Antimicrobial dosing recommendations for obese patients
“This is a comprehensive review of the dosing of different types of antimicrobials (antibiotics, antifungals, antivirals, and antituberculosis drugs) in obese patients, where the literature on PK and possible dosing strategies in obese adults was critically assessed” Castro-Balado et al (2024).
Early blood administration by Emergency Medical Services – Full Text
“Prehospital blood programs must be thoughtfully planned, have multiple safeguards, ensure adequate training and credentialing processes, and be responsible stewards of blood resources” Levy et al (2024).
Neonatal central venous catheterization protocol
“Recently, the GAVeCeLT has proposed a protocol called SICA-PED (i.e. Safe Insertion of Central Access in Pediatric patients) and includes seven evidence-based strategies” Spagnuolo et al (2024).
Oncology infusion center daily nurse staffing ratio
“This study assessed three acuity models across multiple centers to determine whether acuity was superior to patient volumes or patient hours in predicting the number of nurses needed to care for scheduled patients in an OIC, as well as the effect on objective metrics of missed nurse lunch breaks and patient wait times” Tobias et al (2024).
Evolution of intravenous medication errors
“This narrative review demonstrates a growing interest in systems-based risk management for intravenous drug therapy and in introducing new technology, particularly smart infusion pumps and preparation systems, as systemic defenses” Kuitunen et al (2024).
Hospital-acquired bloodstream infections in cancer patients
“We summarise strengths and weaknesses of commonly used surveillance definitions and denominators in the setting of cancer care; existing surveillance practice; epidemiology of haBSI and CLABSI; prevention strategies; and current knowledge gaps” MacPhail et al (2024).
Impact of CVC removal on neonatal CLABSI – Full Text
“Staphylococcus capitis is an increasingly prevalent pathogen in the neonatal setting, frequently causing central-line-associated bloodstream infections (CLABSIs) that can be difficult to eradicate. Central venous catheter (CVC) removal versus in situ treatment with CoNS CLABSIs is a controversial treatment strategy with no clear consensus” Sala et al (2024).
Fillable elastomeric pump technology
“Due to advances in elastomeric pump technology, there are now devices available that can be filled with intravenous (IV) therapy at the bed or chair side. These devices are safe, reliable and enable the patient to be mobile when having their infusion” Barton et al (2023).
Parenteral nutrition as a vehicle for drug delivery
“This review focuses on the utilization of Total Parenteral Nutrition (TPN) as a method for delivering drugs. It discusses the benefits and difficulties associated with its commercial application and offers suggestions for future research endeavors” Bakrey et al (2024).
What is the effect of taurolidine on the time-to-positivity of blood cultures – Full Text
“In the presence of taurolidine, the TTP was considerably delayed or vials even remained negative as compared to vials containing heparin, citrate or NaCl. This effect was dose-dependent. The delayed TTP was much less pronounced in the presence of blood, but still notable” van den Bosch et al (2024).
Wrong-route drug administration errors – Full Text
“Oral drug formulations and enteral feeds may inadvertently be administered intravenously. Intravenous medications may be inadvertently administered intra-arterially. These examples of wrong-route drug administration errors have the potential to cause significant organ dysfunction and even death” Taylor and Blockman (2023).
PICC related CLABSI in neonates – Full Text
“Low birth weight, premature delivery, off-site nutrition, long catheterization time, and 5-minute APGAR score ≤7 are independent risk factors for catheter-related bloodstream infection in neonates with peripherally inserted central venous catheters. The pathogenic bacteria are fungi and multidrug-resistant bacteria” Zhang et al (2024).
Home parenteral nutrition best practice examples – Full Text
“This article is based on presentations and discussions held at the International Safety and Quality of PN Summit, providing insights into aspects of home PN (HPN) and examples of good HPN practice” Kumpf et al (2024).
Intravenous protection device to prevent self-injection – Full Text
“The misuse of medical IV access is a potential source of prolonged hospitalizations and fatal overdoses nationwide. On two separate occasions, patients were found dead in our ED bathroom after overdosing by accessing their IV site for self-injection. These events prompted the development of the IV SafeLock prototype” Bragg et al (2024).
Needlestick injuries in medical school – Full Text
“The aim was to determine numbers and causes of NSIs as well as the frequency with which medical students report NSIs in the final stages of study” Keicher et al (2024).
Microplastics from neonatal parenteral nutrition circuit – Full Text
“The leaching of particles from plastic health care equipment in the blood of intensive care patients has been associated with several health risks, and as such, similar health risks could occur with leaching of microplastics” Vercauteren et al (2024).
CIMUS consensus statement on POCUS competencies – Full Text
“The CIMUS group recommends 28 competencies be considered mandatory and 3 as optional for internal medicine physicians performing POCUS guided thoracentesis, paracentesis, and CVC placement” Canadian Internal Medicine Ultrasound (2024).
Catheter-related superior vena cava syndrome case study – Full Text
“Here we present a case of a patient on maintenance hemodialysis who developed catheter-related superior vena cava syndrome and subsequently suffered from hemorrhagic pericardial tamponade after undergoing percutaneous transluminal angioplasty and stenting” Zhao and Wang (2024).
Ultrasound guided implantation of venous access ports – Full Text
“The aim of this study was to present demographic information of patients undergoing totally implantable venous access port (TIVAP) implantation and to investigate the rates of early and late complications, assessing the benefits of performing the procedure under US guidance” İlhan et al (2024).
PICC insertion in patients with chronic kidney disease
“Peripherally Inserted Central Catheters play an increasingly important role in Central Venous Access Devices. However, the use of these devices should be carefully considered in specific situations such as central catheterisation in patients with chronic kidney disease” Ajello et al (2024).
Midline catheter insertion simulation-based learning method
“This study aimed to propose and assess a simulation-based learning method for the placement of MCs in novice practitioners” Slosse et al (2024).
Pediatric hemolyzed laboratory samples in ED – Full Text
“Hemolysis in the pediatric ED population is a frequent complication that occurs at similar rates as in adults. PIVCs placed in the hand/wrist were associated with higher odds of hemolysis compared to those placed in the antecubital fossa” Mielke et al (2024).
Vascular Access and IV Therapy Resource
Vascular access team development
“Equally as important is that CVAD insertion is performed by an expert, using ultrasound with appropriate training, competency, and procedural volume while utilizing best practices” Bardin-Spencer (2023).
CRBSI risk in patients with intestinal failure
“CRBSIs can still develop despite undergoing prophylactic management. Risk factors for CRBSI include the residual intestinal length, nutritional status, and susceptibility to certain microorganisms” Sakurai et al (2023).
ED peripheral intravenous catheter practice study – Full Text
“The factors that impact ED clinicians’ PIVC Standard adherence are complex and multifactorial. Strategies and interventions are needed to facilitate the implementation of the Standard into daily practice and achieve sustainable behaviour change” Xu et al (2023).
CLABSI two-year surveillance outcomes – Full Text
“The healthcare-associated risk factors such as longer length of ICU stay and prolonged duration of central venous catheterization are the risk factors for developing central line-associated bloodstream infections (BSI)” Maqbool et al (2023).
Simulated intraosseous needle insertion teaching feedback – Full Text
“A total of 23 advanced care paramedics (ACPs) participated in the study and received feedback in the form of KR, KP, and intrinsic feedback while using the intraosseous (IO) access simulator” Micallef et al (2023).
Peripheral venous dilation with dry or wet heat – Full Text
‘There were no significant differences in venous diameter and assessment scores after intervention between the dry hot towel and the hot pack groups, and the effect size was negligible (Cohen’s d < 0.20)" Yasuda et al (2023).
PICC site related skin injury – Full Text
“To investigate the characteristics and risk factors of skin injury in patients with chest tumors who have peripherally inserted central catheters (PICCs)” Wang et al (2023).
Intravenous antibiotic stability at room temperature
“There is much research interest in prolonged and continuous infusions (collectively, extended infusions) of beta-lactams to improve patient outcomes, particularly in critically ill patients in intensive care” Jenkins et al (2023).
Central line insertion and maintenance support team
‘During the program’s first 3 years, the proportion of insertion-related central line-associated bloodstream infections occurring in areas within the team’s scope declined overall by 47%” Summerlin-Long et al (2023).
Needlestick injury prevention study – Full Text
“These results determined the importance of the factors affecting the occurrence of needlestick injuries. These findings can be useful for planning preventive measures” Mousavi et al (2023).
CRBSI rates in Northern Italy
“Tunneled central venous catheter (tCVCs) is a vascular access frequently employed in hemodialysis patients. Catheter-related bloodstream infections (CRBSI) are potentially life-threatening complications” Mandolfo et al (2023).
Phlebotomy procedural pain prevention
“To determine the effect of flippits versus virtual reality on pain, fear and satisfaction among children during phlebotomy” Abdelaal Mohamed and Mohamed (2023).
Haptic guidance in ultrasound-guided needle-insertion
“These studies show that both types of haptic feedback are promising for helping the user keep the ultrasound probe steady during ultrasound-assisted needle insertion tasks. Survey results indicated that users preferred the pneumatic system over the vibrotactile system” Raitor et al (2023).
Chemotherapy CVAD economic evaluation
“This study assessed the potential cost-effectiveness of HICK, PICC and PORT in routine clinical practice” Heggie et al (2023).
Dehydration diagnosis and management – Full Text
“Hydration via the subcutaneous route is safer and easier to initiate than the intravenous route but is limited by infusion speed and volume” Frith (2023).
Hand hygiene compliance in ICU
“Hand disinfection (HD) is known to be the single most effective prevention measure to avoid nosocomial infections, but the compliance rate (CR) remains low” Siebers et al (2023).
Predialysis vascular access placement
“Among patients with chronic kidney disease undergoing vascular access surgery when their eGFR was <15 ml/min/1.73 m2, catheter use at dialysis initiation was much less likely when an AV graft, rather than an AV fistula, was placed" Allon et al (2023).
Hand hygiene and gloving compliance during peripheral IV cannulation – Full Text
“We encourage infection control teams to utilize this tool to raise awareness among HCWs responsible for PVC placement about the risk of infection associated inadequate hand hygiene” Farizon et al (2023).
Heel stick blood sample quality – Full Text
“Before the procedure, warming the infant’s heel is often a customary practice, but no consensus exists on the most effective heel-warming method” Toennesen et al (2023).
Apheresis procedure and adverse events – Full Text
“Peripheral veins were used in 56% as the vascular access. The preferred anticoagulant was ACD. AEs occurred in 2.7% of all procedures and were mostly mild (1%) and moderate 1.5% (needed supportive medication) and, only rarely, severe (0.15%)” Vrielink et al (2023).
PICC coating and pathogen colonization – Full Text
“The results indicate that selected coatings show activity against selected planktonic pathogens that extend between 16 and 33 days, with similar periods of biofilm prevention” Zaugg et al (2023).
Contaminated clinical surfaces in ICU – Full Text
“The visual inspection identified dirtiness in the infusion pump, alcohol dispenser, and telephone. The surface that showed a high level of contamination by organic matter identified by the adenosine triphosphate bioluminescence test was the telephone, with a median of 1012 RLU/cm2 (±348.8)” Luiz Silva Alvim et al (2023).
Role clinical microbiology laboratory in OPAT – Full Text
“Optimal care of patients requiring long-term outpatient parenteral or oral antimicrobial therapy by infectious diseases (ID) specialists is facilitated by an accurate microbiologic diagnosis” Optimal care of patients requiring long-term outpatient parenteral or oral antimicrobial therapy by infectious diseases (ID) specialists is facilitated by an accurate microbiologic diagnosis et al (2023).
PICC length calculation method – Full Text
“The results of this study that the proposed modified measurement method may be able to reduce the incidence of long peripherally inserted central catheter placement among medical intensive care unit patients” Yeh et al (2023).
Central catheter lock solution systematic review – Full Text
“In conclusion, the most effective locking solution to date is an antilocking solution made up of an antibiotic or antimicrobial agent combined with low-dose heparin” Haq et al (2023).
Peripheral vascular access pain – Full Text
“The objective of this study was to apply vagal stimulation to the neck area using standardised cold, and then analyse the level of vascular access discomfort experienced by individuals who underwent venous cannulation from the dorsal side of the hand prior to anaesthesia” Canikli Adıgüzel et al (2023).
Totally implantable venous access port redesigned – Full Text
“The theoretical design of Y-Z MTIVAP is feasible, and the preliminary in vitro simulation experiment shows that it can significantly improve puncture success rate and shortened operation time” Zhang et al (2023).
Educational intervention and CLABSI prevention – Full Text
“To assess the effect of an educational intervention based on clinical simulation on nursing professionals’ compliance with practices to prevent peripherally inserted central venous catheter-associated primary bloodstream infections in a Neonatal Intensive Care Unit” Oliveira et al (2023).
CVC locking solution systematic review – Full Text
“The objective of this systematic review is to determine the extent and quality of evidence for use of different types of locking fluids to prevent central venous access device complications in adult critical care patients” Ornowska et al (2023).
Ultrasound-guided subclavian vein cannulation curriculum – Full Text
“A focused curriculum for enhancing skills in UG-SCV cannulation using a novel 3D model was successfully implemented and validated through a usability test design” Tanwani et al (2023).