Inadvertent vascular device implantation in the subclavian artery
We present a case of a female patient with ovarian cancer who had an inadvertent vascular access device implantation in the subclavian artery” Coroleu Lletget et al (2019). Abstract: We present a case of a female patient with ovarian cancer who had an inadvertent vascular access device implantation in the subclavian artery, being detected after […]
Review of home-based elastomeric pump chemotherapy administration service
Elastomeric pumps are preferred by the patients, as they get them connected at the hospital or cancer centres, then go back home where they can have visits from the district nursing team” Shereen and Salman (2019). Abstract: Ambulatory chemotherapy offers many advantages from supporting a closer to home treatment approach to lowering the cost of […]
Blood stream infections associated with central and peripheral venous catheters
The purposes of this study were to determine the incidence of central and peripheral venous catheter-related bacteraemias, the relationship between the suspected and final confirmed bacteraemia origins, and the differences in microbiological, epidemiological, clinical, and analytical characteristics between the groups, including evolution to death” Ruiz-Giardin et al (2019). Abstract: BACKGROUND: The purposes of this study […]
Prevalence and associated factors for needlestick injuries in Jeddah
Our study aims to address knowledge gaps on prevalence and associated factors for needlestick and sharp injuries (NSIs) for the first time in Saudi Arabia” AlDakhil et al (2019). Abstract: BACKGROUND: Dental personnel are subject to exposure to a number of occupational factors including needlestick and sharp injuries (NSIs). Our study aims to address knowledge […]
Optimal loading and maintenance doses for continuous infusion of vancomycin
Our aim was to develop a rational approach for optimized dosage of vancomycin given in continuous infusion in critically ill patients” Vu et al (2019). Abstract: Despite extensive clinical use, only limited data is available regarding optimal loading and maintenance doses of vancomycin in critically ill patients. Our aim was to develop a rational approach […]
Effects of length of vasopressors infusion on mortality
The aim of the Effects of Length of Vasopressors Infusion on Mortality (ELVI-Mortality) study is to observe a relationship between the length of vasopressor infusion and mortality in the intensive care unit” Kumar et al (2019). Abstract: Background: There has been a myriad of studies into the physiology of vasopressors and the survival benefit of […]
Case study demonstrates use of the DripAssist infusion rate monitor
An infusion rate monitor (DripAssist, Shift Labs Inc) was used to assist in initial IV rate setup and maintenance. The medics and nurses of the 541st FST found that the infusion rate monitor improved the speed of setting the IV infusion rate, drop counting accuracy, and the team’s ability to monitor the continuous delivery of […]
Causes of needlestick injuries among healthcare providers in Tehran
Needle Stick Injuries (NSIs) are the most common occupational injuries among HCWs. The aim of this study was to explore the causes of such injuries at a university hospital in Tehran, Iran, in 2016″ Moghadam et al (2019). Abstract: BACKGROUND: Needle Stick Injuries (NSIs) are the most common occupational injuries among HCWs. The aim of […]
Hepatic artery infusion chemotherapy in the management of metastatic colorectal cancer
Hepatic artery infusion (HAI) chemotherapy is a locoregional therapy for colorectal cancer liver metastasis that has been available since the 1980s. Multiple clinical trials have demonstrated the safety and efficacy of HAI with higher response rates compared to systemic chemotherapy alone” Leung and and Gholami (2019). Abstract: Hepatic artery infusion (HAI) chemotherapy is a locoregional […]
Simplified oral flucloxacillin absorption test checks for drug absorption rate
In the current study, we investigated whether a simplified OAT can be utilized in a clinical setting to guide antibiotic treatment in patients with severe S. aureus infections. For this, OAT IV therapy is continued and oral dosing is performed after a one-hour fast and implemented after a small study” Dijkmans et al (2019). Abstract: […]
Examination of nursing drug administration practices via central venous catheter
To determine the compliance with nursing drug administration procedure steps associated with access to the central venous catheter for bolus infusion in intensive care units” Gürol Arslan et al (2019). Abstract: AIM: To determine the compliance with nursing drug administration procedure steps associated with access to the central venous catheter for bolus infusion in intensive […]
Systematic review of peripheral vein thrombophlebitis in the upper extremity
We aimed to determine the predisposing patient, catheter and healthcare-related factors of peripheral vein thrombophlebitis in the upper extremity” Heng et al (2019). Abstract: BACKGROUND: The acceptable incidence of thrombophlebitis following intravenous cannulation is 5% as recommended by the Intravenous Nurses Society guidelines, but publications have reported startling figures between 20% to 80%. Given the […]
Eliminating pre-procedural peripheral IV placement
We postulate that the number of patients requiring intravenous resuscitation after a routine renal transplant biopsy is sufficiently low enough to prove that eliminating pre-procedural peripheral IV placement will have no negative impact on patient safety and could improve departmental efficiency” Lewis et al (2019). Abstract: INTRODUCTION: Percutaneous renal transplant biopsies have long been a […]
Diabetes insipidus after discontinuation of vasopressin infusion
The purpose of the present study was to investigate the occurrence rate of diabetes insipidus after discontinuation of vasopressin infusion among patients treated with vasopressin infusion for shock” Ferenchick et al (2019). Abstract: OBJECTIVES: Vasopressin has achieved common usage for the treatment of catecholamine-requiring and catecholamine-resistant shock. Diabetes insipidus is a syndrome characterized by excretion […]
Effect of isometric handgrip exercise on the size of cephalic veins
These findings suggest that non-invasive handgrip exercise can increase in the diameter of the distal forearm cephalic vein, thereby increasing the rate of successful arteriovenous fistula creation” Kumar et al (2019). Abstract: BACKGROUND: Proper vascular access is essential for the long-term survival of chronic haemodialysis patients. The preferred vascular access in terms of long-term function […]
Training nurses in ultrasound-guided peripheral intravenous catheter placement
These results suggest that an abbreviated training in ultrasound-guided peripheral intravenous catheter placement for nurses on an inpatient medical unit is sufficient to reduce PICC and midline catheters” Galen et al (2019). Abstract: BACKGROUND: Training nurses in ultrasound-guided peripheral intravenous catheter placement might reduce the use of more invasive venous access devices (peripherally inserted central […]
Management and prevention of CRBSI
Key elements of prevention of CR-BSI are hand hygiene, avoidance of insertion of unnecessary catheters, full sterile barrier precautions at insertion, preferential use of subclavian venous insertion site, cutaneous antisepsis with 2% chlorhexidine alcoholic preparation, use of chlorhexidine-impregnated dressings, immediate replacement of moistened or detached catheter dressings, and removal of catheters as soon as possible” […]
Retrospective study of catheter-associated bloodstream infections
We studied the incidence, risk factors and microbiological spectrum of jugular NTHC-associated bloodstream infections (CABSIs) at a tertiary care center in South Asia” Agrawal et al (2019). Abstract: BACKGROUND: Nontunneled hemodialysis catheters (NTHCs) remain the preferred vascular access at hemodialysis (HD) initiation in developing countries. We studied the incidence, risk factors and microbiological spectrum of […]
Risk assessment of DVT in burn patients
The objective of this study is to explore the relevant risk factors of deep venous thrombosis (DVT) in burn patients” Peng et al (2019). Abstract: The objective of this study is to explore the relevant risk factors of deep venous thrombosis (DVT) in burn patients. A retrospective analysis was conducted for the medical records of […]
Norepinephrine pressor infusion withdrawal in a hospice
We discuss the withdrawal of NE in a hospice for a patient with advanced malignancy and profound hypotension from sepsis” Woods et al (2019). Abstract: Norepinephrine (NE) is a peripheral vasoconstrictor used as an emergency measure to restore blood pressure secondary to acute hypotension. NE must be administered centrally as a continuous infusion and requires […]
Development of PICC insertion training program nurse anesthetists
A PICC training pro-gram was developed to train a CRNA in a standardized curriculum with simulation using a partial-task trainer” Ostrowski et al (2019). Abstract: Patients wait an average of 23 hours for a peripherally inserted central catheter (PICC) in our hospital. Long waits lead to delays in discharge and medication administration. For quality improvement, […]
Colonization in 3-way stopcock connectors and needleless connectors
The aim of this study was to examine the colonization in 3-way stopcock (TWS) connectors and needleless connectors (NCs) that integrated into central, port, and peripheral venous catheters” Sengul et al (2019). Abstract: Background: Microorganisms causing catheter-related bloodstream infections colonize to intravenous catheters (IVC)—particularly to connectors mounted to catheters. The aim of this study was […]
Septic thrombosis of internal jugular vein
Septic thrombosis of the internal jugular vein is a possible complication related to central venous catheters” Sánchez-Gollarte et al (2019). Abstract: Septic thrombosis of the internal jugular vein is a possible complication related to central venous catheters. The enlargement of the diameter of the jugular vein can stimulate phrenic nerve causing hiccups and, septic thrombus […]
Vasopressor infusions via peripheral versus central access
To assess whether the initiation of vasopressor infusions via peripheral venous catheters (PVC) compared to central venous catheters (CVC) in ED patients with early septic shock was associated with differences in processes of care and outcomes” Delaney et al (2019). Abstract: OBJECTIVE: To assess whether the initiation of vasopressor infusions via peripheral venous catheters (PVC) […]
Clinical outcomes associated with the NexSite hemodialysis catheter
Our findings demonstrate that the NexSite HD catheter equipped with ESM technology can achieve a CRBSI rate in compliance with the NKF KDOQI (National Kidney Foundation Kidney Disease Outcome Quality Initiatives) Clinical Performance Guidelines stated goal of less than 1.0/1,000 catheter-days when used in hemodialysis patients using current standard of care nursing protocols” Hoggard et […]
Ultrasound-guided IV line placement course for nurse anesthetists
We designed and implemented a multimodality US training program specifically for the use of surface US for central and peripheral vascular access for CRNAs” Bortman et al (2019). Abstract: Ultrasonography (US) proficiency has become a desirable skill for anesthesia providers. It is commonly used in the perioperative arena for establishing peripheral and central vascular access. […]
CVC infection and the validity of surrogate endpoints
The prevention of catheter-related bloodstream infection (CRBSI) has been an area of intense research, but the heterogeneity of endpoints used to define catheter infection makes the interpretation of randomized controlled trials (RCTs) problematic” Grooth et al (2019). Abstract: BACKGROUND: The prevention of catheter-related bloodstream infection (CRBSI) has been an area of intense research, but the […]
Surgeon characteristics and dialysis vascular access outcomes
There is substantial surgeon-level variation in AVF placements and AVF maturation. Surgeons’ prior volume of AVF placements is strongly associated with AVF maturation” Shahinian et al (2019). Abstract: RATIONALE & OBJECTIVE: An arteriovenous fistula (AVF) is the preferred access for most patients receiving maintenance hemodialysis, but maturation failure remains a challenge. Surgeon characteristics have been […]
Mycobacterium goodii catheter related infection
We present a case of M. goodii bacteremia with concomitant pulmonary septic emboli that developed in a 32-year-old woman with an indwelling central venous catheter (CVC)” Shelton et al (2019). Abstract: Mycobacterium goodii has only rarely been reported to cause invasive disease in humans. Previously reported cases of M. goodii infection have included prosthetic joint […]
Vascular access team and CLABSI reduction
This study describes the role of a novel vascular access service in the reduction and prevention of central line–associated bloodstream infections (CLABSIs)” Martillo et al (2019). Abstract: This study describes the role of a novel vascular access service in the reduction and prevention of central line–associated bloodstream infections (CLABSIs). We conducted a retrospective analysis of […]