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Welcome

Firstly, I’d like to say welcome. My aim is to deliver some thought-focussed and robust evidence and information for clinicians working in the world of vascular access. This is for accessing current information to improve care to the patient that is evidence-based, but also incorporating through discussion, the knowledge and expertise from like-minded clinicians at improving and advancing the practices of vascular access… while maintaining the patient as the primary focus of our care.

Peripherally inserted central catheter-related complications in cancer patients: a prospective study of over 50,000 catheter days

New article on PICC related complications in cancer patients from the Journal of Vascular Access

Peripherally inserted central catheter-related complications in cancer patients: a prospective study of over 50,000 catheter days

#vascularaccess #FOAMva #FOAMed #FOAMcc #FOAMems #patientsafety #thrombosis

2017 CDC Update Recommendation for Chlorhexidine-Impregnated Dressings to Prevent Intravascular Catheter–Related Infections

The Centers for Disease Control (CDC) have just recently upgraded their 2017 Recommendations on the Use of Chlorhexidine–Impregnated Dressings for Prevention of Intravascular Catheter–Related Infections

1.1 Recommendations

1. For patients aged 18 years and older:

a. Chlorhexidine–impregnated dressings with an FDA–cleared label that specifies a clinical indication for reducing catheter–related bloodstream infection (CRBSI) or catheter–associated blood stream infection (CABSI) are recommended to protect the insertion site of short–term, non–tunneled central venous catheters.
(Category IA)
(See Section 5.0 – Implementation Considerations for Patients Aged 18 Years and Older)

2. For patients younger than 18 years:

a. Chlorhexidine–impregnated dressings are NOT recommended to protect the site of short–term, non–tunneled central venous catheters for premature neonates due to risk of serious adverse skin reactions.
(Category IC)

b. No recommendation can be made about the use of chlorhexidine–impregnated dressings to protect the site of short–term, non–tunneled central venous catheters for pediatric patients less than 18 years old and non–premature neonates due to the lack of sufficient evidence from published, high–quality studies about efficacy and safety in this age group.
(unresolved issue)

 

These recommendations supersede only the two statements about C-I dressings in the section on Catheter Site Dressing Regimens (Recommendations 12 and 13) in the 2011 Guidelines.

The updated recommendations on use of C-I dressings for short-term, non-tunneled CVCs do not supersede other recommendations about tunneled CVCs , peripheral intravenous catheters, arterial catheters, and other topics covered in the 2011 Guidelines.

You can download this updated document directly from the CDC website or clicking this link below;

https://www.cdc.gov/infectioncontrol/guidelines/pdf/guidelines/c-i-dressings.pdf

Efficacy of Reducing Alteplase Dose to Restore Patency in Nonhemodialysis Central Vascular Access Devices

New article on Efficacy of Reducing Alteplase Dose to Restore Patency in Nonhemodialysis Central Vascular Access Devices from the Journal of Infusion Nursing

Efficacy of Reducing Alteplase Dose to Restore Patency in Nonhemodialysis Central Vascular Access Devices

#vascularaccess #FOAMva #FOAMed #FOAMcc #FOAMped #FOAMrad

Minimising central line-associated bloodstream infection rate in inserting central venous catheters in the adult intensive care unit

New article on minimising CLABSI rates in adult intensive care units from the Journal of Clinical Nursing

Minimising central line-associated bloodstream infection rate in inserting central venous catheters in the adult intensive care unit

#vascularaccess #FOAMva #FOAMcc #FAOMed #FOAMrad #FOAMems #FOAMped #infectionprevention #patientsafety

Are antimicrobial peripherally inserted central catheters associated with reduction in central line-associated bloodstream infection? A systematic review and meta-analysis

New article on the reduction in CR-BSI with antimicrobial PICC – am systematic review and meta-analysis from the American Journal of Infection Control

Are antimicrobial peripherally inserted central catheters associated with reduction in central line-associated bloodstream infection? A systematic review and meta-analysis

#vascularaccess #FOAMva #FOAMcc #FOAMped #FOAMems #infectionprevention #patientsafety