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Vascular Access/IV

Treatment of a neonatal peripheral intravenous infiltration/extravasation (PIVIE) injury with hyaluronidase: a case report

A term male patient was born by emergency cesarean section to a 28-year-old primigravida mother for decreased fetal movement. The infant was born in good condition and did not require resuscitation....

I-DECIDED®—a decision tool for assessment and management of invasive devices in the hospital setting

TheI-DECIDED® device assessment and decision tool is an evidence-based checklist (see Figure 1). This tool packages international clinical guidelines for invasive devices into a mnemonic algorithm for...

Ten years of clinical experience with cyanoacrylate glue for venous access in a 1300-bed university hospital

After the 2016 hospital policies were introduced, the use of CG in venous access was implemented significantly in the hospital (2000 vials/year for an estimated 7000 central venous catheters inserted...

Effectiveness of scheduled vital signs assessment during infliximab infusions in detecting infusion reactions: a multi-centre retrospective data review

Privately owned and operated infusion clinics began to appear in the early 2000s, when a number of IFX clinical trials ended and some hospitals could no longer provide services to these patients. In...

Managing central venous catheter dressings: a short gut syndrome case study

At 1 month of age, the patient was diagnosed with short gut syndrome after multiple surgeries to treat a malrotation and midgut volvulus. The patient received the first of many CVCs after a...

Resetting best practice in IV therapy and vascular access

In this IV supplement you will find two excellent international articles. The first is an insightful piece from the journal of the Canadian Vascular Access Association on the effectiveness of...

Solving the problem of IV dislodgement

After placement, IV catheters, whether PIVC or CVAD, will be secured to the catheter insertion site by a variety of methods. Accidental dislodgement of IV catheters occurs when the chosen securement...

Reducing the prevalence of antecubital fossa peripheral intravenous cannulation

The inspiration for this study came from the rising SAB rates in the authors' health service and the anecdotal observation that ACF PIVC was more likely to be associated with HA-SAB, similar to that...

Bridging the gap: introduction of an antimicrobial peripherally inserted central catheter (PICC) in response to high PICC central line-associated bloodstream infection incidence*

Central venous catheters represent lifesaving devices for patients with critical vascular access needs. Peripherally inserted central catheters(PICCs)are a common choice for patients requiring longer...

Reducing central line-associated bloodstream infection in contaminated central venous catheters: case studies of a pediatric contamination guideline

Central line-associated bloodstream infections (CLABSIs) continue to be a significant cause of morbidity, mortality, and increased costs for hospitalized adult and pediatric patients. Approximately 5...

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