IVUPDATE from IVTEAM

IVTEAM is a global resource for vascular access and infusion therapy, dedicated to supporting clinical teams worldwide. Our daily updates help healthcare professionals stay current with the latest evidence in vascular access and infusion therapy.

Reducing intravenous smart pump alert override rates

“This study expands on the IVSP alert data published to date and highlights 3 key measures of alert override rates, including alert salience. Understanding the frequency and types of IVSP alerts and alert responses is critical for reducing unnecessary IVSP alerts and reducing alert fatigue” Armistead et al (2026).

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Practical guide to intrathecal drug delivery

“This practical guide synthesizes current evidence, consensus recommendations, and collective international clinical experience to provide a structured approach to short-term and long-term management of implantable IDD systems” Sivanesan et al (2026).

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Vascular access management plan for neonates

“Proper use of the Vascular Access Management Plan (VAMP) ensures choosing the right vascular access device from the start of therapy. The VAMP method offers a structured and patient-centered approach to vascular access in neonates” van Rens et al (2026).

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Review of the aseptic non-touch technique in intravenous therapy

“Successful integration of ANTT in China requires the development of localized, evidence-based protocols, multimodal training resources (including virtual simulation), and context-specific implementation strategies. Future research should prioritize rigorous, multi-center clinical trials to establish the effectiveness and cost-effectiveness of ANTT across diverse clinical settings in China” Jiajia et al (2026).

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Audit of parenteral nutrition use in surgical patients – Full Text

“PN practices at our institution demonstrated substantial adherence to the 2017 ASPEN guideline recommendations. However, important gaps remained in central venous catheter care documentation and blood glucose monitoring, highlighting opportunities to improve the quality and safety of PN delivery through enhanced documentation and adherence to guideline-recommended monitoring practices” Anvesh et al (2026).

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Spontaneous PICC migration after cardiac surgery – Full Text

“This case highlights postoperative coughing and synchronized cardioversion as potential contributors to PICC migration in cardiac surgery patients and underscores the importance of reassessing catheter position following high-risk events to prevent complications related to catheter malposition” Tsoumpelis et al (2026).

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When to use a midline catheter

“Our data suggest that MVCs may be selectively used based on therapy duration, infusate characteristics, and patient-specific factors rather than as routine substitutes for PICCs” Ali et al (2026).

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Reducing inpatient pediatric CLABSI

“Significant reductions in hospital CLABSI rates can be achieved by using additional measures beyond focusing on CL maintenance and insertion bundles, and particularly through developing proactive risk assessment and escalation processes” Wong et al (2026).

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Implantable port-associated central venous thrombosis

“The patient was treated with systemic anticoagulation and urgent endovascular thrombectomy with the removal of the indwelling port, resulting in rapid clinical improvement. This case emphasizes that in SVC obstruction, visible cyanosis may reflect localized venous congestion rather than systemic hypoxemia” Arikupurathu et al (2026).

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Implantable port salvage with antibiotic lock therapy

“Systemic antimicrobial therapy combined with ALT can be an effective catheter-preserving strategy for high-risk patients with device-related infections caused by rare environmental non-fermenting Gram-negative organisms such as Pseudoxanthomonas sp” Akazawa et al (2026).

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When to x-ray after ultrasound-guided TIVAP insertion

“Routine post-procedural chest X-ray identified catheter tip malpositioning in a subset of patients; however, these findings did not alter clinical management in the absence of port dysfunction. Selective imaging in patients with failed port functionality may safely reduce unnecessary radiation exposure and healthcare costs without compromising outcomes” Karakoç et al (2026)

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Persistent candidemia impact on 30-day mortality

“Persistent candidemia occurred in one in five patients and was independently associated with increased 30-day mortality. Early catheter removal emerged as the only independent protective factor, underscoring the importance of prompt source control and systematic follow-up blood cultures in the management of candidemia” Suarez-Urquiza et al (2026).

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Extended dwell IV catheter longevity

“In our center, 2023-2024, use of EDCs as opposed to PIVs in PICU cases was associated with longer duration of use, suggesting preferred use of EDCs in patients requiring medium-term IV access, but not meeting criteria for central access” Cusson et al (2026).

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