Impact of central venous catheter coatings on CLABSI rates

clabsi

“Nanotechnology has attracted interest recently as a viable method for creating new antimicrobial agents. By putting antibacterial nanomaterials onto the catheter’s appear, that may reduce the likelihood of getting sick by stopping germs from adhering and growing” Cao and Wang (2024).

Vascular access device evidence-based knowledge test – Full Text

vascular access

“To develop and psychometrically test an instrument to assess nurses’ evidence-based knowledge and self-efficacy regarding insertion and management of venous access devices (short peripheral catheter (SPC), long peripheral catheter/midline (LPC) and PICC) and the management of totally implantable central venous catheter (Port) in adult patients” Piredda et al (2024).

OPAT efficacy and safety meta-analysis – Full Text

IVTEAM opat

“This meta-analysis aimed to summarise the evidence available from randomised controlled trials (RCTs) regarding the efficacy and safety of OPAT compared to inpatient parenteral antimicrobial therapy” Mohammed et al (2024).

Intraosseous site flow rate study – Full Text

intraosseous

“Within the limitations of an unpressurized cadaveric swine model, the present findings suggest that IO catheter tip placements need not be perfect to acquire high flow rates at low pressures, only accurate enough to avoid the dense cortical bone of zone 3” Gehrz et al (2024).

Scrubbing devices for needlefree connectors – Full Text

IVTEAM needlefree connectors

“In this quality improvement project, we aimed to enhance compliance with peripheral IV hub disinfection at anesthesia induction to follow the American Society of Anesthesiologists (ASA) safe medication injection guidelines” Mohan et al (2024).

Emergency department fast-track OPAT – Full Text

IVTEAM opat

“The findings of this study support the hypothesis that ID involvement in OPAT programs leads to changes in care that may have beneficial outcomes for patients and the healthcare system” McSweeney et al (2024).

Preventing MARSI at the implantable port needle site

iv port

“The prevention and management of MARSI that can occur around the needle insertion site of a chest wall implantable port in hospitalised patients with a tumour remain challenging issues. The aim of this study was to explore whether the incidence of MARSI could be reduced by changing the body position during dressing changes” Jiang and Yin (2024).

Peripheral intravenous catheter documentation study

peripheral iv

“Study findings support that there was strong compliance with the Infusion Nurses Society’s (INS) Infusion Therapy Standards of Practice vascular access practice recommendations; however, opportunities to improve infiltration/phlebitis assessment and documentation exist” Smith et al (2024).

Impact of central venous catheter drawn blood cultures on patient management – Full Text

blood sampling

“Many episodes of positive catheter-drawn blood cultures with concomitant negative percutaneously-drawn cultures lead to growth from percutaneously-drawn follow-up blood cultures. Thus, such initial discordant results should not be disregarded. Our findings advocate for a nuanced approach to blood culture interpretation, emphasizing the value of catheter-drawn blood cultures in clinical decision making and management” Wales et al (2024).

Impact of virtual reality glasses on peripheral IV insertion pain

procedural pain

“Utilization of VRG has been detected to reduce pain and anxiety felt during the PIC process in adult patients and increase process satisfaction. VRG, a non-pharmacological, non-invasive, inexpensive, and feasible nursing initiative, may be recommended for use in pain and anxiety control in patients undergoing PIC treatment” Güler et al (2024).

EDTA central catheter locking solution quality improvement study

iv lock

“Before implementing 4% EDTA, there were 36 CLABSI cases in 16 months (27 annualized). After implementation, there were 6 cases in 6 months (12 annualized), showing a statistically significant decrease of 59% in CLABSIs per 1000 catheter days” Tremain et al (2024).

Extravasation risk – Drug and patient profile study

extravasation

“The findings of this study reiterate that nurses might consider closely observing patients with the risk factors identified in this study for the prevention and early detection of extravasation-related skin injuries” Maezawa et al (2024).

Bleeding assessment following central venous catheter placement – Full Text

central line

“Reported bleeding incidences following central venous catheter (CVC) placement highly depend on methods of bleeding assessment. To determine the direction and magnitude of the bias associated with retrospective data collection, we used data from the PACER randomized controlled trial and a previous retrospective cohort study” van Baarle et al (2024).

Umbilical venous catheter placement in neonates

vascular access

“The findings support the adoption of real-time ultrasound in clinical settings to enhance umbilical venous catheter placement accuracy and minimize associated risks” D’Andrea et al (2024).

CVAD utilization outside the ICU

central line

“Central venous access device (CVAD) use outside of the ICU is trending down; however, significant variation exists between institutions. Children with CVADs hospitalized on the acute care units had a CLABSI rate of 4% and VTE rate of 3.4%. 91% of surveyed institutions have a vascular access team; however, the services provided vary between institutions” Burek et al (2024).