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Management of a massive cervical hematoma after insertion of a central venous catheter

totally implantable port

A central venous catheter (CVC) aimed at the internal jugular vein was incidentally inserted in the common carotid artery, resulting in acute dyspnea and a hemorrhagic shock due to a massive cervical hematoma” Pfister and Michels (2018). Abstract: An 81-year-old woman with infarct-related cardiogenic shock was admitted to the cardiac catheterization laboratory. Coronary angiography revealed […]

Translumbar HeRO dialysis catheter in a case of severe central venous occlusion

io sites

…patient on catheter-dependent dialysis in whom a translumbar Hemodialysis Reliable Outflow (HeRO) graft…” Loskutov et al (2018). Extract: “We report a case of a 30-year-old end-stage renal disease (ESRD) patient on catheter-dependent dialysis in whom a translumbar Hemodialysis Reliable Outflow (HeRO) graft (Merit Medical Systems, South Jordan, UT) was successfully placed for long-term hemodialysis after […]

Catheter-related complications in hemodialysis patients

dialysis vascular access

This study examines the complication rates and factors predicting catheter-related bloodstream infections and mortality rates in patients who were initiated on hemodialysis at our institution” Yap et al (2018). Abstract: INTRODUCTION: Hemodialysis is the main modality of renal replacement therapy in Singapore. However, a majority of the patients in Singapore are initiated on hemodialysis via […]

Lessons from international differences in vascular access practices

infusion pump

Ever since origination of the Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines on vascular access management in 19971 and the Fistula First Initiative in 2002,2 vascular access research has exploded” Allon (2018). Extract: “Ever since origination of the Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines on vascular access management in 19971 and the Fistula First […]

Effect of skin-protective barrier film beneath transparent IV catheter dressing

PICC

We assessed the effect of a skin-protective terpolymer barrier film around the catheter insertion site on frequency of dressing disruptions and skin integrity issues (hyperaemia, skin irritation, residues of adhesives and moisture under the dressing)” Pivkina et al (2018). Abstract: OBJECTIVES: We assessed the effect of a skin-protective terpolymer barrier film around the catheter insertion […]

Vapocoolant spray versus placebo spray for reducing IV cannulation pain

piv

This meta-analysis suggests that vapocoolant spray significantly decreased pain during intravenous cannulation when compared with placebo spray or no treatment in both adults and children” Zhu et al (2018). Abstract: Background: Intravenous cannulation is a routine procedure in hospitalized patients, and pain can occur during the cannulation process. Vapocoolant spray is an advantageous analgesic alternative […]

Effect of chlorhexidine baths on neonatal CLABSI

Neonatal CLABSI rate

We describe the impact of chlorhexidine baths on CLABSI rates in a Neonatal Intensive Care Unit in a developing country…” Cleeves et al (2018). Abstract: Healthcare-associated infections, especially central line-associated bloodstream infections (CLABSIs) are worrisome in neonates. We describe the impact of chlorhexidine baths on CLABSI rates in a Neonatal Intensive Care Unit in a […]

Systematic review evaluates the evidence base for the WHO adopted hand hygiene technique

hand hygiene improvement

This systematic review evaluates the evidence for the World Health Organization’s (WHO) technique in reducing the microbial load on the hands of healthcare workers (HCWs)” Price et al (2018). Abstract: Background: Effective hand hygiene prevents healthcare-associated infections. This systematic review evaluates the evidence for the World Health Organization’s (WHO) technique in reducing the microbial load […]

Systematic review of MRI and CT contrast media extravasation

intravenous

This systematic review combines data from multiple papers on contrast media extravasation to identify factors contributing to increased extravasation risk” Heshmatzadeh Behzadi et al (2018). Abstract: BACKGROUND: This systematic review combines data from multiple papers on contrast media extravasation to identify factors contributing to increased extravasation risk. METHODS: Data were extracted from 17 papers reporting […]

Registered nurse knowledge regarding noncytotoxic medication extravasation

intravenous infusion

The purpose of this study was to assess the knowledge level regarding noncytotoxic medications extravasation and its associated factors among staff nurses” Sisan et al (2018). Abstract: Extravasation and infiltration are among the most common intravenous therapy complications. For noncytotoxic agents, the incidence of extravasation remains unknown. There has been little research into extravasation due […]

Assessment of parenteral nutrition prescription in Canadian acute care settings

central line days

Most patients were malnourished at the start of PN. Energy and protein provided from PN were less than requirements, and the goals were reached with delay. Mortality was high, possibly as a result of complex diseases” Adjemian et al (2018). Abstract: BACKGROUND: Parenteral nutrition (PN) prescription can be challenging in patients with complex conditions and […]

Impact of a training program on adherence to central venous catheter care standards

cannulation training

A high percentage of venous lines (VLs) are placed in non-ICU patients, particularly those treated in the internal medicine department (IMD). We assessed adherence to VL care after a training program aimed at nurses and clinicians attending patients admitted to Spanish IMDs” Guembe et al (2018). Abstract: A high percentage of venous lines (VLs) are […]

Report of intravenous lipid emulsion overdose in infancy

venipuncture pain

We report a case of accidental ILE (Intralipid) overdose in a 3-month-old male infant who fully recovered after single-volume blood exchange transfusion. We also review reported cases and summarize potential solutions for ILE overdose. Our review indicates that ILE infusion is a high-risk medication, and opportunities for errors remain even in the best hospital set-ups” […]

Study examines the impact of vascular access specialist teams

picc survey

“To compare the use of the vascular access specialist team (VAST) for VAD insertion and care to a generalist model approach for hospital or community participants requiring a VAD in terms of insertion success, device failure, and cost-effectiveness” Carr et al (2018).

Real-time ultrasound-guided placement of PICC without fluoroscopy

Ultrasound

We report the success rate of the placement of peripherally inserted central catheters with ultrasound guidance for tip positioning and describe the knacks and pitfalls” Nakamuta et al (2018). Abstract: BACKGROUND AND AIM: Malposition of peripherally inserted central catheters placed at the bedside is a well-recognized phenomenon. We report the success rate of the placement […]

Catheter-related venous thromboembolism following hypothermia

ECMO catheter

Physicians should promote frequent assessment of the access site(s) during routine physical examinations and potentially use point of care vascular ultrasound in high-risk cases to rule out a catheter-associated thrombus before catheter removal” Wang et al (2018). Abstract: Fifty-four year-old man with recent history of myocardial infarction and a percutaneous coronary intervention who suffered a […]

What is the most appropriate scrub the hub technique?

peripheral IV

This study aimed to investigate the appropriate ‘scrubbing’ technique for needleless connectors to minimize contamination risk” Satou et al (2018). Summary: This study aimed to investigate the appropriate ‘scrubbing’ technique for needleless connectors to minimize contamination risk. To demonstrate a highly effective scrubbing technique to physically eliminate bacteria, needleless connectors were contaminated with Geobacillus stearothermophilus […]

Effect of catheter diameter on left innominate vein after implantable port placement

central tip

To evaluate the effect of catheter diameter on left innominate vein stenosis in breast cancer patients after placement of totally implantable venous access ports” Song et al (2018). Abstract: PURPOSE: To evaluate the effect of catheter diameter on left innominate vein stenosis in breast cancer patients after placement of totally implantable venous access ports. MATERIALS […]

Staphylococcus epidermidis implicated in Catheter-Related Bloodstream Infections

clabsi

Staphylococcus epidermidis is one of the most prevalent pathogens implicated in catheter-related bloodstream infections (CRBSI) at an academic hospital in Pretoria, South Africa” Ehlers et al (2018). Abstract: Staphylococcus epidermidis is one of the most prevalent pathogens implicated in catheter-related bloodstream infections (CRBSI) at an academic hospital in Pretoria, South Africa. Little is known about […]

Valsalva manoeuvre versus tourniquet for venipuncture?

venipuncture

The aim of this observational study is to demonstrate the effect of Valsalva manoeuvre in respect of the elastic tourniquet on venous distention during echography-guided cannulation of the deep veins of the arm” Villa et al (2018). Abstract: BACKGROUND: During ultrasound-guided cannulation, venous filling is required for venipuncture. Tourniquet with an elastic tube at the […]

Article examines central venous access for cancer chemotherapy

IM Injection

The tip of a long term central venous access should be located at the junction of the superior vena cava with the right atrium in order to reduce the incidence of dysfunction and venous thromboses” Desruennes and Gomas (2018). Abstract: The tip of a long term central venous access should be located at the junction […]

Electrocardiographic-guided tip positioning technique for peripherally inserted central catheters

egg tip

Implementation of electrocardiographic-guided tip positioning for peripherally inserted central catheter was safe and effective in this study and led to an improved high value and cost-conscious care” Bloemen et al (2018). Abstract: INTRODUCTION: Peripherally inserted central catheters are venous devices intended for short to medium periods of intravenous treatment. Positioning of the catheter tip at […]

Impact of a multidisciplinary checklist process on trauma intensive care outcomes

central line exchange

Implementation of “TRAUMA LIFE” was well integrated into the rounding process and was associated with some improvement in quality metrics and communication. Additional evaluation is required to assess sustainability” Joseph et al (2018). Abstract: BACKGROUND: Checklists have been advocated to improve quality outcomes/communication in the critical care setting, but results have been mixed. A new […]

Central line-associated bloodstream infection among children

zero clabsi

To determine which factors confer the greatest risk of central line-associated bloodstream infection (CLABSI) in children with intestinal failure and fever presenting to an emergency department (ED), and to assess whether a low-risk group exists that may not require the standard treatment of admission for 48 hours on intravenous antibiotics pending culture results” Eisenberg et […]

Probable vancomycin-induced myasthenic crisis

Vancomycin is cited as having the potential to exacerbate myasthenia gravis, based upon reports of neuromuscular blockade potentiation when administered in combination with neuromuscular blocking agents” Nguyen and Nanfro (2018). Extract: “Vancomycin is a commonly prescribed antibiotic for the treatment of severe Gram-positive infections and is the drug of choice for severe infections caused by […]

Insertion site assessment of peripherally inserted central catheters

picc dressing

The aim of this study was to assess the inter-observer agreement between nurses and patients when assessing a peripherally inserted central catheter site” Webster et al (2018). Abstract: INTRODUCTION: Many patients are discharged from hospital with a peripherally inserted central catheter in place. Monitoring the peripherally inserted central catheter insertion site for clinical and research […]

Effect of pre-filled flush or manually prepared syringes on central venous catheter occlusion and CLABSI

IV Flush

Standardized flushing and single-use prefilled flush syringes are effective in reducing CLABSI rates in PHO patients” Gerçeker et al (2018). Abstract PURPOSE: To compare standardized flushing methods with aseptic non-touch technique; (1) Manually prepared syringes (2) Single-use prefilled flush syringes. METHOD: Forty-eight PHO patients with Hickman or Port catheters were recruited to participate in a […]

Heparin versus normal saline to maintain central venous catheter patency

needlestick injury

This study aimed to determine if differences exist in CVC patency, tissue plasminogen activator usage, and the incidence of central line-associated bloodstream infections when flushing with normal saline only versus heparin and normal saline among patients undergoing BMT” Klein et al (2018). Abstract: BACKGROUND: Patients undergoing blood and marrow transplantation (BMT) use a central venous […]

Risk associated with central catheters for malignant tumor patients

infusion

We found that PICCs are associated with a raised risk of deep vein thrombosis, and pharmacological deep vein thrombosis prophylaxis drugs is a beneficial factor in decreasing the incidence of thrombosis, while warfarin may decrease the risk of mortality of malignant tumor patients with CICCs” Lv et al (2018). Abstract: The risk of venous thrombosis […]

Intracavitary electrocardiography CVC tip positioning in neonates

neonatal ultrasound

We conclude that the intracavitary electrocardiography method is safe and accurate in neonates as demonstrated in pediatric and adult patients” Capasso et al (2018). Abstract: PURPOSE: The neonatologists of Sant’Anna and San Sebastiano Hospital of Caserta have carried out a pilot study investigating the safety, feasibility, and accuracy of intracavitary electrocardiography for neonatal epicutaneous cava […]