Ultrasound-guided totally implantable venous access ports
“To evaluate the feasibility and safety of ultrasound-guided totally implantable venous access port (TIVAP) implantation via the right innominate vein in patients with breast cancer” Xu et al (2019).
Tibial intraosseous insertion in pediatric emergency care
In infants 6 months of age or younger, tibial IO needle insertion had a 53% failure rate (non-medullary placement)” Harcke et al (2019). Abstract: OBJECTIVE: The proximal tibia is a recommended and commonly used site for pediatric emergency intraosseous vascular access (IO). During forensic whole body postmortem computed tomography (PMCT), we evaluated accuracy of emergency […]
Ultrasound for the cannulation and needle position in hemodialysis
Each patient underwent an ultrasound evaluation during HD treatment to assess the position of the needles inside the vascular access” Nalesso et al (2019). Abstract: A native arteriovenous fistula (AVF) is the vascular access of choice for hemodialysis (HD) treatment. Compared with other types of vascular access such as grafts and central venous catheters, it […]
Preterm infant pain during peripheral venipuncture procedures
To compare the effects of integrating mother’s breast milk (BM) with three different combinations of sensory stimuli on preterm infant pain during peripheral venipuncture procedures” Wu et al (2019). Abstract: PURPOSE: To compare the effects of integrating mother’s breast milk (BM) with three different combinations of sensory stimuli on preterm infant pain during peripheral venipuncture […]
Central venous access device securement and dressing effectiveness
The objective of this study was to test the feasibility of a randomised controlled trial (RCT) comparing standard care with three dressing and securement products to prevent CVAD failure” Mitchell et al (2019). Abstract: INTRODUCTION: Central venous access devices (CVADs) are a vital medical device for intensive care (ICU) patients; however, complications and failure are […]
Preventing PICC-related upper extremity venous thrombosis in cancer patients
To assess the preventive effects of the anticoagulants rivaroxaban and low molecular weight heparin (LMWH) on UEVT in patients receiving chemotherapy through PICCs” Lv et al (2019). Abstract: Peripherally inserted central catheter (PICC) is often applied in chemotherapy patients and commonly causes upper extremity venous thrombosis (UEVT), which should be prevented. To assess the preventive […]
Cephalic vein approach for the implantable central venous access
Long-term venous access is usually required in patients receiving chemotherapy. We hypothesized that, out of the various central line approach techniques, the cephalic vein cut-down technique can be a safe and simple alternative in terms of surgical safety, feasibility, cost-effectiveness, and functional outcomes” Rhu et al (2019). Abstract: Long-term venous access is usually required in […]
Granulocyte-colony stimulating factor (G-CSF) adsorption in infusion tubes
This study evaluated factors that affect granulocyte-colony stimulating factor (G-CSF) adsorption in the infusion tube by measuring the G-CSF concentration, rate of G-CSF infusion, and volume of flush solution” Saelue et al (2019). Abstract: Purpose: This study evaluated factors that affect granulocyte-colony stimulating factor (G-CSF) adsorption in the infusion tube by measuring the G-CSF concentration, […]
Improving workflow in phlebotomy units
To improve patients’ experience of wait times and courtesy in the phlebotomy clinic through an electronic sign-in and notification system, redesign of the area, and training of employees” Le et al (2019). Abstract: CONTEXT: The phlebotomy clinic, which sees on average 900 patients a day, was faced with issues of congestion and noise due to […]
Impact of flushing with pre-filled saline syringes
“The use of pre-filled saline syringes significantly reduced peripheral venous catheter failure and increased catheter dwell time” Saliba et al (2019).
Framework for responsible vascular access and infusion therapy
In this article we outline the framework for responsible vascular access and infusion therapy” van Boxtel and Filippini-de Moor (2019). Abstract: Intravascular catheters are indispensable in current healthcare. The introduction of a peripheral venous or central venous catheter and managing infusion therapy are care processes that over time have become integral to the organisation, and […]
Comparative study of access routes for Port-A-Cath implantation
There has been an increase in the implantation of subcutaneous reservoirs in recent years. The objective of this study was to compare puncture techniques against venous dissection” Pérez Calvo et al (2019). Abstract: INTRODUCTION: There has been an increase in the implantation of subcutaneous reservoirs in recent years. The objective of this study was to […]
Improving venipuncture skills
This paper encourages more frequent success with phlebotomy by remembering Harvey’s work and pointing the needle in the right direction” Dorrington and Frise (2019). Abstract: The taking of blood for diagnostic purposes is a frequent cause of difficulty for physicians. In patients with intact visible or palpable large veins, such as those often seen in […]
Umbilical vein presents a viable point of venous access
Umbilical vein catheterization utilizes the exposed umbilical stump in a neonate as a site for emergency central venous access up to 14 days old” Lewis and Spirnak (2019). Excerpt: Umbilical vein catheterization utilizes the exposed umbilical stump in a neonate as a site for emergency central venous access up to 14 days old. Umbilical vein […]
Components for training in ultrasound guided peripheral intravenous cannulation
Education and training of these practitioners in ultrasound-guided peripheral intravenous cannulation is becoming increasingly common, although no consensus has been reached regarding its curriculum” Loon et al (2019). Abstract: Ultrasound increases a first-attempt success rate for vascular access when considered by knowledgeable and experienced practitioners. Education and training of these practitioners in ultrasound-guided peripheral intravenous […]
Clinical practice guidelines for chemotherapy drug extravasation
The aim of this study is to assess the quality of existing Clinical Practice Guidelines (CPGs) for chemotherapy drug extravasation by Appraisal of Guidelines for Research and Evaluation II (AGREE II)” Bahrami et al (2019). Abstract: BACKGROUND: Extravasation is a potentially hazardous event that may occur during chemotherapy. The aim of this study is to […]
Patient safety culture among European cancer nurses
To explore the differences in perceived patient safety culture in cancer nurses working in Estonia, Germany, the Netherlands, and the United Kingdom” Sharp et al (2019). Abstract: Aim: To explore the differences in perceived patient safety culture in cancer nurses working in Estonia, Germany, the Netherlands, and the United Kingdom. Design: An exploratory cross‐sectional survey. […]
Effect of virtual reality during venipuncture in children
The study aimed to determine the effect of two different distractions on pain perceptions and anxiety during venipuncture in children” Koç Özkan and Polat (2019). Abstract: PURPOSE: The study aimed to determine the effect of two different distractions on pain perceptions and anxiety during venipuncture in children. DESIGN: A randomized controlled study. METHODS: A total […]
Rivaroxaban for cancer-associated venous thromboembolism
Our study aims to estimate the efficacy and safety of rivaroxaban for patients with cancer-associated VTE and to provide recommendations to key stakeholders” Liang et al (2019). Abstract: BACKGROUND: All cancers increase developing venous thromboembolism risk, and VTE is the second-leading cause of death among cancer patients. The anticoagulant drugs are considered to be the […]
The risk of hepatitis B virus infection among medical waste handlers increases in African health care settings
The aim of this study was to investigate the association between medical waste handling and HBV infection by conducting a meta-analysis of available evidence” Arafa and Eshak (2019). Abstract: Background: Hepatitis B virus (HBV) infection is a significant occupational hazard in health care settings and represents a public health concern. The aim of this study […]
Preparing the patient for home parenteral nutrition
Preparing the patient for home parenteral nutrition (HPN) is a collaborative effort among many different clinicians” Stoner et al (2019). Abstract: Preparing the patient for home parenteral nutrition (HPN) is a collaborative effort among many different clinicians. Identifying patients who will transition home with parenteral nutrition (PN) as early as possible allows for a thoughtful […]
Prolonged versus intermittent infusion of antibiotics
We conducted a meta-analysis to summarize all published randomized controlled trials (RCTs), prospective and retrospective observational studies to determine whether prolonged infusion, compared to intermittent infusion, is correlated with lower mortality and better clinical outcome” Luo et al (2019). Abstract: BACKGROUND: Acute and severe infections are an absolute indication for the use of intravenous broad-spectrum […]
Safety profile of HTX-019 administered as an intravenous push
HTX-019 administered by 2-minute injection has a tolerable safety profile in patients with cancer, representing a viable method of HTX-019 administration for CINV prevention” Navari (2019). Abstract: Objectives: HTX-019 (Cinvanti®) is a novel injectable emulsion formulation of the neurokinin 1 receptor antagonist (RA) aprepitant, approved (as 30-minute infusion and 2-minute injection) for preventing acute and […]
Clinical efficacy of vancomycin dosing
Vancomycin AUC:MIC performance was modest and inconsistent. Analysis was limited by studies without sufficient data, therefore meta-analytic results may overestimate TPC values. Given this, as well as the lack of standardization of methods, widespread adoption of AUC:MIC as the preferred vancomycin monitoring parameter may be premature” Dalton et al (2019). Abstract: Background: Vancomycin is a […]
Complications and tolerability of PICC in neuro-oncological patients
As a primary objective, this study aimed to collect complications related to PICCs in primary neuro-oncological patients. As a secondary objective, the study aimed to evaluate PICC tolerability” Simonetti et al 92019). Abstract: PURPOSE: The use of central venous catheters with peripheral insertion (PICC) has increased rapidly in recent years, particularly in cancer patients. The […]
Alarm burden associated with smart infusion pumps
Smart pumps have the ability to improve neonatal medication safety when compliance with dose error reducing software is high” Melton et al (2019). Abstract: BACKGROUND: Smart pumps have been widely adopted but there is limited evidence to understand and support their use in pediatric populations. Our objective was to assess whether smart pumps are effective […]
CLABSI due to coagulase-negative staphylococci
Little research has been carried out on recurrences of catheter-related bloodstream infection due to coagulase-negative staphylococci (CoNS-CRBSI)” Hebeisen et al (2019). Abstract: Little research has been carried out on recurrences of catheter-related bloodstream infection due to coagulase-negative staphylococci (CoNS-CRBSI). The main objective of this study was to characterize patients with CoNS-CRBSI and infection recurrence after […]
Ultrasound guided central line insertion in neonates
The aim is to compare pain scores between ultrasound-guided central line insertion and peripherally inserted catheter in neonates in a prospective randomized single center study” Sabouneh et al (2019). Abstract: BACKGROUND: Central lines can be placed through different techniques, either peripherally or centrally. Although they have the same aim, decision to use one of these […]
Progress in pathogen diagnostics in BSI
During the past two decades major improvements has been made in the diagnostic performance of blood culture diagnostics through actions on pre-analysis and time-to-result” Lamy et al (2019). Abstract: Background: Bloodstream infection (BSI) is a major public health burden worldwide, with high mortality. Patient outcome is critically influenced by delayed therapy, and fast and accurate […]
Incidence of phlebitis following the use of peripheral IV catheters
This study aims to investigate the incidence of phlebitis and to evaluate factors contributing to the development of phlebitis” Mandal and Raghu (2019). Abstract: CONTEXT: Peripheral vein cannulation is commonly performed for rapid and accurate administration of medications. Phlebitis is one of the commonest complications that develop after intravenous catheter application. AIMS: This study aims […]