IVUPDATE from IVTEAM
How aseptic technique is taught to student nurses – Full Text
“Aseptic technique is essential to prevent healthcare-associated infection and reduce the risk of antimicrobial resistance but little research has explored how it is taught in undergraduate nursing curricula” Hawker et al (2023).
Needleless connector contamination before and after disinfection
“The majority of needleless connectors had bacterial contamination before disinfection. Needleless connectors should be disinfected for 30 seconds before use, particularly in immunocompromised patients” Akbıyık et al (2023).
OPAT in older adults
“Amid the on-going COVID-19 pandemic, innovations in OPAT are needed to shepherd OPAT care into a more patient-centered, thoughtful practice, whereas minimizing harm to older patients from unnecessary health-care exposure and thus health-care associated infections” Oliver and Skalweitbn(2023).
Closed system transfer devices for aseptic drug reconstitution – Full Text
“We aimed to investigate the closure integrity and validate the aseptic procedure of two types of CSTDs by using a combination of the dye ingress test and a media fill test” van den Berg et al (2023).
Tunneled central venous catheters for hemodialysis
“Initiation of dialysis was the main reason for CVC implantation. Death was predominant for termination of CVC use. Infections were rare (0.6/1000 catheter days), complications were associated with certain comorbidities” Buckenmayer et al (2023).
Infusion-related local complications of vancomycin administration
“Our data support safe administration of vancomycin if infused at a concentration under 5 mg/mL, through the volumetric pump on PIVC” Ammar et al (2023).
Femorally inserted central catheter tip location
“The intraprocedural method of tip location of FICCs by transhepatic ultrasound was applicable in 97.6% of cases and feasible in 100%. When the position of the catheter tip is planned to be in the subdiaphragmatic IVC, this method of tip location is accurate, safe, and inexpensive, and should be considered as an alternative to fluoroscopy” Annetta et al (2023).
Physiologically ineffective intravenous fluids in the ED
“We report the largest-known carotid artery Doppler analysis (i.e., roughly 20,000 cardiac cycles) in ED patients requiring IV fluid expansion. A clinically significant amount of time was spent providing physiologically ineffective IV fluid” Kenny et al (2023).
Y-site pediatric drug compatibility – Full Text
“To evaluate the physical intravenous Y-site compatibility of 29 combinations of medications at commonly used pediatric concentrations using both existing and novel techniques” Ross et al (2023).
Skin reactions associated with dressing adhesives
“Use of continuous glucose measurement (CGM) systems and continuous subcutaneous insulin infusion (CSII) devices adhering to the skin can lead to skin reactions. The objective was to determine the prevalence and consequences of skin reactions to CGM or CSII infusion sites in a large, unbiased population” Diedisheim et al (2023).
Catheter tip – cavo-atrial junction relationship on bubble test results
“The aim of this study was to measure the variations of the push-to-bubbles time at increasing distance from the cavo-atrial junction, to verify if a cut-off of 1-2 s correspond to a well-positioned catheter” SElli et al (2023).
IV medication administration errors in ICU – Full Text
“The purpose of this study is to investigate the perception of nurses, working in adult ICUs, on the occurrence of MAEs during continuous infusion therapies” Beaudart et al (2023).
Why are blood samples rejected – Full Text
“Clinical laboratory errors have a great impact on patient safety and treatment. Although specimen rejections result in longer turnaround times and increased health-care costs, different studies present inconsistent findings” Getawa et al (2022).
Home parenteral nutrition ESPEN guideline – Full Text
“The guideline is based on previous published guidelines and provides an update of current evidence and expert opinion; it consists of 71 recommendations that address the indications for HPN, central venous access device (CVAD) and infusion pump, infusion catheter and CVAD site care, nutritional admixtures, program monitoring and management” Pironi et al (2023).
Retrieval of detached implantable port – Full Text
“The authors present a case of a successful percutaneous retrieval of a detached port-a-catheter device that had migrated to the right cardiac chambers in a patient with inoperable pancreatic cancer and hepatic metastases” Papatheodorou et al (2023).
Safety of vapocoolant spray during vascular puncture – Full Text
“The aim was to evaluate the effectiveness and safety of the vapocoolants for vascular puncture in children and adults” Wang et al (2023).
Trimmed central venous catheters do not increase endothelial injury
“Trimmed CVCs do not increase endothelial injury compared to standard untrimmed CVCs” Wang et al (2023).
Central venous catheter insertion simulation-based learning
“The authors performed a randomized controlled trial of internal medicine residents who participated in an internal jugular central venous catheter insertion SBML curriculum at a tertiary care academic medical center” Barsuk et al (2023).
CLABSI rates associated with closed system transfer devices – Full Text
“A closed system transfer device (CSTD) was introduced for hazardous drugs administration in 6 oncology wards; this new CSTD was associated with a significant increase in CLABSI rates” Fox et al (2023).
Chemotherapy infusions in outpatient examination rooms
“The novel approach of offering short infusions in outpatient clinic examination rooms provides an opportunity to ease capacity constraints and further increase patient and family satisfaction” Omdahl et al (2023).
Hemiazygos vein cvc malposition
“Malpositioning of central catheters is unpredictable but can be easily avoided by using intraprocedural methods to confirm tip position” Hajeh et al (2023).
Long peripheral IV catheter cost analysis
“When using ultrasound guidance for vascular access, LPCs are potentially a cost-effective strategy for reducing PIVC complications in DVA patients compared to SPCs” Bahl et al (2023).