU through hospital policy change and increasing adherence to appropriate use of smart pump technology” Schnock et al (2023).
Intravenous drug preparation and administration study – Full Text
“This study aimed to determine the level of knowledge and performance of nurses in terms of preparation and injection of intravenous drugs in pediatric wards of hospitals affiliated to Isfahan University of Medical Sciences” Shahzeydi et al (2023).
Vascular access peal-away-sheath embolisation
“This case report describes a rare complication of chemotherapy port placement, specifically peel away sheath embolisation, and its successful endovascular removal using snaring techniques” Tayebi and Ziaie (2023).
Blood culture collection in adults
“We investigated the impact of a multimodal intervention to improve the compliance of BC collections as a composite outcome, taking into account both blood volume collected and absence of solitary BC” Merien et al (2023).
Preventing peripheral intravenous catheter failure – Full Text
“We aimed to provide an international consensus on relevance and feasibility of clinical practice guideline recommendations to reduce PIVC failure” Blanco-Mavillard et al (2023).
Arm port placement study in cancer patients – Full Text
“Currently, skinfold thickness in studies on arm venous access ports and the effect of venous access port application are unknown” Liu et al (2023).
Infrared vein visualization study – Full Text
“The primary aim of this study was to compare the efficacy of IR vein visualization to the standard cannulation technique for obtaining peripheral IV access in infant and toddler populations” Fehr et al (2023).
Infusion container leakage rates investigated – Full Text
“Based on real-world study data on the leakage of upright polypropylene infusion bags and non-PVC infusion bags in multicenter PIVAS, it can be concluded that the leakage rates of upright polypropylene infusion bags are significantly lower than those of non-PVC infusion bags in PIVAS” Yin et al (2023).
Hemodialysis CLABSI rates in resource limited settings – Full Text
“In resource limited settings, where risk of complications could be higher and waiting period for transplantation longer, catheter survival determines patient survival. This study was conducted to determine infection free catheter survival rates, incidence of catheter failure and associated risk factors” Prakash et al (2023).
IV therapy waste and recycling rate study – Full Text
“Per patient bed space per 12-h shift there was recycling of less than 40% paper, glass, intravenous fluid bags, medication cups and metal instruments. A median of 10 gowns (IQR 3-19.5), 10 syringes (4.5-18) and gloves 30 (18-49) were disposed of per bed space, per 12-h shift” Anstey et al (2023).
Extended dwell cannula in pediatric intensive care – Full Text
“For such cases, an extended dwell catheter may be a better option, even if the projected treatment time is less than 6 days” Armstrong et al (2023).
CLABSI following use of contaminated chlorhexidine solution – Full Text
“This result identified the culprit as being the contamination of the 4% chlorhexidine solution. The competent authorities were notified, and the disinfection method was changed to use a chlorhexidine alcohol-based solution” Gomes Cochicho et al (2023).