Summary

The position of the Association for Vascular Access is that intraosseous (IO) cannulation should be employed by qualified clinicians in all critical situations when vascular access is not established.

The insertion of an intraosseous device is a necessary tool. Central venous access device (CVAD) or peripheral intravenous (PIV) insertion should not be attempted under such conditions. In conscious patients, use a lidocaine protocol for infusions. Education and training must be established to have qualified operators and to decrease the barriers to appropriate use.

Reviewed by AVA Clinical Review Team Jan 2023

Adopted by the AVA Board of Directors

Abstract

We compared the risk of peripheral venous catheter (PVC) bloodstream infection (BSI) to central line-associated BSI (CLABSI) at University of California San Diego Health. The rates of PVC-BSI and CLABSI were comparable outside of the intensive care unit setting, and the risk of Staphylococcus aureus bacteremia was greater in PVC-BSI.

Effectiveness of Near-infrared Vein Visualization Technology in Patients with Potentially Difficult Intravenous Access

Leslie Aldridge

leslie.aldridge@mcleodhealth.org

To evaluate the impact of a quality improvement initiative that implemented near-infrared (NIR) technology to improve peripheral intravenous catheter (PIVC) placement in oncology and nephrology patients likely to have difficult intravenous access (DIVA). Staff were educated on NIR-guided PIV assessment and equipped with NIR devices.

Over 300 million PIVCs are placed annually in the United States, making it the most frequently performed medical procedure.[1–2] An average of 2.18–2.35 attempts are required to place a single PIV.[3] Patient characteristics, along with provider confidence and experience,

Abstract

Central line-associated blood stream infections (CLABSIs) are a serious and potentially deadly complication in patients with a central venous access device (CVAD). CVADs play an essential role in modern medicine, serving as lifelines for many patients. To maintain safe and stable venous access, infection prevention bundles are used to help protect patients from complications such as CLABSI. Despite most CLABSIs being preventable, rates have been on the rise, often disproportionately impacting critically ill children. New solutions are needed to strengthen infection prevention bundles and protect CVADs from pathogen entry at catheter hubs and line connections. A novel, Food and Drug Administration–listed device has become available recently to guard CVADs from sources of gross contamination, addressing this apparent gap in infection prevention technology and practice.

Claire B. Joseph

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Gregory E. Gilbert

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An educational column by

When you need to search the literature for articles that are evidence-based, accurate, and reliable, whether it’s for quality improvement initiatives, human subject research, or school assignments, the best place to look are medical and nursing databases,

Substance Use Risk Assessment: Assessing the Risk of Vascular Access Device Tampering in Patients With a History of Drug Use

Toni EastridgeMHA, BSN, RN, MEDSURG-BC,

Brandy NordBSN, RN,

Ann SteffeMSN, RN, PCCN, and

Kathleen Willegal-RussDNP, MSNEd, RN, NPD-BC, a-IPC

Full Issue PDF

President’s Message

Inconvenient: A Look at the Guidance for Sutures in CVAD Kits

Intraosseous Device Insertion for Adults and Pediatrics

Summary

Introduction to a New Column

Peripheral Venous Catheter-Associated Bloodstream Infections (PVC-BSI) Risk Compared With Central Line-Associated Bloodstream Infections (CLABSI)

Abstract

2022 Association for Vascular Access Scientific Meeting

Effectiveness of Near-infrared Vein Visualization Technology in Patients with Potentially Difficult Intravenous Access

Guarding the Central Venous Access Device: A New Solution for an Old Problem

Abstract

How to Perform a Successful Literature Search

Substance Use Risk Assessment: Assessing the Risk of Vascular Access Device Tampering in Patients With a History of Drug Use

President’s Message

Don’t Get on My Nerves: A Deeper Dive

2024 Association for Vascular Access Scientific Meeting: People’s Choice Poster Winners: Poster Abstracts

Opportunities for Quality Improvement Through a Simulation-Based Mastery Learning Curriculum for Interprofessional Central Venous Care: Foundational Support