Home CLABSI rate decreased by 52%
“The ambulatory CLABSI rate decreased by 52% from 0.25 to 0.12 per 1000 CL days post intervention, achieved within 27 months; 117 CLABSI were prevented, with $4.2 million hospital charges and 702 hospital days avoided” Wong et al (2024).
Improving appropriate PICC use
“A large-scale, multihospital QI initiative to improve appropriate PICC use yielded substantial return on investment from cost-offset of prevented complications” Heath et al (2024).
PICC placement in neonates study – Full Text
“This study aims to assess the comparative effectiveness of a conventional splitting needle or a peelable cannula vs. the modified Seldinger technique (MST) by utilizing a dedicated micro-insertion kit across various clinically significant metrics, including insertion success, complications, and catheter-related infections” van Rens et al (2024).
Best practice in the use of peripheral venous catheters – Full Text
“Simplified, standardized, bundled solutions are needed to reduce avoidable harm from PIVCs. Healthcare practice has changed over time and new educational tools are needed to adapt to increased workload and time constraints” Mimoz et al (2024).
Central venous access device-related thrombosis in children – Full Text
“This is the latest systematic review of risk factors and incidence of CRT in children. A total of 47 studies involving 262,587 patients were included in our meta-analysis, according to which the pooled prevalence of CRT was 9.1%. This study identified several of the most critical risk factors affecting CRT in children, including D-dimer, insertion location, type of catheter, number of lumens, catheter indwelling time, and central line-associated bloodstream infection (CLABSI)” Fu et al (2024).
Validated miniMAGIC-Brazil guide – Full Text
“The content of all recommendations, named as miniMAGIC-Brasil, was validated by the expert committee after two stages of evaluation. All recommendations had an overall agreement index of 0.91” Felipe et al (2024).
Central venous catheter fracture case study – Full Text
“The decision to remove and replace the malfunctioning catheter was made by the patient’s physician. However, during the removal process, both the retaining suture and the catheter were inadvertently severed” Sabzi et al (2024).
Patient mobilization with femoral catheters
“This study supports that the presence of femoral catheters alone should not limit the progression of mobility interventions. Using clinical judgement and specialty training, burn therapists can safely mobilize burn ICU patients with femoral catheters in place” O’Neil et al (2024).
Extravasation most reported radiopharmaceutical adverse event
“A total of 128 reports were collected, including 65 cases of extravasations, 18 adverse reactions, and 45 drug interactions. Over the years, reporting has been increasing, adverse reactions occurred at a higher incidence than reported in the literature, and each anomalous biodistribution was analysed for possible drug interaction” Martínez et al (2024).
Tunnelled femorally inserted central catheter and PICC comparison – Full Text
“There were no differences in catheter-related outcomes between the matched cohort of tFICC and PICC patients, suggesting that tFICCs are a possible alternative for vascular access when the veins of the upper extremities or thoracic region are not viable for catheterisation” McManus et al (2024).
Implantable port catheter tip location and complication rates
“The position of the catheter tip of totally implantable venous access devices (TIVAD) is a risk factor for postoperative complications. The study aim was to assess the early and late complications (EC and LC) associated with the position of the catheter tip in cancer patients” Hamri et al (2024).
Outpatient parenteral antimicrobial therapy uncompensated provider time
“In this study of a large academic OPAT program, the median amount of unbilled OPAT management time was 27 minutes per week, per OPAT course” Schranz et al (2024).
Implantable port care standards
“This study aimed to determine the practices of nurses working in pediatric and adult oncology clinics regarding totally implantable venous access device (TIVAD) care” Gündogdu et al (2024).
IV dressing changes completed by vascular access team
“The VAT consistently followed the bundled components, including use of chlorhexidine gluconate (CHG)-impregnated dressings on all patients unless an allergy was identified” Draper et al (2024).
Devices for vasopressor administration – RCT protocol – Full Text
“VIPCA is a feasibility RCT whose outcomes will inform the feasibility and design of a multicentre Phase-3 trial comparing routes of vasopressor delivery” Watts et al (2024).
Ultrasound-guided PIVC insertion reduces pain
“This study aimed to compare patients’ experience of pain during ultrasound (US)-guided peripheral venipuncture versus conventional peripheral venipuncture” Junges et al (2024).
Infusion phlebitis rates in the emergency department
“The incidence of peripheral intravenous catheter-related phlebitis was 31%, which was grade 1 in 29.7% and grade 2 in 1.3% of the emergency department participants” Bakcek Akcelik and Ayhan (2024).
Unplanned early implantable port removal – Full Text
“This study aims to determine the risk factors associated with unplanned (catheter removal other than completion of treatment plan) early (within 90 days of catheter implantation) implantable port catheter removal” Lu et al (2024).
Difficult removal of PICC case study – Full Text
“In neonates, PICC may have obstacles in insertion and removal, methods such as posture changes, wet and hot compresses, and local massage can help” He et al (2024).
Intervention delivers significant decrease in CLABSI – Full Text
“We aimed to analyze the impact of applying 10% povidone iodine (PI) twice daily to both nares in addition to chlorhexidine (CHG) bathing on nosocomial (MRSA) bacteremia in critically ill patients” Nahra et al (2024).
Dalbavancin use in people who inject drugs – Full Text
“In this first UK cohort, dalbavancin was used off licence and in persons facing barriers to conventional therapies. Where data is available, it was safe and effective. Dalbavancin appears a potentially valuable tool in improving outcomes for PWID” Bresges et al (2024).
Are routine chest radiographs still indicated after central line insertion – Full Text
“This scoping review addresses: (i) the justification for routine post-insertion radiographs, (ii) whether it would better to use post-insertion POCUS instead, and (iii) the perceived barriers to change” Brindley et al (2024).
Gram-negative bacteremia risk factors in children
“Carbapenem resistance was revealed in 27.6 % of isolates. Carbapenem and colistin resistance increased over the years. The most common risk factors were the presence of a central-venous catheter and pediatric intensive care unit admission” Gumus et al (2024).
Risk assessment models for PICC-related venous thrombosis
“This review aims to compare the performance of available risk assessment models (RAMs) for predicting peripherally inserted central catheter-related venous thrombosis (PICC-RVT) in adult patients with cancer” Hu et al (2024).
Management of implantable port complications – Full Text
“Totally implanted venous access devices (TIVAD)/chemoports are indispensable in the management of cancer patients, especially in patients requiring long duration of infusion and prolonged treatment. Although chemoports are associated with a spectrum of complications, proper technique of implantation and use makes it a safe and reliable tool” Sharma and Pandey (2024).
Detecting contrast injection extravasation
“The purpose of this study was to evaluate the usefulness of the injection pressure-to-injection rate (IPIR) ratio for the early detection of contrast extravasation at the venipuncture site during contrast-enhanced computed tomography” Kobayashi et al (2024).
Patient outcomes post tunnelled haemodialysis catheter insertion
“Despite the effort to increase the proportion of patients starting dialysis on native accesses, many of them are still dialyzed on tunnelled catheter. Catheter-related complications are often serious and responsible for re-hospital admission, high morbidity and mortality” Borghese et al (2024).
Peripheral intravenous catheter failure study – Full Text
“About 6% of patients presented PIVC failure during hospitalisation. Several complexity factors were associated with PIVC failure and lower nurse staffing levels were identified in patients with PIVC failure. Institutions should consider that prior identification of care complexity individual factors and nurse staffing coverage could be associated with a reduced risk of PIVC failure” Jiménez-Martínez et al (2024).
Decreasing CLABSI in critically ill children – Full Text
“IP rounds reduced CLABSIs in the NICU and PICU by reinforcing best practices, encouraging proactive strategies, and fostering communication between members of the healthcare team” Linam et al (2024).
Risk factors of PICC-related thrombosis – Full Text
“The incidence rate of peripherally inserted central catheter-related thrombosis in breast cancer patients was 7.0% (95% confidence interval: 4.0-13.0%). Body mass index ≥ 25, D-dimer >500 ng/ml, elevated fibrinogen, elevated platelet count and catheter malposition were risk factors for peripherally inserted central catheter-related thrombosis in breast cancer patients” Meng et al (2024).