Training Papers

A randomised trial of intracavitary electrocardiography versus surface landmark measurement for central venous access device placement

Abstract Background: Malpositioned central venous access devices (CVADs) can lead to significant patient injury including central vein thrombosis and dysrhythmias. Intra-cavitary electrocardiography (IC ECG) has been recommended by peak professional bodies as an accurate alternative for bedside CVAD insertion, to reduce risk of malposition and allowing immediate use of the device. Our objective was to […]

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Dr. LeDonne’s Top Tips for Modern Vascular Access

  Guest Author: Jack LeDonne MD, FACS, VA-BC We are excited to welcome back Jack LeDonne, MD, FACS, VA-BC to the Eloquest Healthcare Blog! Dr. LeDonne hails from Brooklyn, NY. He graduated from Fordham University and St. George’s University, School of Medicine, in Grenada. Dr. LeDonne completed his surgical residency at the Wyckoff Heights Hospital, in Brooklyn,

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The Vascular Access Jamboree: Collaborate, Observe & Improve

  The majority of hospitalized patients can expect to receive an IV catheter during their hospital stay. In fact, peripheral IV placement is the most common invasive procedure performed worldwide. Yet, it is well documented that IV failures and complications remain unacceptably high.¹ Facilities must address these issues to improve patient quality of care. Observation

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Fewer Dressing Changes: Better for the Patient and the Bottom Line

Frequent Dressing Disruptions Vascular access dressing disruptions occur frequently during vascular access device (VAD) maintenance, leading to premature dressing changes. This issue has been examined by multiple studies. According to a study undertaken by Timsit, et al., approximately 67% of central venous catheter (CVC) dressing changes are performed before the planned date.1 This can be due

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Reducing Surgical Site Infections: Surgical Stewardship

  Surgical site infection (SSI) occurs in 2-5% of all surgeries which correlates to about 157,5000 SSIs in the U.S. on a yearly basis.1 Not only do SSIs impact patient outcomes and mortality rates, but also satisfaction scores and budgets of medical institutions. In the webinar, Reducing Surgical Site Infections: Surgical Stewardship, Maureen P. Spencer discusses key

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Medical Adhesive-Related Skin Injury (MARSI): Causes and Prevention

It is well known that the use of medical adhesives is associated with potential skin damage during a variety of procedural and treatment courses, including vascular access. This skin damage can present as medical adhesive-related skin injury (MARSI). MARSI prevalence was examined in a study undertaken by Farris, et. al, to determine the scope of

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Preparation and Collaboration are Key to a Successful Product Trial

Learning to apply vascular access products is only one part of a successful trial.   Sep. 14, 2021 Hospitals continue to look for ways to reduce patient harm by standardizing IV therapy practices, and adopting advanced products and technologies. These new products require trials where nurses can evaluate them to show their efficacy. With more

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Gum Mastic: What is it and why do I need it for my vascular access dressings?

Are you struggling with maintaining intact vascular access dressings for up to 7 days as recommended by the Infusion Therapy Standards of Practice?  If so, consider the use of gum mastic to enhance dressing adherence!1 In the brief video below, S. Matthew Gibson RN, CRNI, VA-BC, CPUI shows the simple application process of Mastisol® Liquid Adhesive, the

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Sherlock 3CG tip confirmation and ventricular assist device

“The VAD significantly led to magnetic tracking system failure due to its electromagnetic interference during Sherlock 3CG insertion and significantly reduced the success rate of PICC insertions in the optimal position” Takakura et al (2021). Abstract: Recently, the Sherlock 3CG Tip Confirmation System, including a magnetic tracking system and an intracavitary electrocardiography guidance system, has

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Prevention of occlusion of central lines for children with cancer: An implementation study

ABSTRACT Aim: Central venous access devices (CVADs) are vital medical devices to support the treatment of paediatric cancer, however device occlusion is common, which disrupts treatment. This study aimed to improve the identification and management of CVAD occlusions in children with cancer, as well as to identify the demographic, clinical and device characteristics associated with

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