Implantable port catheter tip migration case study – Full Text

iv port

“The use of a Totally Implantable Venous Access Port (TIVAP) has been a popular access option in chemotherapy for cancer patients, but complications, both long-term and short-term, may arise in the fixation process. This paper discusses the importance of detection and management of complications that arise as a result of TIVAP insertion” Manik Yuniawaty Wetan et al (2024).

Study recommends advanced PIVC inserters support novice learners

peripheral iv

“Investment in advanced PIVC inserters (with ultrasound-guided cannulation skills, and ability to train and assess novice inserters), with clear escalation pathways to these clinicians may reduce inefficiencies and waste associated with difficult PIVC insertions” McFadden et al (2024).

Implementing a closed system drug transfer device

drug aministration

“Nurse-led monoclonal antibody (MAb) preparation was piloted to investigate whether a reduction in reliance on Aseptic Pharmacy could co-exist with maintaining optimal treatment capacity. The effectiveness of a closed system transfer device (CSTD) to protect nurses against drug exposure was also explored” Boodhoo (2024).

CVC depth of insertion using rapid atrial swirl sign – Full Text

central line

“The RASS technique is superior to the landmark technique in ensuring the correct depth of the tip of the CVC. When confirmed by chest X-ray, it was found that most patients had the catheter tip in Zone 1, 2, or 3 using the RASS technique” Kairidibo et al (2024).

CVC insertion in thrombocytopenic patients

central line

“CVAD insertion in thrombocytopenic patients, even with platelet counts below 10 × 109/L, is safe and associated with minimal complications when performed under ultrasound guidance by experienced surgeons” Farsavian et al (2024).

Point-of-care ultrasound simulation models

ultrasound guided vascular access

“Offering a workshop that uses simulation models in combination with various POCUS devices is useful in establishing this newly learned skill in clinicians, such as measurements of depth, caliper, and direction of a vein with POCUS prior to cannulation providing essential anatomical facts to the operator, which increases the likelihood of first-time success in cannulation” Steinwandel (2024).

Outcome of administration of crushed oral medication via PICC – Full Text

iv complications

“A detailed history uncovered that the patient had been administering crushed oral medication through her PICC line for better pain control. This case report adds to the literature by documenting the severe consequences of PICC line misuse and enhancing the understanding of lung granulomatous reactions from foreign materials” Banjade et al (2024).

Treatment of central venous occlusion – Full Text

vascular access

“In this study, we devised a new method for establishing an extra-anatomic bypass between the right subclavian vein and the superior vena cava via a covered stent to treat whole-segment occlusion of the right brachiocephalic vein (BCV) with calcification” Xu et al (2024).

Small-volume blood sample collection tubes in adult ICU – Full Text

blood sampling

“We had high certainty evidence that small-volume tubes reduce daily and cumulative blood sampling volume; and moderate certainty evidence that they reduce the risk of transfusion and mean number of red blood cell units transfused, but these estimates were limited by imprecision” Callum et al (2024).

Impact of summer and winter months on elastomeric pumps – Full Text

IVTEAM elastomeric pump

“Our results show that further improvements to the insulation material used in carry pouches can significantly restrict the rate of temperature rise within the pumps and will give more assurance in relation to preventing degradation especially considering the increases in extreme weather conditions observed in recent years due to global warming” van der Merwe et al (2024).

Impact of clown therapy during venipuncture – Full Text

procedural pain

“Family participatory clown therapy can reduce pain, anxiety, medical fear, and crying during venipuncture in children. It can also improve venipuncture compliance, reduce parental anxiety, and increase parental satisfaction” Chen et al (2024).

Video game to reduce needle phobia in children – Full Text

procedural pain

“Needle phobia, which affects 19% of children aged 4 to 6 years, prevents many children from receiving necessary or preventive medical treatments. Digital interventions have been made to target needle phobia but currently rely on distraction rather than evidence-based exposure” Healy et al (2024).

Sternal intraosseous access device review – Full Text

intraosseous

“Present findings suggest that both FAST1 and TALON sternal IO catheter tips can be successfully placed into the target medullary bone with high accuracy in male military members aged 18 to 30 who require rapid resuscitation” Kaylor et al (2024).

Review of POCUS in pediatric ED and PICU

ultrasound guided vascular access

Review of POCUS in pediatric ED and PICU Abstract: Objectives: The aim was to evaluate the current status of point-of-care ultrasound (POCUS), perceptions, education, training, and barriers to using POCUS in pediatric emergency departments (PEDs) and pediatric intensive care units (PICUs) in Turkey. Methods: A descriptive, multicenter, cross-sectional study through an online survey was developed […]

Peripheral venous dilation using flow-mediated dilation response

peripheral iv

“FMD application induced dilation of the cephalic vein of the forearm. The findings suggest that FMD is an effective technique for dilating the venous area and potentially improving the success rate of peripheral intravenous cannulation” Endo et al (2024).

Needle phobia treatment case report

IVTEAM Needle phobia

“Through the guidance of his subconscious, he realized his reaction to needles may not have been directly related to a difficult medical procedure he had undergone at the age of two. The patient’s subconscious turned his attention to the anxiety he felt from being separated from his mother at the time of the procedure” Anbar et al (2024).

Tunneled central line placement technique in children

central line

“The modified single-stick technique combines the two aforementioned techniques to access the central venous system in an optimized way. This technique is feasible to perform particularly in young children and has a short learning curve for adult interventional radiologists” Bancroft et al (2024).

Emergency department phlebotomy service review – Full Text

blood sampling

“Consequently, new care models have been introduced to address this surge in demand, mitigate associated risks and improve overall safety. Among these models is the concept of ‘front loading’ clinical care, involving the initiation of interventions at the point of arrival. The present study evaluates the impact of introducing phlebotomists at triage” Osman et al (2024).

Pain management in premature infant venipuncture – Full Text

procedural pain

“The study indicated that 20% sucrose and distilled water equally reduce infant pain post-venipuncture, suggesting their viability for clinical pain management. Distilled water, however, provides additional benefits, including economic considerations and ease of preparation” Habibzadeh et al (2024).

Treatment and prevention of central line-associated bloodstream infections – Full Text

CLABSI

“Here, SteriGel is reported, which is a multifunctional hydrogel engineered to prevent and treat central line-associated bloodstream infections (CLABSI). The mechanical properties of SteriGel are optimized to ensure appropriate gelation kinetics, bio-adhesiveness, stretchability, and recoverability to promote durability upon application and to provide persistent protection against infection” Kim et al (2024).