Qualitative evaluation study of the Be Involved infusion program
The current qualitative evaluation explored the real-world effectiveness and impact of the Be Involved (Pfizer Canada) home infusion service, from provider, program end-user and needs analysis perspectives” Rossnagel et al (2019). Abstract: INTRODUCTION: In Canada, patients with haemophilia can receive health care through a limited number of specialized haemophilia treatment centres. Treatment of this X-linked […]
Source of candidemia influences the outcome of infection in patients with solid tumours
Clinical characteristics of candidemia in 114 patients with ST were compared with those of 249 candidemic patients without ST (non-ST)” Orsetti et al (2019). Abstract: Systemic infections due to Candida spp. is common among immunocompromised patients, including those with solid tumors (ST). Clinical characteristics of candidemia in 114 patients with ST were compared with those […]
Process-oriented feedback for ultrasound-guided central venous catheter placement
The proposed approach was applied to analyze a real case of ultrasound-guided Central Venous Catheter placement training” Lira et al (2019). Abstract: Developing high levels of competence in the execution of surgical procedures through training is a key factor for obtaining good clinical results in healthcare. To improve the effectiveness of the training, it is […]
How to time tape intravenous infusion bags?
In emergency situations such as these, nurses have the option of using traditional time taping to ensure patient safety while administering prescribed infusion therapy” Smith (2019). Abstract: Imagine a patient needs to receive an I.V. infusion, but you suspect the electronic infusion device (EID) may have failed and want an alternative method of verifying delivery […]
Example of time taping intravenous infusion bags
The provider wants this fluid to infuse over the next 8 hours. How will the nurse complete the needed calculations and time taping” Anon (2019). Extract: “CONSIDER THIS SCENARIO: A nurse working in a rural long-term care facility needs to complete a time tape for a patient needing basic rehydration. A 1,000 mL I.V. bag […]
Report of red man syndrome with oral vancomycin
Red Man syndrome (RMS) occurs with the rapid infusion of intravenous (IV) vancomycin. RMS induced by oral vancomycin has been the focus of a limited number of case reports” Arroyo-Mercado et al (2019). Abstract: Red Man syndrome (RMS) occurs with the rapid infusion of intravenous (IV) vancomycin. RMS induced by oral vancomycin has been the […]
Review of continuous-infusion of vancomycin in neonates
The aim was to determine the proportion of neonates achieving an optimal therapeutic vancomycin level at the first vancomycin concentration assay and which dosing regimen is the most suitable for neonates” Tauzin et al (2019). Abstract: Introduction: Vancomycin remains the reference antibiotic in neonates for care-related infections caused by ß-lactam-resistant Gram-positive bacteria. Achieving the optimal […]
Alternating arms for IV administration to reduce chemical phlebitis
Using alternating arms for peripheral administration of epirubicin significantly reduces the severity and duration of chemical phlebitis and is recommended to improve patient experience and reduce the need for central venous access devices” Roberts et al (2019). Abstract: OBJECTIVE: To establish whether using alternating arms for peripheral intravenous epirubicin administration affects the severity or duration […]
Contrast extravasation using power injectors for CT in children
The use of power injectors in children undergoing contrast-enhanced CT is associated with a low rate of extravasation and of long-term injury” Barrera et al (2019). Abstract: PURPOSE: To evaluate the safety of power injectors for contrast-enhanced computed tomography (CT) in children, namely: the prevalence and injury severity of contrast extravasations related to power injectors […]
Simulation-based error prevention related to infusion therapy
Scenario A involved an error of commission (inpatient drug error) and scenario B involved detecting an error that already occurred (drug infusion error)” Lobos et al (2019). Abstract: INTRODUCTION: An adverse event (AE) is a negative consequence of health care that results in unintended injury or illness. The study investigates whether simulation-based event analysis is […]
Analysis of central venous catheter-based hemodialysis starts
Most patients in the United States initiate hemodialysis (HD) with a central venous catheter (CVC) despite a significantly increased morbidity and mortality associated with their use” Liebman and Chang et al (2019). Abstract: Most patients in the United States initiate hemodialysis (HD) with a central venous catheter (CVC) despite a significantly increased morbidity and mortality […]
Cost analysis of ultrasound-guided umbilical venous catheterisation
This study compared the cost-effectiveness of ultrasound-guided umbilical venous catheterisation with conventional catheterisation in a neonatal intensive care unit of a Public University Hospital” Guzmán-de la Garza et al (2019). Abstract: INTRODUCTION: Although the use of ultrasound for the insertion of central catheters has proven to be cost-effective in adults, it is not known if […]
Efficacy of a non-leaching antibacterial central venous catheter
The aim of this study was to examine the efficacy of a catheter with a non-leaching antimicrobial coating against catheter colonization and bloodstream infections (BSI)” Krikava et al (2019). Abstract: BACKGROUND: Antimicrobial coatings of central venous catheters (CVC) have the potential to reduce the risk of infectious complications. The aim of this study was to […]
Intravenous versus intraosseous access in prehospital cardiac arrest
The aim of this study was to evaluate the effectiveness of IV access versus IO access in terms of return of spontaneous circulation (ROSC) for patients suffering from cardiac arrest” Nguyen et al (2019). Abstract: OBJECTIVE: The prevailing standard of care in prehospital emergency medical services (EMS) is that either intravenous (IV) or intraosseous (IO) […]
Catheter-related right internal jugular vein large thrombus formation
We report a rare case of an inadvertently malposition of a catheter using ultrasound in the right internal jugular vein, the catheter tip went in the cranial direction at an acute angle” Ma et al (2019). Abstract: Placement of a central venous catheter (CVC) is a routine procedure in major surgery and intensive care unit, […]
Dynamic needle tip positioning for ultrasound-guided PICC placement
The authors assessed the rate of successful peripherally inserted central catheter placement with dynamic needle tip positioning” Takeshita et al (2019). ] Abstract: OBJECTIVE: Although a few studies have reported the efficacy of ultrasound-guided peripherally inserted central catheter placement for pediatric patients, the procedure still is challenging. Ultrasound-guided dynamic needle tip positioning technique is useful […]
Assessing competence in pediatric central venous catheter placement
To describe the current approach to initial training, ongoing skill maintenance, and assessment of competence in central venous catheter placement by pediatric critical care medicine fellows, a subset of trainees in whom this skill is required” Boyer et al (2019). Abstract: OBJECTIVES: To describe the current approach to initial training, ongoing skill maintenance, and assessment […]
Taurolidine-citrate lock solution for the prevention of CLABSI
Taurolidine-citrate solution (TCS) is a catheter-lock solution with broad-spectrum antimicrobial action. This study’s aim was to evaluate the efficacy of TCS in reducing CLABSI rates in paediatric haematology-oncology (H/O) and gastrointestinal (GI) patients with long-term CVC” Chong et al (2019). Abstract: AIM: Central line-associated bloodstream infection associated bloodstream infection (CLABSI) is a serious complication of […]
Chlorhexidine skin symptoms and allergy in dialysis patients and nurses
Up to 9% of cases of IgE-mediated perioperative anaphylaxis in the U.K. have been attributable to chlorhexidine; a similar figure has been reported in by a Danish study” Chan and Merchant (2019). Abstract: Chlorhexidine is a synthetic biguanide used as an antiseptic in hospital and household products. Chlorhexidine exposure has been implicated in various hypersensitivity […]
How to improve the turnaround time for PICC placement?
The aim of this study was to assess the use of Lean Six Sigma methodology to improve the turnaround time (TAT) for inpatient peripherally inserted central catheter (PICC) placement” Hynes et al (2019). Abstract: AIM: The aim of this study was to assess the use of Lean Six Sigma methodology to improve the turnaround time […]
Left-sided superior vena cava complicates central line insertion
A CT thorax revealed the patient had two SVCs, and the patient’s left-sided SVC had been unintentionally catheterised” Gallaher and Somasundaram (2019) Extract: “A 39-year-old man with necrotising pancreatitis was admitted to the intensive care unit (ICU). On day 14, his right-sided central venous catheter (CVC) was replaced with a left-sided catheter. A confirmatory chest […]
Venipuncture versus peripheral IV catheter blood sampling
To compare the results of hematology, blood chemistry, and coagulation tests between two blood sampling methods via venipuncture and peripheral venous catheter” Jeong et al (2019). Abstract: AIMS AND OBJECTIVES: To compare the results of hematology, blood chemistry, and coagulation tests between two blood sampling methods via venipuncture and peripheral venous catheter. BACKGROUND: Laboratory results […]
Risk factors associated with neonatal candidemia in a neonatal unit
Prolonged intrahospital stay longer than seven days and thoracic and/or abdominal surgery were the most significant risk factors in this study for the development of neonatal candidemia” Caparó Ingram et al (2019). Abstract: OBJECTIVE: To identify the main risk factors associated with neonatal candidemia. PATIENTS AND METHOD: A retrospective paired case-control study was conducted from […]
Quercetin protects from catheter-related Staphylococcus aureus infections
These data suggest that antiinfective therapy targeting Coa with quercetin may represent a novel strategy and provide a new leading compound with which to combat bacterial infections” Wang et al (2019). Abstract: Coagulase (Coa) activity is essential for the virulence of Staphylococcus aureus (S aureus), one of the most important pathogenic bacteria leading to catheter-related […]
Persistent left superior vena cava draining into the left superior pulmonary vein
A persistent left superior vena cava (PLSVC) is the most common congenital variation of the thoracic venous system, affecting around 0.5% in the general population and around 3.0% in patients with congenital heart disease” Blokland et al (2019). Abstract: A persistent left superior vena cava (PLSVC) is the most common congenital variation of the thoracic […]
Quality assessment of vascular access procedures for hemodialysis
Quality assessment in vascular access procedures for hemodialysis is not clearly defined. The aim of this article is to compare various guidelines regarding recommendation on quality control in angioaccess surgery” Fila et al (2019). Abstract: Quality assessment in vascular access procedures for hemodialysis is not clearly defined. The aim of this article is to compare […]
Cefazolin/gentamicin versus taurolidine/citrate for prevention of CLABSI
This study aimed to compare the efficacy of LS using a combination of cefazolin and gentamicin versus taurolidine and citrate in reducing CR-BSI in patients undergoing HD and to identify any adverse effects” Bueloni et al (2019). Abstract: BACKGROUND: Catheter-related bloodstream infections (CR-BSI) is one of the various complications related to haemodialysis (HD). As a […]
Choice of assessment time after fluid challenge in patients with septic shock
To explore the short-term hemodynamic change of fluid challenge (FC) with crystalloid or colloid and define fluid responsiveness at the optimal time in patients with septic shock” Huang et al (2019). Abstract: OBJECTIVE: To explore the short-term hemodynamic change of fluid challenge (FC) with crystalloid or colloid and define fluid responsiveness at the optimal time […]
Equations for the inserted length of neonatal central venous catheters
The use of percutaneous central venous catheters (PCVCs) for central venous access is a routine and essential part of neonatal intensive care, particularly in the care of extremely preterm infants” Chiang (2019). Abstract: The use of percutaneous central venous catheters (PCVCs) for central venous access is a routine and essential part of neonatal intensive care, […]
Investigation of the cardiotoxic effects of parenteral nutrition
Parenteral nutrition (PN) is used for the intravenous delivery of nutrients to patients who cannot take food orally. However, it is not clear whether PN also negatively impacts cardiac tissue. The present empirical study investigated the cardiac effects of PN in rabbits” Gürünlüoğlu et al (2019). Abstract: INTRODUCTION: Parenteral nutrition (PN) is used for the […]