Central Venous Catheter Guidewire Retention: Lessons From England's Never Event Database.

Objectives: Guidewire retention during central venous catheter (CVC) insertion is considered a "never event." We analyzed the National Health Service England Never Event database (2004-2015) to explore the process of guidewire retention and identify potential preventative measures.

Methods: We performed a systematic analysis of reported retained guidewire incidents by 3 independent reviewers.

A Modified Tie Technique for Securing Endotracheal Tubes.

Background: Unintentional extubation is a well-documented and potentially life-threatening phenomenon. There is little research into the factors that lead to unintentional extubation, and therefore how to prevent it. Endotracheal tubes (ETTs) are commonly secured with 1 cm twill tape, but there is little evidence on how to best tie them in place.