Guidebook for home care of renal dialysis patients
To design and validate the content and format of a guidebook for chronic renal failure patients about the care with venous access for hemodialysis at home” Freitas et al (2019). Abstract: OBJECTIVE: To design and validate the content and format of a guidebook for chronic renal failure patients about the care with venous access for […]
Transudative chylothorax associated with superior vena cava syndrome
In this manuscript, we describe a case of transudative chylothorax due to SVC obstruction secondary to thrombosis of a peripheral inserted central venous catheter, which ultimately resolved after endovascular intervention” Austin et al (2019). Abstract: The chylothorax is a lymphocyte predominant protein-discordant exudative pleural effusions with low lactate dehydrogenase and elevated triglyceride levels. Transudative chylothoraces […]
Device-related error associated with Patient-Controlled Analgesia
Here we report the causes and clinical outcomes of device-related errors in PCA” Son et al (2019). Abstract: BACKGROUND: Patient-controlled analgesia (PCA) is one of the most popular and effective methods for managing postoperative pain. Various types of continuous infusion pumps are available for the safe and accurate administration of analgesic drugs. Here we report […]
Frequency of infusion pump alarms and infusion-interruptions
This study gives an indication of what might be expected in critical care environments in terms of the volume of general infusion alarms and critical short half-life infusion alarms, as well as for clinician reaction times to critical short half-life infusion-interruption events” Waterson and Bedner (2019). Abstract: BACKGROUND: Alarm fatigue commonly leads to a reduced […]
Comparative approaches to ultrasound-guided internal jugular vein cannulation
In this network meta-analysis of randomized controlled trials, all three approaches were evaluated to identify the best technique for USG-guided internal jugular vein cannulation” Maitra et al (2019). Abstract: BACKGROUND: Comparison between various approaches of ultrasound (USG)-guided internal jugular vein cannulation, that is, short-axis out-of-plane approach, long-axis in-plane approach, and oblique-axis approach, is sparse. In […]
United States-based Outpatient Parenteral Antimicrobial Therapy practice
ID providers are highly involved in OPAT, but only a third of respondents have a dedicated OPAT program. Lack of financial and institutional support are perceived as significant barriers to providing safe OPAT care” Hamad et al (2019). Abstract: BACKGROUND: While outpatient parenteral antimicrobial therapy (OPAT) is generally considered safe, patients are at risk for […]
Effectiveness of hygiene practices on hemodialysis CLABSI rates
The present study aimed to evaluate the effectiveness of personal hygiene on the incidence of IJV catheter-related bloodstream infection (CRBSI)” Loomba et al (2019). Abstract: Infection of the internal jugular vein (IJV) catheter continues to be a common cause of death in patients with end-stage renal disease undergoing hemodialysis (HD). The present study aimed to […]
Outcomes of vascular access in hemodialysis patients
Current guidelines did not offer specific recommendations. Thus, this study was conducted to analyze the all-cause mortality and primary patency associated with various vascular access (VA) types according to age group” Lee et al (2019). Abstract: BACKGROUND: Controversies exist whether arteriovenous fistula (AVF) placement is preferred over arteriovenous graft (AVG) for elderly patients. Current guidelines […]
Guide wire electrode versus liquid electrode for intravascular ECG-guided central venous catheterization
To assess the effectiveness and safety of guide wire electrode versus liquid electrode for intravascular electrocardiography-guided central venous catheter placement in adults” Ling et al (2019). Abstract: AIM: To assess the effectiveness and safety of guide wire electrode versus liquid electrode for intravascular electrocardiography-guided central venous catheter placement in adults. DESIGN: Systematic review and meta-analysis. […]
Cost-analysis of inpatient and outpatient parenteral antimicrobial therapy
To conduct a health economic cost-benefit analysis of OPAT, a detailed cost analysis of IPAT and OPAT is required” Boese et al (2019). Abstract: BACKGROUND: Increasing numbers of total joint arthroplasties and consecutive revision surgery are associated with the risk of periprosthetic joint infections (PPJI). Treatment of PPJI is complex and associated with immense socio-economic […]
Difficult jugular central venous cannulation due to indwelling PICC
We present two cases where use of standard J-tip guidewire may have exacerbated the difficulty associated with internal jugular cannulation in presence of peripherally inserted central venous catheters” Anand et al (2019). Abstract: Central venous cannulation is a commonly performed procedure while managing critically ill patients; increasingly we encounter patients with indwelling wires or devices, […]
Point-of-care ultrasound-guided correction of PICC line placement
A 2.0 kg early-term infant with congenital heart disease required central venous catheter placement for persistent hypoglycaemia” Suell et al (2019).
Critically important haemodialysis vascular access outcomes
Vascular access outcomes reported across haemodialysis (HD) trials are numerous, heterogeneous and not always relevant to patients and clinicians. This study aimed to identify critically important vascular access outcomes” Viecelli et al (2019). Abstract: BACKGROUND: Vascular access outcomes reported across haemodialysis (HD) trials are numerous, heterogeneous and not always relevant to patients and clinicians. This […]
Human factors approaches to evaluating OPAT
A systematic review was undertaken to explore Human Factors aspects relating to OPAT service delivery and to evaluate whether OPAT is amenable to description using the Systems Engineering Initiative for Patient Safety (SEIPS 2.0) model” Bugeja et al (2019). Abstract: BACKGROUND: The expansion in terms of available treatment options and models of care has led […]
Stability challenges during continuous IV administration of high-dose amoxicillin
Therefore, we have performed a comprehensive study so as to determine the chemical stability of high-dose amoxicillin solutions conducive to safe and effective continuous intravenous administration using portable elastomeric pumps” Binson et al (2019). Abstract: While treatment of serious infectious diseases may require high-dose amoxicillin, continuous infusion may be limited by lack of knowledge regarding […]
Performance characteristics of the PowerFlow apheresis port
We prospectively evaluated the Bard PowerFlow Implantable Apheresis IV Port in four patients undergoing outpatient therapeutic plasma exchange over 18 to 97 days” Garrity et al (2019). Abstract: We prospectively evaluated the Bard PowerFlow Implantable Apheresis IV Port in four patients undergoing outpatient therapeutic plasma exchange over 18 to 97 days. Three had bilateral internal jugular access […]
Anatomical review of the Superior Vena Cava
The superior vena cava is a large, significant vein responsible for returning deoxygenated blood collected from the body back into the heart” White and Soos (2019). Excerpt: The superior vena cava is a large, significant vein responsible for returning deoxygenated blood collected from the body back into the heart. It is present within the superior […]
Extravasation from a misplaced intraosseous catheter
Due to extravasation of the medications, the patient suffered localized tissue necrosis and eventually required skin grafting. This case illustrates the importance of confirming appropriate IO placement” Sampson (2019). Abstract: A 75-year old female presented in cardiac arrest with a right tibial intraosseous (IO) catheter through which prehospital medications were administered. The catheter, which had […]
Central venous catheter associated blood stream infections in non-ICU settings
This study aimed to determine the burden, microbiologic patterns, and associations of CVC-BSIs in non-ICU settings in a tertiary regional centre, University Hospital Geelong (UHG), Victoria, Australia” Aminzadeh et al (2019). Abstract: BACKGROUND: Most studies have examined central venous catheter associated blood stream infections (CVC-BSIs) in Intensive Care Units (ICUs) but information on CVC-BSIs in […]
Vascular access for renal replacement therapy in acute kidney injury
Renal replacement therapy (RRT) in the setting of acute kidney injury (AKI) is generally provided by either tunneled or nontunneled dialysis catheters (TDCs or NTDCs), used immediately after insertion” Kelly and Mendu (2019). Abstract: Renal replacement therapy (RRT) in the setting of acute kidney injury (AKI) is generally provided by either tunneled or nontunneled dialysis […]
Identification and management of children with difficult intravenous access
Identification of children with difficult intravenous access (DIVA) can help promote prompt escalation to an appropriately skilled clinician” Schults et al (2019). Abstract: BACKGROUND: Peripheral venous cannulation is considered a routine procedure, yet 50% of first attempt insertions fail, necessitating repeat insertion attempts. Identification of children with difficult intravenous access (DIVA) can help promote prompt […]
Air embolism following peripheral intravenous access
We present a case of symptomatic venous air embolism likely arising from peripheral intravenous access gained during an interventional pain procedure” Vinan-Vega et al 92019). Abstract: Air embolism is a rare, often misdiagnosed, potentially fatal condition. It is most frequently associated with invasive vascular procedures and mechanical ventilation. Air emboli developing from peripheral intravenous lines […]
ED visits and hospitalizations among hemodialysis patients
Previous reports indicated that patients on thrice-weekly hemodialysis (HD) had higher mortality rates after the 3-day interdialytic interval. However, day-of-the-week patterns of emergency department (ED) visits and hospitalizations remain under-investigated” Zhang et al (2019). Abstract: BACKGROUND AND OBJECTIVE: Previous reports indicated that patients on thrice-weekly hemodialysis (HD) had higher mortality rates after the 3-day interdialytic […]
Clinical features of BSI with peripheral versus central venous catheters
This study aimed to compare the clinical characteristics and prognoses of central venous catheter-associated bloodstream infections (CVC-BSIs) with peripheral venous catheter-associated BSIs (PVC-BSIs)” Tatsuno et al (2019). Abstract: INTRODUCTION: This study aimed to compare the clinical characteristics and prognoses of central venous catheter-associated bloodstream infections (CVC-BSIs) with peripheral venous catheter-associated BSIs (PVC-BSIs). METHODS: This retrospective […]
Peripherally inserted central catheters in critically ill patients
Implementation of education, training, and appropriate multidisciplinary approaches on PICC care among nurses and caregivers is the key to preventing complications” Duwadi et al (2018). Abstract: Peripherally inserted central catheter (PICC) is extensively used in critical care settings, because it plays a vital role in providing safe central venous entry. However, PICC is associated with […]
Authors review results of needleless connector decontamination research
We recently read with interest the systematic review and meta-analysis by Flynn et al,1 which aimed to “compare the effectiveness of connector decontamination with 70% alcohol wipes, alcoholic chlorhexidine gluconate wipes, or alcohol impregnated caps to prevent catheter-associated bloodstream infection (CABSI)” Aho Glélé et al (2019). Abstract: We recently read with interest the systematic review […]
Chylothorax and chylopericardium a complication of CVC use
The development of chylothorax and chylopericardium is an uncommon complication of the long-term use of central venous catheters” Livesay et al (2019). Abstract: The development of chylothorax and chylopericardium is an uncommon complication of the long-term use of central venous catheters. We describe a unique case of an end stage renal disease patient on hemodialysis […]
Peripherally inserted central catheter tip position in newborn infants
To evaluate the application of ultrasound for the localization of the tip position of peripherally inserted central catheters (PICCs) in newborn infants” Ren et al (2019). Abstract: OBJECTIVE: To evaluate the application of ultrasound for the localization of the tip position of peripherally inserted central catheters (PICCs) in newborn infants. STUDY DESIGN: This study was […]
Review of central venous catheter complications
The use of a central line or central venous catheterization was brought to attention in 1929 when Dr. Werner Forssmann self-inserted a ureteric catheter through his cubital vein and into the right side of his heart” Patel et al 92019). Abstract: The use of a central line or central venous catheterization was brought to attention […]
Peripheral IV catheter dwell time and risk of catheter failure
The risk of catheter failure may not remain constant throughout the dwell time. The results suggest that nurses should assess the insertion site frequently in the first 38 h” Wei et al (2019). Abstract: AIMS AND OBJECTIVES: To explore whether the risk of peripheral venous catheters failure remained constant throughout catheter use in adult patients. […]