Measures to reduce Amiodarone-induced phlebitis
Phlebitis is a well-described adverse effect of intravenous (IV) administration of amiodarone, with reported incidence ranging from 11% to 85%” Dixon et al (2019). Extract: Phlebitis is a well-described adverse effect of intravenous (IV) administration of amiodarone, with reported incidence ranging from 11% to 85%. Risk factors for amiodarone-induced phlebitis (AIP) are many and include […]
Are three blood cultures sets really necessary in febrile patients?
The optimal number of blood culture sets (BCs) should be seen in the light of a significant number of additional blood culture contaminants (BCC) with subsequent BCs. A stronger selection of patients who need BCs is mandatory to limit BCC” Mahieu et al (2019). Abstract: The optimal number of blood culture sets (BCs) should be […]
Giant dorsalis pedis pseudoaneurysm following arterial line insertion
Here we report an unusual case of a giant DPA pseudoaneurysm after cannulation for arterial line placement in a patient newly diagnosed with systemic lupus erythematosus (SLE)” Anastasiadou et al 92019). Abstract: Dorsalis pedis artery (DPA) aneurysms are very rare and fewer than 60 cases have been reported in the literature. Most affected patients present […]
Health Care utilization after various vascular access selections
This study displayed that patients who received an AVF fully used health care and nonnephrology services than patients who received an AVG or CVC” Chang et al (2019). Abstract: BACKGROUND: To provide clinicians with sufficient information for selecting optimal access strategies for patients with end-stage renal disease, the utilization of health-care services of patients receiving […]
Clinical practice guidelines for replacing peripheral intravenous catheters
A community hospital policy of routinely replacing peripheral intravenous catheters (PIVCs) needed updating to the clinical practice guideline (CPG) of clinically indicated replacement” Oh et al (2019). Abstract: BACKGROUND: A community hospital policy of routinely replacing peripheral intravenous catheters (PIVCs) needed updating to the clinical practice guideline (CPG) of clinically indicated replacement. METHODS: Guided by […]
Quality improvement measures for early detection of severe intravenous infiltration
Infants are more likely to develop intravenous infiltrations due to the increased fragility of their blood vessels, deficient subcutaneous tissue and inability to express pain” Sangam (2019). Abstract: Intravenous infiltration is one of the most commonly seen morbidity in infants admitted to the neonatal intensive care unit (NICU). The risk of intravenous infiltration in preterm […]
Randomized trial compares 3 types of peripheral intravenous catheters
Our project supports current clinical recommendation that a closed PIVC system, regardless of type, is not only safer and cost-effective but also preferred by patients and clinicians” Galang et al (2019). Abstract: BACKGROUND: There was an increase in peripheral intravenous catheter (PIVC) complications and adverse patient events after product conversion during the merger between a […]
Effects of topical sesame oil on chemotherapy-induced phlebitis
Currently, the use of complementary methods to prevent or alleviate phlebitis symptoms has attracted great attention. In this study, we aimed to assess the effects of topical sesame oil in reducing the pain severity of CIP” Bigdeli Shamloo et al (2019). Abstract: BACKGROUND AND PURPOSE: Chemotherapy-induced phlebitis (CIP) is one of the most important and […]
Central line insertion checklist and CLABSI rates
We compared hospital-wide CLABSI rate pre- and post-implementation of a dedicated procedure team as well as central line checklist completion and patient-specific variables between the procedure team and other providers” Styslinger et al (2019). Abstract: A primary strategy of central line–associated bloodstream infection (CLABSI) prevention is standardized, aseptic insertion of central lines. We compared hospital-wide […]
Infusion phlebitis represents 14% of reported hospital incidents
The notifications were classified by reason and the most prevalent were those related to medication (17%), followed by skin lesions (15%), and phlebitis (14%)” Furini et al 92019). Abstract: OBJECTIVE: Analyze incident notifications related to the patient’s safety. METHOD: Cross-sectional study with quantitative approach, based on data from the risk Management of a hospital complex, […]
Chlorhexidine sensitivity in staphylococci isolated from patients with CLABSI
We observed no significant changes in chlorhexidine minimum inhibitory and bactericidal concentrations, or in the prevalence of resistance-associated genes before and after introduction of 2% chlorhexidine tincture. Thus, there was no evidence of increased resistance to chlorhexidine in staphylococci causing central line-associated bloodstream infections” Jun et al 92019). Summary: Since 2011, 2% chlorhexidine in 70% […]
Central venous access devices in pediatric oncology patients
Implantation of CVADs seems to be safe and reliable in this large pediatric patient cohort. Even if complications occur in the long-term management of CVADs, they can be treated successfully and long-term catheter survival rates are excellent” Beck et al 92019). Abstract: Background: Central venous access devices (CVAD) provide important benefits in the management of […]
Factors influencing the adherence of nurses to standard precautions
Standard precautions (SPs) serve as the first line of defense against exposure to blood and body fluids. The objective of this study was to explore the adherence of nurses to SPs and to identify factors influencing adherence to SPs” Oh and Choi (2019). Abstract: Background: Standard precautions (SPs) serve as the first line of defense […]
Patients’ estimated blood losses from diagnostic phlebotomy
The objectives were to characterize the daily blood volumes drawn for diagnostic testing from patients discharged from a Canadian tertiary care center, describe the daily distributions of phlebotomy volumes across service locations, and describe changes in hemoglobin (Hb) and transfusion across service locations” Quinn et al (2019). Abstract: BACKGROUND: Phlebotomy for diagnostic testing is among […]
Prediction of right internal jugular vein central catheter length
The appropriate depth of right internal jugular venous (RIJV) catheterization is still under debated. In this study, transesophageal echocardiography (TEE) is used to develop a prediction formula for fixed RIJV catheter depth” Ju et al (2019). Abstract: PURPOSE: The appropriate depth of right internal jugular venous (RIJV) catheterization is still under debated. In this study, […]
Failures of midline catheters in a hospital in the home program
Women experienced higher rates of midline catheter failure than men. The proportion of patients with midline catheters receiving continuous infusions who experienced a failure was markedly higher than those receiving bolus doses” Dickson et al (2019). Abstract: A cluster of 11 midline catheter failures occurred during a 2-week period in a Hospital in the Home […]
MDT associated hospital-wide reduction in CLABSI
Few data are available on hospital-wide incidence of central line-associated bloodstream infection (CLABSI) rates in patients with central venous catheter (CVC) in China” Han et al 92019). Abstract: BACKGROUND: Few data are available on hospital-wide incidence of central line-associated bloodstream infection (CLABSI) rates in patients with central venous catheter (CVC) in China, where many systemic […]
Parenteral nutrition administration by critical care nurses in Iran
In Iran, nurses are responsible for administering parenteral nutrition (PN) to hospitalized patients in intensive care units (ICUs). However, little information is available among nurses in Iran regarding best practices in PN administration” Taherkhani et al 92019).[epub ahead of print]. Abstract: In Iran, nurses are responsible for administering parenteral nutrition (PN) to hospitalized patients in […]
Gloved hand disinfection improved hand hygiene
The aim of this study was to improve hand hygiene compliance by implementing gloved hand disinfection as a resource-neutral process optimization strategy” Fehlinga et al (2019). Summary: Background: Hand hygiene compliance even before infection prone procedures (indication 2, “before aseptic tasks”, according to WHO) remains disappointing. The aim of this study was to improve hand […]
Cost-effectiveness of different short peripheral catheters
Low-cost, domestic short peripheral catheters (SPCs) and higher-priced, imported SPCs were compared in 2 different time periods” Dizbay et al (2019). Abstract: This prospective study has been designed with the hypothesis that low unit price does not necessarily mean cost-effectiveness. Low-cost, domestic short peripheral catheters (SPCs) and higher-priced, imported SPCs were compared in 2 different […]
Sequential pneumatic compression for PICC UEDVT prevention
Sequential compression devices (SCDs) applied to the legs effectively reduce lower extremity DVT, but have not been tested in the arms. Our objective was to determine whether SCDs applied to the arm may reduce the risk of PICC-associated UE DVT” Rabinstein et al (2019). Abstract: BACKGROUND: Peripherally inserted central venous catheters (PICCs) are increasingly used […]
Best practices to decrease infusion-associated medication errors
The multifaceted nature of administering medications via infusions was highlighted. Opportunities for improvements include best practices such as developing learning cultures and reinforcing the independent double-check process on medications” Wolf and Hughes (2019). Abstract: Infusion-associated medication errors have the potential to cause the greatest patient harm. A 21-year review of errors and near-miss reports from […]
Performance of differential time to positivity as a CLABSI diagnostic test
To assess the performance of differential time to positivity (DTP) for the diagnosis of catheter-related bloodstream infections (CRBSI)” Orihuela-Martín et al (2019). Abstract: OBJECTIVE: To assess the performance of differential time to positivity (DTP) for the diagnosis of catheter-related bloodstream infections (CRBSI). METHODS: From all episodes of bloodstream infections (BSI) diagnosed during a 15-year period […]
Leveraging the electronic medical record for central line day surveillance
We describe the development of a process for an electronic count of central line days across our ten-hospital health care system” Burke et al (2019). Abstract: Manual counting is considered the gold standard for device day recording by the National Health Safety Network. We describe the development of a process for an electronic count of […]
Preventive risk analysis in the maintenance of patency of PICC
“This theoretical and reflexive study analyzed the risks related to the maintenance of patency of the Peripherally Inserted Central Catheter with the use of saline solution in comparison with saline-filled syringes, through the application of the Healthcare Failure Mode and Effect Analysis – HFMEA” Lima et al (2019).
Bronchial erosion and migration of implantable port
Imaging studies showed the tip of the catheter to be crossing the superior mediastinum into the upper lobe of the right lung” Mohamad et al (2019). Abstract: INTRODUCTION: Several possible complications are known to be related to central venous catheters. PRESENTATION OF CASE: A 20-year-old lady had a catheter (Port-a-Cath) inserted in the left subclavian […]
Literature review from selected topics in transfusion
The AABB compiles an annual synopsis of the published literature covering important developments in the field of transfusion medicine. An abridged version of this work is being made available in TRANSFUSION, with the full-length report available as Appendix S1 (available as supporting information in the online version of this paper)” Cohn et al (2019). Abstract: […]
85% of hemodialysis patients have suspected CRBSI confirmed
CRBSI is confirmed in 85% of catheter-dependent hemodialysis patients in whom it is suspected” Farrington and Allon (2019). Abstract: BACKGROUND: Catheter-related bloodstream infections -(CRBSI) are associated with a high burden of morbidity and mortality, but the impact of infecting organism on clinical outcomes has been poorly studied. METHODS: This retrospective analysis of a prospective vascular […]
Successful management of a Bacillus cereus CRBSI outbreak
We report an outbreak of B. cereus catheter-related bloodstream infection (CRBSI) in the pediatric ward and aim at identifying risk factors and effective infection control measures for the outbreak” Yamada et al (2019). Abstract: Bacillus cereus can spread easily in various environments and can contaminate medical environments, such as ventilator equipment, intravascular catheters, and linen. […]
Apixaban for management of upper extremity deep vein thrombosis
We anticipate that the prospective administration of apixaban for clinically symptomatic UEDVT will be associated with a rate of recurrent VTE that is acceptable when compared with the historical controls reported in the literature, and a favorable safety profile analogous to that seen in former studies of apixaban” Woller et al (2019). Extract: ARM‐DVT will […]