Successful vascular access cannulation in hemodialysis patients
Cannulation-related complications can also negatively impact on a patient’s dialysis experience and quality of life. This study aimed to identify patient, VA and nurse factors associated with unsuccessful VA cannulations” Coventry et al (2019). Abstract: BACKGROUND: Successful vascular access (VA) cannulation is integral to the delivery of adequate dialysis, highlighting the importance of ensuring the […]
Safety profile of HTX-019 administered as an intravenous infusion
This is the first study to evaluate the safety profile of multiple HTX-019 infusions in patients with cancer” Calcanes and Vacirca (2019). Abstract: HTX-019 is a neurokinin 1 receptor antagonist approved for prevention of acute and delayed chemotherapy-induced nausea and vomiting in patients with cancer receiving moderately and highly emetogenic chemotherapy. When administered as a […]
Aspiration of the guidewire of a central venous jugular catheter
During this procedure, the guidewire was inserted into the hub of the needle and the needle was retracted from the skin without any difficulty. Thereafter, the dilating device was passed over the guidewire to enlarge the insertion site, and during the dilation, the guidewire was aspirated by the venous ECMO cannula into the ECMO tubing” […]
Central venous access insertion by advanced critical care practitioners
This audit considers the safety profile of advanced critical care practitioners in the provision of central venous catheterisation and transfer of ventilated critical care patients without direct supervision and supervised drug assisted intubation of critically ill patients” Denton et al (2019). Abstract: Advanced critical care practitioners are a new and growing component of the critical […]
Machine learning approaches for risk assessment of PICC-related vein thrombosis
The aim of this study was to conduct an effective assessment of peripherally inserted central venous catheter (PICC)-related thrombosis based on machine learning (ML) techniques considering genotype” Liu et al (2019). Abstract: OBJECTIVE: The aim of this study was to conduct an effective assessment of peripherally inserted central venous catheter (PICC)-related thrombosis based on machine […]
Angioedema risk associated with CVAD declotting
This suggests that angioedema is a potential complication of alteplase when used for declotting CVADs-a complication that nurses should know how to recognize and treat” Zrelak (2019). Abstract: Little is known about the risk of angioedema with low-dose alteplase administration in the treatment of thrombotically occluded central vascular access devices (CVADs). To identify potential cases, […]
Central venous access device insertion explained
Central venous catheterization is the placement of a catheter in such a manner that its tip is positioned within the proximal third of the superior vena cava, the right atrium or the inferior vena cava” Lockwood and Desai (2019). Abstract: Central venous catheterization is the placement of a catheter in such a manner that its […]
Development of a paediatric central venous access device database
To describe practice evolution, complications and risk factors for multiple insertion attempts and device failure in paediatric central venous access devices (CVADs)” Kleidon et al (2019). Abstract: AIM: To describe practice evolution, complications and risk factors for multiple insertion attempts and device failure in paediatric central venous access devices (CVADs). METHODS: A paediatric retrospective cohort […]
Definition of long peripheral IV catheters
“The purpose of this editorial is to achieve some level of standardisation in the nomenclature of this device. Is it time to address the confusion? We suggest adopting ‘long peripheral catheter'” Qin et al (2019).
Difficult intravenous access in the pediatric emergency department
Successful intravenous catheter placement plays a vital role in the pediatric emergency department. We assessed pediatric emergency department-related factors associated with difficult intravenous catheter placement” Lee et al (2019). Abstract: BACKGROUND: Successful intravenous catheter placement plays a vital role in the pediatric emergency department. We assessed pediatric emergency department-related factors associated with difficult intravenous catheter […]
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 […]