Implantable port fracture case study

iv port

“This case underscores the importance of early identification and interdisciplinary collaboration in managing port catheter fractures and migrations, even in the absence of typical symptoms” Chandna et al (2024).

Pharmacy-led neonatal CLABSI reduction initiative

clabsi

“Pharmacists and pharmacy technicians received training on how to properly prime tubing, document when a patient received a new central line, document if a central line was removed, and record when new tubing was due based on a department policy” Zackeroff et al (2024).

Measuring venous oxygen saturation from midline catheters

midline catheter

“Midline catheters are inserted via a peripheral vein above the antecubital fossa and provide a safe alternative to CVCs. This study aimed to determine the equivalence of ScvO2 and midline catheter oxygen saturation (SmO2) in critically ill patients” Kim et al (2024).

Canadian nosocomial infection surveillance program – Full Text

CLABSI

“A significant rate increase was observed in adult mixed intensive care unit CLABSIs (1.07-1.93 infections per 1,000 line days, p=0.05) and a non-significant rate increase was observed in SSIs following knee arthroplasty (0.31-0.42 infections per 100 surgeries, p=0.45)” Canadian Nosocomial Infection Surveillance Program (2024).

Barriers related to implementing CLABSI prevention guidelines – Full Text

CLABSI

“Critical care nurses exhibited low knowledge of CLABSI prevention guidelines, with compliance reaching an acceptable level. Despite the higher perceived barriers, the nurses demonstrated a positive attitude. Nurses with greater knowledge and positive attitudes displayed higher compliance levels” Alqalah (2024).

Pediatric infusion extravasation – Full Text

extravasation

“Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients, improve children’s compliance and satisfaction of their families, and reduce family complaints” Lv et al (2024).

StatSeal catheter exit site protection evaluation trial

iv dressing

“The findings demonstrate StatSeal’s effectiveness in improving patient outcomes by reducing exit site bleeding and associated complications, enhancing the efficiency of vascular access maintenance and potentially lowering associated healthcare costs” Hastings and Barton (2024).

Neonatal PICC-related thrombosis risk factors

picc

“This systematic review and meta-analysis illuminates the incidence and risk factors linked to neonatal PICC-related thrombosis, delivering essential insights pivotal for clinical decision-making and enhancing patient care within neonatal health care settings” Chen et al (2024).

Strategies to reduce central line-associated bloodstream infection

clabsi

“Interview themes suggested that staffing shortages (83%) and less vigilant central line practices (100%) contributed to increased CLABSI SIR during the pandemic. Interviewed organizations described evidence-based interventions, such as using chlorhexidine gluconate for skin preparation, along with other innovative strategies they used to establish reduced CLABSI rates” Patrianakos et al (2024).

Arterial catheter adverse events in ICU

Arterial catheter

“It was evidenced that patients are subjected to risks of adverse events from the insertion moment to removal of the arterial catheter, focusing on the infusion solution used to fill the circuit, the type of securement and dressings chosen, as well as the Nursing care measures for the prevention of bloodstream infection” Mariano-Gomes et al (2024).

CVC management in children with cancer

central line

“Central venous access through tunneled central venous catheters (CVCs) are one of the cornerstones of modern oncologic practice in pediatric patients since CVCs provide a reliable access route for the administration of chemotherapy” van den Bosch et al (2024).

Scoping review aims to investigate vascular access device evidence in the ED

vascular access

“This scoping review will summarise the current state of evidence for vascular access devices in the ED setting. This will identify gaps in the literature and, in turn, assist clinicians and researchers in pinpointing areas for future exploration and provide a valuable guide for future research” Xu et al (2024).

Clinically assisted nutrition and hydration

infusion

“Clinically assisted nutrition and hydration (CANH) decision-making in adult patients presents complex ethical dilemmas that require careful consideration and navigation. This clinical review addresses the multifaceted aspects of CANH, emphasising the importance of ethical frameworks and the role of advanced clinical practitioners (ACPs) in guiding decision-making processes” Alsararatee (2024).

How to secure noncuffed CVC in pediatrics

central line

“In the SECURED trial, noncuffed CVCs secured with SASS had fewer dislodgements compared with SSDs, with a lower cost per patient and an acceptable safety profile. Future efforts should be directed at SASS implementation at the health service level” Kleidon et al (2024).

PIVC-induced phlebitis study

IVTEAM infusion phlebitis

“This study aimed to determine the incidence of peripheral intravenous catheter (PIVC)-induced phlebitis and its predictors among adult patients hospitalized at Dow University Hospital, Karachi, Pakistan” Yaqoob et al (2024).

Neonatal PICC virtual training simulator – Full Text

picc

“This neonatal virtual simulation software serves as a complement to, rather than a replacement for, traditional clinical training. Its integration into educational programs significantly enhances learning outcomes” Fu et al (2024).