Implantable port or peripheral IV for CT contrast
“To evaluate the efficacy of using the central venous (CV) port compared with peripheral intravenous access for contrast-material injection for contrast enhancement during the portal venous phase” Washio et al (2024).
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).
Vascular Access and IV Therapy Resource
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).
Comparison of phlebotomy YouTube videos
“This study was conducted to evaluate the content, reliability and quality of YouTube videos about phlebotomy” Korkut et al (2023).
Just-in-time peripheral IV catheter insertion training
“Our objective was to assess the impact of JIT training on pediatric residents’ procedural performance, knowledge, and confidence with PIV placement and BMV” McKay et al (2023).
CLABSI reduction in a medical intensive care unit
“The project successfully decreased the CLABSI rate and increased the competence of healthcare professionals. Implementation of best practices in clinical care should focus on leadership, team resource management, education, monitoring, and innovation” Hsieh et al (2023).
Implantable port flushing training course – Full Text
“The interactive visual training course, including maintenance lectures and practice with a 3-D simulator, improved consensus among the nursing staff and increased the willingness of oncology nurses to perform the proposed port irrigation procedure” Wu et al (2023).
Infection prevention outcomes and patient safety
“In this novel study we identified that a positive patient safety climate and adherence to standard precautions predict key HAI and occupational health outcomes” Hessels et al (2023).
Improving vessel visibility during phlebotomy procedures
“Vertical wiping and vertical + circular wiping techniques used in the cleaning of the phlebotomy site increased the visibility of the vein compared to only circular wiping” Korkut et al (2023).
Infusion set change frequency
“Most ICUs participating in this survey had policies to change their CVC infusion tubing in 3-4 days, and recent high-level evidence supports an update to extend this to 7 days” Anstey et al (2023).
Hemolyzed blood samples in the emergency department
“This large observational analysis demonstrates that lab hemolysis of is a frequent occurrence among ED patients” Calleja et al (2023).
Neonatal PICC tip position and weight gain – Full Text
“This study aimed to analyze the correlation between PICC tip position and weight/length changes in preterm infants in different positions using ultrasonography” Tao et al (2023).
Study or HAI frequency in ICU
“Positive safety culture and better nurse staffing levels can lower the rates of HAIs in ICUs. Improvements to nurse staffing will reduce nursing workloads, which may reduce missed care, increase job satisfaction, and, ultimately, reduce HAIs” Alanazi et al (2023).
Blood sample contamination with IV fluids
“Contamination of blood samples from patients receiving intravenous fluids is a common error with potential risk to the patient. Algorithms based on the presence of aberrant results have been described but have the limitation that not all infusion fluids have the same composition” Rios Campillo et al (2023).
Therapeutic communication improves comfort during venipuncture – Full Text
“The aim of this study was to examine whether therapeutic communication improves children’s comfort during venipuncture compared to standard communication” Aarts et al (2023).
OSHA bloodborne pathogen standards – Full Text
“This activity reviews the elements of the Bloodborne Pathogens Standard. It highlights the role of the interprofessional team in reducing or eliminating the risk of occupational exposure to infectious materials and a wide range of diseases” Denault and Gardner (2023).
PICC CLABSI rate in cancer patients – Full Text
“In conclusion, the incidence rate of PICCR-BSI is higher in cancer patients treated with chemotherapy than in noncancer patients, but our results also highlight the importance of limiting the number of PICC lumens in such patients” Larcher et al (2023).
Implantable port placement case study – Full Text
” We describe a different safe and easy to replicate method of chemoport placement in a severely obese patient. We placed the chemopot directly above the sternum” Cho et al (2023).