PICC tunnel length in adult patients with cancer – Full Text

picc

“Patients with 4 cm, 5 cm, and 6 cm PICC tunnel lengths had a longer catheter dwell time and fewer PICC-related complications. No significant differences were found among all groups regarding patients’ pain and comfort levels” Li et al (2023).

Risk classification of extravasation injury from noncytotoxic agents – Full Text

extravasation

“In this paper, we review case reports and animal experiments and classify the severity of extravasation injury by noncytotoxic agents into three categories. Parallel to cytotoxic agents, the classification provides appropriate warning of possible injury severity, helping medical personnel better understand the severity of tissue damage and prevent injury severity during extravasation” Shibata et al (2023).

How COVID-19 impacted on CLABSI rates – Full Text

CLABSI

“The study objective was to quantify infection rate trends for central-line associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) in 89 Alabama hospitals from 2015-2021 to analyze how the COVID-19 pandemic impacted healthcare delivery” Hyte et al (2023).

Ultrasound-guided arterial cannulation protocol

Arterial catheter

“The authors propose the Safe Insertion of Arterial Catheters (SIA) protocol, an ultrasound-guided insertion bundle applying a systematic approach to arterial cannulation, with a focus on improving insertion practices, reducing procedural complications, increasing the patient safety profile, and improving device performance” Spencer et al (2023).

Perforated intravenous catheter design for CT contrast

peripheral iv

“This pilot RCT suggests perforated PIVCs provide expected flow rate, with no evidence of differences in contrast enhancement to non-perforated PIVCs. The feasibility of conducting a larger powered RCT was demonstrated” Gavin et al (2023).

Electronic central line maintenance audits

clabsi

“The purpose of this project was to implement a revised audit and feedback data collection process. The specific aims of the project were to evaluate: (1) the number of completed audits and, (2) central line maintenance bundle compliance rates before and after implementing a new process” Fritz et al (2023).

Ultrasound guided brachiocephalic vein access in pediatrics

ultrasound guided vascular access

“Compared to the out-of-plane approach of left BCV cannulation, US-guided in-plane cannulation of the left BCV increased the first-attempt success rate, decreased the number of puncture attempts, and decreased the time required for cannulation” Kumar et al (2023).

Local peripheral IV catheter complications in older patients

peripheral iv

“To assess the incidence density of local complications of peripheral venous catheters in patients aged 70 years and older, to identify risk factors for local complications of peripheral venous catheters, to describe microbiological epidemiology and to assess the impact of complications on patient outcomes” Gras et al (2023).

Upper arm implanted venous access port insertion – Full Text

iv port

“Traditional tunnelling technique increases the operation time and has an unsatisfied cosmetic effect, so we explored the feasibility, cosmetic effect and complications of an upper arm port with a novel incision in this retrospective study” Song et al (2023).

Criteria for central venous access device selection

central line

“Central venous access devices may be nontunneled, tunneled, or implantable. They may be centrally or peripherally inserted by way of veins in the neck, extremities, or elsewhere. Each device and access site presents specific risks that should be considered in each clinical scenario to minimize the risk of harm” Massouh et al (2023).

CLABSI prevention compliance among registered nurses in Jordan

clabsi

“The rate of CLABSI was the lowest in the hospital that applies the CVC bundle of care. Nurses’ knowledge about CLABSI prevention practices was significantly correlated with their compliance to CVCs maintenance care bundle” Matlab et al (2023).

Ultrasound guided peripheral IV catheter dwell time – Full Text

peripheral iv

“Ultrasound-guided peripheral intravenous catheters (USIVs) are frequently used in this population; however, information regarding the effect of patient and IV characteristics on the dwell time (DT) and survival probability (SP) of USIVs is limited” Malik et al (2023).

Extravasation of monoclonal antibodies

extravasation

“A classification of hazard extent of extravasation of monoclonal antibodies with concurrent management based on literature data and expert consensus has been elaborated” Bauters et al (2023).

How to use smart infusion pumps

Infusion pump

“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).