Loss of guidewire and its sequelae after central venous catheterization
Here, we report a peculiar case of a missed guidewire puncturing the aortic arch and cerebrum” Zhao et al (2019). Abstract: RATIONALE: Central venous catheterization is a common tool used to monitor central venous pressure and administer fluid medications in patients undergoing surgery. The loss of a broken guide wire into the circulation is a […]
Implementation of second-tier prevention practices and CLABSI rates
Implementation of second-tier preventive practices was protective against CLABSI. Use of more practices was correlated with lower rates” Ben-David et al (2019). Abstract: BACKGROUND: Prevention of central-line-associated bloodstream infection (CLABSI) represents a complex challenge for the teams involved in device insertion and maintenance. First-tier practices for CLABSI prevention are well established. OBJECTIVE: We describe second-tier […]
Etiology and management of upper-extremity catheter-related thrombosis
Catheter-related thrombosis (CRT) is a common complication of central venous access devices in oncology patients. Risk factors for CRT include patient-, device-, and treatment-related risk factors” Rajasekhar et al (2019). Abstract: Central venous access devices are a critical instrument in the treatment and supportive care delivery for oncology patients. Catheter-related thrombosis (CRT) is a common […]
Removing unnecessary centrally inserted central catheters
This probably shows that the combination of the five evidence-based procedures recommended by the Centers for Disease Control and Prevention together with that of ultrasound-guided peripheral venous cannulation method can increase the compliance with the Category IA recommendation for removal or avoidance of unnecessary placement of centrally inserted central catheters” Iordanou et al (2019). Abstract: […]
Impact of multiple concurrent central lines on CLABSI rates
The current methodology for calculating central-line-associated bloodstream infection (CLABSI) rates, used for pay-for-performance measures, does not account for multiple concurrent central lines” Couk et al (2019). Abstract: BACKGROUND: The current methodology for calculating central-line-associated bloodstream infection (CLABSI) rates, used for pay-for-performance measures, does not account for multiple concurrent central lines. OBJECTIVE: To compare CLABSI rates […]
Air embolism through open hub of external jugular vein intravenous cannula
We are reporting a case of sudden pulmonary air embolism in a patient through the open hub of an intravenous cannula” Mohanty et al (2019). Abstract: INTRODUCTION: Venous air embolism is a catastrophic complication that can result in sudden cardiac arrest and death. Massive air embolism has been reported with central venous catheter through the […]
Prehospital interventions performed on wartime pediatric trauma casualties
We describe injury characteristics and prehospital interventions performed on wartime pediatric trauma casualties in Afghanistan and Iraq, stratified by medical evacuation platform” Naylor et al (2019). Abstract: Background: Traumatic injuries were the most common reason for pediatric admission to military hospitals during the recent wars in the Middle East. We describe injury characteristics and prehospital […]
The case for using a disinfecting cap for needlefree connectors
Catheter-related bloodstream infections (CRBSIs) are a signification cause of infection. When CRBSI rates are high, the cost to the patient and the organisation can be significant” Barton (2019). Abstract Catheter-related bloodstream infections (CRBSIs) are a signification cause of infection. When CRBSI rates are high, the cost to the patient and the organisation can be significant. […]
Health professionals’ lack of knowledge of central venous access devices
It suggests that patients accept having a CVAD as it should reduce episodes of repeated cannulations. However, a recent doctoral study found the reality did not live up to this hope” Kelly et al (2019). Abstract Background: the literature on the patient experience of living with a central venous access device (CVAD) is growing, but […]
Clinical experiences of using ports and non-coring needles
The following case studies describe the use of the Smith Medical implanted ports and Gripper huber needles” Meade et al (2019). Abstract: The following case studies describe the use of the Smith Medical implanted ports and Gripper huber needles. Smiths Medical produces a range of implanted ports that include the Port-A-Cath and P.A.S. Port Power […]
Article examines components and selection of implantable ports
This article describes the different types and components of ports and how to select them. It explains how to insert ports, and provides guidance on accessing and de-accessing them” Hodson (2019). Abstract: Uses of central venous access devices (CVADs) include the administration of vital fluids and medications. Implanted ports are a type of CVAD that […]
Best practice for using ports and non-coring needles
This article explores the additional equipment required to be able to access ports” York (2019). Abstract: Ports are predominately inserted into oncology patients, but their use is becoming increasingly popular for other indications, such as cystic fibrosis. These devices not only provide patients and health professionals with reliable vascular access, but also preserve vessel health […]
Unconventional diagnostic tests for Lyme borreliosis
Lyme borreliosis (LB) diagnosis currently relies mainly on serological tests and sometimes polymerase chain reaction or culture. However, other biological assays are being developed to try to improve Borrelia-infection diagnosis and/or monitoring” Raffetin et al (2019). Abstract: Background: Lyme borreliosis (LB) diagnosis currently relies mainly on serological tests and sometimes polymerase chain reaction or culture. […]
Review of antibiotic overuse in the intensive care unit
To review the literature exploring how we diagnose infection in patients in the ICU and address the safety and utility of a “watchful waiting” approach to antibiotic initiation with selected patients in the ICU” Denny et al (2019). Abstract: Background: Most Intensive Care Unit (ICU) patients receive broad-spectrum antibiotics. While lifesaving in some, in others […]
PICC placement led by technicians is feasible and safe
PICC placement led by technicians is feasible and safe without statistical difference in terms of complications compared to PICC placement made by radiologists” Chasseigne et al (2019). Abstract: PURPOSE: The purpose of this study was to evaluate a cooperation program in order to compare incidence of complications after peripherally inserted central catheter (PICC) placement between […]
Evaluation of the activity of heparin injected into an implantable port
We can conclude that lock of heparinized solution used in our service in fully implantable central venous catheters for chemotherapy, was maintained with active heparin even after a long period of time (up to 30 days), demonstrating that the half-life of the substance within the catheter is greater than its plasma half-life” Pacheco Annicchino Baptistella […]
Impact of home parenteral nutrition and the older adult
In this large cohort study, increasing age was found to be protective against CRBSI” Bond et al (2019). Abstract: INTRODUCTION: The population in developed countries is getting older and with advancing age comes increasing co-morbidity and demand on health care services. The use of home parenteral nutrition (HPN) is also increasing in the UK and […]
Prevalence of complications associated with hemodyalisis CVAD
Ultrasonographic guidance is associated with a reduction in the prevalence of central venous line complications” Müller-Ortiz et al (2019). Abstract: BACKGROUND: Placing central venous lines under ultrasonographic guidance reduces the complications of the procedure. AIM: To compare prevalences of complications of central venous line placements with or without ultrasonographic guidance. MATERIAL AND METHODS: Descriptive study […]
The inside-out technique for tunneled dialysis catheter placement
The “inside-out” technique eliminates the need for subclavian or femoral catheter placement by placing a supraclavicular catheter via a percutaneous femoral vein access” Freeman et al (2019). Abstract: The “inside-out” technique eliminates the need for subclavian or femoral catheter placement by placing a supraclavicular catheter via a percutaneous femoral vein access. Few reports of its […]
Integrated OPAT treatment of patients with opioid use disorder
outpatient clinic that combines office-based opioid treatment with buprenorphine pharmacotherapy and counseling services with OPAT” Fanucchi et al (2019). Abstract: Persons with opioid use disorder (OUD) hospitalized with severe, injection-related infections (SIRI) are frequently hospitalized for the duration of IV antibiotic treatment due to concerns regarding their eligibility for outpatient parenteral antimicrobial therapy (OPAT), which […]
OPAT treatment for non-cystic fibrosis bronchiectasis exacerbations
The recently published guidelines of the Spanish Society of Pulmonology and Thoracic Surgery encourage physicians to use outpatient antimicrobial therapy to treat exacerbations in patients with non-cystic fibrosis bronchiectasis (NCFB)” López-Cortés et al (2019). Abstract: BACKGROUND: The recently published guidelines of the Spanish Society of Pulmonology and Thoracic Surgery encourage physicians to use outpatient antimicrobial […]
Accuracy of syringe infusion pump devices depending on altitude
The aim of this study was to compare infusion flow rates delivered by low-weight versus standard SIP devices, in the prehospital emergency medicine setting, at different altitudes” Blancher et al (2019). Abstract: BACKGROUND: Intravenous drug infusions in critically ill patients require accurate syringe infusion pumps (SIPs). This is particularly important during transportation of critically ill […]
Vascular access animal models used in research
To provide a systematic literature review on effectiveness of arteriovenous fistula (AVF) and Shunt (AVS), research animal models” Kokozidou et al (2019). Abstract: PURPOSE: To provide a systematic literature review on effectiveness of arteriovenous fistula (AVF) and Shunt (AVS), research animal models. BACKGROUND: Due to advancing human population age, there is increased incidence of patients […]
Practices and perceptions regarding intravenous opioid infusion
More than half the nurses working in the inpatient setting reported administering iv opioids too fast. ICU nurses administered opioids the fastest” Arthur et al (2019). Abstract: BACKGROUND: In view of the recent opioid crisis, ways to promote safe and effective opioid-related practices are needed. Faster intravenous (iv) opioid infusion rates can result in increased […]
Anaphylaxis simulation for interprofessional healthcare education
In the spring of 2015, stakeholders at the outpatient antibiotic therapy program (OPAT) at The Ottawa Hospital (TOH) approached the nurse educator team to develop an education session around anaphylaxis management” Dale-Tam and McBride (2019). Abstract: In-situ simulation occurs in the clinical environment. This allows healthcare providers greater access to the educational session while providing […]
Study on the infusion-site adverse events of epirubicin in chemotherapy
In breast cancer patients on a fluorouracil-epirubicin (EPI)-cyclophosphamide (FEC) regimen and intravenous fosaprepitant (FAP) during chemotherapy, infusion-site adverse events such as vascular pain and induration and/or phlebitis are observed” Yamasaki et al (2019). Abstract: In breast cancer patients on a fluorouracil-epirubicin (EPI)-cyclophosphamide (FEC) regimen and intravenous fosaprepitant (FAP) during chemotherapy, infusion-site adverse events such as […]
Risk of Emerade product failing to deliver a dose of adrenaline from the syringe
Pharmaswiss Česka republika s.r.o. (an affiliate of Bausch & Lomb UK Limited) has informed us of a risk of Emerade product failing to deliver a dose of adrenaline from the syringe due to blockage of the needle” MHRA (2019). MHRA report “Bausch & Lomb UK limited has informed us of a risk of Emerade product […]
Patient acceptability of three different central venous access devices
Patient experiences and preferences have not been systematically used to inform policy and practice regarding CVAD availability and selection” Ryan et al 92019). Abstract: OBJECTIVE: Three types of central venous access devices (CVADs) are routinely used in the delivery of intravenous systemic anticancer therapy (SACT): peripherally inserted central catheters (PICCs), subcutaneously tunnelled central catheters (Hickman-type […]
Multi-component lipid emulsion vs soy-based lipid emulsion for very low birth weight neonates
To examine the effectiveness of soybean oil-medium chain triglycerides-olive oil-fish oil lipid emulsion (SMOF-LE) on clinical outcomes of very-low-birth-weight neonates” Torgalkar et al (2019). Abstract: Objective: To examine the effectiveness of soybean oil-medium chain triglycerides-olive oil-fish oil lipid emulsion (SMOF-LE) on clinical outcomes of very-low-birth-weight neonates. Study design: We conducted a pre-post comparative study of […]
Analysis of needlestick injuries and depression among medical staff
To investigate needlestick injuries and depression among the female medical staff in a city district” Yuan et al (2019). Abstract: Objective: To investigate needlestick injuries and depression among the female medical staff in a city district. Methods: Using cross-sectional survey methods, female medical staff from selected sixteen hospitals voluntarily participated in questionnaire survey on APP […]