Archive July 2009
Safe injection and infusion practices
Intravenous literature: Dolaon, S.A., Barnes, S., Cox, T.R., Felizardo, G., Patrick, M. and Ward, K.S. (2009) APIC Position Paper: Safe Injection, Infusion and Medication Vial Practices in Healthcare. APIC. Introductory text: “The transmission of bloodborne viruses and other microbial pathogens to patients during routine healthcare procedures continues to occur due to unsafe and improper injection, infusion and medication vial practices [...]
IV pump conference
Intravenous conference: The MHRA have announced the ‘Pumps in Practice’ one day conference in London, UK. This event will feature presentations from clinicians using infusion pumps every day, advisory bodies and the medical device regulator, the MHRA. There will also be breakout sessions giving delegates the opportunity to consider some issues in greater depth and [...]
BD Nexiva closed IV update
Intravenous products: PRNewsWire.co.uk report “BD Medical, a segment of BD (Becton, Dickinson and Company), announced today the UK launch of the latest BD Nexiva(TM) Closed IV Catheter System designed to reduce healthcare workers’ risk of needlestick injuries and minimise exposure to blood. The system includes the BD Q-SyteTM Luer Access Split Septum to help reduce catheter-related [...]
IV closed‐hub systems reduce CRBSI
Intravenous literature: Ivy, D.D., Calderbank, M., Wagner, B.D., Dolan, S., Nyquist, C., Wade, M., Nickels, W.M. and Doran, A.K. (2009) Closed‐Hub Systems with Protected Connections and the Reduction of Risk of Catheter‐Related Bloodstream Infection in Pediatric Patients Receiving Intravenous Prostanoid Therapy for Pulmonary Hypertension. Infection Control & Hospital Epidemiology. 30. Abstract: Background: Intravenous prostanoids (epoprostenol and [...]
Monitoring of peripheral IV catheters
Intravenous literature: Van Donk, P., Rickard, C.M., McGrail, M.R. and Doolan, G. (2009) Routine Replacement versus Clinical Monitoring of Peripheral Intravenous Catheters in a Regional Hospital in the Home Program: A Randomized Controlled Trial. Infection Control & Hospital Epidemiology. 30. Abstract: This randomized, controlled trial involving 316 patients in the home setting found no difference in [...]
Peripheral IV dwell-time indicator
Intravenous products: Timestrip.com report “Timestrip’s newly-launched Timestrip I.V. product has achieved positive feedback from its recent trials at the Whittington Hospital in London, at the same time as the company has announced the appointment of a UK distributor for the product. Timestrip I.V. is designed to enable quick assessment of how long an intravenous cannula has [...]
IM injection – needle length
Intravenous literature: Stecher, D., Bulloch, B., Sales, J., Schaefer, C. and Keahey, L. (2009) Epinephrine Auto-injectors: Is Needle Length Adequate for Delivery of Epinephrine Intramuscularly? Pediatrics. 124(1), p. 65-70. Abstract: OBJECTIVE: Studies show that intramuscular epinephrine results in peak plasma concentrations of epinephrine faster than the subcutaneous route, and therefore, epinephrine is recommended to be administered intramuscularly. [...]
Intravenous drug mixing robot
Intravenous products: MedGadget.com report “Intelligent Hospital Systems, a company out of Winnipeg, Canada, has developed a robotic system for precise preparation of syringes and IV bags for busy hospital pharmacies. We discovered the Robotic IV Automation (RIVA) device when we read the announcement of the firm receiving the 21st Century Achievement Award from the Computerworld Honors Program”. [...]
ICU Medical profit growth
Intravenous products: The Wall Street Journal report “ICU Medical Inc.’s (ICUI) second-quarter profit grew by 20% as demand for the company’s disposable medical products was stable despite the economic downturn. The company also raised its full-year earnings, revenue and margins targets, due to improvements in its existing businesses as well as its acquisition of Hospira Inc.’s [...]
Hand hygiene guidelines revised
Intravenous news: InfectionControlToday.com report “The Association of periOperative Registered Nurses (AORN) announces that it has revised terminology in its recently published “Recommended Practices for Hand Hygiene in the Perioperative Setting” to account for the multiple regulatory paths related to hand hygiene products. The following terminology revising recommendation III of this recommended practice was submitted and approved by [...]
IV device contamination
Intravenous literature: Rothwell, M., Pearson, D., Wright, K. and Barlow, D. (2009) Bacterial contamination of PCA and epidural infusion devices. Anaesthesia. 64(7), p.751-753. Abstract: We prospectively audited the bacterial contamination of re-useable analgesia infusion pumps. In a one-month period, 112 samples from the handset and keypads of our analgesia infusion pumps were cultured for bacterial contamination. Forty-five [...]
Intravenous litigation
Intravenous literature: Cook, T.M., Bland, L., Mihai, R. and Scott, S. (2009) Litigation related to anaesthesia: an analysis of claims against the NHS in England 1995–2007. Anaesthesia. 64(7), p.706-718. Abstract: The distribution of medico-legal claims in English anaesthetic practice is unreported. We studied National Health Service Litigation Authority claims related to anaesthesia since 1995. All [...]
Laboratory tests in hepatic failure
Intravenous literature: Agarwal, M. and Cottam, S. (2009) Laboratory tests in hepatic failure. Anaesthesia and intensive care medicine. 10(7), p.326-327. Abstract: Laboratory tests of liver function are widely used and often poorly understood. As in any field of medicine, they should be used as part of a diagnostic process involving history-taking and clinical examination. Interpretation [...]
Laboratory tests of renal function
Intravenous literature: McWilliam, A. and Macnab, R. (2009) Laboratory tests of renal function. Anaesthesia and intensive care medicine. 10(6), p.296-299. Abstract: The human kidney provides essential regulatory and excretory functions. Body water content, plasma electrolyte composition and plasma pH are all under the regulatory control of the kidney. In addition, the kidney provides a path [...]
Acid-base balance
Intravenous literature: Atherton, J.C. (2009) Role of the kidney in acid–base balance. Anaesthesia and intensive care medicine. 10(6), p.276-278. Abstract: Correction of disturbances in acid–base balance is achieved by: physicochemical buffering by extracellular and intracellular buffer systems (instantaneous), alveolar ventilation to control pCO2 (rapid), and renal compensation (long term). Buffering and changes in ventilation limit [...]
Regulation of fluid and electrolyte balance
Intravenous literature: Louden, J.D. (2009) Regulation of fluid and electrolyte balance. Anaesthesia and intensive care medicine. 10(6), p.279-285. Abstract: The three fluid compartments of the body are interdependent. Their homeostasis relies on systems that regulate water balance and, as the principal extracellular solute, sodium balance. Maintenance of plasma volume is essential for adequate tissue perfusion. [...]
Drug calculation problems
Intravenous literature: Wright, K. (2009) Resources to help solve drug calculation problems. British Journal of Nursing. 18(14), p.878 – 883. Abstract: This article is the third in a series of articles discussing drug calculations and discusses the resources, in terms of knowledge and skills, that are required to support the use of methods for solving calculation [...]
Closed IV systems study (COSMOS)
Intravenous literature: López, J.L.G, del Palacio, E.F., Marti, C.B., Corral, J.O., Portal, P.H. and Vilela, A.A. (2009) COSMOS – a study comparing peripheral intravenous systems. British Journal of Nursing. 18(14), p.844-853. Abstract: In many areas of the world, safety peripheral intravenous systems have come into widespread use. The Madrid region was the first in Spain to adopt such [...]
Nurse-led ultrasound cannulation
Intravenous literature: Walker, E. (2009) Piloting a nurse-led ultrasound cannulation scheme. British Journal of Nursing. 18(14), p854-859. Abstract: Intravenous therapy has evolved to form a fundamental cornerstone of modern health care, but there are significant groups of patients in whom obtaining peripheral venous access is a difficult and drawn out process. An ultrasound guided peripheral venous [...]
Sharps management and disposal
Intravenous literature: Blenkharn, J.I. (2009) Sharps management and the disposal of clinical waste. British Journal of Nursing. 18(14). p.860-864. Abstract: Dangerous errors in clinical waste management continue to occur and inappropriate items find their way into clinical waste sacks that are not designed to hold sharp or heavy items, or fluids. Although great attention is given to [...]
Weight gain following IV fluids
Intravenous news: wvrecord.com report “A Boone County woman says a Charleston hospital gave her too much intravenous fluids and caused her to gain 20 pounds. Cynthia Gay filed a lawsuit June 18 in Kanawha Circuit Court against Charleston Area Medical Center, the West Virginia University Board of Governors and Dr. Damian Maxwell. Maxwell performed an exploratory laparotomy [...]
IV conference application
Intravenous conference: The IV conference application is now available online (click here) for the IPS IV Forum Conference. A one- day conference for professions with responsibility for vascular access and IV therapy as well as anyone with an interest in this area of therapy which is playing an increasingly pivotal role in the hospital and community. Venue: [...]
HAI virtual symposia
Intravenous conference: INS is offering a complimentary Virtual Symposia for continuing education credit. The second of two units is “Healthcare-associated Infections: Using Evidence-based Research to Prevent Infections in All Healthcare Settings”, sponsored by a continuing nursing education grant from Cook Medical, was presented by Michelle (Mickey) Hawes, MSN, RN, CRNI®, at the 2009 INS Annual [...]
Immunoglobulin virtual symposia
Intravenous conference: INS is offering a complimentary Virtual Symposia for continuing education credit. The first of two units is “Immunoglobulin Replacement Therapy in Adults and Children: A Guide to Treatment Management and Case Studies” this session was originally co-presented by Kristin Epland, MSN, FNP-C, and M. Elizabeth Younger, PhD, CRNP, at the 2009 INS Annual [...]
Quality review into IV syringe use
Intravenous news: The Canadian Press report “A quality review says isolation and old habits were the main reasons that a northern Alberta hospital recycled syringes that were meant to be used only once. The government asked the Health Quality Council of Alberta to investigate after it was discovered last year that the High Prairie Health Complex was [...]
New Zealand IV conference 2010
Intravenous conference: IVNNZ Inc. invites you to Christchurch NZ to join them as they celebrate this 12th national conference. The keynote speech will be delivered by Mary Alexander INS (USA). Details: 17th March 2010 – Registration & Welcome 18th -19th March 2010 – Conference Venue: Hotel Grand Chancellor, Christchurch Further details from the conference organiser: Elizabeth Culverwell conference@ivnnz.co.nz [...]
Post PICC arrhythmia
Intravenous literature: Elsharkawy, H., Lewis, B.S., Steiger, E. and Farag, E. (2009) Post placement positional atrial fibrillation and peripherally inserted central catheters. Minerva Anestesiologica. 75(7-8), p.471-4. Abstract: Arrhythmias are common in hospitalized patients and during surgery. We present a case of positional atrial arrhythmia related to a peripherally inserted central catheter (PICC). There are other documented case reports [...]
Imaging PICC complications
Intravenous literature: Amerasekera, S.S., Jones, C.M., Patel, R. and Cleasby, M.J. (2009) Imaging of the complications of peripherally inserted central venous catheters. Clinical Radiology. 64(8), p.832-40. Abstract: Peripherally inserted central catheters (PICC) are widely used to provide central venous access, often in chronically ill patients with long-term intravenous access requirements. There are a number of [...]
Central line complications
Intravenous literature: Worth, L.J., Seymour, J.F. and Slavin, M.A. (2009) Infective and thrombotic complications of central venous catheters in patients with hematological malignancy: prospective evaluation of nontunneled devices. Supportive Care in Cancer. 17(7), p.811-8. Abstract: GOALS: Central venous catheter (CVC)-related bloodstream infection (CR-BSI) is a significant complication in hematology patients. A range of CVC devices [...]
INS IV conference 2010
Intravenous conference: INS have announced the date for the 2010 Annual INS Meeting! More information, including details on the educational sessions and registration, will be available early Fall. Details: May 15-20, 2010 Greater Fort Lauderdale/Broward County Convention Center Ft. Lauderdale, FL Click here for the INS IV conference web page.
Oxford IV conference 2009
Intravenous conference: The dates for the 8th International IV therapy conference has be announced. The theme for this conference is ‘patient Safety-minimising risk in IV Therapy’. Dates: 1st & 2nd October 2009 Venue: The Oxford Centre, Oxford. OX2 7PL. Click here for registration details.
Saline drip – suspected overdose
Intravenous news: The Sun report “Police are probing the death of a baby who died after being given a suspected salt overdose in hospital. The tiny boy, who had been born prematurely, had been on a saline solution drip. Horrified nurses realised his sodium levels had suddenly rocketed and he was acutely dehydrated. Medics desperately fought to [...]
Hemodialysis linked to infection
Rao, C.Y., et al (2009) Contaminated Product Water as the Source of Phialemonium curvatum Bloodstream Infection among Patients Undergoing Hemodialysis. Infection Control & Hospital Epidemiology. 30. Abstract: Objective: We investigated a cluster of cases of bloodstream infection (BSI) due to the mold Phialemonium at a hemodialysis center in Illinois and conducted a cohort study to identify [...]
MicroEye blood biosensor
Intravenous products: Reported on theengineer.co.uk “Doctors could continuously monitor the characteristics of a critically ill patient’s blood using a new device being developed in the UK. The MicroEye, from Bedfordshire-based Probe Scientific, would fit inside traditional IV catheters inserted into the veins of intensive-care patients. The device incorporates a semi-permeable membrane, which sits in the vein of [...]
Pocket guide to diagnostic tests
Intravenous literature: Pocket Guide to Diagnostic Tests provides quick, evidence-based information on the selection and interpretation of common laboratory tests. Including more than 350 diagnostic tests, this handy reference is ideal for answering questions encountered daily by physicians, nurses, students and other healthcare professionals, such as: Which test is best to diagnose, screen, or follow a [...]
Nurse-led vascular access team
Intravenous literature: Beerman, L.A. (2009) Making the case for a nurse-led vascular access team utilizing a quality assurance conceptual framework. JAVA. 14(2), p.77-82. Abstract: The cost of complications of Central Venous access Devices (CVADs) in today’s health care setting is creating financial buden, increasing the expenditures of resources, and consuming the time of health care providers [...]
Pediatric ultrasound PICC placement
Doellman, D. and Nichols, I. (2009) Modified Seldinger technique with ultrasound for PICC placement in the pediatric patient: A precise advantage. JAVA. 14(2), p.93-99. Introduction: For pediatric patients requiring infusion therapy, several challenges exist for the clinician who will be inserting a vascular access device (Lininger, 2003). Some of the challenges include the varied size [...]
Positive pressure needlefree research
Intravenous literature: Khalidi, N., Kovacevich, D.S., Papke-O’Donnell, L.F. and Btaiche, I. (2009) Impact of the positive pressure valve on vascular access device occlusions and bloodstream infections. JAVA. 14(2), p.84-91. Abstract: Background/Purpose: The use of needleless positive pressure connector valves (PPVs) on venous access devices (VADs) has been shown to have possible benefits in decreasing VAD [...]
RCN comments on sharps injury agreement
Intravenous news: The Royal College of Nursing today welcomed the signing of a joint agreement by European Federation of Public Service Unions (EPSU) and the European Hospital and Healthcare Employers Association (HOSPEEM). This is an EU-wide agreement which the RCN has played a key role in bringing about to prevent one million medical sharps injuries per [...]
EU sharps safety agreement signed
Intravenous news: The European Hospital and Healthcare Sector Social Partners – The European Federation of Public Service Unions (EPSU) represented by the President of EPSU health Committee, Karen Jennings and the European Hospital and Healthcare Employers’ Association (HOSPEEM) represented by General Secretary, Godfrey Perera today signed a European agreement, which is set to prevent medical sharps [...]
Novel approach to distraction during venipuncture
Intravenous literature: Tufekci, F.G., Celebioglu, A. and Kucukoglu, S. (2009) Turkish children loved distraction: using kaleidoscope to reduce perceived pain during venipuncture. Journal of Clinical Nursing. 18(15), p.2180-6 Abstract: AIM: To assess the effect of distraction (looking through kaleidoscopes) to reduce perceived pain, during venipuncture in healthy school-age children. BACKGROUND: Distraction has been noted to be an effective [...]
Tourniquet application time
Intravenous literature: Cengiz, M., Ulker, P., Meiselman, H.J. and Baskurt, O.K. (2009) Influence of tourniquet application on venous blood sampling for serum chemistry, hematological parameters, leukocyte activation and erythrocyte mechanical properties. Clinical Chemistry & Laboratory Medicine. 47(6), p.769-76. Abstract: Background: Venous blood sampling is usually performed using a tourniquet to help locate and define peripheral veins to achieve [...]
Central venous catheters in prehospital use
Intravenous literature: Fyntanidou, B., Fortounis, K., Amaniti, K., Katsanoulas, K., Mouloudi, E., Grosomanidis, V. and Boutlis, D. (2009) The use of central venous catheters during emergency prehospital care: a 2-year experience. European Journal of Emergency Medicine. 16(4), p.194-8. Abstract: OBJECTIVE: Evaluation of the efficacy and safety of central venous catheter (CVC) use during prehospital emergency care. [...]
Hepatitis – IV contamination
Intravenous news: LoHud.com report “A surgical technician addicted to painkillers who has been jailed in Colorado on accusations of injecting herself with syringes used for surgery may have also exposed Northern Westchester Hospital patients to hepatitis C, officials said yesterday. “If there was a moment when she could get her hands on a syringe filled with [...]
Hand hygiene guidelines from WHO
Intravenous news: The final, revised and updated version of the World Health Organization (WHO) Guidelines on Hand Hygiene is now available online. Introduction: “The WHO Guidelines on Hand Hygiene in Health Care provide health-care workers (HCWs), hospital administrators and health authorities with a thorough review of evidence on hand hygiene in health care and specific recommendations to improve [...]
Fifty percent of injections unsafe
Intravenous news: PlusNews.org report “Injections and needles are still not being used properly in African health
ANTT conference 2009
Intravenous conference: Stephen Rowley has announced the second national conference for ANTT. “Building upon the success of last years two national conferences, this years conference will provide new Master Classes in ANTT theory, practice and implementation”. Stephen continues “This will be complemented by expert speakers of national repute, providing updates in important practice issues relating to [...]
Mobile chemotherapy clinic
Intravenous news: HealthExec.tv Report “Cancer charity Tenovus is revolutionising the care of patients in Wales with a hi-tech mobile chemotherapy clinic that delivers treatment in the heart of local communities. The mobile clinic, provided by specialist supplier EMS, is cutting hospital waiting times and improving patients’ access to vital services – removing the cost and strain [...]
Enteral feed given intravenously
Intravenous news: TypicallySpanish.com report “A premature baby who lost his mother to Swine Flu dies in Spanish hospital from a dreadful medical error. Rayan was said to be progressing well when, on Sunday evening, a nurse from another department, who El País said was on duty for the first time in the hospital’s neonatal ICU, mistakenly [...]
Michigan Keystone ICU Project
Intravenous news: HHS Secretary Kathleen Sebelius today released the first in a series of health care “success story” reports that document innovative programs and initiatives that can serve as models for a reformed American health care system. The inaugural report highlights the Michigan Keystone ICU Project. A joint partnership between the Michigan Health & Hospital Association [...]
Blood culture contamination
Intravenous news: Bev Bacon and Louise Lowry have submitted a ‘Working together to reduce blood culture contamination rates and MRSA bacteraemia’ poster to the IVTEAM website. Click here to view the poster.
UCLH injectable medicines guide online
Intravenous literature: The UCL Hospitals Injectable Medicines Administration Guide is now available online and provides access to the key information and advice needed for the safe and effective administration of many injectable medicines. Practical online guide to administering medicines by injection Essential resource for nurses and health care professionals Authoritative and accurate, written by the Pharmacy [...]
IV site and hub disinfection
Intravenous conference: APIC expects to offer more than 25 webinars this year, providing members with free access to the most current, practice-based information. On July 23 2009, Marcia Ryder, PhD, MS, RN Ryder Science presents ‘Access Site and Hub Disinfection: The Missing Link in the CRBSI Prevention Bundle’ Abstract: The disinfection of injection ports first appeared [...]
Reduction of CLABSI guidelines
Intravenous conference: APIC expects to offer more than 25 webinars this year, providing members with free access to the most current, practice-based information. On August 27 2009, Mary Ellen Scales, RN, MSN, CIC Baystate Medical Center presents ‘Reduction of Central Line Associated Bacteremia (CLABSI) using the Current Guidelines’ Abstract: This program is intended for the [...]
Strategies to prevent CRBSI
Intravenous conference: APIC expects to offer more than 25 webinars this year, providing members with free access to the most current, practice-based information. On September 24 2009, Sophie Harnage RN, BSN Clinical Manager Infusion Services, Sutter Roseville Medical Center presents ‘Strategies to Prevent Catheter Related Bloodstream Infection’ Webinar Description: Catheter Related Bloodstream Infection (CRBSI) is a [...]
CareFusion Jazz Festival
Intravenous news: CareFusion Corporation, the company that has been formed from a planned spinoff of Cardinal Health’s clinical and medical products businesses, has launched the CareFusion Jazz Festival Series at an event held at the City Winery in New York. The CareFusion Jazz Festival Series was created to support the launch of its new brand and recognize [...]
International conference on HAIs
The fifth decennial International Conference on Healthcare-Associated Infections will be held March 18-22, 2010 at the Hyatt Regency Atlanta. The meeting, co-organized by SHEA, the CDC, APIC and IDSA, will set the agenda for healthcare-associated infection (HAI) prevention for the next decade. The meeting will address topics such as: New international and domestic perspectives Updates on [...]
TimestripIV distributed by Vygon
Intravenous products: ProcativeInvestors.co.uk report “Timestrip PLC said it appointed Vygon (UK) Ltd as the main distributor for TimestripIV products in the United Kingdom and Ireland. TimestripIV is a technology that enables clinicians and patients to quickly assess how long a cannula has been in place and thus take appropriate action in line with hospital infection control procedures. [...]
Improper IV administration
Intravenous news: TheLocal.se report “A patient at Danderyd hospital in Stockholm was reported dead after having received a nutritional intravenous drip too quickly, reports Radio Stockholm. According to a report the hospital submitted to the National Board of Health and Welfare (Socialstyrelsen), the patient received a drip that was enough for twelve hours in the span [...]
Survey of PICC use in children
Intravenous literature: Shen, G., Gao, Y., Wang, Y., Mao, B. and Wang, X. (2009) Survey of the long-term use of peripherally inserted central venous catheters in children with cancer: experience in a developing country. Journal of Pediatric Hematology/Oncology. 31(7). p.489-92. Abstract: Peripherally inserted central catheters (PICCs) have been used for many years in developed countries, but [...]
Colonisation of peripheral venous catheters
Intravenous literature: Ezingeard, E., Coudrot, M., Guyomarc’h, S., Aubert, G., Blanc, J.L., Bertrand, J.C., Tardy. B. and Zeni, F. (2009) Evaluation of colonisation of peripheral venous catheters inserted by prehospital emergency service teams (SMUR) in France. Journal of Hospital Infection. 72(2), p.169-75. Abstract: There are no data in the literature on colonisation of peripheral venous [...]
Hypodermoclysis site hemorrhage
Intravenous literature: O’Hanlon, S., Sheahan, P. and McEneaney, R. (2009) Severe hemorrhage from a hypodermoclysis site. American Journal of Hospice & Palliative Medicine. 26(2), p.135-6. Abstract: Hypodermoclysis, or subcutaneous infusion of fluids, is an alternative means of administration of fluid. It is sometimes used in older patients in whom there is difficulty achieving intravenous access, or who [...]
Venepuncture pain reduction
Intravenous literature: Balan, R., Bavdekar, S.B. and Jadhav, S. (2009) Can Indian classical instrumental music reduce pain felt during venepuncture?. Indian Journal of Pediatrics. 76(5)p.469-73. Abstract: OBJECTIVE: Local anesthetic agent is not usually used to reduce pain experienced by children undergoing venepuncture. This study was undertaken to determine comparative efficacy of local anesthetic cream, Indian [...]
Venepuncture and hypnosis
Intravenous literature: Liossi, C., White, P. and Hatira, P. (2009) A randomized clinical trial of a brief hypnosis intervention to control venepuncture-related pain of paediatric cancer patients. Pain. 142(3), p.255-63. Abstract: Venepuncture for blood sampling can be a distressing experience for a considerable number of children. A prospective controlled trial was conducted to compare the [...]
Central venous catheter tip culture
Intravenous literature: Bouza, E., Guembe, M., Gomez, H., Martin-Rabadan, P., Rivera, M. and Alcala, L. (2009) Are central venous catheter tip cultures reliable after 6-day refrigeration? Diagnostic Microbiology & Infectious Disease. 64(3), p.241-6. Abstract: Present guidelines recommend culturing only central venous catheter (CVC) tips from patients with suspected catheter-related bloodstream infection (CR-BSI). However, a high proportion of [...]
Treatment of Multiple Sclerosis
Intravenous literature: Ryan, M. (2009) Drug therapies for the treatment of Multiple Sclerosis. Journal of Infusion Nursing. 32(3), p.137-144. Abstract: The name multiple sclerosis (MS) refers to 2 features of the disease: multiple describes the number of central nervous system lesions and sclerosis refers to the demyelinated nature of the lesions. Today, these lesions are usually [...]
Children’s perspectives of venepuncture
Intravenous literature: Hands, C., Round, J. and Thomas, J. (2009) “When someone stabs you”: children’s perspectives of venepuncture. Archives of Disease in Childhood. 94(6), p.466. Extract: “The suffering experienced by children during phlebotomy or cannulation has been well documented from observations of nurses and parents. Despite several proven interventions that reduce the impact of these [...]
Transfusion-related acute lung injury (TRALI)
Intravenous literature: Clark, C.T. (2009) Transfusion-Related Acute Lung Injury: Clinical Features and Diagnostic Dilemmas. Journal of Infusion Nursing. 32(3), p.132-136. Abstract: Transfusion-related acute lung injury (TRALI) is recognized as the number-one cause of transfusion-associated death in the United States. Although TRALI was not designated as the number-one cause until 2004, respiratory-related symptoms associated with blood transfusion [...]
Infant painful procedure analgesia
Intravenous literature: Harrison, D., Loughnan, P., Manias, E. and Johnston, L. (2009) Analgesics administered during minor painful procedures in a cohort of hospitalized infants: a prospective clinical audit. Journal of Pain. 10(7), p.715-22. Abstract: A number of evidence-based consensus statements relating to pain in infants include recommendations concerning effective pain management during painful procedures. Yet [...]
Endovascular Port-a-cath Insertion
Intravenous literature: Ali, A., Zayed, H., Wilkins, J., Wyatt, H. and Rashid, H. (2009) Endovascular Port-a-cath Insertion in a Patient With Cystic Fibrosis and Occluded Superior Vena Cava. Vascular & Endovascular Surgery. 43(3),p.280-3. Abstract: Introduction: Port-a-cath insertion, for long-term intravenous antibiotic therapy, is an ideal solution for patient with cystic fibrosis. However, indwelling lines are liable to [...]
Chemotherapy and biotherapy-induced hypersensitivity reactions
Intravenous literature: Van Gerpen, R. (2009) Chemotherapy and Biotherapy-Induced Hypersensitivity Reactions. Journal of Infusion Nursing. 32(3), p.157-165. Abstract: Nearly all chemotherapy and biotherapy drugs used in cancer treatment today can cause hypersensitivity reactions. Certain groups of drugs frequently associated with these reactions include the asparaginases, taxanes, platinum compounds, epipodophyllotoxins, and the monoclonal antibodies. Recognizing and managing hypersensitivity [...]
Complication rate reduction in Peripherally Inserted Central Catheter (PICC) Insertions
Intravenous literature: Stokowski, G., Steele, D. and Wilson, D. (2009) The Use of Ultrasound to Improve Practice and Reduce Complication Rates in Peripherally Inserted Central Catheter Insertions: Final Report of Investigation. Journal of Infusion Nursing. 32(3), p.145-155. Abstract: The risk of thrombosis related to peripherally inserted central catheters (PICCs) is a well-known complication. A study was conducted [...]
Effectiveness of venepuncture and cannulation study days
Intravenous literature: Wright, J. (2009) A quantitative pilot study evaluating the effectiveness of a venepuncture and cannulation study day. Nurse Education Today. 29(5), p.555-60. Abstract: Continuing education for nurses is an expensive commodity. In order to justify its expense employers must experience tangible benefits to nursing practice. This paper describes a quantitative study carried out [...]
Ultrasonographically guided peripheral intravenous cannulation
Intravenous literature: Stein, J., George, B., River, G., Hebig, A. and McDermott, D. (2009) Ultrasonographically guided peripheral intravenous cannulation in emergency department patients with difficult intravenous access: a randomized trial. Annals of Emergency Medicine. 54(1), p.33-40. Abstract: STUDY OBJECTIVE: We seek to compare ultrasonographically guided peripheral intravenous access to a non-ultrasonographically guided method in a randomized trial [...]
CLABSI and RN ratio
Intravenous news: MedicalNewsToday.com report “The public was well-served today with the release of a report by the New York State Department of Health (DOH) about hospital-acquired infection rates at specific facilities in New York State. But more information is needed about how to correct these problems, such the high rate of central line-associated bloodstream infections identified [...]
Infusion fluid settlement
Intravenous news: MSN Money report “Kentucky Attorney General Jack Conway has reached a $2 million settlement with Baxter International Inc., one of the world’s largest manufacturers of intravenous solutions and products used in delivery of fluids and drugs to patients. Conway said in a news release that Deerfield, Ill.-based Baxter published inflated average prices for [...]
Intravenous interaction
Intravenous news: The FDA has issued an update on earlier recommendations about the interaction between the antibiotic ceftriaxone and intravenous products that contain calcium. “In certain circumstances, this interaction can cause dangerous precipitates to form. Ceftriaxone is sold as Rocephin and also as a generic. Products that contain calcium include Ringer’s solution, Hartmann’s solution and parenteral [...]
FDA insulin pump alert
Intravenous products: The July FDA Patient Safety News Alert describes that “Disetronic Medical Systems is notifying healthcare professionals and patients about a possible defect with the some of the company’s ACCU-CHEK Spirit insulin pumps. The defect can cause the “up” and “down” buttons on these pumps to stop working, either completely or intermittently. These buttons are used to [...]
