NIVAS News Hub

Refractory rash at PICC puncture site during pegylated liposomal doxorubicin chemotherapy

'Limited evidence exists regarding skin toxicity management, particularly when these reactions occur near vascular access sites. The clinical complexity is compounded by both the absence of standardized guidelines and the prolonged use of occlusive transparent dressings, which may worsen skin integrity, increase infection risks, and potentially necessitate premature catheter removal—leading to unplanned treatment delays" Shuping et al (2026).

Intraosseous device insertion

"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" Lau and Thompson (2026).

Infection prevention practices in Thai hospitals

"Despite modest improvements in some IP practices, institutional support remains limited yet is strongly associated with practice adoption. Renewed national strategies are needed to strengthen IPC infrastructure and support the well-being of IP professionals in Thailand" Thaprawat et al (2026).

Vascular access improvement program – Full Text

"In 2022, the initiative expanded through collaboration with regional nursing schools to integrate the Association for Vascular Access (AVA) peripheral intravenous (PIV) curriculum, establishing a sustainable educational pipeline for future clinicians" Lindell (2026).

Reducing catheter-associated thrombosis

"This retrospective study demonstrated that small improvements to controllable elements of catheter care in a broad patient population can result in significant reductions in the risk of CAT and associated costs" Zazyczny et al (2026).

Intravenous therapy quality assessment tool

"The HIT-QAT is a feasible, practical, and efficient electronic tool for hospital-wide intravenous therapy quality assessment" Lu et al (2026).

Midclavicular tip positioning of midline catheters

"Recently, a new device tip position (midclavicular) has been recognised. This service improvement project aimed to evaluate the effectiveness of placing a catheter in this position" Phelps (2025).

Portable ultrasound for peripheral intravenous access – Full Text

"The portable ultrasound system was associated with high first-attempt insertion success and high vascular visualization for peripheral intravenous access with no adverse events. The portable ultrasound system can be successfully used for bedside vascular access in a real-world environment" Kessel et al (2026).

Knotted guidewire during central venous catheterisation – Full Text

"Resuscitation is initiated with fluids and vasopressors, and a central venous catheter is placed. However, during the procedure, the guide experiences resistance and cannot be removed, becoming trapped" Valencia González et al (2026).

Impact of shortening of central venous catheter time on CLABSI rates – Full Text

"In conclusion, shortening the CVC dwell time in men by 2 or 3 days, corresponding to a CVC duration of 10-11 days, reduces the CRBSI rate in men and mitigates the higher risk, compared to women" Kriege et al (2026).

Off label use of PICCs as tunnelled non-cuffed centrally inserted central catheters – Full Text

"Off label use of PICCs as tnc-CICCs seems safe and effective. It provides an alternative to PICCs in oncology patients at high risk of thrombosis, even when placed by operators with low experience levels" Douchy et al (2026).

Inadvertent guidewire retention after radial artery cannulation: report of two cases and safety lessons for vascular access practice

New Open Access publication on Inadvertent guidewire retention after radial artery cannulation: report of two cases and safety lessons for vascular access practice from the…

Continue reading → Inadvertent guidewire retention after radial artery cannulation: report of two cases and safety lessons for vascular access practice