IV fluid administration in critically ill children
“In the last decade, societies in both paediatric and adult medicine have issued evidence-based practice guidelines for the use of intravenous fluids in clinical practice. The main objective of this Viewpoint is to summarise and compare the rationales on which these international expert guidelines were based and how these recommendations affect IV-MFT practices in paediatric acute and critical care” Brossier et al (2024).
Complications of midline catheters in pediatric OPAT – Full Text
“Using midline catheters, 76% of patients could complete their intended iv therapy without the need for additional venous access” Fläring et al (2024).
Valved PICC comparison study – Full Text
“In this study, to identify the most suitable PICC for continuous pumping of 5-fluorouracil (5-FU) in patients undergoing chemotherapy for gastrointestinal tract tumors, the clinical application of the double-lumen high-pressure-resistant PICC generally adopted in clinical practice was compared with the traditional anterior-valved single-lumen non-high-pressure-resistant PICC” Chen et al (2024).
Extent of device-associated healthcare infections in ICU – Full Text
“The study sheds light on the proportion, types of device-associated healthcare infections, and underlying etiological agents associated with these infections in our institute’s ICUs, thereby facilitating a better understanding of the healthcare-associated infection landscape within our facility” Gade et al (2023).
Biosimilar drug administration advice – Full Text
“There is strong evidence that switching from a reference product to a biosimilar does not reduce treatment effectiveness or increase the risk of adverse events” Sheridan et al (2024).
Suggested CLABSI benchmark rate in Saudi Arabia – Full Text
“An overall CLABSI rate of 4.29 per 1000 central line days was reported during the study period” AlSaleh et al (2023).
How to maintain patency of arterial catheters
“Our data suggests that normal saline is noninferior to heparinized saline infusion in maintaining the patency of arterial lines in children” Kowshik et al (2024).
Peripheral IV catheter insertion competency
“Achieving competency in PIVC insertion necessitates a focused effort on refining and systematizing education and training approaches” Bahl et al (2024).
Implantable port CLABSI study – Full Text
“PORT implantation should be avoided in patients who had antibiotic treatment episodes within 1 week, especially for those with low serum TP levels” Chen et al (2023).
Reinsertion of tunneled-cuffed central venous catheter
“This maneuver is a safe and convenient technique that can be used to reinsert a TCC for patients with long-time catheter loss. It helps to preserve the limited central venous resources for patients who have difficulty establishing other stable vascular access” Jin et al (2024).
Intravenous vancomycin to oral antibiotic switch
“The objective of this study was to evaluate the safety and effectiveness of transitioning to oral therapy compared to continuing parenteral vancomycin in patients with orthopedic infections” Gallagher et al (2023).
EDTA line-locking solutions
“This study showed that use of EDTA 4% as a line-locking agent reduced alteplase usage in the CVCs of HD patients while maintaining adequate pump speed (i.e., ≥ 300 mL/min)” Gage et al (2024).
How to measure peripheral intravenous catheter insertion performance
“The authors developed a tool from the leading guidelines to measure peripheral intravenous catheter insertion performance in 60 licensed practical nurses” Souza et al (2024).
Vascular access team activity analysis – Full Text
“The aim of the study was to analyse our centre’s VAT first 12 months of activity. The primary outcome was reported complications. Secondary outcomes were cause of catheter removal, consultancy activity and economic impact of VAT implantation” Rosich-Soteras et al (2024).
Infusion pump flow rate deviation
“The pump reported an infused amount greater than what was infused and did not provide any alarm or information indicating a reduced output. Using an elongated infusion set, the pump can be brought into an erroneous operating state where the infused amount delivered by the pump is considerably less than what has been programmed and what is shown on the pump display. This could put the patient at risk of not receiving the intended medication within the appropriate time” Hult et al (2024).
Splinting neontal peripheral intravenous cannulation sites
“Based on the very low to low CoE found in this systematic review, it is not possible to recommend or refute splint application in neonates. Further well-designed RCTs are needed” Singh et al (2024).
Taking blood samples from midline catheters
“The study concluded that blood draws from midline catheters are clinically equivalent to venipuncture and are an acceptable form of specimen collection for laboratory studies” Minor and Pfeiffer (2024).
UK paediatric oncology central venous catheter care and management survey
“These devices require routine nurse-led cares such as dressing changes, flushing of the line and needleless access device changes. A prospective audit of UK principal treatment centres (PTCs) was undertaken to review current practices of CVC care” Blundell et al (2024).
Implantable port position satisfaction survey – Full Text
“The port position should be chosen together with patients/caregivers based on the (dis-)advantages of each position, as identified by this study” van den Bosch et al (2024).
Orange oil inhalation to reduce pain during invasive interventions
“This prospective, randomized controlled experimental study assessed the effect of orange oil inhalation used in aromatherapy on pain and anxiety levels in invasive interventions with hematological malignancies and hematopoietic stem cell transplants” Erdal et al (2024).
Impact of age on fluid and electrolyte balance
“There is a growing body of evidence about physiological changes with age that impact fluid and electrolyte balance. It is important that infusion nurses have knowledge in managing care for geriatric patients so they can identify these changes when they are exhibited” Purvis and Gion (2024).
CLABSI misclassification outcomes
“We present examples of misclassification of bloodstream infections into CLABSI by the CDC’s definition and present the financial implications of such misclassification and potential long-term implications” Sopirala et al (2024).
Vascular Access and IV Therapy Resource
Upper arm implantable port expert consensus – Full Text
“This consensus elaborates on the technical indications and contraindications, procedures and technical points, treatment of complications, and the use and maintenance of upper-arm TIVAD, thus providing a practical reference for medical staff” Qiu et al (2023).
Confirming central venous catheter tip position – Full Text
“Ultrasound can improve efficiency when used as a rapid bedside screening test to detect CVC malposition” de Man et al (2023).
Fibrin sheath catheter-related infection – Full Text
“The development of a fibrin sheath is a common complication with tunneled catheters. However, infection of the fibrin sheath is not usually encountered” Chambi-Torres et al (2023).
Reducing peripheral IV catheter contamination – Full Text
“To compare a traditional over-the-needle peripheral intravenous catheter device to a through-the-needle (TTN) peripheral intravenous catheter device for early bacterial contamination during insertion” Anstett and Brainard (2023).
Intravenous-to-oral switch criteria – Full Text
“This rapid review aimed to assess and collate intravenous-to-oral switch (IVOS) criteria from the literature to achieve safe and effective antimicrobial IVOS in the hospital inpatient adult population” Harvey et al (2023).
Dynamic haptic CVC robotic trainer – Full Text
“The dynamic haptic robotic trainer (DHRT) is a CVC teaching simulator developed to specifically focus on training the needle insertion portion of CVC” Tzamaras et al (2023).
Peripheral IV catheter bloodstream infection
“We compared the risk of peripheral venous catheter (PVC) bloodstream infection (BSI) to central line-associated BSI (CLABSI) at University of California San Diego Health” Feldheim et al (2023).
Paediatric cannulation with safety engineered devices
“This article describes a report of the attitudes towards and barriers to the use of safety cannulas in paediatric patients” Martinez (2023).
Peripheral intravenous catheter material – Full Text
“Catheter material and design can impact PIVC outcome. Conclusive recommendations are limited due to the small number of studies and inconsistent reporting of clinical outcomes” Matthews et al (2023).
Preventing pathogen entry at catheter hubs and line connections
“New solutions are needed to strengthen infection prevention bundles and protect CVADs from pathogen entry at catheter hubs and line connections” Doellman (2023).
Pegloticase infusion for uncontrolled gout – Video Abstract
“This educational overview includes a model patient case for pegloticase monotherapy, as well as one for pegloticase with immunomodulation and a step-by-step checklist for infusion nurses to refer to throughout the pegloticase infusion process” Baxter et al (2023).
IV catheter management improvement
“An innovative model that requires surveillance and prevention of bloodstream infections associated with all types of vascular access devices, expansion of vascular access service teams (VAST), and use of advanced antimicrobial dressings” Garcia (2023).
Subcutaneous infusion guidelines
“The ABC Model for Subcutaneous Infusion Therapy provides a systematic guideline of 42 practice recommendations for the safe delivery of subcutaneous infusions of fluids and medications in the adult population in all care settings” Broadhurst et al (2023).
UEDVT risk factors for implantable ports – Full Text
“This study aims to investigate the incidence of and risk factors for TIVADs-related thrombotic occlusion in patients with breast cancer” Liu et al (2023).
PICC team provide safe care for pediatric acute leukemia patients
“In our experience, PICC was a cheap, safe, and reliable device for long-term intravenous access in children with acute leukemia. This has been possible with the help of dedicated PICC team” Ligia et al (2023).
Peripherally infused norepinephrine reduces central access
“Administration of norepinephrine via a dedicated peripheral IV site appears safe and may lead to a reduction in the need for subsequent central venous access” Powell et al (2023).
Start-up time for microinfusion syringe infusion pumps
“Depending on central venous pressure level, connection and starting a new syringe pump can result in significant antegrade or retrograde fluid volumes. In clinical practice, this can lead to hemodynamic instability and hence requires clinical alertness” Weiss et al (2023).
Blood culture technique survey related to neonatal intensive care units
“In the NICU setting, recommended practices for blood culturing were not routinely performed” Lefrak et al (2023).
Dual ultrasound-guided implantable port insertion – Full Text
“To assess the efficacy and safety of dual ultrasound-guided (DUG) totally implantable venous access port (TIVAP) implantation (namely, using ultrasound-guided percutaneous puncture with transesophageal echocardiography-guided catheterization) via the right internal jugular vein (IJV) in pediatric patients with cancer” Deng et al (2023).
Aseptic technique qualitative interview study with nurses
“Nurses frequently undertake procedures requiring asepsis (PRAs), but report challenges and unwarranted variations in practice” Gould et al (2023).
Intraosseous access in pediatric emergency transfer service
“Survival in retrieved neonatal and pediatric patients who required IO is higher than previously described in pediatric and adult cohorts. Early insertion of an IO facilitates early volume expansion, delivery of critical drugs, and allows time for retrieval teams to gain more definitive venous access” Joerck et al (2023).
Citrate and heparin IV lock solution for central venous catheters – Full Text
“The feasibility of utilizing 4% sodium citrate as an alternative locking solution for central venous catheters (CVCs) (excluding dialysis catheters) was assessed” Deng et al (2023).
Percutaneous retrieval of fractured implantable port – Full Text
“In this study, we encountered a case in which a TIVAP catheter adhering to a blood vessel was fractured during removal and the catheter left in the vessel could not be retrieved by a snare because it had no free end. Finally, the catheter was successfully removed using a peel-away sheath” Sosogi et al (2023).
Quality improvement interventions to reduce needlestick injuries – Full Text
“Using root cause analysis to investigate the possible cause of needlestick injury and use of the run chart to monitor the implemented improvement strategies (interventions) helped reduce the incidence of needlestick injuries among staff and thereby improved staff safety” Kumah et al (2023).
Cardiac tamponade after internal jugular CVC placement – Full Text
“This case report explores potential complications that could arise from central line placement and the anesthetic considerations in a patient with cardiac tamponade from extraluminal central line placement” Chen et al (2023).
Contaminated fluid in fluid warming devices – Full Text
“Aim of this study is to analyse water from infusion heating devices (IHDs) for bacterial contamination and to raise the question if IHDs act as a possible source in the transmission of HAIs” Schnetzinger et al (2023).
Early notification of extravasation events
“Continuous infusion site monitoring using the ivWatch suggests this technology offers the potential to detect PIVIE events earlier than relying on intermittent observation alone” van Rens et al (2023).
Sterile intravenous admixture compounding
“This article in an overall series on the topic of intravenous admixture compounding will discuss the vehicles commonly used in intravenous admixtures, as well as the small-volume parenterals often used in compounding intravenous admixtures” Allen (2023).
Overutilization of phlebotomy tubes – Full Text
“The 8% increase of phlebotomy tubes over 4 years should alarm laboratory managements, as tests offered are expected to increase in the future” Duan et al (2023).
CLABSI rates in minoritized racial groups
“The study’s findings show disparities in CLABSI rates for Black patients and patients who speak an LOE that persisted after adjusting for known risk factors” McGrath et al (2023).