Nursing management approach for CLABSI reduction – Full Text
“We aim to eradicate CR-BSIs within the surgical intensive care units (ICUs) of hospitals. To achieve this goal, we have introduced a comprehensive quality improvement framework designed not only to benefit our own ICU but also to serve as a model for implementation in other similar healthcare settings” Xu et al (2024).
Anaphylaxis associated with PICC catheterization
“The increasing incidence of anaphylaxis related to PICC catheterization necessitates greater awareness among healthcare providers. Further research is needed to identify the exact culprits during PICC insertion and develop effective strategies for preventing anaphylactic reactions” Wu et al (2024).
Development of sensor module for rapid detection of extravasation
“Basic characteristics of each function was evaluated and a proof of concept experiment demonstrated a rapid detection of infiltration/extravasation within a few s. Measurement of leaked fluid volume during the event was also demonstrated” Al Farisi et al (2024).
Ambulatory monitoring of PICC-associated complications
“A tool for ambulatory monitoring of PICC-associated complications with a solid content validity was obtained” Sofie et al (2024).
Factors affecting unused short peripheral IV catheters
“Unused short peripheral catheters are still quite frequent. While specific clinical needs justified some unused short peripheral catheters, a proportion remained unexplained and potentially avoidable” Canzan et al (2024).
Implantable port infection with associated intracardiac infected thrombus – Full Text
“We report on the first case of a TIVAD infection caused by Achromobacter xylosoxidans in person with cystic fibrosis. The TIVAD infection was complicated by a bacteraemia and an associated intracardiac infected thrombus at the superior atriocaval junction” Evans et al (2024).
Study of the Voyager Ark vascular access device
“We report the 6-month outcomes of the Ark Cannulation Trial (ACT) I early feasibility study. This investigation examined the Ark as a potential innovative access tool for overcoming cannulation-related challenges and improving arteriovenous fistula (AVF) dependent hemodialysis through targeted cannulation” Ross et al (2024).
Adverse events following probable CRBSI
“Tunneled dialysis catheters (TDCs) are preferred over temporary noncuffed catheters for access in patients on maintenance hemodialysis. The removal of TDC after catheter-related blood stream infections (CRBSIs) is often not practiced even when indicated, and the adverse outcomes after such salvage are presently unclear” Pandit et al (2024).
Clinical nurse specialist neonatal PICC team achieve zero CLABSI rates
“The adoption of a CNS-led PICC team was instrumental in achieving a zero CLABSI rate over a prolonged period” Bedwell et al (2024).
Peripheral intravenous infiltration risk factors
“Here, we aim to investigate risk factors associated with major adverse events following PIV infiltration, which may help risk stratify those who require early surgical consultation” Duggan et al (2024).
Spontaneous PICC migration into the azygos vein – Full Text
“This case report presents an incident of spontaneous migration of a peripherally inserted central catheter (PICC) into the azygos vein, leading to accidental transection during surgery” Mao et al (2024).
Drug resistance and CRBSI
“We analyzed the clinical distribution and the antibiotic susceptibility of pathogens for catheter-related blood stream infection (CRBSI) in the hospital retrospectively” Sun et al (2024).
Protocol differentiates between different biofilm strains
“The developed protocol successfully differentiates between the strains in various living states (planktonic and biofilm) and growth media (Tryptic Soy Broth and Brain Heart Infusion) using S. aureus USA300 LAC (MRSA) and S. aureus Newman (MSSA)” Nair et al (2024).
Appropriate tourniquet pressure for PICC placement
“When inserting a PICC into the basilic vein of the upper arm, a narrow blood pressure cuff should be used as a tourniquet to avoid concealing the puncture site. The aim of this study was to determine the appropriate tourniquet pressure using a narrow cuff when inserting a PICC into the upper arm” Tsubota et al (2024).
Catheter-related thrombosis study
“A known CRT risk factor is a high catheter-to-vein ratio (CVR), or a large catheter diameter with respect to the indwelling vein size. In this study, the CVR’s effect on CVC hemodynamics and its impact on CRT is investigated with in vitro and in silico experiments” Palahnuk et al (2024).
Totally implantable venous access port metastasis – Full Text
“This case underscores the importance of recognizing cutaneous plasmacytomas in patients with multiple myeloma and venous access ports to avoid misdiagnosis and unnecessary interventions” Gregg et al (2024).
Management of central venous catheter induced superior vena cava syndrome
“This case series describes the endovascular management of three patients with catheter-associated superior vena cava (SVC) syndrome. SVC syndrome can result from malignant (60%) or benign (40%) etiologies” Anderson et al (2024).
Radiology resident proficiency in identifying misplaced lines
“This study reveals gaps in radiology residents’ ability to identify these specific misplaced lines, tubes, and devices accurately. The consistent pattern of underperformance, primarily due to observational errors, suggests a need for targeted educational interventions to improve resident proficiency in this aspect of emergency radiology” Iakovidis et al (2024).
Dealing with a national blood culture bottle shortage – Full Text
“Within three weeks of the BC bottle shortage announcement, we successfully deployed evidence-based BC restrictions in the electronic medical record (EMR), reducing our BC orders by 29.5%” Butt et al (2024).
Prevention of air embolism in ECMO systems – Full Text
“The study identified the unprotected lumen of the central venous catheter as a potential entry point for air into the ECMO circuit. The use of a closed three-way stopcock or one-way valve was found to be a reliable protective measure against air infiltration” Franco et al (2024).
Risk factors for central venous catheter thrombosis – Full Text
“To identify the incidence and risk factors for Central Venous Catheter-Related Thrombosis (CVC-RT) among patients admitted to the Pediatric Intensive Unit” Azzam et al (2024).
Antibiotic stewardship programme for hospital at home – Full Text
“To evaluate the adequacy of empirical antibiotic prescription and the duration of antibiotic therapy for infected patients admitted for conventional hospitalization (CH) and Hospitalization at Home (HaH) after implementation of an antibiotic stewardship programs (ASP) in HaH” Moreno Núñez et al (2024).
Vascular Access and IV Therapy Resource
Demographic-based disparities in CLABSI outcomes – Full Text
“This study highlights significant disparities in CLABSI outcomes based on demographic factors. Addressing these disparities is crucial for improving CLABSI management and healthcare equity. Further research should explore the underlying causes of these differences to inform targeted interventions” Dix et al (2024).
Vascular access device complications in paediatric critical care – Full Text
“Approximately 1 in 5 vascular devices had one or more complications in ICU, most devices continued to be used without removal, and some complications resolved” Gaetani et al (2024).
Empowering nurses with point-of-care ultrasound – Full Text
“Despite its growing integration into clinical practice, PoCUS training has mainly focused on physicians, leaving a gap for trained nurses who demonstrate similar proficiency in conducting scans and interpreting images” Gimenes et al (2024).
Blood culture results trigger of timely CLABSI identification – Full Text
“To address incorrect classifications of infectious events as CLABSI, the surveillance process was changed from using finalized blood culture to preliminary blood culture results as trigger of timely, in-depth reviews” Bischoff et al (2024).
Case study features hematoma following central venous puncture – Full Text
“We report the case of a 56-year-old male diagnosed with acute myeloid leukemia who developed a severe cervical hematoma following an ultrasound-guided right internal jugular vein catheterization” Fu et al (2024).
Syringe pump induction reduces propofol waste during TIVA – Full Text
“Syringe pump induction reduced propofol waste during TIVA, regardless of patient characteristics. Manual induction using a separate syringe should be reconsidered from an environmental and economic viewpoint” Windler et al (2024).
Complications associated with PICC tunneling
“The findings of this study suggest that both standard and pseudo-tunnels provide comparable levels of safety and comfort for patients. It was noted that Pseudotunnel offers an equivalent level of safety for patients with coagulation disorders related to PLT and INR, rendering it comparable to a “minimally invasive procedure,” which necessitates the same precautions as a non-tunneled PICC” Elli et al (2024).
Multiple peripheral IV access attempts case study
“This article presents an exemplar case study of a PIVC insertion to describe toxic stress responses a premature infant experienced during the procedure” Alsabti et al (2024).
Ultrasound-guided cannulation training for foundation doctors – Full Text
“Confidence when performing PIVC with difficult access, regardless of USS, increased significantly following the course (p < 0.01). This was also true regarding confidence when performing USS-PIVC (p < 0.01.). Key themes identified included technical skills, confidence, and clinical utility" Pham et al (2024).
Impact of virtual reality on procedural pain in paediatric oncology
“To study the impact of using virtual reality on the perception of procedural pain and on the course of care in pediatric oncology” Jbebli et al (2024).
Cellulitis home-based treatment in children
“Implementing a directed ambulatory care pathway for children with moderate periorbital cellulitis proved to be an effective and safe management strategy. This approach reduces the strain on hospital bed occupancy while promoting community-based patient care” McPherson et al (2024).
Malfunctions of non-electrical infusion pumps – Full Text
“Non-electrical infusion pumps (neIPs) are used to infuse smaller volumes over a defined period of time. There are two types of neIPs: elastomeric pumps and mechanical pumps with a spring mechanism” Munzert and Jacobshagen (2024).
Effectiveness of intraosseous access during resuscitation – Full Text
“Intraosseous access demonstrates a high success rate for infusion, independent of gender, age, weight, anatomical positioning, or healthcare setting, with minimal complication rates. Caution is especially warranted for children under the age of six months, since success rate was lower” Rijnhout et al (2024).
Dehydration and rehydration strategies – Full Text
“Overall, this review aims to enhance the understanding of the conditions in which in vivo dehydration models and rehydration strategies are applicable, thereby advancing research into the physiological and pathological mechanisms of dehydration and supporting the development of effective rehydration therapies” Wang et al (2024).
Complications linked to implantable port removal – Full Text
“Complications during removal were uncommon but included bleeding, difficulty in removing the port and catheter, and delayed wound healing” Su et al (2024).
Cerebral air embolism following a hemodialysis session – Full Text
“This case highlights the importance of considering patients who have a lung transplant to be at increased risk for air emboli during hemodialysis and the need to rapidly recognize symptoms and start treatment, including HBOT, to optimize recovery” Bousbaa et al (2024).
Central venous catheter removal-associated air embolism
“Our survey revealed inappropriately low awareness of CVC removal-associated air embolism risk and low familiarity with CVC removal best-practice recommendations among nonintensive care unit healthcare workers” Karlinskaya et al (2024).
Management of medical adhesive-related skin injuries
“This project successfully enhanced nurses’ compliance with MARSI prevention and management and increased the knowledge and skills of both nurses and patients about MARSI” Tang et al (2024).
GloVANet-WoCoVA position statement on the nomenclature for vascular access devices – Full Text
“A panel of international vascular access experts from several clinical domains was selected by the Scientific Committee of WoCoVA to develop a position statement around vascular access device nomenclature” van Rens et al (2024).
OPAT intervention reduces hospital and emergency department stay
“Nine studies delivered outpatient parenteral antibiotic therapy (OPAT) to children and were associated with reduced LOS and cost but longer duration of antibiotic treatment” Dick et al (2024).
Predictors of successful long-term hemodialysis access outcomes
“Understanding predictors of successful long-term access outcomes can guide decision-making regarding access type and alternative strategies. In our cohort, increased age and prior central venous catheter placement are associated with a shorter time to failure of permanent hemodialysis access and an increased risk of needing revision” Talebi et al (2024).
Improved CLABSI prevention bundles
“Sensitizing physicians to the existence and duration of CVCs accompanied with improved bundle-prevention measures, resulted in reduction of pCVCs, and outside the ICU, also in reduction of CVC-UR and CLABSI rates” Regev et al (2024).
Using central venous access devices outside of ICU settings
“Reliable and long-lasting venous access in children is preferred outside the ICU settings where CVADs are essential for long-term treatment involving administration of long-term nutrition in gut enteropathies, chemotherapy, hemodialysis as well as in palliative situations requiring pain medications or administration of antibiotics as in chronic osteomyelitis” Rajkumar et al (2024).
IV catheter foreign body found in heart – Full Text
“Health care professionals must check upon removal of peripheral intravenous access, and record whether the integrity of the peripheral catheter tip was compromised to prevent similar events in future” Şahin et al (2024).
Impact of inappropriate central line blood cultures
“The infectious diseases service was consulted for possible catheter related bloodstream infection (CRBSI). The consultant determined that the risk of CRBSI was low because the tunneled line was nontender without surrounding erythema or drainage, and the patient had a known alternative source of infection” Fuher et al (2024).
Potential bias in hospital-based transfusion medicine
“Hospital-based transfusion involves hundreds of daily medical decisions. Medical decision-making under uncertainty is susceptible to cognitive biases which can lead to systematic errors of reasoning and suboptimal patient care” Raza et al (2024).
ICU integrated management model improves medication safety – Full Text
“The Integrated Management Model of Doctor-Nurse-Pharmacist Collaboration significantly reduced the incidence of catheter-related bloodstream infections (CRBSI), drug incompatibility, and other intravenous therapy-related complications, thereby enhancing the safety of intravenous therapy in critically ill patients” Gao et al (2024).
Impact of Buzzy Bee device on pain perception – Full Text
“The main objective of the study was to evaluate the effectiveness of the Buzzy Bee device on pain perception among children undergoing invasive needle pricks as part of their treatment” Al Battashi et al (2024).
Puncture site options for manual intraosseous infusion – Full Text
“Selection of the puncture site markedly influences the effectiveness of manual intraosseous infusion, with the proximal humerus potentially offering better puncture efficacy than the proximal tibia” Huo et al (2024).
Chemotherapy extravasation injury case study – Full Text
“She was started on TV at 2 mg/kg dose every 21 days. During cycle two of TV, her peripheral intravenous line in the right antecubital vein infiltrated after 23 ml of therapy” Son et al (2024).