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Canadian Vascular Access Association

Risk factors for a failed first attempt at pediatric subclavian central venous catheters and the role of single-attempt placement in reducing catheter-related morbidity: a prospective observational study

This prospective observational study was conducted after obtaining local ethics committee approval (IRB: HCUH 012/2021) and parents' informed consent. We collected data from infants and young children...

Peripheral intravenous catheter-induced phlebitis in a tertiary hospital of Karachi: a cohort study

A total of 258 patients who had a PIVC in place and were admitted in various units were enrolled in the study and followed until the removal of their PIVC.

Using a LOng peripheral intraVEnous catheter with retractable guidewire to optimize first-insertion success for patients with Difficult IntraVenous Access in the emergency department (LOVE-DIVA): a study protocol for a randomized controlled trial

Establishing vascular access for DIVA patients is an ongoing challenge for ED clinicians. This RCT is the first trial investigating whether a novel GW-PVAD makes a difference in the first-insertion...

Percutaneous infraclavicular subclavian vein catheters in paediatric cancer patients in comparison with critically ill children: a one-year experience from a Tunisian hospital

After obtaining local ethics committee approval and parents' informed consent, a prospective observational study was conducted. We collected data from infants and children referred to our...

Foundation for implementing a comprehensive vascular access excellence initiative organization-wide to improve vascular access device insertion and standardize care: best practice for an acute care hospital

To improve first-attempt success, preserve vessel health, and reduce complications, a new approach to vascular access was deemed necessary. In 2016, a 263-bed public district hospital in California...

Understanding nursing perceptions of intravenous fluid management practices

Intravenous fluid administration is a common occurrence among hospitalized patients. Patients often receive IV fluids for various reasons while in the hospital, including resuscitation, maintenance,...

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....

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...

Chlorhexidine (di)gluconate locking device for central line infection prevention in intensive care unit patients: a multi-unit, pilot randomized controlled trial

A detailed protocol describing the study methods was published and is publicly accessible (Zamir et al, 2020)..

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...

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...

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