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Background: Establishing peripheral intravenous access can be challenging, often resulting in care delays, increased complications, and higher healthcare costs. While ultrasound-guided techniques have shown potential in improving success rates and reducing complications, their utilization by nurses varies significantly.
Aim: This study aims to evaluate the efficacy and utilization of ultrasound for difficult peripheral venous access among nurses at an Italian university hospital.
Methods: Data were collected over six months from 64 nurses across various units. The study assessed the prevalence of ultrasound training, additional education, and the frequency of ultrasound use for venipuncture and tip navigation.
Results: Of the 64 nurses, 60.9% had received prior ultrasound training, with 50% undergoing further education. Despite this, only 50% regularly used ultrasound for venipuncture, and a mere 26.6% employed it for tip navigation.
Conclusion: Enhanced education and training are essential for increasing the utilization of ultrasound techniques among nurses. This, in turn, can optimize patient outcomes and enhance safety in clinical settings.
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http://dx.doi.org/10.37825/2239-9747.1053 | DOI Listing |
Peripherally inserted central catheters (PICCs) and midline catheters are widely utilized for intravenous treatment in home care settings. Despite their similar appearance, these devices differ significantly due to the tip location, which influences the types of infusions that can be safely administered. It is important for home care nurses to have a comprehensive understanding of these differences to ensure safety.
View Article and Find Full Text PDFEur J Radiol
September 2025
Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.
Rationale/objectives: Image-based vascular biomarkers may help expedite evaluation of chronic thromboembolic pulmonary hypertension (CTEPH), which remains difficult to diagnose despite available effective therapies. We sought to determine if vascular heterogeneity and central redistribution on chest CT differed between CTEPH, pulmonary arterial hypertension (PAH), and control groups.
Materials/methods: We retrospectively included 108 patients who underwent right heart catheterization and chest CT (2011-2018).
Farm Hosp
September 2025
Servicio de Farmacia, Hospital Universitario de Toledo, Toledo, Spain.
Objective: To standardize the drug dilutions administered intravenously in a Pediatric Intensive Care Unit and to characterize these dilutions based on their pH, osmolarity, and vesicant nature. This aims to guide the selection of the most appropriate vascular access device, minimizing associated complications, and preserving the patient's venous capital.
Methods: Through a consensus between Pharmacy and Pediatric Services, the most frequently administered intravenous drugs in the Pediatric Intensive Care Unit were selected.
J Vasc Surg Venous Lymphat Disord
September 2025
Vascular Surgery Department. University Hospital of Valladolid (Spain); Vascular Surgery Department. 12 Octubre University Hospital, Madrid, Spain.
Objective: To systematically evaluate the association between chronic venous disease (CVD) and cardiovascular (CV) risk, including major cardiovascular events and traditional risk factors, across diverse populations and study designs.
Methods: A systematic review was conducted following PRISMA guidelines. PubMed, Scopus, and Web of Science were searched from January 2011 to March 2025 using MeSH terms and free-text keywords.
PLoS One
September 2025
Emergency Department, Zuyderland Medical Center, Heerlen, The Netherlands.
Introduction: Although peripheral venous blood gas (pVBG) analysis is used in the Emergency Department (ED), its effect on clinical decision making is unknown. We assessed whether pVBG analysis combined with pulse oximetry could replace arterial blood gas (ABG) analysis to determine treatment and disposition of ED patients with respiratory complaints. In addition, we assessed agreement between venous and arterial values and pulse oximetry (SpO2).
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