Impact of IV disinfectant cap on CLABSI rates

“Disinfectant cap use was associated with an estimated savings of almost $300,000 per year in the hospital studied” Merrill et al (2014). Reference: Merrill, K.C., Sumner, S., Linford, L., Taylor, C. and Macintosh, C. (2014) Impact of universal disinfectant cap implementation on central line–associated bloodstream infections. American Journal of Infection Control. 42(12), p.1274–1277. [ctt tweet=”Impact […]
Hypodermoclysis administration as an alternative to intravenous

“Also known as clysis, HDC is a process for administering isotonic fluids subcutaneously. This fluid replacement technique is less invasive than standard I.V. therapies and can be used in nonemergency situations” Smith (2014). Reference: Smith, L.S. (2014) Hypodermoclysis with older adults. Nursing. 44(12), p.66. [ctt tweet=”Hypodermoclysis administration as an alternative to intravenous http://ctt.ec/SLq4a+ @ivteam #ivteam” […]
Knowledge regarding the prevention of central venous catheter-related infection

“The objective in this descriptive study was to assess the knowledge of health care workers in ICUs about guidelines for the prevention of CVC-RI and their adherence to these guidelines in practices.” Alkubati et al (2014). Reference: Alkubati, S.A., Ahmed, N.T., Mohamed, O.N.E., Fayed, A.M. and Asfour, H.I. (2014) Health care workers’ knowledge and practices […]
Pseudoaneurysm and hemothorax following central venous cannulation

“We share a case of a patient with posterior communicating artery (PCOM) aneurysm who presented with delayed hemothorax, pseudoaneurysm of thyrocervical trunk and brachial plexus paresis post operatively on 3rd day” Malviya et al (2014). Reference: Malviya, D., Rastogi, S., Harjai, M. and Das, P.K. (2014) Successful management of pseudoaneurysm and hemothorax following central venous […]
Bioavailability of HI-6 and dicobalt edetate via the intraosseous and intravenous routes

“This study demonstrates rapid and similar systemic bioavailability of HI-6 and dicobalt edetate when given by the IO and intravenous routes” Hill et al (2014). Reference: Hill, S.L., Thomas, S.H., Flecknell, P.A., Thomas, A.A., Morris, C.M., Henderson, D., Dunn, M. and Blain, P.G. (2014) Rapid and equivalent systemic bioavailability of the antidotes HI-6 and dicobalt […]
Intraosseous vascular access through the mandible bone

“This pilot study has been designed to evaluate the feasibility of the mandibular bone for the use of an intraosseous vascular access in a cadaver model” Goldschalt et al (2014). Reference: Goldschalt, C., Doll, S., Ihle, B., Kirsch, J. and Mutzbauer, T.S. (2014) Intraosseous Vascular Access through the Anterior Mandible – A Cadaver Model Pilot Study. […]
Intraosseous versus intravenous infusion for the treatment of cyanide toxicity

“The primary objective of this study was to compare the efficacy of IO delivery of hydroxocobalamin to intravenous (IV) injection for the management of acute cyanide toxicity in a well-described porcine model.” Bebarta et al (2014). Reference: Bebarta, V.S., Pitotti, R.L., Boudreau, S. and Tanen, D.A. (2014) Intraosseous Versus Intravenous Infusion of Hydroxocobalamin for the […]
Inadvertent subclavian artery cannulation with a central venous catheter

“A 48-year-old lady was referred to our department as an emergency following an unsuccessful attempt at central venous catheter insertion, resulting in cannulation of the subclavian artery.” Redmond et al (2014). Reference: Redmond, C.E., O’Donohoe, R., Breslin, D. and Brophy, D.P. (2014) Inadvertent subclavian artery cannulation with a central venous catheter; successful retrieval using a […]
Article describes the assessment of hydration status

“The assessment of hydration status in a large sample appears to be of interest for conducting epidemiological and large clinical studies aimed at improving preventive and curative care.” Baron et al (2014). Reference: Baron, S., Courbebaisse, M., Lepicard, E.M. and Friedlander, G. (2014) Assessment of hydration status in a large population. The British Journal of […]
OPAT programs provide framework for safe and effective care

“Formal OPAT programs provide the framework for safe and effective care and are to be encouraged.” Muldoon et al (2014). Reference: Muldoon, E.G., Switkowski, K., Tice, A., Snydman, D.R. and Allison, G.M. (2014) A national survey of infectious disease practitioners on their use of outpatient parenteral antimicrobial therapy (OPAT). Scandinavian Journal of Infectious Diseases. November […]
Improvement in drug delivery by pump-driven intravenous infusion

“This study evaluated computer algorithms for reducing temporal lags via coordinated control of drug and carrier flows.” Parker et al (2014). Reference: Parker, M.J., Lovich, M.A., Tsao, A.C., Wei, A.E., Wakim, M.G., Maslov, M.Y., Tsukada, H. and Peterfreund, R.A. (2014) Computer Control of Drug Delivery by Continuous Intravenous Infusion: Bridging the Gap between Intended and […]
Computer-automated CLABSI surveillance review

“We assessed whether a computer-automated method of central line-associated BSI detection can improve the validity of surveillance.” Lin et al (2014). Reference: Lin, M.Y., Woeltje, K.F., Khan, Y.M., Hota, B., Doherty, J.A., Borlawsky, T.B., Stevenson, K.B., Fridkin, S.K., Weinstein, R.A. and Trick, W.E. (2014) Multicenter Evaluation of Computer Automated versus Traditional Surveillance of Hospital-Acquired Bloodstream Infections. […]
Femoral central venous catheters in severely burned patients

“The objective of this study is to determine the catheter-related bloodstream infection (CRBSI) rate in a severely burned patient population” Friedman et al (2014). Reference: Friedman, B.C., Mian, M.A., Mullins, R.F., Hassan, Z., Shaver, J.R. and Johnston, K.K. (2014) Five-Lumen Antibiotic-Impregnated Femoral Central Venous Catheters in Severely Burned Patients: An Investigation of Device Utility and […]
Comparison of heparin to citrate as a catheter locking solution

“We aim to compare citrate 4% catheter lock solution versus heparin in terms of event-free survival of the first non-tunneled hemodialysis catheter inserted in ICU patients” Bruyère et al (2014). Reference: Bruyère, R., Soudry-Faure, A., Capellier, G., Binquet, C., Nadji, A., Torner, S., Blasco, G., Yannaraki, M., Barbar, S.D. and Quenot, J-P. (2014) Comparison of heparin […]
Report on device-associated infection rates in Turkey

“We report the results of the International Infection Control Consortium (INICC) study conducted in Turkey from August 2003 through October 2012.” Leblebicioglu et al (2014). Reference: Leblebicioglu, H., Erben, N., Rosenthal, V., Atasay, B., Erbay, A., Unal, S., Senol, G., Willke, A., Ozgültekin, A., Altin, N., Bakir, M., Oncul, O., Ersöz, G., Ozdemir, D., Yalcin, […]
Fluoroscopy-guided umbilical venous catheter placement

“The objective of this study was to (1) describe the technical aspects of fluoroscopy-guided umbilical venous catheter placement (FGUVCP); and (2) determine the procedural success rate, factors contributing to procedural failure, and risks of the procedure.” DeWitt et al (2014). Reference: DeWitt, A.G., Zampi, J.D., Donohue, J.E., Yu, S. and Lloyd, T.R. (2014) Fluoroscopy-guided Umbilical […]
Efficacy and safety of early use of urokinase for fibrin sheath treatment

“…clinical efficacy and safety of the early use of urokinase in the prevention and treatment on tunneled hemodialysis catheter related fibrin sheaths” Li et al (2014). Reference: Li, X.T., Liu, D., Wang, Y.B., Wang, M., Zhang, J. and Guo, Y. (2014) Efficacy and safety of early use of urokinase for prevention and treatment of tunneled […]
Review of invasive procedures for terminally ill cancer patients

“Although more palliative care is necessary for terminally ill cancer patients, excess investigational tests, invasive procedures, and treatments are given instead.” Türker et al (2014). Reference: Türker, I., Kömürcü, S., Arıcan, A., Doruk, H., Ozyılkan, O., Coşkun, H.S., Colak, D., Uçgül Çavuşoğlu, E., Ata, A., Sezer, A., Yeşil Çınkır, H., Senler, F.C. and Arpacı, F. […]
Safety and efficacy of rapid rituximab infusion plus chemotherapy

“…evaluate the safety and efficacy of rapid rituximab infusion (RRI) plus chemotherapy in patients with CD20+ non-Hodgkin’s lymphoma” Zhao et al (2014). Reference: Zhao, W., Gao, Y., Bai, B., Cai, Q.C., Wang, X.X., Cai, Q.Q. and Huang, H.Q. (2014) Safety and efficacy of noninitial rapid infusion of rituximab plus chemotherapy in Chinese patients with CD20+ […]
Live cadavers contribute to vascular access training

“Simulators for vascular access range over a wide spectrum from simple systems to sophisticated computer simulators, all of these model proved efficacy, but non of them truly represent the real human anatomy accompanied with the real life-like situation at the same time.” Aboud (2014) Reference: Aboud, E. (2014) Live Cadavers, a New Model for Vascular […]
Ethanol lock for reduction of central line-associated bloodstream infection

“This case study reviews the use of ethanol lock therapy for a pediatric patient who experienced 0 central line-associated bloodstream infections during the 2-year time period covered by this report.” Pitts et al (2014). Reference: Pitts, S., Bergamo, D., Cartaya, C. and Gore, B. (2014) Efficacy in the Reduction of Central Line-Associated Bloodstream Infection in […]
Evidence-based guidelines for CVAD insertion, management and removal

“Our aim was to adapt recommendations from high-quality, evidence-based clinical practice guidelines (CPGs) for central vascular access device (CVAD) insertion, management, and removal in King Saud University Medical City.” Ciocson et al (2014). Reference: Ciocson, M.A.F.R, Hernandez, M.G., Atallah, M. and Amer, Y.S. (2014) Central Vascular Access Device: An Adapted Evidence-Based Clinical Practice Guideline. The […]
Vascular access device management algorithm described

“Due to safety and regulatory compliance, the use of a “standing orders” protocol was prohibited. This issue led to the process of obtaining physician orders and awaiting responses for procedures needed.” Guerrero (2014). Reference: Guerrero, S. (2014) Vascular Access Devices Management Algorithm Process Development. The Journal of the Association for Vascular Access. 19(4), p.210. [ctt […]
Central venous catheter tip termination identification

“The advances in central catheter placement technology have presented clinicians and their facilities opportunities to aggressively challenge the gold standard paradigm of utilizing chest radiography for central catheter tip termination identification.” Owens (2014). Reference: Owens, A.K. (2014) CAJ without CXR: One Small Hospital’s Journey to Change the Paradigm in Peripherally Inserted Central Catheter Tip Termination […]
Advantages of transparent IV dressings over tape and gauze

“Our goal was to review the current literature and provide an overview of the various approaches used to manage PIV catheter sites as well as review current recommendations.” Bernatchez (2014). Reference: Bernatchez, S.F. (2014) Care of Peripheral Venous Catheter Sites: Advantages of Transparent Film Dressings Over Tape and Gauze. The Journal of the Association for […]
ECG tip location algorithm for atrial fibrillation patients

“The intracavitary electrocardiographic method (IC-ECG) is usually considered not applicable when P wave is not evident on basal ECG, such as in atrial fibrillation (AF) or in active pace-makers (APM).” Pittiruti et al (2014). Reference: Pittiruti, M., LaGreca, A., Emoli, A., Calabrese, M., Biasucci, D.G. and Scoppettuolo, G. (2014) Tip Location of Central Venous Access […]
Neonatal vascular access provision reviewed and refined

“We combined the vascular access team (VAT) and NICU PICC team to improve the timeliness of NICU PICC insertions, standardize care, and use ultrasound for all PICC placements.” deCastro et al (2014). Reference: deCastro, M.V.A., Eades, L.J., Rineair, S.A. and Schoettker, P.J. (2014) Proactive Planning for Vascular Access Therapy: One Hospital’s Plan for Success. The […]
NICU collaboration reduces PICC associated CLABSI

“In an effort to reduce Central Line (CLABSI) infections in the NICU, collaboration was made between nursing and medical teams to develop a partnership in PICC line insertion.” Marchetti et al (2014). Reference: Marchetti, J., Morey, JA., Blaine, T., Greene, D., Field, M. and McDermott, AM (2014) RN and Physician PICC Team Partnership in the […]
PICC placement and lean-based methodology

“The peripherally inserted central catheter implantation and maintenance process was optimized at Shanghai Fu Dan University Cancer Center using lean-based methodology.” Zhu et al (2014). Reference: Zhu, Y., Lu, Z. and Dai, H. (2014) Improving Efficiency and Patient Satisfaction in a Peripherally Inserted Central Catheter Center Using Lean-Based Methodology. The Journal of the Association for […]
Simulation-based education for transfusion medicine

“Our institution developed a feasible and effective way to integrate TM into the curriculum. Educational activities, such as this, might be a way to improve the safety of transfusions.” Morgan et al (2014). Reference: Morgan, S., Rioux-Masse, B., Oancea, C., Cohn, C., Harmon Jr, J. and Konia, M. (2014) Simulation-based education for transfusion medicine. Transfusion. November […]