Audit of adherence to IV fluid guidelines

infusion

“At a large NHS trust in England, adherence to the National Institute for Health and Care Excellence (NICE) guideline CG174, regarding IV fluids, was largely unknown” Heslop et al (2024).

CRBSI diagnosis and treatment in paediatric care – Full Text

CLABSI

“The objective of this document, developed jointly by the Spanish Society of Paediatric Infectious Diseases (SEIP) and the Spanish Society of Paediatric Intensive Care (SECIP), is to provide consensus recommendations based on the greatest degree of evidence available to optimize the diagnosis and treatment of catheter-related bloodstream infections (CRBSIs)” Saavedra-Lozano et al (2024).

Rare central venous catheter malpositions – Full Text

central line

“The location of the central venous catheter can be evaluated with imaging techniques such as posteroanterior chest radiograph, ultrasonography, central venous catheter waveform, and transesophageal echocardiography. Five malposition cases detected by imaging after the central venous catheter procedure in our clinic are presented” Tanyıldızı (2024).

Device-associated nosocomial infections in intensive care units

CLABSI

“Antibiotic resistance of the Gram-negative bacteria associated with invasive device-associated infections increased during the study period. Antimicrobial stewardship will reduce rates of nosocomial infections, reduce mortality, and shorten hospital stay” Mert et al (2024).

Effect of temperament type on infusion extravasation in newborns – Full Text

extravasation

“This study aimed to investigate the effects of different types of temperament on infusion extravasation in newborns. A total of 209 newborns aged 4-7 days who were treated with infusion therapy were assessed for temperament type using the neonatal behavioral assessment scale score (NBAS)” Huang et al (2024).

PICC tip dislodgement causing pleural effusion – Full Text

picc

“Peripheral intravenous central catheter (PICC) is a common tool for intravenous infusion for children who need central venous access. Although it is safe for physicians and nurses to place, complications like infection, occlusion, phlebitis, and bleeding can occur” Zhu et al (2024).

Adherence to CLABSI prevention national guidelines – Full Text

CLABSI

“This study highlights knowledge gaps, suboptimal adherence, and the need for targeted interventions to enhance nurses’ understanding of and adherence to evidence-based guidelines for preventing CLABSIs among adult ICU nurses in Jeddah’s MOH hospitals” Almalki et al (2024).

PICC use in people who inject drugs – Full Text

picc

“Of 116 respondents (response rate 34%), most (73%) were uncomfortable discharging a patient with active substance use home with a PICC, but comfortable (87%) with discharge to postacute facilities” Fabricant et al (2024).

OPAT antimicrobial stewardship practices – Full Text

IVTEAM opat

“The results provide specific examples of AMS initiatives, metrics, and resources that institutions may reference to advance the practices of their OPAT programs to meet The Joint Commission Outpatient Antimicrobial Stewardship standards” Azimi et al (2024).

Review of sleep in home parenteral nutrition patients – Full Text

IVTEAM parenteral nutrition

“Adult consumers of HPN are known to experience poor sleep attributed to frequent awakenings and long durations of wakefulness after falling asleep. Consequently, most consumers do not meet recommendations for sleep duration and quality or daytime napping” Dashti (2024).

Intraosseous needle insertion skill development using instructional video – Full Text

intraosseous

“The effectiveness of instructional videos as a stand-alone tool for the acquisition of practical skills is yet unknown because instructional videos are usually didactically embedded. Therefore, we evaluated the acquisition of the skill of a humeral intraosseous access via video in comparison to that of a self-study with an additional retention test” Ott et al (2024).

Effect of in-line filtration in newborns – Full Text

IV filter

“If the use of in-line filters results in a significant decrease in sepsis-like events and/or in any other complications, the use of in-line filters in all intravenous administration systems may be recommended in NICUs” Cresi et al (2024).

Evidence-based CLABSI reduction protocol – Full Text

CLABSI

“The CLABSI rates in 2018, 2019, and 2020 were 2.98‰ (9/3021), 1.83‰ (6/3276), and 1.69‰ (4/2364), respectively. Notably, the CLABSI rate in 2021 was 0.38‰ (1/2607). In other words, the ICU CLABSI rate decreased from 1.69‰ to 0.38‰ after implementation of the new protocols” Chi et al (2024).

PICC-port outcome review compared with PICC – Full Text

iv port

“In women with breast cancer undergoing neoadjuvant chemotherapy, PICC-ports were overall better accepted than PICCs in terms of QoL, especially in those who were younger. Device-related complications were similar” Pinelli et al (2024).

Drug extravasation in cancer patients – Full Text

extravasation

“This comprehensive review explores the pathophysiology, incidence, risk factors, clinical presentation, diagnosis, prevention strategies, management approaches, complications, and long-term effects of extravasation in cancer patients” Pham and Tsunoyama (2024).

Dynamic haptic robotic CVC insertion trainer – Full Text

central line

“The Dynamic Haptic Robotic Trainer (DHRT) was developed to train residents in CVC as an improvement over manikin trainers, however, the DHRT and manikin trainer both only provide training on one specific portion of CVC, needle insertion. As such, CVC SBT would benefit from more comprehensive training” Tzamaras et al (2024).

Ultrasound-guided peripheral IV insertion education

ultrasound guided vascular access

“Education and hands-on skills sessions increased provider confidence in US use. While this project focused on educational training of CRNAs, this is applicable to all health care providers who are responsible for IV cannulation” Schellman et al (2024).

Efficacy of urokinase in maintaining patency of hemodialysis catheters

iv lock

“Urokinase locking maintains catheter patency more effectively than heparin. Prophylactic locking with urokinase or urokinase mixtures reduces incidences of catheter malfunction, which ensures the smooth progression of hemodialysis and reduces patient medical costs” Deng et al (2024).

Saline push technique during peripheral IV catheter placement

peripheral iv

“The pushing technique with saline is an effective method to increase the first attempt success rate, decrease the number of attempts, reduce the procedure time, and reduce the complications during peripheral intravenous catheter placement procedures in paediatric haematology and oncology patients with difficult intravenous access” Gürcan et al (2024).

Umbilical venous catheter tip placement

vascular access

Umbilical venous catheter tip placement Abstract: Objective: To implement a Point-of-Care-Ultrasound (POCUS) program into a large NICU to enhance care by improving (1) umbilical venous catheter (UVC) tip identification and (2) central placement. Study Design: A POCUS program was established with core providers who received training from external and internal experts. A prospective study (n=94) […]

Preoperative skin antisepsis randomized clinical trial

Skin antisepsis

“Over 18 consecutive months, study sites were randomly assigned each month to either use povidone iodine or chlorhexidine gluconate, each formulated in alcohol. Disinfectants and skin application processes were standardized and followed published protocols” Widmer et al (2024).