Insulin infusion protocols for canine and feline diabetic ketoacidosis – Full Text
“Describe the use of fixed-rate intravenous insulin infusions (FRIs) in cats and dogs with diabetic ketoacidosis (DKA) and determine if this is associated with faster resolution of ketosis compared to variable-rate intravenous insulin infusions (VRIs)” Gant et al (2023).
Candida biofilm related catheter bloodstream infections
“Use of mixed-oil intravenous fat emulsion (MO-IFE) was shown to inhibit C. albicans biofilm formation and overall rate of catheter-related bloodstream infections (CR-BSIs) compared to soybean-oil IFE (SO-IFE)” Alvira-Arill et al (2023).
IV lock salvage strategy for implantable port infections
“Little is known about efficacy and safety of ethanol lock therapy (ELT) to treat totally implantable venous access device (TIVAD) infections. The objective of this trial was to evaluate the effectiveness and safety profile of a local treatment with ELT without removal for TIVAD infection due to coagulase-negative staphylococci” Lesens et al (2023).
Implantable port catheter misplaced into the right subclavian artery – Full Text
“Radiologic identification of an arterially placed catheter is crucial not only because of the risks associated with using the port system but also due to the potential for severe hemorrhage during catheter removal. For these patients, a vascular occluder can be employed to seal the puncture site, preventing significant trauma that could result from open surgery” Chen et al (2023).
Dalbavancin for skin and soft tissue infections
“With the arrival of new drugs, there is a need to refine the appropriate drug’s decision-making. Drugs with a long half-life (long-acting lipoglycopeptides such as dalbavancin or oritavancin), which allows weekly administration (or even greater), can reduce hospital admission and length of stay with fewer healthcare resources through outpatient management (home hospitalization or day hospitals)” Blanes Hernández et al (2023).
5-FU contamination and closed-system transfer device
“Occupational exposure to cytotoxic drugs can lead to significant health problems. This study was designed to evaluate the risk of 5-fluorouracil (5-FU) contamination for nurses when disconnecting the infusion line of an elastomeric pump from a non-coring needle” Raphaëlle et al (2023).
Closed system transfer device review
“The aim of the present article is to review of medical devices used for safe chemotherapy applications in line with the information obtained from the literature” Tekin et al (2023).
Extravasation of iodinated contrast during CT
“The purpose of this study was to retrospectively assess the prevalence, severity, management, and outcome of contrast extravasations in our institution and to perform a comparison to what has been reported in the existing literature” Dien Esquivel et al (2023).
PICC length formula – Full Text
“In the test set, there was no case of length prediction failure. Moreover, the catheter tip position was evaluated as optimal in 82 cases (90.1%). This study’s results suggest an updated formula to predict the ideal PICC length using only AP-CXRs for bedside placement” Lee et al (2023).
Reducing pain and fear during phlebotomy
“This study aimed to evaluate the effects of two different distraction methods in reducing pain and fear during the phlebotomy procedure in children” Oluc et al (2023).
Drug extravasation during EZ-IO use in pediatric patients
“The present study aimed to investigate the risk factors for extravasation as a complication of EZ-IO use in pediatric patients” Sasaoka et al (2023).
Neonatal PICC placement meta-analysis
“We aimed to evaluate the effects and safety of PICC placement through upper versus lower limb vein in neonates, to provide insights into the clinical PICC nursing care” Zhao et al (2023).
Central catheter-associated thrombosis study
“The results showed that the focus population of CVC-RT research has changed from pediatric patients to cancer patients, the management of CVC-RT has become more formal and standardized, and the focused CVC type has shifted to port and peripherally inserted central catheters” Liu et al (2023).
Infection prevention staffing model narrative review – Full Text
“This review highlights the need for a new IP staffing model that focuses on a granular assessment of each program and care setting. Additional studies can then be conducted to examine how ideal staffing impacts outcome metrics” Knighton et al (2023).
Iatrogenic central venous injury
“We describe an unusual case of central venous injury in a 69-year-old lady with a poorly functioning left internal jugular vein catheter, which was in situ at the time of attempting insertion of a replacement right internal jugular catheter” Singh et al (2023).
Vascular access in hypotensive patients
“Owing to the increased vascular tone and the absence of readily palpable veins typically seen in exsanguinating trauma patients, intravascular access remains a challenging task” Succar et al (2023).
Improving IV cannula longevity in neonates – Full Text
“We achieved significant improvement in cannula longevity from 25.7 hours to 39.6 hours just by improving the fixation technique over 6 weeks with a p=0.0006” Vadapalli et al (20230.
CLABSI diagnosis – CVC salvage or removal – Full Text
“The aim was to determine whether salvage treatment with systemic antibiotics is a safe and effective strategy for Enterobacterales bloodstream infections (BSI) in pediatric oncology patients with a central venous catheter (CVC)” van den Bosch et al (2023).
Gamification of pediatric emergency medicine learning – Full Text
“We selected the gamification method of an escape room to create an engaging environment in which learners could interface with key pediatric emergency medicine clinical concepts via group learning” Pelletier et al (2023).
Pain control during peripheral IV cannulation in children – Full Text
“Implementation of a standardized approach for PIV placement improved team communication and provided better preparation for pain control before needle insertions in hospitalized children” Monk et al (2023).
CLABSI mortality risk factors – Full Text
“The microbiological trends of the study population demonstrated a steady increase of CLABSI caused by Candida spp. with a predominance of Gram-negative pathogens” Alwazzeh et al (2023).
IV flush best practice implementation project
“Post-implementation audit compliance rates increased to 100% for the following criteria: the organization had a standardized flushing and locking solution protocol (0%), the CVAD lumen was locked upon completion of the final flush (10%), a single-dose system was used for flushing and locking the CVAD (60%), and preservative-free 0.9% sodium chloride was used to flush the CVAD (60%). Furthermore, the CVC occlusion rate decreased from 33% to 5%” Fan et al (2023).
Vascular Access and IV Therapy Resource
Complications related to peripheral intravenous devices
“Thirty-three patients had moderate-to-severe complications related to PIVD in a tertiary centre from January 2017 to December 2017. All data were obtained from electronic medical report (EMR)” Gunasagaran et al (2023).
CLABSI risk factors in low-and middle-income countries
“To identify central-line (CL)-associated bloodstream infection (CLABSI) incidence and risk factors in low- and middle-income countries (LMICs)” Rosenthal et al (2023).
Severe clinical outcomes associated with PICC and umbilical venous catheters
“The incidence of severe IVH or death did not differ significantly among preterm m infants < 30 weeks gestation subjected to UVC or PICC placement" Alshafei (2023).
OPAT experience with prosthetic joint infection – Full Text
“Our main findings were that patients with PJIs can be safely managed via OPAT, and the finding of association between T2DM and increased risk of readmission” Kutubi et al (2023).
Treatment of asymptomatic central venous catheter thrombosis
“A thrombus was identified, which was resolved with low-molecular-weight heparin anticoagulation therapy. The patient experienced no complications with removal of the central venous catheter” Huang (2023).
Pain medicine physician needlestick injury survey
“To investigate and characterize the incidence of needlestick injuries (NSI) in a sample of practicing pain medicine physicians, with the ultimate goal of aiding to prevent these injuries by raising awareness of their prevalence” Moheimani et al (2023).
Positive and neutral needleless connector study
“A pragmatic, multiphase prospective quality improvement initiative was performed to determine whether a positive displacement connector (PD) causes reduction of central line-associated bloodstream infection (CLABSI), occlusion, and catheter hub colonization when compared with a neutral displacement connector with alcohol disinfecting cap (AC)” Schora et al (2023).
Peripheral intravenous catheterization outcomes in Portugal
“This reality, combined with Portugal’s absence of government-endorsed evidence-based standards for peripheral intravenous catheter (PIVC) insertion and treatment and vascular access teams, may explain the country’s unacceptably high incidence of PIVC-related complications reported over the last decade” Santos-Costa et al (2023).
OPAT for patients with spinal infection – Full Text
“OPAT is a feasible and effective option for delivering intravenous antimicrobial therapy to patients with spinal infections who can be managed without hospitalisation” Kilinc et al (2023).
CLABSI in patients with acute leukemia and neutropenia
“The objectives of this study were to examine predictors for central line-associated bloodstream infection (CLABSI) and causative microorganisms” Joslyn et al (2023).
How to organize intravenous tubing
“The objective of this research was to examine the value of a novel carriage system that organizes and elevates medical and intravenous (IV) tubing” Hartman et al (2023).
Antimicrobial PICC systematic review
“In conclusion, this systematic review and meta-analysis suggested that anti-microbial PICCs had a non-significant association with lower CLABSI risk compared with noncoated PICCs” Wu et al (2023).
How many supervised CVC insertions to reach competence
“This study suggests that 22 catheter insertions under the supervision of a senior nephrologist are needed to complete the learning curve for a junior nephrologist” Karaaslan et al (2023).
PICC and port comparison for chemotherapy administration – Full text
“Compared with PICC, TIVADs can prolong catheter indwelling time, reduce catheter-related complications, and maintain shoulder joint function, which makes it an ideal venous-access approach when providing chemotherapy to patients with malignant bone and soft tissue tumors of the lower extremities” Shan et al (2023).
Extravasation causing brachial artery vasospasm
“We present a patient being treated with intravenous dihydroergotamine (DHE) complicated by brachial artery vasospasm secondary to extravasation of DHE from an infiltrated peripheral intravenous catheter” Sheng and Ebeling (2023).
Pediatric transfusion decision-making
“We sought to identify factors that influenced transfusion decision-making in PICUs to explore potential barriers and facilitators to implementing the guidelines” Steffen et al (2023).
CLABSI insertion and maintenance bundle impact – Full Text
“A total of 116 ICUs were included in this study. The 3 HAIs showed a significant decrease of 43.5%, 52.1%, and 65.8% for CLABSI, VAP, and CA-UTI, respectively” Tuma et al (2023).
Lidocaine spray prior to peripheral IV cannulation in children – Full Text
“Topical 10% lidocaine spray applied ten minutes before venous cannulation is as effective as EMLA cream applied an hour before cannulation in children in providing dermal analgesia for intravenous cannulation with an added advantage of rapid onset of action in the former group” Kulkarni et al (2023).
Same venous route Hickman catheter replacement – Full Text
“We conducted a retrospective study to compare the efficacy of Hickman catheters and the survival of venous vessels using two different operative strategies” Koh et al (2023).
Central line insertion most common risk factor for Gram-positive bacteremia – Full Text
“We conclude that independent risk factors like diabetes mellitus, central line insertion, and acute pancreatitis in adult patients with Gram-positive bacteremia were associated with higher mortality” Singh et al (2023).
Reporting medication administration errors – Full Text
“Measures to reduce medication administration errors include developing a non-punitive adverse event reporting system, introducing electronic prescriptions of medicines, involving clinical pharmacists in the pharmacotherapy process and providing nurses with regular comprehensive training” Brabcová et al (2023).
PICC dressing related MARSI risk assessment scale – Full Text
“To construct a risk assessment scale for medical adhesive-related skin injuries (MARSI) at the peripherally inserted central catheter (PICC) insertion site in oncology patients and test its reliability and validity” Li et al (2023).
Expert vascular access nurse competencies – Full Text
“This pilot study aims to outline an initial competency framework specifically for vascular access nurses” Sollami et al (2023).
Ceftolozane and tazobactam stability in elastomeric devices – Full Text
“In the study we tested the stability of ceftolozane/tazobactam at two clinically relevant concentrations following reconstitution and dilution in 0.9% sodium chloride in two different elastomeric devices, specifically in accordance with the requirements of the UK NHS Yellow Cover Document” Gilchrist et al (2023).
Intraosseous access in term and preterm neonates – Full Text
“Intraosseous access is a feasible option for emergency administration of vital drugs and fluids in newborns undergoing resuscitation when an umbilical venous catheter is impossible to place” Schwindt et al (2023).
Implantable port malposition case study – Full Text
“Central venous port chamber rotation is among the rarest complications, which usually makes the port unusable. It should be quickly recognized, to avoid further damage, such as extravasation of the chemotherapeutic agent or mechanical chamber impairment” Donev et al (2023).
Decreasing sharps injuries through root cause analysis
“The goal of this quality improvement project was to identify root causes of sharps injuries for RNs at a large urban hospital system” Stallard et al (2023).
The role of nursing leadership in CLABSI reduction
“oupled with strong support from nursing leadership, nurses on the unit successfully reduced CLABSIs by adopting novel, evidence-based strategies; ongoing monitoring; and multiple interventions” Orozco-Santana et al (2023).
Implementation of barcode medication labels and smart pumps – Full Text
“The proposed workflow utilizes medication labels generated from prescription data from the electronic health record. The generated labels include a 2D barcode to transfer data to the infusion devices” Erdfelder et al (2023).
French prehospital transfusion survey
“Although no consensus has been reached, prehospital transfusion is regularly considered to reduce avoidable mortality. The objective was to assess the status of prehospital transfusion practices in France” Bichot et al (2023).