Identifying and reducing early complications of central lines in infants and toddlers
“The purpose of this study was to review outcomes associated with CVC insertion in this high-risk group and compare them to those in older children to develop directed quality improvement projects” Fallon et al (2014).
Docetaxel extravasation results in significantly delayed and relapsed skin injury
“The current report presents the case of a breast cancer patient who developed a significantly delayed skin reaction one day after docetaxel extravasation, a rare skin manifestation, and relapsed one week subsequently” Chang et al (2014).
Unconventional vascular access for hemodialysis in patient with central vein occlusion
“An attempt to cannulate inferior vena cava was unsuccessful. A cannulation of dilated collateral abdominal veins with dialysis needles allowed to perform several hemodialysis sessions in the patient” Stróżecki et al (2014).
CVC guidewire retention avoidance using human factors
“The work described here investigated the issue in an attempt to better understand it both from an operator and a systems perspective, and to ultimately recommend appropriate safe design solutions that reduce guidewire retention errors” Horberry et al (2014).
Cost and length of stay for central line-associated bloodstream infections
“Little is known about the attributable cost and length of stay (LOS) of CLABSI in pediatric inpatient settings. We determined the cost and LOS attributable to pediatric CLABSI from 2008 through 2011” Goudie et al (2014).
Type of isolated microorganisms from central venous catheters
“This study aimed at determining the relative abundance and microbial sensitivity of organisms, which were creating contamination with CVCs in hospitalized patients in the ICUs of Alzahra hospital” Khorvash et al (2014).
Study aims to compare the degree of difficulty in central venous line placement
“This study aims to compare the degree of difficulty in central venous line placement with or without ultrasound and the incidence of complications, and to establish the effect of the operator’s degree of training” Rando et al (2014).
Preventing CLABSI in home parenteral nutrition patients
“We developed a multi-disciplinary enhanced care pathway encompassing a number of minimal cost interventions involving line/exit site care, training for staff and parents, multi-disciplinary discharge planning and monitoring compliance” Muir et al (2014).
Preventing biofilm formation and associated occlusion
“While non-coated TIVAP implanted in rats were heavily colonized by the two biofilm-forming pathogens with high percentage of occlusion, coating of TIVAP reduced their initial adherence and subsequently led to 4-log reduction in biofilm formation and reduced occlusion” Chauhan et al (2014).
Study recommends further research is required for CVC flushing procedures
“The purpose of this project was to critically review current literature and expert opinion regarding CVC flushing practice in the hopes of reporting standardized recommendations” Conway et al (2014).
Risk factors for venous thrombosis in patients undergoing chemotherapy via PICC
“The incidence of thrombosis was 16.6% (12/72) in patients with one or more risk factors, and 55.5% (five of nine) in those with two or more risk factors” Shi et al (2014).
Fatal pulmonary embolism after hemodialysis vascular access declotting
“He underwent declotting successfully but upon angioplasty of the access feeding artery, he developed massive pulmonary embolism and died” Sadjadi and Sharif-Hassanabadi (2014).
Inadvertent intra-arterial cannulation case study
“Accidentally given medication for pain management intra-arterially through an improperly placed IV line, which resulted in ischaemia, gangrene and subsequent loss of the hand” Prabhu et al (2014).
Accidental suturing of jugular vein catheter in a mitral valve replacement
“Accidental suturing of the catheter to the heart is a rare complication that is difficult to correct; excessive traction force on the central venous catheter can lead to heart breakage or even death” Kong et al (2014).
Antifungal catheter lock therapy in hemodialysis
“Management of central line-associated candidemia with systemic therapy alone is often challenging due to the propensity of Candida species to form biofilms on foreign bodies” Paul Dimondi et al (2014).
Retrospective study of 1,460 implanted venous access devices
“Our retrospective study included 1,460 cases in which PCVAS was implanted in the 11 years between January 2002 and January 2013” El Hammoumi et al (2014).
Leadership has role in the successful implementation of CLABSI prevention interventions
“Results suggest that leadership plays an important role in the successful implementation of HAI-prevention interventions. Improving our understanding of nonclinical differences across health systems may contribute to efforts to eliminate HAIs” McAlearney et al (2013).
Subcutaneous administration of drugs in palliative care
“This observational study assessed the clinical practice of subcutaneous drug administration, focusing on the evaluation of local reactions or complications to further develop recommendations” Bartz et al (2014).
Management of central venous catheters using 0.9% sodium chloride and positive-pressure-valve needleless connector
“Rate of occlusions in unused central venous catheters (CVC) flushed once a week with a 0.9% sodium chloride solution through a positive-pressure-valve needleless connector” Buchini et al.
Arterial catheters are safe and effective for glucose monitoring
“Use of blood obtained via an arterial catheter is safe and effective for glucose monitoring in patients undergoing intensive insulin therapy, with no increase in complications of catheterisation” Raurell-Torredà et al (2014).
Cleaning open-lumen stopcock devices on central venous access devices
“Contamination of a central venous catheter may occur through use of conventional open-lumen stopcock devices (COLDs), or disinfectable, needleless, closed connectors (DNCCs)” Holroyd et al (2014).
Early mobilisation of the ICU patient reduces CLABSI
“Early mobilization suggested a decrease in delirium by 2 days, reduced risk of readmission or death, and reduced ventilator-assisted pneumonia, central line, and catheter infections” Hunter et al (2014).
Factors that influence the rate of blood culture contamination
“The aim of this study was to review the literature for factors that influence the rate of blood culture contamination” Dawson (2014).
Quality improvement intervention reduces central line-associated infections
“Statistical significance demonstrated a 65% reduction in CLABSI on the pilot unit after the 6-month initial trial” Edwards et al (2014).
Call for clarification on needleless connector change frequency
“To assess the association between needleless connector (NC) change frequency and central line-associated bloodstream infection (CLABSI) rate, we modeled monthly pediatric stem cell transplant (SCT) CLABSI rate” Sandora et al (2014).
Adherence to a central venous catheter insertion bundle
“Because studies about CVC insertion bundle compliance in ICUs is scarce, our study was conducted to investigate the adherence to a CVC insertion bundle during an improving quality-of-care process in our ICU” Liang and Lin (2014).
CLABSI prevention with insertion and maintenance bundles
“The authors describe their “insertion bundle” but do not elaborate on the “maintenance bundle” and its compliance rates, which are equally important in reducing CLABSI and could be the predominant factor in eliminating their CLABSIs” Khalid and Qabajah (2014).
CHG bathing for intensive care unit patients who have a central venous catheter
“To decrease CHG utilization, this study assessed selective daily administration of CHG bathing to intensive care unit patients who had an MRSA-positive result or a central venous catheter” Armellino et al (2014).
Visibility of sinks directly impacts on handwashing frequency and duration
“We conclude that the visibility of sinks directly impacts on handwashing frequency and duration and also impacts on levels of bacterial contamination on and around the sink area” Cloutman-Green et al (2014).
Automated and electronically assisted hand hygiene monitoring system review
“Our systematic review assesses the existing evidence surrounding the adoption and accuracy of automated systems or electronically enhanced direct observations and also reviews the effectiveness of such systems in health care settings” Ward et al (2014).