Testing the mechanical properties of implantable central venous catheters
Segments of 6F-polyurethane catheters were tested in their native status, after chemical and after mechanical aging” Busch et al (2018). Abstract: To enable causal analysis of port catheter failure, this study aimed to develop an experimental setup for uniaxial tensile tests that addresses the specific requirements of highly elastic medical catheters; and to quantify parameters […]
Short or longer term antibiotic treatment in Lyme disease?
The treatment of persistent symptoms attributed to Lyme disease remains controversial. Recently, the PLEASE study did not demonstrate any additional clinical benefit of longer-term versus shorter-term antibiotic treatment. However, the economic impact of the antibiotic strategies has not been investigated” Berende et al (2018). Abstract: BACKGROUND: The treatment of persistent symptoms attributed to Lyme disease […]
Intravenous ketamine infusion for complex regional pain syndrome
To find and reach a consensus on the usage of ketamine in the treatment of complex regional pain syndrome and to determine a reference protocol for future studies” Xu et al (2018). Abstract: OBJECTIVE: To find and reach a consensus on the usage of ketamine in the treatment of complex regional pain syndrome and to […]
Arterial and central venous femoral catheters use during trauma management
The aim of the present study was to describe the use and complications of fAC-CVC in the trauma bay in two centers where they are routinely used” Hamada et al (2018). Abstract: BACKGROUND: Arterial and central venous femoral catheters (fAC-CVC) use during the initial management of severe trauma patients is not a standard technique in […]
Article investigates the prevention of contaminated blood cultures
Each institution should have an efficient policy to prevent blood culture contamination, emphasizing the importance to follow guidelines for prescribing and collecting blood cultures” Dargère et al (2018). Abstract: Background: Despite the development of new microbiological technologies, blood cultures remain the first line tool for the diagnosis of bloodstream infections. Their diagnostic value may be […]
Combining ultrasound-guided local anaesthetic administration and vein puncture
To describe a single skin puncture technique combining subcutaneous injection of anesthetic to the depth of the vessel wall with venipuncture in the same movement” Murray et al (2018). Abstract: PURPOSE: To describe a single skin puncture technique combining subcutaneous injection of anesthetic to the depth of the vessel wall with venipuncture in the same […]
Ultrasound-guided access for implantable venous port placement
To examine whether the real-time ultrasound-guided venipuncture for implantable venous port placement is safer than the traditional venipuncture” Yıldırım et al (2018). Abstract: AIM: To examine whether the real-time ultrasound-guided venipuncture for implantable venous port placement is safer than the traditional venipuncture. METHODS: The study analyzed the results of 2153 venous ports placed consecutively from […]
Effects of virtual reality and external cold and vibration on phlebotomy pain
The aim of this study was to evaluate the effects of the virtual reality (VR) and external cold and vibration methods on pain scores in children aged 7 to 12 years during phlebotomy” Gerçeker et al (2018). Abstract: PURPOSE: The aim of this study was to evaluate the effects of the virtual reality (VR) and […]
Report of rare central venous catheter malposition
We report the case of an unexpected malposition of a catheter in the right internal jugular vein, where it looped back on itself during placement and went upward into the right internal jugular vein” Movafegh et al (2018). Abstract: Central venous catheters (CVCs) are placed in operating rooms worldwide via different approaches. Like any other […]
Variation of internal jugular vein area measurements of newborns
In this study, we aimed to compare area measurements using ultrasonography and efficiency of varying Trendelenburg degrees on the area measurements, for two different entry points used as internal jugular vein (IJV) cannulation points in newborns” Karaaslan et al (2018). Abstract: BACKGROUND: Recent guidelines from the National Institute for Clinical Excellence recommend the use of […]
What is the efficacy of a central venous catheter adhesive fixation device?
The catheters fixed with adhesive systems had fewer infectious complications and less displacement” Molina-Mazón et al (2018). Abstract: OBJECTIVES: To assess the efficacy of a central venous catheter adhesive fixation device (CVC) to prevent associated complications. To establish the need for dressing changes, number of days’ catheterization and reasons for catheter removal in both study […]
Personalized feedback on central venous catheterization training
Simulation training with the DHRT system and the personalized learning feedback can improve resident self-efficacy with IJ CVC procedures and provide sufficient feedback to allow residents to accurately assess their own performance” Yovanoff et al (2018). Abstract: OBJECTIVE: To compare the effect of simulator functional fidelity (manikin vs a Dynamic Haptic Robotic Trainer [DHRT]) and […]
Burden of illness among paediatric haemophilia patients with and without central venous access devices
Paediatric haemophilia patients with CVADs experienced greater infection rates, healthcare utilization and higher hospitalization costs compared with non-CVAD patients” Buckley et al (2018). Abstract: INTRODUCTION: Central venous access devices (CVADs) facilitate repeated or urgent treatments for paediatric haemophilia patients, but are associated with complications. This study examined the burden of illness, healthcare utilization and costs […]
Removal of totally implanted venous access ports for suspected infection
TIVAP-related infection was confirmed in nearly one out of two cases of life-threatening sepsis in patients in whom it has been removed” Lecronier et al (2018). Abstract: Background: While no data support this practice, international guidelines recommend the removal of totally implanted venous access ports (TIVAPs) in patients with suspicion of TIVAP-related bloodstream infection admitted […]
What is the impact of blood sampling from peripheral IV catheters?
Results suggest that use of a PIV based blood collection was a reliable and valid approach and was superior to routine phlebotomy in self-reported responses from patients” Mulloy et al (2018). Abstract AIM: To evaluate the effect of daily PIV-based phlebotomy using the PIVO device on PIVC dwell times and replacement rates, as well as […]
First-time phlebotomy success related to patient anxiety and fear
Child’s fear, anxiety before phlebotomy, and difficult vascular access affects the first-time phlebotomy success” Gerçeker et al (2018). Abstract PURPOSE: This study aimed to investigate the success of first-time phlebotomy and the affecting factors in children between 4 and 10 years of age. METHODS: This descriptive, comparative, and cross-sectional study was conducted on 155 children who […]
Axillary vein puncture for peripherally inserted central venous catheters
Our new protocol for axillary peripherally inserted central venous catheters/tunneled axillary peripherally inserted central venous catheters use for a small-diameter basilic vein is safe and feasible” Saijo et al (2018). Abstract: PURPOSE: Peripherally inserted central venous catheters are some of the most useful devices for vascular access used globally. Peripherally inserted central venous catheters have […]
Venepuncture procedure for obtaining venous blood samples
This article outlines the procedure for undertaking venepuncture and obtaining venous blood samples” Shaw (2018). Abstract: Venepuncture and obtaining accurate blood samples is an important procedure in healthcare, and can assist in the diagnosis, care and treatment of patients. This article outlines the procedure for undertaking venepuncture and obtaining venous blood samples. It emphasises the […]
Intravenous antibiotic treatment in patients with substance use disorder
Hospitalizations for severe infections associated with substance use disorder (SUD) are increasing. People with SUD often remain hospitalized for many weeks instead of completing intravenous antibiotics at home; often, they are denied skilled nursing facility admission” Englander et al (2018). Abstract BACKGROUND: Hospitalizations for severe infections associated with substance use disorder (SUD) are increasing. People […]
Obtaining central access in challenging pediatric patients
Here, we present a case series of patients where central access was obtained at our institution with the utilization of a novel ultrasound-guided technique. This series represents the first of its kind where the native, parent vessels were inaccessible, resulting in a challenging situation for providers” Criss et al (2018). Abstract: PURPOSE: Central catheter placement […]
Management of a massive cervical hematoma after insertion of a central venous catheter
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
…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
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
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
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
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
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
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
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
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 […]