Study builds on the body of literature on CRBSI reduction
This study builds on and is a major contribution to the body of literature on CRBSI prevention in the ICU” Laupland et al (2017). Extract: “This study was a major undertaking that involved more than 35,000 central venous catheter (CVC) insertions among more than 25,000 patients admitted to ICUs. The study may be considered to […]
Example of haemothorax following internal jugular vein cannulation
We describe a case of hemothorax following internal jugular venous cannulation” Sanjeev Kumar and Anand Kumar (2017). Abstract: Catheterization of central veins is a routine technique which is widely used in emergency department, operation theater, and intensive care units. Seldinger technique is widely used to place central venous and arterial catheters and is generally considered […]
Updated strategies to promote hazardous drug safety
USP General Chapter 800 (USP <800>) represents a new enforceable standard for HD safety” Eisenberg (2018). The term hazardous drug (HD) includes medications that have any of the following properties: carcinogenicity, teratogenicity, reproductive toxicities, genotoxicities, toxicities at low doses, and a structure that mimics other drugs meeting the criteria. Numerous studies continue to demonstrate widespread […]
The impact of enteral nutrients and the gastrointestinal physiology
Normal GI physiology is reviewed, and the regulatory impact of luminal nutrients on GI function is discussed” Barnes (2018). The gastrointestinal (GI) tract is a highly efficient organ system with specialized structures to facilitate digestion and absorption of nutrients to meet the body’s needs. The presence of nutrients in the GI tract supports optimal structure […]
Will your needleless connector design affect central catheter occlusion rates?
This retrospective observational study compared occlusion rates associated with a split-septum neutral-displacement needleless connector versus those of a solid-surface neutral-reflux needleless connector in patients undergoing home infusion therapy” Williams (2018). Thrombotic catheter occlusion is a common complication associated with central venous catheters (CVCs). A wide variety of needleless connectors that differ greatly in design and […]
Literature review on the use of stopcocks for infusion therapy
This integrative literature review and clinician practice survey analyzes the published evidence and reports of actual practices with stopcocks, and raises issues about practice changes that could reduce these risks” Hadaway (2018). Stopcocks have been used for decades to deliver infusion therapy in patients of all ages and in all health care settings. During the […]
Nurses need to be able to recognize and respond to transfusion reactions
However, every transfusion recipient runs the risk of developing a transfusion reaction or adverse event” DeLisle (2018). Blood transfusions can be lifesaving. The majority are completed without incident. However, every transfusion recipient runs the risk of developing a transfusion reaction or adverse event. These reactions can be acute, occurring during or soon after transfusion, or […]
Strategies to reduce patient harm from infusion-associated errors
A scoping review of the literature examined strategies to prevent infusion-associated medication errors” Wolf (2018). A scoping review of the literature examined strategies to prevent infusion-associated medication errors. Twenty articles were appraised and revealed studies using different research designs and types of literature reviews. Most were rated low quality. Observations in clinical agencies and laboratory […]
How difficult is peripheral intravenous access in children?
This prospective study examined the characteristics of children admitted to a pediatric emergency department and the factors that influenced the successful establishment of peripheral intravenous (IV) access” de Freitas Floriano et al (2018). This prospective study examined the characteristics of children admitted to a pediatric emergency department and the factors that influenced the successful establishment […]
Study protocol to assess the effectiveness of antimicrobial central venous catheters
This clinical trial will compare the safety and efficiency of Certofix Protect with that of an ordinary Certofix catheter” Wu et al (2017). Abstract: INTRODUCTION: Catheter use is associated with many complications and is an iatrogenic source of morbidity and mortality in intensive care units (ICU). The catheter being studied (Certofix Protect) was developed to […]
Pain scores for intravenous cannulation and arterial blood gas tests
To analyse vein catheterisation and blood gas test-related pain among adult patients in the emergency department and to explore pain score-related factors” v et al (2017). Abstract: OBJECTIVES: To analyse vein catheterisation and blood gas test-related pain among adult patients in the emergency department and to explore pain score-related factors. [ctt link=”1GJ71″ template=”1″]ReTweet if useful… […]
Ultrasound-guided peripheral intravenous catheter insertion
We evaluated the effectiveness and acceptability of an ultrasound-guided peripheral IV service to reduce the number of newly placed central venous catheters on an inpatient ward” Galen and Southern (2018). Abstract: PURPOSE: The traditional technique of placing a peripheral intravenous (IV) catheter is successful in most cases on inpatient wards. However, when the traditional method […]
Authors describe a case of metronidazole injection infiltration
We describe a case of metronidazole injection infiltration which did not require pharmacologic or nonpharmacologic interventions and resulted in complete resolution. This case supplements the current literature by contrasting the sole other case report which resulted in profound necrosis near the intravenous access site” North and Yee (2017). Abstract: Purpose: This report describes a case […]
Authors recommend uniformity in CRBSI definitions and risk factors for surveillance purposes
One of the factors negatively influencing the incidence is the lack of uniformity in CRBSI definitions, etiology and risk factors for surveillance purposes” Antoňáková Nemčíková and Bednárovská (2017). Abstract: BACKGROUND: Catheter-related bloodstream infections (CRBSI) represent a life-threatening complication. They are associated with high morbidity, mortality and healthcare costs. Cancer patients are at particular risk due […]
Pharmacokinetics of intravenous ketorolac in children
The aim of this study was to review age- and weight-related effects on ketorolac pharmacokinetic parameters in children and current dosing schedules” McLay et al (2017). Abstract: BACKGROUND: Intravenous ketorolac is commonly administered to children for the control of postoperative pain. An effect site EC50 for analgesia of 0.37 mg. L-1 is described in adults. […]
Radiation exposure during insertion of totally implantable port vascular devices
To evaluate the combination of access site and level of experience on fluoroscopy times (FT) and dose area products (DAP) during implantation of port catheters in a large patient population” Jonczyk et al (2017). Abstract: BACKGROUND: Totally implantable central venous port systems provide a safe and effective, long-term means of access for administration of hyperosmolar, […]
Would you choose right or left internal jugular vein for central venous access?
We aimed to investigate whether variability in the direction of the LIJV/brachiocephalic vein (BV) axis on the frontal plane could be a decisive factor in determining CVC dysfunctions” Granata et al (2017). Abstract: BACKGROUND: Internal jugular vein cannulation has become increasingly widespread. Compared to the left internal jugular vein (LIJV), the right internal jugular vein […]
Vancomycin plus Piperacillin-Tazobactam and acute kidney injury in adults
The objective of this systematic review and meta-analysis was to assess acute kidney injury with combination therapy of vancomycin plus piperacillin-tazobactam, in general, adult patients and in critically ill adults. Rates of acute kidney injury, time to acute kidney injury, and odds of acute kidney injury were compared with vancomycin monotherapy, vancomycin plus cefepime or […]
Approaches to manage clinical alarms with intent to reduce alarm fatigue
Alarm fatigue is a widely recognized safety and quality problem where exposure to high rates of clinical alarms results in desensitization leading to dismissal of or slowed response to alarms” Winters et al (2018). Abstract: Objective: Alarm fatigue is a widely recognized safety and quality problem where exposure to high rates of clinical alarms results […]
Fluid replacement with crystalloids and colloids during bleeding and resuscitation
Our aim was to compare colloid and crystalloid based fluid resuscitation during an experimental stroke volume index (SVI) guided hemorrhage and resuscitation animal model” László et al (2017). Abstract: BACKGROUND: Fluid resuscitation remains a cornerstone in the management of acute bleeding. According to Starling’s “Three-compartment model”, four-times more crystalloids have the same volume effect as […]
PICC tip migration with breathing and arm movement
The purpose of this study is to assess the degree of PICC tip migration with breathing and arm movement to determine whether accurate positioning is feasible or futile” De Carvalho and Eagar (2017). Abstract: INTRODUCTION: The purpose of this study is to assess the degree of PICC tip migration with breathing and arm movement to […]
Size of peripheral intravenous catheters in maternity patients for postpartum haemorrhage?
Postpartum haemorrhage requiring a blood transfusion remains a relatively rare event. Comprehensive risk assessment should be undertaken before inserting large-bore catheters in perinatal women” Webster et al (2017). Abstract: BACKGROUND: Insertion of a 16 or 18 gauge peripheral intravenous catheter is a potentially painful intervention but one frequently experienced by pregnant women when admitted to […]
Compatibility of fosftomycin with selected IV drugs during simulated Y-site administration
The results of a study to determine the physical compatibility of ZTI-01 (fosfomycin for injection) in 0.9% sodium chloride or 5% dextrose during simulated Y-site administration with 37 i.v. antimicrobials and 58 nonantimicrobials are reported” Monogue et al (2018). Abstract Purpose The results of a study to determine the physical compatibility of ZTI-01 (fosfomycin for […]
Review of home haemodialysis activity and outcomes in Ireland
Home haemodialysis (HHD) has the potential to impact positively on patient outcomes and health resource management” Kennedy et al (2017). Abstract: BACKGROUND: Home haemodialysis (HHD) has the potential to impact positively on patient outcomes and health resource management. There has been rejuvenated international interest in HHD in recent years. We aimed to review the activity […]
Hypoglycemia during insulin infusion directed protocols
This study aimed to compare BG control, time in target BG range, and the rate of hypoglycemia when critically ill patients were managed with an insulin infusion guided by paper-based protocol (PBP) versus eGMS” Rabinovich et al (2017). Abstract: BACKGROUND: Insulin infusions are commonly utilized to control hyperglycemia in critically ill patients and decrease hyperglycemia […]
Safety and efficacy of parenteral iron in children with inflammatory bowel disease
New generation parenteral iron preparations are safe, well tolerated and efficacious in children with IDA and IBD” Papadopoulos et al (2017). Abstract: OBJECTIVES: Iron deficiency anaemia (IDA) frequently complicates inflammatory bowel disease (IBD) in children and adults. Oral iron may exacerbate gastrointestinal symptoms and absorption may be insufficient in intestinal inflammation. Even where oral iron […]
Preoperative intravenous iron therapy in colorectal cancer patients with anemia
The aim of this study was to assess the efficacy of preoperative intravenous (IV) iron infusion in optimizing hemoglobin (Hb) levels in anemic colorectal cancer patients” Wilson et al (2017). Abstract: BACKGROUND: In the treatment of preoperative anemia, which is associated with increased postoperative morbidity, iron supplementation can replace blood transfusion and erythropoiesis-stimulating agents. The […]
Agitated saline bubble-enhanced ultrasound for assessing central line position
The primary aim of this prospective study, which was performed in ventilated, critically ill patients with AKI, was to compare agitated saline bubble−enhanced ultrasound with bedside chest radiography for the confirmation of appropriate positioning of hemodialysis catheter” da Hora Passos et al (2017). Extract: The primary aim of this prospective study, which was performed in […]
Cost analysis of peripherally inserted central catheter in pediatric patients
This study has demonstrated the costs associated with PICCs. This information may be helpful for healthcare providers to understand PICC related cost in children and resource implications” Dong et al (2017). Abstract: PURPOSE: A peripherally inserted central catheter (PICC) is a useful option in providing secure venous access, which enables patients to be discharged earlier […]
Treatment outcomes of drug extravasation in pediatric patients
The aim of this study is to explore the incidence, risk factors and summarize the characteristics and treatment outcomes of extravasation injuries resulting in drug extravasation among Chinese children in our hospital” Yan et al (2017). Abstract: Extravasation injury is a common phenomenon in hospitals. Failure to detect and treat extravasation injury can lead to […]