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Vascular Access/IV

Vascular access device type for systemic anti-cancer therapies: a scoping review protocol

The authors have chosen to undertake a scoping review to find out more about the body of evidence around type of VAD and SACT. The aim is to synthesise the patient populations, the type of SACT...

Does longer peripheral intravenous catheter length optimise antimicrobial delivery? Protocol for the LEADER study

The trial commenced recruitment in late 2021, however this has been impacted by COVID-19 surges within the health service. Active recruitment is ongoing, and the team expect recruitment to be complete...

Implementation of a midline catheter service in a regional setting

During the two-year study period, 207 midlines were placed, delivering 1,585 dwell days. Table 2 highlights the primary study goals and the outcomes. For one line, the removal date was not recorded....

Preventing intravenous catheter-related bloodstream infections (CRBSIs)

In 2016-2017, there were an estimated 834 000 HCAIs in English hospitals alone, which was not only a figure close to treble that previously reported by the National Institute for Health and Care...

Case Studies

Intravenous (IV) access, both peripheral and central, is an integral part of the patient care pathways for diagnosing and treating cancer. Patients receiving systemic anticancer treatment (SACT) are...

Saving time when preparing intravenous antibiotics

The introduction of IV fluid containers and dedicated needle-free transfer devices like Ecoflac Connect would allow rapid reconstitution of IV antibiotic doses on the spot, as needed, without the need...

Integrated versus non-integrated peripheral intravenous catheters: a cross-sectional survey of nurse experiences

This study aimed to assess nurse-reported acceptability of the integrated PIVC systems. Primarily, the nurses providing feedback were not vascular access specialists but they were routinely required...

Evaluation of the difficult intravenous access (DIVA) scoring in hospitalized pediatric patients

A limitation of the project was the use of convenience versus consecutive sampling. Convenience sampling was chosen because of the voluntary nature of staff completing the data collection form prior...

Supporting clinical competency in managing peripherally inserted central catheters during the COVID-19 pandemic: an education evaluation

The goal of evaluation for training programs is to show that there is a shift from knowledge to practice. With this initial evaluation, results show a significant decrease in requests for PICC...

Central venous access device locking practices in the adult critical care setting: a single-centre, observational study establishing duration of locking per catheter lumen

Results reveal that at least one lumen of the majority of central lines in the ICU is locked for longer than a third of the total time in situ. This is a much larger proportion of time than initially...

Disinfection of needleless connectors to reduce Staphylococcus aureus bacterial load

In this in vitro study, we compared the antimicrobial effectiveness of 4 disinfectants applied with sterile gauze: 70% IPA liquid (Rialcool®, Rioquímica), 70% ethanol liquid (Rialcool, Rioquímica),...

Tackling extravasation

We know that an extravasation injury may require surgical intervention, such as debridement and potentially lavage, with the subsequent risk of long-term consequences for the patient and costs to the...

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