Journal of Infusion Nursing

May 16, 2008

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The May 2008 edition of the The Journal of Infusion Nursing has been published. The content of this edition includes:

Hall G. and Esser E. (2008) Challenges of care for the patient with acute kidney injury. Journal of Infusion Nursing. 31(3), p.150-156.

Abstract

“Acute kidney injury (AKI) can be a devastating problem for hospitalized patients. Whether it is acute or chronic renal failure, or a result of prerenal, postrenal, or intrarenal causes, AKI greatly increases mortality as well as inpatient cost. This article provides an overview of AKI, along with specific information to arm the infusion nurse to optimise patient care for the long term” (Hall and Esser 2008).

Hertzog D.R. and Waybill P.N. (2008) Complications and controversies associated with PICCs. Journal of Infusion Nursing. 31(3), p.159-163.

Abstract

“The placement of peripherally inserted central catheters has grown into one of the most common forms of intravenous access. Although complications associated with peripherally inserted central catheters are low, most healthcare providors will encounter them on a frequent basis. Awareness of these complications will help the clinician manage these issues appropriately” (Hertzog and Waybill 2008).

Nichols I. and Humphrey J.P. (2008) Effiency of upper arm placement of PICCs using bedside ultrasound and microintroducer technique. Journal of Infusion Nursing. 31(3), p.165-176.

Abstract

“In one hospital in southern Georgia, the review and analysis of 500 peripherally inserted central catheter procedural attempts by designated, speciality nurses using microintroducer technique and ultrasound guidance revealed an overall catheter placement success rate of 94.6%. this research analysis also provided information on the disposition of those 6-French dual-lumen and triple-lumen, power injectable peripherally inserted central catheters actually placed in situ on subjects who remained hospitalized or within the hospital’s rehabilitation facility. Of the 422 catheters removed, none exhibited signs or symptoms of mechanical phlebitis, and one tested positive per laboratory analysis for organisms confirming infection” (Nichols and Humphrey 2008).

Tripathi S., Kaushik V. and Singh V. (2008) Peripheral IVs: Factors affecting complications and patency – a randomized controlled trial. Journal of Infusion Nursing. 31(3), p.182-188.

Abstract

“Peripheral intravenous access is a common but stressful pediatric procedure. Though in use for some decades now, there is no consensus on factors affecting the duration of patency and complications. The present study is a randomized controlled trial covering all aspects associated with vascular access. This prospective interventional study was conducted over a period of 6 months in a general pediatric ward of Lady Hardinge Medical College and Associated Kalawati Saran Children’s Hospital. This sample was composed of 88 patients, from neonates to 12-year-olds who were admitted to the pediatric ward, on whom a total 377 catheters were started. Intravenous cannulations were randomized for heparin flushes (1:100 dilution) and splints. Prospective data were collected regarding duration of patency and complications. Both univariate and multivariate analysis were done. There was a statistically significant increase in the duration of patency with the use of heparin flushes. Shorter patency duration and increased complications were associated with younger age, wrist and scalp insertions, and 24-gauge catheters.