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Vascular Access/IV

Changing practice to using pre-filled syringes for flushing IV cannulas

Traditionally a solution of ‘heparinised saline’ for the effective flushing of IV cannulas was recommended. However, apart from a few specific areas, its use has been superseded by 0.9% sodium...

A 2% taurolidine catheter lock solution prevents catheter-related bloodstream infection (CRBSI) and catheter dysfunction in hemodialysis patients

The results of this retrospective study and comparison with the existing literature in this field show that using a 2% taurolidine-containing catheter lock solution in chronic hemodialysis patients is...

Innovative approaches to teaching vascular access to nursing students in the COVID-19 era

The Ingram School of Nursing at McGill University has approximately 400 students in the BScN program, which is an entry-to-practice undergraduate program. Previously, the teaching of VAIN was...

‘Pinholes in my arms’: the vicious cycle of vascular access

To gain insight and understanding of how patients make sense of living with a CVAD..

Midline venous catheters as an alternative to central line catheter placement: a product evaluation

A midline venous catheter is a peripheral device defined by the position of its tip, which is just distal to the axillary fold (Gorski et al, 2021). The position of its tip promotes increased...

Vascular access device securement for oncology patients and those with chronic diseases

As the vascular access specialist at a rural hospital in southern Indiana, the author collaborated with oncologists and patients to determine the appropriate long-term VAD for patients receiving a new...

Vascular access care in patients with multimorbidity

Highly complex patients require an integrated care approach (case management) due the coexistence of multiple health problems, advanced age, greater functional impairment, higher risk of mortality,...

Changes by necessity have opened up new opportunities

‘I hope the positive adaptations we have made over the past year, such as an increase in IV team numbers, different ways of working and refocusing attention on infection control measures, will make...

Use of dry dressings for central venous access devices (CVADs) to decrease central line-associated blood stream infections (CLABSI) in a trauma intensive care unit (ICU)

In March 2017, a short education session, lasting approximately 15 minutes, was given to ICU nurses. This in-service reiterated interventions that were already known by the nurses such as proper...

Biofilm and catheter-related bloodstream infections

Biofilm can explain the clinical findings most often seen with CRBSIs, yet biofilm is poorly understood within medicine. In the early 1980s, the name biofilm was given to observations of bacteria...

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