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"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).
"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).
"This trial will evaluate whether a randomized trial comparing intravenous and oral fluid therapy is feasible in ED patients and whether oral fluid therapy can achieve prescribed fluid volumes comparable to those achieved with intravenous therapy" Biesenbach et al (2026).
"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).
"To examine the association between puncture arm and initial peripherally inserted central catheter tip positioning accuracy in female breast cancer patients and to explore related factors associated with malposition" Zhang et al (2026).
"This study supports a more uniform and safer OPAT practice in paediatric HAH units and provides an operational basis for protocol implementation and future evaluation, combining stability evidence for compounded preparations with paediatric administration requirements" Merino-Pardo et al (2026).
"Approximately one-quarter of discharged patients with a recorded SPC had no documented intravenous use. Potentially unnecessary SPC insertion was associated with age, sex and clinical presentation, while its association with triage acuity depended on adjustment for clinical context" Fernández Fernández et al (2026).
"Our primary objective is to compare the efficacy of the PIVO Pro at PIVC insertion for avoiding blood culture contamination to standard practice (typically specimen collection via venepuncture or a newly inserted PIVC)" Lovegrove et al (2026).
New publication on Ultrasound measurement of skin-to-septum distance in totally implantable venous access ports: Considerations for Huber needle length from the Journal of Vascular Access…
"Ultrasound-guided mini-midlines were associated with acceptable safety, longer observed peripheral dwell time, and reduced overall PIVC burden in selected hospitalized patients receiving up to 14 days of peripherally compatible intravenous antimicrobial therapy" Liao et al (2026).
"The acyclovir OPAT programme led to cost savings of 3486 EUR per patient. Despite this small case series, continuous intravenous acyclovir appears to be feasible for treating HSV and VZV neurological infections in an OPAT setting, with potential benefits in patient comfort, healthcare costs, and hospital resource utilization" Manders et al (2026).
"We report upper-limb acute compartment syndrome during orthotopic liver transplantation following transfusion through an 8.5 Fr Arrow RIC (Teleflex Incorporated, Morrisville, NC, USA)" Weinberg et al (2026).
