Archive August 2009
Accidental arterial cannulation
Intravenous literature: Blaivas, M. (2009) Video analysis of accidental arterial cannulation with dynamic ultrasound guidance for central venous access. Journal of Ultrasound in Medicine. 28, p.1239-1244. Abstract: Objective. Accidental arterial cannulation during ultrasound-guided central venous cannulation is rarely reported and should be much less likely with dynamic guidance. Although accidental arterial penetration with the needle may [...]
Safety IV device demand grows
Intravenous products: InfectionControlToday.com report “A new market research report, “U.S. Infection Prevention Products & Services,” from Reportlinker.com projects that the total demand for infection prevention products and services will increase 4.5 percent annually through 2013. Growth will partially reflect the impact of new government legislation and changing health insurance reimbursement policies aimed at reducing the incidence [...]
Zero BSI website launched
Intravenous news: InfectionControlToday.com report “As a market leader committed to educating the clinical community about patient and clinician safety, CareFusion is introducing the Getting to Zero BSI Web site to provide timely, evidence-based resources to help guide clinicians and their healthcare facilities and to speed their “Getting to Zero BSI” journey. The Web site contains a wealth [...]
Safety IV cannula newsletter
Intravenous news: BBraun have published the summer 2009 edition of Safety News. Topics include Maidstone and Tunbridge Wells NHS Trust safety news and the launch of IV cannula packs into the George Eliot NHS Trust in Warwickshire. Click here to view the newsletter. Click here for iv safety cannula product information. Introduction “As you may be [...]
IV safety catheters
Intravenous products: IVTEAM welcome the publication of our second sponsored product page. This particular page is dedicated to safety IV catheters. You will find product information, a useful cannula insertion video, corporate information and contacts. Click here to visit the product page.
Line infection prevention with Ethanol lock
Intravenous literature: Broom, J.K., O’Shea, S., Govindarajulu, S., Playford, G., Hawley, C.M., Isbel, N.M., Campbell, S.B., Mudge, D.W., Carpenter, S., Johnson, B.C., Underwood, N.P. and Johnson, D.W. (2009) Rationale and design of the HEALTHY-CATH trial: A randomised controlled trial of Heparin versus EthAnol Lock THerapY for the prevention of Catheter Associated infecTion in Haemodialysis patients. BMC Nephrology, [...]
IRadimed MRI IV pump FDA clearance
IRadimed announces 510K Clearance of the New Non Magnetic MRidium MRI IV Pump with Integrated Masimo SET SpO2 Monitoring Intravenous products: The United States Food and Drug Administration has granted IRadimed Corporation clearance of its new MRidium 3860+ MRI Infusion System with integrated Masimo SET SpO2 Monitoring. Transport to the MRI for Sedation, Critical Care, [...]
ChloraPrep® video with David Mitchell
Intravenous products: Enturia, makers of ChloraPrep®, the 2% chlorhexidine gluconate in 70% isopropyl alcohol skin antisepsis system have produced a fun animation (with the voice of David Mitchell) that examines the skin.
Infusion error deaths
Intravenous news: ISMP.org report “ISMP recently learned about the tragic deaths of two 6-year-old children stemming from severe postoperative hyponatremia. The fatal events occurred at two different hospitals. In at least one of these cases, it is clear that the rapid administration of plain D5W (dextrose 5% in water) postoperatively resulted in acute hyponatremia secondary to [...]
Simulated skills reduce CRBSI
Intravenous literature: Barsuk, J.H., Cohen, E.R., Feinglass, J., McGaghie, W.C. Wayne, D.B. (2009) Use of simulation-based education to reduce catheter-related bloodstream infections. Archives of Internal Medicine. 169(15), p.1420-3. Abstract: BACKGROUND: Simulation-based education improves procedural competence in central venous catheter (CVC) insertion. The effect of simulation-based education in CVC insertion on the incidence of catheter-related bloodstream infection [...]
OHPAT service review
Intravenous literature: Hitchcock, J., Jepson, A.P., Main, J. and Wickens, H.J. (2009) Establishment of an outpatient and home parenteral antimicrobial therapy service at a London teaching hospital: a case series. Journal of Antimicrobial Chemotherapy. 64(3), p.630-4. Abstract: BACKGROUND: Outpatient and home parenteral antimicrobial therapy (OHPAT) is becoming increasingly commonplace in the UK, enabling those patients who [...]
Nutritional support networks
Intravenous literature: Powell-Tuck, J. (2009) Teams, strategies and networks: developments in nutritional support; a personal perspective. Proceedings of the Nutrition Society. 68(3), p.289-95. Abstract: Chris Pennington was an archetypal team player, strategist and networker. Clinical nutritional support has progressed remarkably since the 1970s and it has been a privilege to work in this field over this period [...]
Subclavian venous catheterization
Intravenous literature: Czarnik, T., Gawda, R., Perkowski, T. and Weron, R. (2009) Supraclavicular approach is an easy and safe method of subclavian vein catheterization even in mechanically ventilated patients: analysis of 370 attempts. Anesthesiology. 111(2), p.334-339. Abstract: BACKGROUND: Central venous catheters are commonly inserted for hemodynamic monitoring, volume monitoring, administration of medications, long-term total parenteral [...]
CVC guidelines for parenteral nutrition
Intravenous literature: Pittiruti, M., Hamilton, H., Biffi, R., MacFie, J. and Pertkiewicz, M. (2009) ESPEN Guidelines on Parenteral Nutrition: central venous catheters (access, care, diagnosis and therapy of complications). Clinical Nutrition. 28(4), p.365-77. Abstract: When planning parenteral nutrition (PN), the proper choice, insertion, and nursing of the venous access are of paramount importance. In hospitalized [...]
Home intravenous antibiotic treatment
Intravenous literature: Sequeiros, I.M. and Jarad, N.A. (2009) Home intravenous antibiotic treatment for acute pulmonary exacerbations in cystic fibrosis – Is it good for the patient? Annals of Thoracic Medicine. 4(3), p.111-4. Abstract: There is a worldwide drive for the home management of chronic respiratory diseases. With the widespread use of home intravenous (IV) treatment [...]
Anaphylaxis following IV fluorescein
Intravenous literature: Bearelly, S., Rao, S. and Fekrat, S. (2009) Anaphylaxis following intravenous fluorescein angiography in a vitreoretinal clinic: report of 4 cases. Canadian Journal of Ophthalmology. 44(4), p.444-5. Abstract: OBJECTIVE: To assess the incidence of anaphylaxis following intravenous fluorescein angiography (IVFA) at 1 satellite clinic. STUDY DESIGN: Observational case series. PARTICIPANTS: Records from 1400 [...]
Skin preparation prior to blood donation
Intravenous literature: Webster, J., Bell-Syer, S.E. and Foxlee, R. (2009) Skin preparation with alcohol versus alcohol followed by any antiseptic for preventing bacteraemia or contamination of blood for transfusion. Cochrane Database of Systematic Reviews. 3. Abstract: Background - Blood for transfusion may become contaminated at any point between collection and transfusion and may result in bacteraemia (the [...]
Local anesthetic techniques for IV insertion
Intravenous literature: McNaughton, C., Zhou, C., Robert, L., Storrow, A. and Kennedy, R. (2009) A randomized, crossover comparison of injected buffered lidocaine, lidocaine cream, and no analgesia for peripheral intravenous cannula insertion. Annals of Emergency Medicine. 54(2), p.214-20. Abstract: STUDY OBJECTIVE: We compare pain and anxiety associated with peripheral intravenous (IV) cannula insertion after pretreatment [...]
Guidelines for prehospital fluid resuscitation
Intravenous literature: Cotton, B.A., Jerome, R., Collier, B.R., Khetarpal, S., Holevar, M., Tucker, B., Kurek, S., Mowery, N.T., Shah, K., Bromberg, W., Gunter, O.L. and Riordan, W.P.Jr, EAST Practice Parameter Workgroup for Prehospital Fluid Resuscitation (2009) Guidelines for prehospital fluid resuscitation in the injured patient. Journal of Trauma-Injury Infection & Critical Care. 67(2), p.389-402. Abstract: [...]
Factor V Leiden
Intravenous literature: Weinstein, S.M. (2009) Factor V Leiden: impact on infusion nursing practice. Journal of Infusion Nursing. 32(4), p.219-223. Abstract: As one whose family has been affected by factor V Leiden since 1980, the author knows firsthand the impact of this disease process on patients, outcomes, and practice. In today’s healthcare environment, genetic screening for [...]
Central catheter blood sampling
Intravenous literature: Mathew, A., Gaslin, T., Dunning, K. and Ying, J. (2009) Central catheter blood sampling: the impact of changing the needleless caps prior to collection. Journal of Infusion Nursing. 32(4), p.212-8. Abstract: Little is known about the association between central catheter needleless connectors and bacteremia. In a cohort study on 91 patients, central catheter [...]
Infiltration and extravasation prevention and management
Intravenous literature: Doellman, D., Hadaway, L., Bowe-Geddes, L.A., Franklin, M., LeDonne, J., Papke-O’Donnell, L., Pettit, J., Schulmeister, L. and Stranz, M. (2009) Infiltration and extravasation: update on prevention and management. Journal of Infusion Nursing. 32(4), p.203-11. Abstract: Infiltration and extravasation are risks of intravenous administration therapy involving unintended leakage of solution into the surrounding tissue. [...]
Blood collection safety in Africa
Intravenous news: Afrique en ligne report “US officials have signed a pact with a leading global technology company launching an initiative to help protect the health of healthcare personnel and patients in African countries, the US State Department said. The Memorandum of Understanding was signed in Washington Tuesday by Ambassador Elizabeth Bagley, the U.S. Department of [...]
Closed needlefree connector
Intravenous products: IVTEAM are pleased to bring you the first of a number of sponsored product pages. This particular page is dedicated to closed needlefree connectors. You will find video of the products and a number of studies related to the devices in question. Click here to visit the product page.
Central line tip location anatomy
Intravenous literature: Ellis, H. (2009) The superior mediastinum. Anaesthesia and Intensive Care Medicine. 10(8), p.360-361. Abstract: The mediastinum is the area of the thorax that lies between the two pleural sacs. It is further divided by an imaginary line passing from the manubriosternal junction (angle of Louis) in front and the T4/T5 vertebral junction behind into [...]
Hypertonic saline in critical care
Intravenous literature: Strandvik, G.F. (2009) Hypertonic saline in critical care: a review of the literature and guidelines for use in hypotensive states and raised intracranial pressure. Anaesthesia. 64(9), p.990-1003. Abstract: Hypertonic saline has been in clinical use for many decades. Its osmotic and volume-expanding properties make it theoretically useful for a number of indications in [...]
Needle length for immunization
Intravenous literature: Koster, M.P., Stellato, N., Kohn, N. and Rubin, L.G. (2009) Needle Length for Immunization of Early Adolescents as Determined by Ultrasound. Pediatrics. 124(2), p.667-672. Abstract: OBJECTIVE: To determine the appropriate needle length for intramuscular injection of vaccines to early adolescents by measuring muscle depth at the deltoid injection site. METHODS: Students from Nassau County, [...]
IV device identification
Intravenous news: The Institute for Safe Medication Practices report “A patient with a low potassium level was due to receive three sequential, hour-long infusions of highly concentrated potassium chloride 20 mEq in minibags. A primary IV of 0.9% sodium chloride was infusing so the patient’s nurse attached a secondary IV set to the first potassium chloride [...]
Purple not an IV or enteral standard
Intravenous news: The Institute for Safe Medication Practices report “Purple is not an official standard for either enteral feeding equipment or PICC lines.” They describe “an epileptic patient who was supposed to receive oral KEPPRA (levetiracetam) liquid via a PEG tube instead received it IV via a Bard PowerPICC (peripherally inserted central catheter) line. An oral [...]
Biopatch CHG update
Intravenous products: FoxBusiness.com report that “Ethicon Inc., a Johnson & Johnson Company, today announced that BIOPATCH((R)) Protective Disk with CHG (chlorhexidine gluconate) will include new design elements and updated packaging to make it easier for surgeons, nurses and other healthcare providers to apply the product correctly around catheters to reduce the risk of catheter-related bloodstream infections [...]
Heparin liability lawsuit
Intravenous news: SunJournal.com report “Dennis Quaid and his wife sued the makers of heparin Tuesday after their newborn twins were inadvertently given massive doses of the blood thinner at a hospital. The product liability lawsuit, filed in Chicago, seeks more than $50,000 in damages. It claims that Baxter Healthcare Corp., based in Deerfield, Ill., was negligent [...]
Lyme disease resource center
Intravenous literature: Medscape.com have developed a Lyme Disease Resource Center (Click here). Topics covered in the resource center include: Ten Clinical Pearls for the Diagnosis and Management of Lyme Disease - Don’t miss these 10 tips on Lyme disease in a video blog from Paul G. Auwaerter, MD, MBA. Topics include symptoms, diagnostic testing, the scientific evidence [...]
CLABSI prevention evidence-base
Weinstein, R.A. and Smith, S.L. (2009) An Evidence-Based Approach to the Prevention of Central Line-Associated Bloodstream Infections in Hospitalized Patients. Medscape CME. Target Audience: This activity is intended for surgeons, infectious disease specialists, hospitalists, critical care specialists, emergency department physicians, physician assistants, and nurses/nurse practitioners who care for patients at risk for central line associated bloodstream [...]
AccuVein vein viewer gains CE mark
Intravenous products: AccuVein LLC, maker of the AV300, the world’s first hand-held, non-contact vein illumination device, announced today that its medical device now carries a CE Mark, enabling the Company to commence European sales of AccuVein’s AV300. “Receiving approval to ship the AV300 to Europe is an important step in bringing this beneficial device to [...]
Antimicrobial needlefree connector
Intravenous products: ICU Medical describe the new antimicrobial needlefree device. On the ICU Medical website they state “The new Antimicrobial CLAVE is the only antimicrobial connector with dedicated internal fluid path technology. The same features that make the CLAVE the least likely to transmit bacteria over any other brand, now has the added feature of an [...]
