Environmental impact of blood transfusion
Environmental impact of blood transfusion Abstract: Background: Healthcare activities significantly contribute to greenhouse gas (GHG) emissions. Blood transfusions require complex, interlinked processes to collect, manufacture, and supply. Their contribution to healthcare emissions and avenues for mitigation is unknown. Study design and methods: We performed a life cycle assessment (LCA) for red blood cell (RBC) transfusions […]
CVC placement with eye-tracking glasses
“In this observational study, the study authors describe their experience using first-person wearable video-recording technology to precisely measure the timing of discrete events during CVC placement by anesthesia residents and anesthesiologists” Vergara-Escudero et al (2024).
CLABSI rates compared with hospital-onset bloodstream infections – Full Text
“To evaluate the comparative epidemiology of hospital-onset bloodstream infection (HOBSI) and central line-associated bloodstream infection (CLABSI)” Krishnan et al (2024).
Peripheral arterial catheter securement
“Peripheral arterial catheters (PACs), and their associated complications, are common in the pediatric intensive care unit (PICU). Accidental catheter displacement and non-functional PACs are the most common complications, and this may be related to inadequate catheter securement” Pilarz et al (2024).
Joint Commission accreditation and CLABSI rates
“This study evaluated the relationship between Joint Commission accreditation and health care-associated infections (HAIs) in long-term care hospitals (LTCHs)” Schmaltz et al (2024).
Compartment syndrome due to intravenous infiltration – Full Text
“We report the cases of two children who developed compartment syndrome of the dorsum of the hand and forearm after receiving only glucose acetate Ringer’s solution during hospitalization, with one case requiring a releasing incision” Tomori et al (2024).
Blood culture bottle fill volume – Full Text
“Therefore, it is crucial to fill a blood culture bottle with enough blood to maximize the detection of bacteremia. Current CLSI guidelines for adult blood culture collection recommend 2 sets, that is, 4 bottles of blood cultures, each filled with 10 mL of blood to maximize detection of bacteremia” Keller et al (2024).
Stuck haemodialysis catheter case report – Full Text
“This case serves as a timely reminder of the risks of long-term tunnelled haemodialysis catheters and as a caution towards proceeding with kidney transplantation in those with long-term haemodialysis catheters in situ” Burnett et al (2024).
Tobramycin serum sample collection from PICC – Full Text
” Tobramycin serum samples collected by PICC appear to be similar in value to PV collections. Collecting aminoglycoside levels by PICC rather than PV may reduce patient discomfort and improve quality of life. Additional multicenter studies are needed to confirm these results” Sherwood et al (2024).
Infection prevention practice gaps – Full Text
“The top three IPC gaps were absence of drug diversion program (77%), lack of audits and feedback for insertion and maintenance of central venous catheters (76%), and missing laboratory risk assessments to identify tests that can be offered safely for patients under investigation for HRP/SCD (76%)” Soma et al (2024).
High flow PICC for apheresis
“High flow PICC is a viable alternative for apheresis to maintain an adequate flow of 5 ml/s and can be used as a single catheter throughout the HSCT process, reducing the risks from anesthesia and the catheter insertion procedure” Kremer et al (2024).
Economic burden of difficult intravenous access
“This is the first formal analysis estimating the significant economic burden of difficult venous access in emergency departments via peripheral intravenous catheter placement, a task frequently performed by nurses” Gala et al (2024).
Dalbavancin OPAT treatment – Full Text
“We present a case of a homeless patient with MRSA bacteremia and osteomyelitis successfully treated with dalbavancin. Our case highlights the potential of dalbavancin’s once-weekly dosing to improve adherence and treatment outcomes in challenging outpatient scenarios” Sabina et al (2024).
Vascular access device type for systemic anti-cancer therapy
“Our findings suggest a systematic review and meta-analysis of VAD use for intravenous SACT can be considered. However, the development of a core outcome set for SACT should be prioritised” Duggan et al (2024).
Turkish version of the Difficult Intravenous Access Scale
“The Turkish version of the scale is a valid and reliable scale for determining the risk of difficult intravenous access. The practical use of this scale by healthcare professionals will enable earlier diagnosis of patients with difficult vascular access” Taşkın and Günay İsmailoğlu (2024).
How clinicians adapt to new peripheral IV cannula – Full Text
“The study aims to explore clinicians’ experience with the insertion of a new guidewire peripheral intravenous catheter (PIVC) introduced in the emergency department (ED) setting” Xu et al (2024).
Infusion set replacement interval study protocol – Full Text
“Therefore, the objective of this trial is to compare the efficacy of 24-h and 96-h replacement intervals for infusion sets on CLABSI among critically ill adults who have central venous access devices” Xu et al (2024).
Umbilical vascular catheter adverse events – Full Text
“Adverse events related to insertion occurred in a relatively high percentage of umbilical catheters placed. Increased dwell time remains a significant risk factor for catheter migration and overall failure” Gibson et al (2024).
Central venous catheter-related thrombosis guidelines – Full Text
“The overall quality of the guidelines is high, but there are few preventive measures for central venous CRT involved in the guidelines. All preventive measures have yet to be systematically integrated and evaluated, and no risk assessment scale dedicated to this field has been recommended” Zhang et al (2024).
Vascular access type for melflufen administration – Full Text
“Melflufen PVC and CVC administrations are bioequivalent based on melphalan pharmacokinetic parameters. Melflufen via PVC was well tolerated, with no infusion-related reactions or new safety signals and may represent an alternative route of administration” Pour et al (2024).
AI-assisted CLABSI surveillance
“AI shows promise in enhancing HAI surveillance, potentially streamlining tasks, and freeing health care staff for patient-focused activities. Effective AI use requires user education and ongoing AI model refinement” Wiemken and Carrico (2024).
Virtual reality for procedural pain management
“VR as a non-pharmacological adjunct reduced some procedure-related pain and anxiety without increasing the procedural duration” Schaake et al (2024).
OPAT services in Germany – Full Text
“The study demonstrates that OPAT can be safely conducted in Germany. In preparation for its broader implementation, crucial next steps include creating medical guidelines, fostering interdisciplinary and inter-sectoral communication, as well as creating financial and structural regulations that facilitate and encourage the adoption of OPAT” Schmidt-Hellerau et al (2024).
CLABSI burden outside acute care hospitals
“Surveillance is required to understand the burden of CLABSI in the community to identify targets for CLABSI prevention initiatives outside acute care settings” Oladapo-Shittu et al (2024).
Nursing care of patients with peripherally inserted central catheter
“Patients in the observation group had reduced NPRS, SAS, SDS and PFS-R scores, total incidence of unplanned extubation of PICC and the total incidence of catheter-related complications, and a higher nursing satisfaction rate in comparison to those in the control group” Li et al (2024).
Peripheral IV access for ED patients with septic shock – Full Text
“Importantly, even with these reassuringly low rates of serious complications from peripheral vasopressors, this same meta-analysis also discovered that there were fewer complications (extravasation and thrombosis) in studies reporting infusion safety guidelines” Waxman and Schechter-Perkins (2024).
Aseptic blood culture collection study – Full Text
“On analysis, the blood culture contamination rate in the pre-interventional phase dropped drastically from 6.16% to 3.03% in the post-interventional phase. The educational sessions conducted are a paramount reason for the reduction in the contamination rate” Kumthekar et al (2024).
CVC in the management of septic shock – Full Text
“Peripheral catheters, such as peripheral intravenous catheters and midline catheters, have been separately purported to be safer, quicker to insert, and equally useful as central venous catheters. However, both peripheral intravenous catheters and midline catheters carry very real risks and cannot match the central venous catheter’s utility” Wu and Sefa (2024).
Aluminum content in parenteral nutrition components – Full Text
“Parenteral nutrition (PN) can lead to high or even toxic exposure to aluminum (Al). We aimed to quantify concentrations of Al and other chemical elements of all-in-one (AIO) PN admixtures for adults prepared from commercial multichamber bags” Schönenberger et al (2024).
Brazilian nosocomial infection surveillance system – Full Text
“While adherence to HAI report is improving among Brazilian states, an important room for improvement in the Brazilian NNIS exists. Additional efforts should be made by the Brazilian government to improve the reliability of HAI data, which could serve as valuable guidance for hospital infection prevention and control policies” Silva et al (2024).