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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).

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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).

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Subclavian vein cannulation in children with congenital heart disease

“For children with congenital heart disease requiring central venous catheterization during the perioperative period, the subclavian vein is a feasible site for catheterization. The supraclavicular approach, especially the left side, has a higher first-puncture success rate, shorter access time, lower complications, and a trend of lower incidence of catheter malposition” Gong et al (2024).

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Patient awareness of blood transfusion risk

“Many patients consider blood transfusion as a high-risk procedure. Healthcare professionals need to understand patient’s perceptions and conduct patient counselling accordingly. This will help physicians in addressing patient-specific concerns related to blood transfusion” Dev and Ahmed (2024).

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CVC malposition into the azygos vein – Full Text

“Here, we report a patient with CVC malposition into the azygos vein via the right subclavian vein. We conduct a comprehensive review of the anatomical structure of the azygos vein and the manifestations associated with azygos vein malposition” Feng et al (2024).

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PICC placement in premature infants – Full Text

“This study aimed to investigate the effectiveness of ultrasonography (US) and in vitro measurement (IVM) methods in localizing peripherally inserted central catheters (PICCs) in premature infants and analyze the relevant factors affecting the accuracy of IVM” He et al (2024).

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Just-in-case peripheral IV catheters in ED

“PVC were not used in 23.7% of cases. Predictors of nonuse were the prescribing physician’s expectation of nonuse and the reason for prescribing “just in case”. A PVC should probably not be prescribed if the prescribing physician thinks it will not be used or prescribes it “just in case” Noel et al (2024).

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PICC associated cardiac tamponade case study – Full Text

“Although the use of peripherally inserted central catheters (PICCs) has many advantages, misplacement can lead to serious life-threatening complications such as pericardial effusion (PCE) and cardiac tamponade (CT). This report aims to describe four cases of CT resulting from misplaced PICC, which were successfully managed” Trinh et al (2024).

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Epicutaneo-cava catheter insertion bundle

“This paper proposes a structured, sequential insertion bundle-nicknamed “the SIECC protocol” (SIECC = Safe Insertion of Epicutaneo-Cava Catheters)-which includes seven evidence-based strategies which have been proven to increase the safety, effectiveness, and cost-effectiveness of the procedure” D’Andrea et al (2024).

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Cancer-associated thrombosis risk assessment

“Machine learning (ML) is a novel technique used for the diagnosis and prognosis of several diseases, including cancer-associated thrombosis, when trained on specific diagnostic modalities. Consolidating the literature on the use of ML for the prediction of cancer-associated thrombosis is necessary to understand its diagnostic and prognostic abilities relative to KS” El-Sherbini et al (2024).

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Vascular Access and IV Therapy Resource

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IV flush best practice implementation project

“Post-implementation audit compliance rates increased to 100% for the following criteria: the organization had a standardized flushing and locking solution protocol (0%), the CVAD lumen was locked upon completion of the final flush (10%), a single-dose system was used for flushing and locking the CVAD (60%), and preservative-free 0.9% sodium chloride was used to flush the CVAD (60%). Furthermore, the CVC occlusion rate decreased from 33% to 5%” Fan et al (2023).

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Wireless handheld ultrasound for vascular access

“Vscan Air™ ultrasound device allows sufficient assessability of the IJV in pediatric patients, opening up new possibilities for fast and mobile POCUS of cervical veins and potential guidance of central venous catheter placement” Greiner et al (2023).

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Parental opinions of central venous catheter care

“Although CVCs can cause a variety of complications in the context of long-term use, the usage for parents in everyday life is feasible. Insufficient fixation and protection outside of the body have been identified as unmet clinical needs” Tüshaus et al (2023).

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UEDVT prophylactic strategy

“Our objective was to evaluate the safety and efficacy of an anti-FXI mAb, gruticibart (AB023), in a prospective, single-arm study of patients with cancer receiving central line placement” Pfeffer et al (2023).

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Ultrasonographic findings of CRBSI

“Ultrasound findings are useful for diagnosing CRBSI. However, the sensitivity of sonographic findings is low and abnormal sonographic findings are sometimes absent in children with CRBSI; therefore, physicians should not rule out CRBSI based on normal sonographic findings, especially in patients a CVC and a positive blood culture” Hosokawa et al (2023).

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Femoral venous access update – Full Text

“Insertion of femorally inserted central catheters may be today regarded as a procedure with an extremely low intraprocedural and post-procedural risk. The risk of infection is reduced by the possibility of the exit site at mid-thigh, by the use of cyanoacrylate glue for sealing the exit site, and by appropriate intraprocedural strategies of infection prevention” Annetta et al (2023).

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OPAT in rural areas – Full Text

“This article reviews existing literature regarding outpatient parenteral antimicrobial therapy in rural settings and explores existing barriers and potential solutions that may be of assistance to providers looking to provide these services” Mehta et al (2023).

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GAVeCeLT bundle for PICC-port insertion

“This paper describes an insertion bundle-developed by GAVeCeLT, the Italian Group of Long Term Venous Access Devices, and nicknamed “SIP-Port” (Safe Insertion of PICC-Ports)-which consists of few evidence-based strategies aiming to further minimize all immediate, early, or late complications potentially associated with PICC-port insertion” Brescia et al (2023).

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IV fluid administration in pediatric patients

“For pediatric patients, the demand for quality and safe Intravenous Fluid (IVF) therapy is huge. This is because, compared to adults, children have a lower tolerance for IVF therapy errors and present devastating physiological responses to errors” Grace and Efua (2023).

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