Adverse events associated with peripherally administered norepinephrine
“Extravasation of peripherally administrated norepinephrine in the perioperative period occurred at similar rates as in previous studies in critically ill patients. In our setting, where we regularly inspected the infusion site and shifted site in case of swelling or paleness of skin, we observed no case of severe adverse events. Given that severe adverse events were absent, the potential benefit of this preventive approach requires confirmation in a larger population” Christensen et al (2024).
Fatal superior vena cava rupture during catheter exchange
“In this report, we describe a case of a 25-year-old woman who presented with an extensive history of multiple dialysis access failure for left internal jugular vein central venous tunneled catheter exchange. The procedure was complicated by a fatal superior vena cava rupture likely related to the dislodgment of the guidewire causing perforation into the pericardium space with subsequent cardiopulmonary collapse” Ali et al (2024).
Intracavitary ECG for PICC placement in patient with PLSVC – Full Text
“Intracavitary electrocardiogram (IC-ECG) guidance is widely used for peripherally inserted central catheter (PICC) placement. The P wave variation has rarely been reported in persistent left superior vena cava (PLSVC)” Zhang and Zhao (2024).
Integrated short peripheral intravenous cannula failure rates – Full Text
“This systematic review and meta-analysis aimed to analyze randomized controlled trials (RCTs) and quasi-randomized studies in hospitalized patients, analyzing the risk of overall catheter failure as well as the risk of each type of complication (occlusion, infiltration, thrombophlebitis, and dislodgement) for ISPCs compared to non-integrated SPCs” Gidaro et al (2024).
OPAT experience with dalbavancin – Full Text
“This report adds to clinical experience with dalbavancin for off-label indications whilst further validating its role in ABSSSI. Dalbavancin as primary therapy in deep-seated infections merits investigation in formal clinical trials” McSorley et al (2024).
Interventions for UEDVT in cancer patients – Full Text
“Therapeutic anticoagulation was not associated with a reduction in the incidence of recurrent VTE or increase the incidence of bleeding in adult cancer patients following a CVC-associated DVT diagnosis” Ngo et al (2024).
Home care of PICC – Full Text
“Adults living with a PICC at home report a broad range of supportive care needs. In addition to practical and information needs, health consumers may also require support to accept living with a device inside their body and to assume responsibility for the PICC” Sharp et al (2024).
Tunneled central venous access in children – Full Text
“Ultrasound-guided percutaneous insertion was considered to be a safe and effective technique for the insertion of central venous catheters. Our study also demonstrated a decrease in operating times when performed by operators with increasing expertise, increased preservation of the diameter of the venous lumen, and no increase in complication rates when the ultrasound-guided technique was selected” Kouna et al (2023).
Dalbavancin use in cardiovascular prosthetic infections – Full Text
“Because of pharmacokinetic individual variability, dalbavancin TDM-guided administration could improve clinical outcomes by individualizing dosing and selecting dosing intervals. This case series seems to suggest a promising role of long-term suppressive dalbavancin treatment for difficult-to-treat cardiovascular prosthesis infection, also with limited surgical indications” Gallerani et al (2023).
Misplaced CVC results in emphysematous thrombophlebitis – Full Text
“Emphysematous thrombophlebitis is a fulminant and life-threatening CVC-BSI associated with thrombosis and gas formation in the vein. A misplaced CVC may facilitate the development of emphysematous thrombophlebitis. POCUS can easily identify the artifacts produced by gas and thrombosis, facilitating rapid diagnosis at the bedside” Chen et al (2023).
Infusion phlebitis published studies review – Full Text
“Phlebitis secondary to vascular access is one of the most frequent complications in hospital care. This study aims to evaluate the scientific activity related to this complication through a bibliometric analysis” Torné-Ruiz et al (2023).
CVC blood sampling in the presence of AV fistula – Full Text
“It seems most likely in our case that the distal CVC lumen was situated sufficiently close to the fistula to allow aspiration from an arterial, well-oxygenated stream of blood” Evans and Hall (2023).
Defaulting to single lumen PICC orders – Full Text
“Defaulting the order for peripherally inserted central catheters (PICCs) placement to single lumen increased proportion of single-lumen insertions over total insertions from 42/126 (33%) to 57/104 (51)%” Trautman et al (2023).
Preventing healthcare-associated MRSA bacteremia – Full Text
“Overall, HA-MRSA-B incidence decreased from 1.72 cases/10000BD in 2008 to 0.18/10000BD in 2019; a reduction of almost 90%. Intravenous device interventions were also associated with a reduction of methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia rates” Borg et al (2023).
IV fluid administration rate and acute kidney injury – Full Text
“The foundation of early septic shock management includes early fluid resuscitation, but the association between fluid resuscitation rates and kidney outcomes remains unclear. This investigation examines the association between fluid resuscitation rate and AKI recovery” Reddy et al (2023).
Microplastics released from disposable PVC infusion sets – Full Text
“Our findings indicate PVC MNPs can enter the blood vessel directly with the infusion fluids during intravenous infusion and the PVC MNPs exposure risk towards patients deserves more attention” Zheng et al (2023).
Effectiveness of ceftaroline-F and ceftobiprole-M – Full Text
“The fifth-generation cephalosporins, ceftaroline-F and ceftobiprole-M, are safe and effective in real life, with no difference between them in health outcomes” Arnés García et al (2023).
CLABSI rates in low-middle income countries
“We implemented a multidimensional approach, incorporating an 11-element bundle, education, surveillance of CLABSI rates and clinical outcomes, monitoring compliance with bundle components, feedback of CLABSI rates and clinical outcomes, and performance feedback in 316 ICUs across 30 low- and middle-income countries (LMICs)” Rosenthal et al (2023).
Electronic chemotherapy order verification checklist
“This study demonstrates the effectiveness of implementing the ECOV checklist in increasing the rate of pharmacy reported medication errors” Wat et al (2023).
Chemotherapy infusion site induration – Full Text
“Selecting the vein with 3.7 times higher diameter than the catheter diameter for the catheterization site may help prevent induration on the next treatment day” Abe-Doi et al (2023).
Removal of stuck tunnelled dialysis catheter
“Tunnelled central venous dialysis catheters can usually be removed easily. However, their removal can become rarely complicated requiring more invasive techniques. We report a case in which cardiopulmonary bypass and repair of great veins was required for safe removal” Bakr and Ali (2023).
Multifunctional sensor for real-time infusion monitoring
“The SDTS placed in a disposable infusion set has high potential application in clinical practice and is low cost and easy to prepare. Specifically, we demonstrate the feasibility of the detection of the current infusion flow rate and identification of the infusion medicine type according to the triboelectric signals, providing a new solution for real-time monitoring of patient infusion in nursing wards” Qian et al (2023).
Vascular Access and IV Therapy Resource
Emergency infusion adverse drug reactions
“This epidemiological study described the pattern of emergency infusion ADRs in East China in detail” Cao et al (2023).
IV flush technique and lipid emulsion residue
“Speed of flushing and the shape of catheters, but not pulsatile flow generation, are essential components for the efficacious removal of parenteral nutrients in the catheter” Okamura and Yamaoka (2023).
Impact of vein diameter on PICC-related UEDVT
“Inserting catheters in veins with bigger vascular diameter and faster blood flow velocity may help reduce the incidence of PICCRT. The first week post catheter insertion is the key intervention period for the prevention of PICCRT” Xu et al (2023).
Virtual reality prototype for CVC training – Full Text
“Specifically, the objective of this study is to identify the potential utility of VR in US-IJCVC training through the design of a low-fidelity prototype and user interviews with three subject-matter experts” Gonzalez-Vargas et al (2023).
ED treatment of patients with Skin Structure Infections
“Authors’ expert opinion was focused on drawing the profiles of patients who could benefit most from an antimicrobial therapy with dalbavancin in the ED and positioning this drug as a direct or early discharge strategy from the ED in order to avoid hospitalization and its complications” Oliva et al (2023).
Review of low-cost ultrasound phantoms
“Overall, this paper aims to summarize a breadth of ultrasound-compatible phantom research to enable informed phantom methods selection” Groves et al (2023).
Risk of midline catheter-related thrombosis
“Smaller diameter catheters should be preferentially chosen to mitigate the risk of thrombosis when therapy via midline catheters is required. Choosing a catheter based on reduced size or 1:3 catheter to vein ratio threshold has similar accuracy in predicting DVT” Bahl et al (2023).
Nurse-led PICC teams in Japan
“To evaluate the effect of introducing a nurse practitioner (NP)-led PICC-placement program on subsequent utilization of centrally inserted central catheters (CICCs) and to contrast the quality of PICC placements conducted by physicians and NPs” Sakai et al (2023).
Clotted blood samples in the neonatal intensive care unit – Full Text
“Our interventions over 3 years were associated with reduced rates of sample rejection due to clotting, and this led to improved patient experience through fewer repeated samplings” van Rens et al (2023).
Peripheral IV catheter associated BSI
“Measures to prevent peripheral-line associated BSI (PLABSI), like those implemented successfully for the prevention of CLABSI, should be considered” Benenson et al (2023).
PICC-related venous thrombosis in cancer patients
“A total of 19 articles involving 19,824 patients were included for quantitative analysis. Meta-analysis of these studies indicated that a history of chemotherapy, tumor type, tumor stage, presence or absence of metastasis, and use of fluorouracil, etoposide, platinum drugs, and taxane were all risk factors for PICC catheter thrombosis in cancer patients” Ma et al (2023).
IV Summit 23 from IVTEAM Registration Open – View Agenda
“IV Summit 23 from IVTEAM will be chaired by Peter Carr, Associate Professor
SONM at University of Galway. Peter will ensure we have a great day and will introduce speakers who will be discussing topics such as legal claims associated with extravasation injuries, multi professional perspectives on vascular access teams, blood culture contamination and the role of IV lock solutions (plus much more)” IVTEAM (2023).
Insertion of pediatric CVC in adults with difficult IV access
“PIPCVC placement seems to be a feasible option in patients in whom peripheral intravenous access is difficult. The safety of this technique needs to be evaluated in prospective studies” Chalela et al (2023).
POCUS workshop for peripheral intravenous cannulation – Full Text
“Globally, clinicians are increasingly using POCUS to establish vascular access in patients, and it is necessary that they receive sufficient and adequately structured and formal training to successfully apply this technique in their clinical practice” Steinwandel et al (2023).
Normal variations of the superior vena cava
“The prevalence of normal variations of the SVC and azygos venous system in the adult Thai population was similar with that of previous publications” Chooprasert et al (2023).
PICC CLABSI risk single center research study
“This study was carried out to understand PICC-related complications, specifically infections and causal pathogens, in a tertiary care hospital in Kerala, South India” Arjun et al (2023).
Relieving pain associated with IV port needle insertion
“EMLA cream is a safe and effective way to alleviate pain during non-coring needle insertion in TIAP and enhance the overall comfort of patients. We recommend applying EMLA cream 1 h before needle insertion of TIAP, especially in patients having needle phobia or high pain scores from previous non-coring needle insertion” Shi et al (2023).
Impact of lock solutions on polyurethane central venous catheters
“The impact of ethanol locks on the mechanical performances of central venous catheters was compared to that of aqueous-based locks. Several mechanical tests were performed to evaluate catheter behavior: kinking radius measurements, burst pressure, and tensile tests” Khzam et al (2023).
OPAT adverse safety events review – Full Text
“Adverse safety events and OPAT-related unscheduled care occurred often in our cohort. A structured OPAT program that includes ID pharmacist antibiotic reconciliation may reduce rates of ADEs” Billmeyer et al (2023).
Impact of long-term CVC use on silicone catheter strength
“In vivo long-term used silicone catheters showed significantly lower ultimate strength than unused ones. It is likely that in situ altering changes the mechanical properties of catheters and may potentially lead to failure” Guerreiro et al (2023).
Safety of OPAT for infective endocarditis treatment
“OPAT can be used safely in patients with IE, even in selected cases with complicated or difficult-to-treat infections” Campbell et al (2023).
Top 10 OPAT publications in 2022 – Full Text
“The top 20 OPAT articles published in 2022 were reviewed by a group of multidisciplinary OPAT clinicians. This article provides a summary of the “top 10″ OPAT publications of 2022” Childs-Kean et al (2023).
Reducing blood sample hemolysis in the emergency department – Full Text
“The burden of hemolysis in blood samples taken from IV cannulae can be effectively reduced with the use of manual aspiration using the S-Monovette® blood collection system as compared to BD-Vacutainer” Omar et al (2023).
PICC site associated necrotizing fasciitis – Full Text
“In addition to medical treatment and prompt surgical debridement, we used dialkyl carbamoyl chloride-coated dressing and povidone-iodine sugar ointment for antiseptic dressings and successfully treated neonatal necrotizing fasciitis with gas gangrene caused by peripherally inserted central catheter infection with Citrobacter koseri” Okamoto et al (2023).
Management of child procedural pain Cochrane review – Full Text
“Therefore, a comprehensive and systematic review of pain management strategies is integral to appropriate infant pain management. This is an update of a previously published review update in the Cochrane Database of Systematic Reviews (2015, Issue 12) of the same title” Pillai Riddell et al (2023).
Continuous or intermittent meropenem administration – Full Text
“Compared with intermittent administration, continuous administration of meropenem may improve clinical outcomes” Monti et al (2023).
Needleless connector microbial contamination
“The aim of this study was to determine bacterial contamination of needleless connectors before and after disinfection to assess the risk for the point of catheter-related bloodstream infections” Akbıyık et al (2023).
Subclavian artery iatrogenic injury during central venous access
“This case describes the management of a central venous catheter placed through the internal jugular vein into the subclavian artery via a supraclavicular puncture” Palesy et al (2023).
Virtual reality for procedural pain reduction in pediatrics – Full Text
“Virtual reality (VR) is a relatively new intervention that can be used to provide distraction during or to prepare patients for IV injections, however, so far no meta-analysis has been conducted to examine the evidence regarding the effectiveness of VR in reducing pain in pediatric IV injection” Jenabi et al (2023).
IV fluid therapy for critically ill adults with sepsis
“Although optimal fluid management in patients with sepsis remains uncertain, clinicians should consider the risks and benefits of fluid administration in each phase of critical illness, avoid use of hydroxyethyl starch, and facilitate fluid removal for patients recovering from acute respiratory distress syndrome” Zampieri et al (2023).