Percutaneous central line extravasation masquerading as an abscess
“A preterm baby, who had a percutaneous central line inserted developed an erythematous swelling over the infraclavicular area” Govind et al (2014).
Central line tip microbiological analysis techniques reviewed
“This prospective randomized controlled study with 975 non-tunneled central venous catheters (CVCs) showed that the semiquantitative roll-plate technique (SQC) was as accurate as the sonication method for diagnosis of catheter-related infections” Erb et al (2014).
Article offers hypothesis why central line locking solutions leak
“However, the use of the locking fluid is associated with known risks due to “leakage” of the lock. A new hypothesis is proposed here to explain the lock fluid leakage; that the leakage is due to advective and diffusive mass transfer by blood flow around the catheter tip in situ” McGah et al (2014).
Which cancer patients are at a greater risk of catheter-associated venous thrombosis?
“Cancer patients undergoing catheter placement who develop CVC-associated VTE have a shorter aPTT and aPTT ratio than those who do not develop VTE” Senthil et al (2014).
Infection risk associated with syringe manipulation: Human factors solution?
“We present a case of infection risk associated with syringe manipulation that could easily be solved by introducing user-centered design solutions” Clack et al (2014).
CLABSI reduction with simulation training, kit consolidation and electronic documentation
“Combined simulation training, standardized all-inclusive kits, and EMR-guided documentation were associated with greater documented compliance with sterile precautions and reduced CLABSI rate in our MICU” Allen et al (2014).
Restriction of clindamycin lowers Clostridium difficile infection rates
“Clindamycin was reduced 92.61% without an increase in other antibiotics. We identified high consumption of clindamycin as a risk factor for CDI” Cruz-Rodríguez et al (2014).
CLABSI agreement: Identification of central line–associated bloodstream infection
“The rate of IP agreement regarding CLABSI was moderate and not associated with IP characteristics, reflecting adequate training” DiGiorgio et al (2014).
Infection prevention and control guidelines in an ambulatory care setting
“We have taken a pragmatic approach to applying IPAC guidance in our ambulatory setting, and here we identify and describe the 4 key areas where we modified our IPAC program and adapted current guidelines to fit with our setting” Ng et al (2014).
Central line infection prevention should offer more to postinsertion care
“The timing of infection demonstrates the need for more careful attention to postinsertion care and access of central venous catheters” Klintworth et al (2014).
Stability of daptomycin and heparin sodium combined in lactated Ringer’s injection
“The stability of an admixture containing reconstituted daptomycin and heparin in lactated Ringer’s injection was evaluated” Ortega et al (2014).
Commonly reported medication incidents involve noradrenaline, heparin, morphine and insulin
“The most commonly reported drugs were noradrenaline (161 incidents, 92 with harm), heparins (153 incidents, 29 with harm), morphine (131 incidents, 14 with harm) and insulin (111 incidents, 54 with harm)” Thomas and Taylor (2014).
Non-leg thromboses are found in 2.2% of medical-surgical critically ill patients
“Despite universal heparin thromboprophylaxis, nonleg thromboses are found in 2.2% of medical-surgical critically ill patients, primarily in deep veins and proximal veins” Lamontagne et al (2014).
Transfusion-associated hepatitis reviewed in this article
“TAH virus infections were a larger problem than perceived 50 years ago and HCV was the predominant agent transmitted” Engle et al (2014).
PICC thrombotic complications in children
“The primary risk factor for VTE in neonates and infants is the presence of a central venous catheter (CVC)” Latham and Thompson (2014).
Taurolidine-citrate-heparin lock solution significantly improves inflammatory profile
“We aimed to evaluate the inflammatory profile of hemodialysis patients before and after locking catheters with an antimicrobial lock solution” Fontseré et al (2014).
Correction of chronic central vein obstruction
“Maintaining vascular access in patients undergoing chronic hemodialysis is a challenging process, especially in patients enduring multiple central line placements and in whom peripheral options have been exhausted” de Graaf et al (2014).
Complex central venous catheter insertion for hemodialysis
“In this article, we will discuss the challenges faced by operators inserting CVCs into the hemodialysis-dependent patient who has exhausted more tradition insertion sites” Powell and Belfield (2014).
Dialysis central venous catheter types and performance
“In this article we review the general features of CVCs, including differences between tunneled and nontunneled CVCs, materials and their compatibility with lock solutions, the implications of straight versus precurved design in nontunneled CVCs, lumen and tip features with their clinical implications, catheter coatings and their effect on infection and thrombosis” Gallieni et al (2014).
Novel external catheter fixation method for chemotherapy
“The aim of this randomized controlled study was to investigate the effects of a novel external catheter fixation method for chemotherapy using inferior epigastric arterial catheterization for cervical cancer” Chen et al (2014).
Study evaluates an integrated closed intravenous catheter system
“Significantly fewer patients required unplanned reinsertion with the CICS. The results suggest that the longer survival rate for the CICS can offset the higher initial catheterization costs” Tamura et al (2014).
Five year review of tunneled central venous catheter outcomes
“Our data show a high survival rate of tCVCs in hemodialysis patients, with low incidence of catheter dysfunction and CRBS events. These data justify tCVC use for hemodialysis vascular access, also as first choice, especially in patients with exhausted peripheral access and limited life expectancy” Mandolfo et al (2014).
Ultrasound-guided internal jugular vein (IJV) central venous cannulation
“The lateral short axis in-plane technique should be considered the first-line technique for IJV cannulation” Rossi et al (2014).
Taking blood samples from pre-existing peripheral intravenous catheter
“The purpose of this observational study was to describe characteristics of blood samples collected from pre-existing peripheral intravenous (PIV) catheters in pediatric patients” Braniff et al (2014).
Blood sample haemolysis knowledge among clinical staff and phlebotomists
“Evidence-based measures are required to boost staff knowledge base of preanalytical blood sample haemolysis for standardised and quality service. Monitoring and evaluation of the training, conducting and monitoring haemolysis rate are equally crucial” Makhumula-Nkhoma et al (2014).
Symptomatic central venous stenosis in a hemodialysis patient leading to loss of vascular access
“Vascular access thrombosis, compromised blood flow and inadequate dialysis delivery are dreaded complications that eventually render the access unusable” Tatapudi et al (2014).
Recent advances with temporary hemodialysis catheters
“The insertion of non-tunneled temporary hemodialysis catheters (NTHCs) is a core procedure of nephrology practice. While urgent dialysis may be life-saving, mechanical and infectious complications related to the insertion of NTHCs can be fatal” Clark and Barsuk (2014).
No association between ultrasound-guided insertion of central venous catheters and bloodstream infection
“In a hospital-wide setting with baseline CABSI rates at the standard level currently found in high-income countries, the use of ultrasound has no additional benefit for the prevention of CABSI” Cartier et al (2014).
Safety and efficacy of CV-port-free chemotherapy administration via the median cubital vein
“In this study, the safety and efficacy of CV-port-free chemotherapy administration via the median cubital vein was assessed in metastatic colorectal cancer patients” Yoshida et al (2014).
Biofilm-related candida central line associated bloodstream infection
“As to complication of Candida bacteremia, first we should check endophthalmitis, which occurs frequently and leads to the loss of eyesight, as well as infective endocarditis, arthritis, metastatic infections such as embolic pneumonia and suppurative thrombotic phlebitis of catheter insertion site” Kadowaki and Shimono (2014).