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Intravenous fluid management in pediatric trauma patients

“We present a validated algorithm for intravenous fluid management in pediatric trauma patients that focuses on the de-escalation of fluids. Focusing on this time point of fluid therapy will help minimize iatrogenic complications of crystalloid fluids within this patient population” Duron et al (2023).

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Management of UEDVT in cancer patients

“In symptomatic patients, venous ultrasound is the most appropriate choice for first-line diagnostic imaging of CRT because it is noninvasive, and its diagnostic performance is high (which is not the case in asymptomatic patients)” Elias et al (2023).

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Intravenous iron formulations in adults

“Based on the preponderance of published evidence, intravenous iron should be moved up-front for the treatment of iron deficiency and iron deficiency anemia in those conditions in which oral iron is suboptimal” Van Doren et al (2023).

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Peripheral IV catheter care standards – Full Text

“The present review mapped the evidence about the insertion and maintenance of peripheral venous catheters that can be improved with training of good practices and the quality of the team, regarding the use of tools, materials and instruments for the evaluation of care” Costa et al (2023).

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Central catheter CLABSI salvage

“The incidence rate of CLABSIs in an expert HPN centre remains low. In case of CLABSIs, according to specific protocol, approximately 50% of CVC were removed immediately (essentially due to bacteriological characteristics). In case of CLABSIs and without initial complication, 80% of CVCs can be maintained at 3 months. These results justify a conservative attitude according to standardized protocol” Cohen et al (2023).

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Vascular Access and IV Therapy Resource

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How to use smart infusion pumps

“The Institute for Safe Medication Practices offers safety considerations for using smart pumps and suggestions for maintaining an institution’s smart pump drug library” Aschenbrenner (2023).

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Radiopharmaceutical extravasation detection – Full Text

“During radiopharmaceutical injection, an extravasation event may occur, making the SUV value less accurate and possibly leading to severe tissue damage. The study aimed to propose a new technique to monitor and manage these events, to provide an early evaluation and correction to the estimated SUV value through a SUV correction coefficient” Iori et al (2023).

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Treating neonatal extravasation injury – Full Text

“This preliminary report suggests that the application of AM in treating extravasation in neonates is safe and effective. However, controlled trials with larger sample sizes are needed to evaluate this outcome and determine implications for practice” Kadivar et al (2023).

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Extravasation of prothrombin complex concentrate – Full Text

“The skin necrosis progressed into a full thickness chemical burn. As a result, the patient underwent allograft followed by split thickness autograft and RECELL placement. This case presentation describes the first reported case of skin necrosis following extravasation of PCC infusion during warfarin reversal” Smith et al (2023).

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Y-site compatibility of obstetric IV drugs

“Therefore, this study focuses on Y-site compatibility. Since different conditions between clinical and laboratory settings can lead to discrepancies in results, a novel approach for drug intravenous compatibility testing was designed to reflect clinical conditions” Leeuwerik et al (2023).

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PICC line monitoring in hospitals

“Awareness campaigns on the subject of dressing repair and pulsed rinsing were carried out, and nurses were invited to attend training sessions in the form of practical work on PICC care” Fersing et al (2023).

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Persistent left SVC case study – Full Text

“We present a case of left internal jugular (IJ) triple lumen catheter (TLC) placement for life-saving vasopressors, which appeared to be in the left mediastinum after a confirmed chest X-ray. After correlation with a previous MRI of the heart with and without contrast, duplication of the superior vena cava (SVC), also known as persistent left SVC (PLSVC)” Idries et al (2023).

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Prevention of hemodialysis CRBSI

“We aimed to determine whether multifaceted quality improvement interventions in hemodialysis units can prevent hemodialysis catheter-related bloodstream infections (HDCRBSI)” Lazarus et al (2023).

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Removal of stuck implantable port catheter

“Port-based central venous catheters may remain indwelling for years with subsequent fibrosis resulting in a “stuck” catheter. At time of removal, this can lead to complications such as catheter fracture or require additional operative techniques for safe extraction” Urevick et al (2023).

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Thromboembolism risk factors in children with CVC

“The findings of this study provide new insights on risk factor differences between CRT and non-CRT. Prevention efforts should be directed at modifying the type of CVC, insertion location and/or number of CVCs placed if possible, to decrease the incidence of CRT” Jaffray et al (2023).

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