Clinical Paper Downloads

One in ten children with a central venous catheter (CVC) develops a central line-associated bloodstream infection (CLABSI),1 which is a life-threatening complication and harmful distraction from time-sensitive treatment. However, across CVC types (figure), device occlusion is also troublesome and might increase CLABSI risk, presumably through the complementary interactions of fibrin, thrombus, and biofilms. Read more […]

Peripheral intravenous catheter (PIVC) use in health care is common worldwide. Failure of PIVCs is also common, resulting in premature removal and replacement. The objective of this study is to investigate the characteristics, management practices, and outcomes of PIVCs internationally. Read more here

Presence of the RASS by focused echocardiography showed excellent sensitivity and specificity and was equally performed by residents after minimal training. In patients with a positive RASS, routine CXR can be safely omitted, reducing time, costs and radiation exposure. A negative RASS should lead to a search for misplaced catheters. Read more here

Sporadic reports have appeared in the recent literature regarding the negative effect of certain chemotherapeutic agents on catheters made of “polyurethanes”. Infusion of chemotherapeutic agents via pressure infusion is now an accepted clinical modality worldwide. For example, Peripherally Inserted Venous Catheters (PICCs) allow the constant infusion of high- dose chemotherapy. Most PICCs are made of

Sporadic reports have appeared in the recent literature regarding the negative effect of certain chemotherapeutic agents on catheters made of “polyurethanes”. Infusion of chemotherapeutic agents via pressure infusion is now an accepted clinical modality worldwide. For example, Peripherally Inserted Venous Catheters (PICCs) allow the constant infusion of high- dose chemotherapy. Most PICCs are made of

Despite wide usage, peripherally inserted central catheter (PICC)-related venous thromboembolism (VTE) is common in nasopharyngeal carcinoma (NPC) patients. This was a retrospective cohort study of NPC patients with PICC insertions from February 2, 2007 to December 25, 2014 in Sun Yat-Sen University Cancer Centre. Univariable and multivariable logistic regression analyses were used to estimate odds

In vascular access practices, the internal vessel size is considered important, and a catheter to vessel ratio (CVR) is recommended to assist clinicians in selecting the most appropriate-sized device for the vessel. In 2016, new practice recommendations stated that the CVR can increase from 33 to 45% of the vessels diameter. There has been evidence

This packet is intended for hospitals that are participating in the Michigan Hospital Medicine Safety Consortium (HMS) Peripherally Inserted Central Catheter (PICC) Improvement Project. It is meant to be a tool to help make patient care safer by identifying factors associated with PICC catheter occlusion as derived from HMS data, thus helping hospital staff (vascular

Central venous access devices (CVADs), including peripherally inserted central catheters (PICCs), are required to provide vascular access for the majority of critical care patients to deliver intravenous (IV) fluids and medications, and for haemodynamic monitoring. The goal is for CVADs to be used until the end of the required treatment, without complications that restrict/prevent device

Poor hand hygiene and aseptic non-touch technique may contribute to central-line associated bloodstream infections. This paper challenges the age-old belief that all-in-one parenteral nutrition or intravenous fat emulsions increase infection risk over other fluids. These laboratory findings are a first step to examining whether daily intravenous administration set replacement may be putting our patients at