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Standardized hemodialysis-CRBSI definition – Full Text

“There was a substantial level of concordance in overall and service-level reporting of confirmed HD-CRBSI. A standardized endpoint definition of HD-CRBSI resulted in comparable hemodialysis catheter infection rates in Australian and New Zealand kidney services. Consistent endpoint definition could enable reliable benchmarking outside clinical trials without the need for independent clinical adjudication” Catiwa et al (2024).

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Fluid balance in patients with septic shock – Full Text

“Non-resuscitation fluids are major contributors to a positive fluid balance within the first 48 hours of resuscitation. A positive fluid balance in the first 24 and 48 hours seems to independently increase the risk of death, while higher amount of nutrition seems protective” de Souza et al (2024).

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Perioperative fluid management in colorectal surgery – Full Text

“The present review discusses restrictive perioperative fluid protocols within enhanced recovery after surgery (ERAS) pathways. Standardized definitions of a restrictive or liberal fluid regimen are lacking since they depend on conflicting evidence, institutional protocols, and personal preferences” Deslarzes et al (2024).

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Home parenteral nutrition in Italy – Full Text

“This study confirms the importance of setting up and maintaining structured registries to monitor and improve home parenteral nutrition care. Safety outcomes have improved over the years, most likely due to the underlying efficient nursing service” Guglielmi et al (2023).

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Neonatatal vascular access study

“Infiltration and extravasation were the most frequent cause of PIVC failure (12%; n = 35). A birth weight less than 1500 g was associated with a significant decrease in PIVC failure (hazard ratio 0.58; 95% CI 0.34-0.99)” McIntyre et al (2023).

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Outcomes of difficult PICC insertion

“PICC insertion was successful in both RI and DI patients. Of the analyzed parameters, the number of needle punctures was associated with DI, and complications during the 1-month follow-up were more frequently noted in the DI group” Lisova et al (2024).

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Infusion pump innovation

“Many Canadian healthcare institutions regularly undergo a comprehensive re-evaluation of infusion fleets, to modernize infusion delivery for patients across the country. Amid the availability of new technologies with evidence demonstrating their ability to elevate the current standards of care, this article argues for the need for healthcare systems to prepare for, and embrace, change when it comes to new technologies” Edwards (2024).

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Vascular Access and IV Therapy Resource

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Central line bundle impact

“In this study, we investigated the effect of implementing a central line bundle for the prevention of CLABSIs, the distribution of pathogens, and the duration of time it took for CLABSIs to develop in patients who had subclavian-inserted central venous catheters” Devrim et al (2023).

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Neonatal calcium gluconate extravasation

“However, extravasation of calcium gluconate can lead to iatrogenic calcinosis, causing symptoms such as local redness and swelling, cutaneous plaque, soft tissue calcification, and cutaneous tissue necrosis” Pu et al (2023).

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CLABSI prediction models

“To systematically review the risk of bias and applicability of published prediction models for risk of central line-associated bloodstream infection (CLA-BSI) in hospitalized patients” Gao et al (2023).

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Bacterial contamination of syringe tips

“We hypothesised that there would be near-zero contamination of syringe tips in the setting of both disinfectable stopcocks 5 and 70% ethanol caps to prevent contamination and provide passive disinfection of the DNCCs and syringe tips” Charnin et al (2023).

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Neonatal CLABSI surveillance outcomes

“We classified healthcare-associated BSIs (HABSIs) as primary BSIs, secondary BSIs, and CLABSIs using CDC surveillance definitions and determined their overall incidence and incidence among different gestational age strata” Paul et al (2023).

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Fluoroscopy-guided transhepatic PICC – Full Text

“The middle hepatic vein was punctured under ultrasound guidance and the catheter was threaded over its in-built guidewire through the inferior vena cava and right heart chambers upwards till it reached the superior vena cavo-atrial junction” Nath et al (2023).

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CVC length prediction – Full Text

“The purpose of this feasibility study was to evaluate a simple method for the calculation of catheter length to be inserted and assess whether it accurately predicts the correct tip placement” Naik et al (2023).

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Magnetic needle navigation for CVC access

“Magnetic needle navigation can reduce the number of needle redirections, shorten the time to successful cannulation, and increase confidence levels by novice learners for successful US-guided central venous access” Kamphausen et al (2023).

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Intraosseous access device in a code cart – Full Text

“Staff could find intraosseous access equipment more quickly (23.9 versus 46.4 seconds; P = 0.003). In addition, staff reported they were less likely to open the wrong drawer or grab the wrong equipment and that the redesigned code cart was overall more well organized than the original code cart” Frazier et al (2023).

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Drug extravasation case study – Full Text

“We propose that EV acts as a vesicant upon extravasation, highlight measures to prevent extravasation events, and encourage appropriate measures when dealing such as attempt of aspiration, removal of catheter, application of compresses, and thorough documentation with photographic evidence” Grant et al (2023).

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