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IVUPDATE from IVTEAM
Prediction model for PICC-related catheter-associated skin injury – Full Text
“The identified predictors may help nurses recognize patients at higher risk of PICC-related CASI and support more structured skin assessment during PICC care” Jin et al (2026).
Review of bedside ECG- and ultrasound-based PICC tip positioning
“Peripherally inserted central catheter (PICC) tip positioning is a technically mature field characterized by heterogeneous evidence. International consensus guidelines consistently recommend bedside intracavitary electrocardiography (IC-ECG) and ultrasound-based strategies as first-line methods, with fluoroscopy reserved for specific indications” Shu and Li (2026).
Routine pediatric central venous catheter maintenance
“Dressing-change practices were consistent, with all centers reporting changes every 7 days or sooner when dressing integrity was compromised. Cap-change intervals varied from daily to every 7 days. Dressing changes required a mean of 16.5 min and cost $55.25 in labor and supplies. Cap changes cost $24.08, and daily flushing cost $13.70” Maier et al (2026).
Extravasation of combination regimens of vesicant drugs
“This case highlights key challenges in combined chemotherapy regimens, where identification of the causative agent may be uncertain and management strategies differ substantially” Jiménez-Heredia et al (2026).
Deferring arterial cannulation in critically ill patients with shock – Full Text
“This is the main take-away point from the Early Versus Deferred Arterial Catheterization in Critically Ill Patients With Acute Circulatory Failure (EVERDAC) trial, which found that slightly fewer patients died in a group randomly assigned to not have an arterial catheter inserted unless it was truly needed, compared with putting one in immediately” Ho (2026).
Intramuscular injections for neonates and infants
“Consistent use of evidence-based intramuscular injection practices can reduce procedural risk, enhance safety, minimize pain, and support positive early health care experiences for infants and families” Van Curen and Rohan (2026).
Apheresis novel double-draw vascular access technique
“When conservative measures failed, we implemented a novel double-draw technique in which a second draw line was connected via a four-way stopcock and male-to-male adapter to the initial draw access (either a PIVC or port) to improve inlet flow” Sanchez et al (2026).
Use of smart glasses for ultrasound-guided central venous catheterization
“This study aimed to evaluate whether using smart glasses can improve efficiency compared to conventional ultrasound-guided CVC” Wang et al (2026).
Central venous access devices for neonates – Full Text
“Optimal CVAD selection is not merely a technical decision but a strategic clinical process that integrates patient, therapy, device, and health-system factors. Existing frameworks provide valuable guidance and should be interpreted within the clinical context in which they are applied, acknowledging differences in expertise, available resources, and models of care” de Souza et al (2026).
Reducing peripheral intravenous catheter use in adult acute care – Full Text
“Despite growing awareness of inappropriate PIVC use, unnecessary insertion persists, driven by cultural and organisational norms and risk-averse practices. Interventions to reduce PIVC use have been implemented, but their effectiveness and sustainability have not been systematically synthesised” Barrington et al (2026).
Oral vs intravenous fluid therapy in emergency department patients – Full Text
“This trial will evaluate whether a randomized trial comparing intravenous and oral fluid therapy is feasible in ED patients and whether oral fluid therapy can achieve prescribed fluid volumes comparable to those achieved with intravenous therapy” Biesenbach et al (2026).
Neuromuscular blocking drug extravasation – Full Text
“This case highlights the unpredictable clinical course of NMBD extravasation and demonstrates that recurrent paralysis may occur despite initial successful reversal, requiring quantitative neuromuscular monitoring, extended postoperative observation, and administration of repeat doses of sugammadex as delayed systemic absorption occurs” Crafton et al (2026).
Association between puncture arm and PICC tip position – Full Text
“To examine the association between puncture arm and initial peripherally inserted central catheter tip positioning accuracy in female breast cancer patients and to explore related factors associated with malposition” Zhang et al (2026).
Ready-to-use intravenous antimicrobial preparations in paediatric OPAT – Full Text
“This study supports a more uniform and safer OPAT practice in paediatric HAH units and provides an operational basis for protocol implementation and future evaluation, combining stability evidence for compounded preparations with paediatric administration requirements” Merino-Pardo et al (2026).
Unnecessary short peripheral catheter insertion in the emergency department – Full Text
“Approximately one-quarter of discharged patients with a recorded SPC had no documented intravenous use. Potentially unnecessary SPC insertion was associated with age, sex and clinical presentation, while its association with triage acuity depended on adjustment for clinical context” Fernández Fernández et al (2026).
PIVO Pro for avoiding blood culture contamination – Full Text
“Our primary objective is to compare the efficacy of the PIVO Pro at PIVC insertion for avoiding blood culture contamination to standard practice (typically specimen collection via venepuncture or a newly inserted PIVC)” Lovegrove et al (2026).
Safety of mini-midline catheters for intravenous antimicrobial therapy – Full Text
“Ultrasound-guided mini-midlines were associated with acceptable safety, longer observed peripheral dwell time, and reduced overall PIVC burden in selected hospitalized patients receiving up to 14 days of peripherally compatible intravenous antimicrobial therapy” Liao et al (2026).
Continuous intravenous acyclovir during OPAT – Full Text
“The acyclovir OPAT programme led to cost savings of 3486 EUR per patient. Despite this small case series, continuous intravenous acyclovir appears to be feasible for treating HSV and VZV neurological infections in an OPAT setting, with potential benefits in patient comfort, healthcare costs, and hospital resource utilization” Manders et al (2026).
Upper-limb compartment syndrome following rapid infusion catheter extravasation – Full Text
“We report upper-limb acute compartment syndrome during orthotopic liver transplantation following transfusion through an 8.5 Fr Arrow RIC (Teleflex Incorporated, Morrisville, NC, USA)” Weinberg et al (2026).
Complex venous access in superior vena cava syndrome – Full Text
“Bulky mediastinal disease frequently complicates central venous access, particularly in the presence of superior vena cava (SVC) syndrome. Reports addressing optimal vascular access strategies in this setting remain limited” Razus et al (2026).
Comparison of 18-gauge and 20-gauge short peripheral catheters – Full Text
“We conducted a confirmatory trial addressing both, comparing 18-gauge and 20-gauge SPCs in adult emergency department patients at low-to-moderate risk of difficult access” Altunbas et al (2026).
Vascular access in the critically ill patient
“Vascular access is a key intervention in the management of critically ill emergency department patients. This can include peripheral or central venous access and intraosseous access” Jaffery and Qasim (2026).