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IVTEAM

Review of bedside ECG- and ultrasound-based PICC tip positioning

"Peripherally inserted central catheter (PICC) tip positioning is a technically mature field characterized by heterogeneous evidence. International consensus guidelines consistently recommend bedside intracavitary electrocardiography (IC-ECG) and ultrasound-based strategies as first-line methods, with fluoroscopy reserved for specific indications" Shu and Li (2026).

IVTEAM

Routine pediatric central venous catheter maintenance

"Dressing-change practices were consistent, with all centers reporting changes every 7 days or sooner when dressing integrity was compromised. Cap-change intervals varied from daily to every 7 days. Dressing changes required a mean of 16.5 min and cost $55.25 in labor and supplies. Cap changes cost $24.08, and daily flushing cost $13.70" Maier et al (2026).

IVTEAM

Deferring arterial cannulation in critically ill patients with shock – Full Text

"This is the main take-away point from the Early Versus Deferred Arterial Catheterization in Critically Ill Patients With Acute Circulatory Failure (EVERDAC) trial, which found that slightly fewer patients died in a group randomly assigned to not have an arterial catheter inserted unless it was truly needed, compared with putting one in immediately" Ho (2026).

IVTEAM

Intramuscular injections for neonates and infants

"Consistent use of evidence-based intramuscular injection practices can reduce procedural risk, enhance safety, minimize pain, and support positive early health care experiences for infants and families" Van Curen and Rohan (2026).

IVTEAM

Apheresis novel double-draw vascular access technique

"When conservative measures failed, we implemented a novel double-draw technique in which a second draw line was connected via a four-way stopcock and male-to-male adapter to the initial draw access (either a PIVC or port) to improve inlet flow" Sanchez et al (2026).

IVTEAM

Central venous access devices for neonates – Full Text

"Optimal CVAD selection is not merely a technical decision but a strategic clinical process that integrates patient, therapy, device, and health-system factors. Existing frameworks provide valuable guidance and should be interpreted within the clinical context in which they are applied, acknowledging differences in expertise, available resources, and models of care" de Souza et al (2026).

IVTEAM

Reducing peripheral intravenous catheter use in adult acute care – Full Text

"Despite growing awareness of inappropriate PIVC use, unnecessary insertion persists, driven by cultural and organisational norms and risk-averse practices. Interventions to reduce PIVC use have been implemented, but their effectiveness and sustainability have not been systematically synthesised" Barrington et al (2026).

IVTEAM

Neuromuscular blocking drug extravasation – Full Text

"This case highlights the unpredictable clinical course of NMBD extravasation and demonstrates that recurrent paralysis may occur despite initial successful reversal, requiring quantitative neuromuscular monitoring, extended postoperative observation, and administration of repeat doses of sugammadex as delayed systemic absorption occurs" Crafton et al (2026).

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