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Vascular Access/IV

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...

Providing community intravenous therapy during the COVID-19 pandemic

Early outpatient parenteral antibiotic therapy (OPAT) services in the UK were developed by a few clinical enthusiasts. These services have become widely recognised and, in turn, have been able to...

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 However, apart from a few specific areas, its use has been superseded by 0.9% sodium...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,...

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