Central venous catheters (CVCs) are indispensable in healthcare, but they also present a spectrum of potential complications. With the rapid influx of securement and dressing products over the past decade, assessing their overall effectiveness in preventing these complications has become paramount. A recent systematic review with meta-analysis aimed to compare the effects of various dressings and securement devices for CVCs, shedding light on critical considerations for clinicians. Study Ove...

Children with chronic and complex health conditions often rely on intravenous devices for their medical needs. However, the current approach to device selection, insertion, and monitoring can be inconsistent, leading to challenges for both healthcare providers and families. Recognizing the need for a more streamlined and patient-centric solution, a team of healthcare professionals embarked on a journey to co-create and evaluate a groundbreaking mobile health (mHealth) application: IV Passport...

Arterial catheters (ACs) are vital tools for monitoring hemodynamics and blood sampling in intensive care units (ICUs). However, they are also prone to complications. A recent secondary analysis of a multi-center randomized controlled trial delved into the incidence, risk factors, and types of AC failures, shedding light on critical aspects of ICU patient care. Study Overview The study analyzed data from 664 adult ICU patients with ACs, focusing on all-cause device failure as the primary ou...

Central venous access devices (CVADs) are lifelines in healthcare, especially in pediatric cancer care. However, concerns persist about the high incidence of CVAD occlusions disrupting treatments. A recent qualitative study delved into the decision-making and problem-solving processes surrounding CVAD occlusion management in this critical setting. Study Overview Researchers conducted individual semi-structured interviews with 13 clinicians and 5 parents at a tertiary-referral pediatric faci...

Introduction As the global incidence of cancer continues to rise, the need for effective intravenous therapy and diagnostics in cancer patients becomes increasingly significant. Vascular access devices (VADs) play a crucial role in delivering systemic anti-cancer therapy (SACT), but the choice of VAD type and its impact on patient outcomes remain areas of exploration. Objective Our objective was to conduct a comprehensive scoping review to understand the landscape of VAD usage in deliverin...

Introduction Peripheral intravenous catheters (PIVCs) are vital for delivering essential treatments to children in healthcare settings. However, the frequent failure of these devices can lead to complications and impact patient outcomes. A recent randomized clinical trial explored novel PIVC securement technologies aimed at reducing catheter failure in pediatric patients. Study Overview The study, conducted from February 5, 2020, to January 14, 2022, at two regional Australian hospitals, f...

Introduction Central venous access devices (CVADs) are vital for delivering treatment to adult cancer patients. However, concerns about CVAD-associated skin complications have prompted a closer examination of this issue. Objective The study aimed to identify the prevalence and types of CVAD-associated skin complications, describe CVAD management practices, and pinpoint clinical and demographic characteristics associated with the risk of these complications. Methodology A prospective coho...

Accessing veins for medical procedures can be tricky, especially for patients with tough veins. Using ultrasound to guide the insertion of intravenous catheters is recommended in such cases. However, traditional ultrasound machines are often bulky, expensive, and only found in specialized departments, creating a challenge for wider adoption. That's where compact, affordable handheld ultrasound devices could play a role in revolutionising vascular access at the bedside. A recent review lo...

Bonjour! My name is Rebecca Drugeon, I’m from France, and I've come to Brisbane for 1 year with my husband, Bertrand, and our 6-month-old baby, Ava. We are currently living an incredible experience, both professionally and personally. Bertrand is an emergency physician at Poitiers University Hospital with a strong passion for improving the prevention of complications and management of PIVCs. He’s actually a PhD student in France; it’s his first year in doctoral school...

In intensive care units (ICUs), optimizing blood use is paramount. Frequent blood sampling, while necessary, can lead to waste and complications. Recently, a study scrutinized blood conservation strategies in ICUs. Here's a streamlined summary: Objective: Assess and synthesize evidence on ICU blood conservation strategies. Review Method: Rigorous Cochrane systematic review methods with meta-analysis and independent reviewers. Data Sources: Searched Medline, CINAHL, PUBMED, and EMBAS...