Strategy to address future challenges in intravenous therapy

infusion

“Vascular access devices, including peripheral intravenous catheters, are widely utilized for intravenous therapy in hospitals; however, they are associated with risks and complications. Nearly 50% of these catheters are removed in an unplanned manner, which exacerbates the problem of catheter-associated bloodstream infections, leading to serious consequences such as increased mortality and higher hospital costs” Rodríguez-Calero et al (2025).

App for the care of people with vascular access devices

vascular access

“Cuidaven® is an app designed specifically to improve adherence to best practices in the care of people with venous catheters, and to increase health education and involvement of patients in their own clinical safety and self-care” Bujalance-Hoyos et al (2025).

Self-removal of medical devices in ICU – Full Text

vascular access

“Self-removal of medical devices (SRMD) is common in the intensive care unit (ICU). Most studies of this issue concentrate on self-extubation, leaving self-removal of other devices less well studied” Culhane et al (2025).

Advancement of nurses in vascular access care

vascular access

“Although vascular access care is crucial, its quality is often unsatisfactory due to the diversity of procedures, technologies, and the need to adapt to each patient. Despite numerous improvement interventions, high complication rates and suboptimal use of these vascular devices persist” Castro-Sánchez et al (2025).

Vessel health and preservation

vascular access

“Implementing a VHP program across institutions requires leadership support, interprofessional education, and integration into electronic health records. Adopting this proactive model improves first-attempt insertion success, reduces delays in therapy, and lowers complication rates. In complex cases, timely advancement to specialty placement ensures continued vascular health while maintaining access to essential treatments” Moureau (2025).

Removal of very long-term central venous access devices

vascular access

“An international cross-sectional survey was carried out to evaluate clinicians’ experiences in the management of very long-term CVADs (tunneled/Port catheters >10 years; Peripherally-Inserted Central Catheters-PICCs >2 years) and their opinions on elective replacement of these devices” Pironi et al (2025).

Implementation of an infusion therapy nursing team

vascular access

“The team was formed by 2 infusion therapy nurses. In the first year, 1502 activities were carried out, with a predominance of peripherally inserted central catheter (PICC) insertions (896; 59.6%); consultations related to infusion therapy (185; 12.3%); and PICC clearance procedures (103; 6.8%). PICCs were inserted using tip navigation and intracavitary electrocardiogram guidance in 82.5% of cases” Messias et al (2025).

Guidewire catheter exchange using the Modified Seldinger technique

vascular access

“These findings suggest that guidewire exchange of peripherally inserted central catheters and midlines using the Modified Seldinger technique kit is a safe and effective alternative. However, further research is warranted to determine the optimal clinical scenarios for its use” Giustivi et al (2025).

Organization of out-of-hospital emergency kits – Full Text

vascular access

“While guidelines on contents and packing strategies of emergency kits for specific tasks and specialized situations exist, data for the design of out-of-hospital emergency kits in a general urban population is lacking. It may be possible to transfer the promising results of modern in-hospital packing strategies such as task-based package organization (TPO) to an Emergency Medical Service setting” Laxar et al (2025).

Vascular access for puppies and kittens under 12 weeks – Full Text

vascular access

“Catheters in the jugular vein may be preferred for puppies and kittens under 1.2 kg and 0.3 kg, respectively. Utilizing the cephalic vein for venous access may facilitate rapid and less technically challenging intravenous catheter placement in patients under 12 weeks old” Zilberfarb et al (2025).

Vascular access devices for systemic anti-cancer therapy survey

vascular access

“A recent scoping review discovered a significant deficit in the literature covering clinical aspects of vascular access device (VAD) selection, insertion, and, in particular, training and education. To answer some of these questions, we are conducting a quantitative survey throughout Europe to investigate healthcare professionals’ current practices surrounding vascular access devices used for systemic anti-cancer therapy” Duggan et al (2025).

Ipsilateral placement of central venous catheters and dialysis catheters

vascular access

“This study showed that ipsilateral or contralateral placement did not affect the distance between CVC and CVDC line tips. There were no significant adverse changes in cardiovascular parameters or noradrenaline dose when CRRT was commenced regardless of whether the lines were inserted ipsilaterally or contralaterally” Hobson et al (2025).

Patient satisfaction with vascular access – Full Text

vascular access

“This multi-center study aimed to investigate the correlation between vascular access satisfaction (VAS) and demoralization syndrome (DS) in elderly patients undergoing maintenance hemodialysis (MHD)” Lv et al (2025).

Psychological impact of vascular access devices – Full Text

vascular access

“VADs for parenteral nutrition are associated with significant psychological burden in young patients. These findings highlight the need for routine psychological screening and targeted interventions to support this population” Baudolino et al (2025).

IV versus IO vascular access

vascular access

“Establishing vascular access early in out-of-hospital cardiac arrest (OHCA) is a crucial factor for improving prognosis. Clinical guidelines recommend both intravascular (IV) and intraosseous (IO) access, but the superiority of one technique over the other has yet to be determined” Hameed et al (2025).

Detailed narrative review of vascular access devices – Full Text

vascular access

“Venous access devices can be categorized based on the termination site of the tip of the catheter into central and peripheral access devices. Selecting the type of venous access device depends on various factors, including the condition of the patient, the anticipated duration of therapy, the use of vesicant or hyperosmolar therapies and the potential risk of complications” Abdulelah et al (2025).

How to exchange a tunneled central venous catheter

central line

“Patients with intestinal failure (IF) are dependent on tunneled central venous catheters (CVC) to provide parenteral nutrition. A method using a fibrous sheath (FS) was developed to preserve the central venous routes while exchanging CVC. We focused on the reduction of punctured catheter insertions for the FS method” Hashizume et al (2025).

Using the ipsilateral arm in patients with breast cancer – Full Text

vascular access

“Twelve months after implementation, more than 100 patients with breast cancer participated with zero incidences of resulting lymphedema. There were no foot stick orders or calf blood pressures in patients when the ipsilateral arm was used. After 16 months, the practice change became a systemwide policy” Shady (2025).

Accidental removal of medical devices

vascular access

“The nasoenteral catheter was the most frequently removed device (44.4%), followed by the central venous catheter (11.4%), the indwelling bladder catheter (9.0%), and the peripheral venous catheter (6.9%)” Oliveira et al (2025).

Vascular access during out-of-hospital cardiac arrest – Full Text

intraosseous

“This study aimed to apply a Bayesian probabilistic framework to the Intravenous vs. Intraosseous Vascular Access for Out-of-Hospital Cardiac Arrest (IVIO) trial data to evaluate the likelihood of benefit for each vascular access method while incorporating various prior beliefs” Vallentin et al (2025).