Integrated dressing to secure peripheral intravenous catheters
The reported incidence of peripheral intravenous catheter (PIV) failure has been as high as 69%. This is in part due to inadequate stabilisation or securement to the skin, which allows micro-motion of the catheter within the vein” Marsh et al (2018). Abstract: BACKGROUND: The reported incidence of peripheral intravenous catheter (PIV) failure has been as […]
Central venous catheter tip location confirmed with agitated saline bubble-enhanced ultrasound
Dynamic ultrasound-based visualization of microbubbles in the right atrium is a highly accurate method to detect percutaneous implantation of large-lumen, tunneled, central venous catheters without the need for fluoroscopic guidance technology” Passos et al (2018). Abstract: BACKGROUND: In patients with end-stage renal disease, the use of cuffed, tunneled dialysis catheters for hemodialysis has become integral […]
Eliminating or reducing needle pain in children using lean methodology
Over 200,000 patients experience needle pain annually in our institution, caused by blood draws, intravenous access, vaccinations, and injections on all inpatient units, emergency departments, outpatient laboratories, and ambulatory clinics” Friedrichsdorf et al (2018). Abstract: INTRODUCTION: Pain remains common, underrecognized, and undertreated in children’s hospitals and pediatric clinics. Over 200,000 patients experience needle pain annually […]
Who are the best peripheral intravenous catheter inserters?
Peripheral intravenous catheters (PVCs) are essential invasive devices, with 2 billion PVCs sold each year. The comparative efficacy of expert versus generalist inserter models for successful PVC insertion and subsequent reliable vascular access is unknown” Marsh et al (2018). Abstract: BACKGROUND: Peripheral intravenous catheters (PVCs) are essential invasive devices, with 2 billion PVCs sold each […]
Blood sampling guidelines with focus on patient safety and identification
We recommend that patient identification must be done using open questions and ideally three separate pieces of information. Labelling of the tube or linking the identity of the patient to the tube label electronically must be done in the presence of the patient whether it is before or after sampling” Cornes et al (2018). Abstract: […]
Intraosseous access in the treatment of patients after out-of-hospital cardiac arrest
Only a little is known about the frequency of use of supraglottic airway devices (SADs) and intraosseous (IO) access in patients who have had out-of-hospital cardiac arrest (OHCA)” Christ et al (2018). Abstract: INTRODUCTION: Only a little is known about the frequency of use of supraglottic airway devices (SADs) and intraosseous (IO) access in patients […]
How to prevent central line-associated bloodstream infections in the intensive care unit
The purpose of this article is to describe a quality initiative that used principles of high reliability to develop a zero tolerance culture for central line-associated bloodstream infections…” McCraw et al (2018). Abstract: This department column highlights translation of research into healthcare quality practice. Achieving the highest quality in healthcare requires organizations to understand care […]
Interventions to treat obstructive long-term central venous catheter in cancer patients
The aim of this systematic review was to identify the interventions used to treat obstructive events, whether thrombotic or non-thrombotic, in long-term central venous catheters (LT-CVC) in cancer patients” da Costa et al (2018). Abstract: PURPOSE: The aim of this systematic review was to identify the interventions used to treat obstructive events, whether thrombotic or […]
Pilot intervention to increase the use of single-lumen Peripherally Inserted Central Catheters
We conducted a pilot study to increase the use of single-lumen PICCs in hospitalized patients” Bozaan et al (2018). Abstract: To reduce risk of complications, existing guidelines recommend use of peripherally inserted central catheters (PICCs) with the minimal number of lumens. This recommendation, however, is difficult to implement in practice. We conducted a pilot study […]
Antibiotic lock therapy for salvage of tunneled central venous catheters
Antibiotic lock therapy (ALT) represents one such strategy to achieve such high intraluminal concentrations of antibiotics and can facilitate catheter salvage” Zanwar et al (2018). Abstract: Central Venous Catheters (CVCs) represent a significant source of infection in patients undergoing hematopoietic stem cell transplantation and can add to the cost of care, morbidity, and mortality. Organisms […]
Integrative review of Vessel Health and Preservation
To describe and synthesise current knowledge on the maintenance and preservation of vessels in patients who need the placement of a vascular access device (VAD)” Fiorini et al (2018). Abstract: AIMS: To describe and synthesise current knowledge on the maintenance and preservation of vessels in patients who need the placement of a vascular access device […]
Qualitative study examines procedural pain in children
We have identified core information needs for caregivers whose children are experiencing IV insertion or venipuncture” Shave et al (2018). Abstract: BACKGROUND: Children experience multiple painful procedures when being cared for in emergency departments (EDs). Unfortunately, evidence-based interventions to manage such pain and distress are under-utilized across EDs. Caregivers are uniquely positioned and invested to […]
Meta-analysis of hospital-to-home interventions for children
Hospital-to-home transitions are critical opportunities to promote patient safety and high-quality care. However, such transitions are often fraught with difficulties associated with increased health care use and poor patient satisfaction” Hamline et al (2018). Abstract: CONTEXT: Hospital-to-home transitions are critical opportunities to promote patient safety and high-quality care. However, such transitions are often fraught with […]
Catheter removal and outcomes of multidrug-resistant central-line-associated bloodstream infection
Our objective was to determine the relationship between failure to remove a central venous catheter (CVC) and 30-day all-cause mortality in patients with MDRO CLABSIs” Burnham et al (2018). Abstract: Central-line-associated bloodstream infections (CLABSIs) are responsible for ∼1/3 of all deaths from healthcare-associated infections in the United States. Of these, multidrug-resistant organisms (MDROs) are responsible […]
Prognostic value of serum proadrenomedullin in catheter-related bloodstream infection
Proadrenomedullin (pro-ADM) has emerged as a valuable marker of sepsis. The potential role of pro-ADM in predicting the prognosis of CRBSI was evaluated” Ni et al (2018). Abstract: Patients with catheter-related bloodstream infection (CRBSI) have a poor prognosis. Proadrenomedullin (pro-ADM) has emerged as a valuable marker of sepsis. The potential role of pro-ADM in predicting […]
Review of bloodstream infections associated with intensive care unit
The major causes of catheter-related BSI (CRBSI) are microorganisms from the patient’s and medical personnel’s skin and contamination of the catheter hub” Tsereteli et al (2018). Abstract: Bloodstream infections (BSIs) are associated with a high mortality rate, additional hospital days and excess hospital costs. Intensive Care Unit (ICU) patients are at high risk of nosocomial […]
Does ultrasound guidance for PICC insertion reduce the incidence of tip malposition?
The aim of the study was to evaluate the incidence of peripheral inserted central catheter (PICC) tip malposition when the catheter is inserted under real-time ultrasound (RTUS) guidance when compared with conventional landmark (CL) technique in neonates” Oleti et al (2018). Abstract: OBJECTIVE: The aim of the study was to evaluate the incidence of peripheral […]
Studies demonstrate large variation in administered doses of intravenous acetylcysteine
Previous studies have demonstrated large variation in administered doses of intravenous acetylcysteine, which has been attributed to numerous factors, including inadequate mixing of infusion bags” Layne et al (2018). Abstract: Intravenous acetylcysteine is commonly prescribed as a course of three infusions for the management of paracetamol poisoning. Previous studies have demonstrated large variation in administered […]
International clinical practice guidelines for the selection and care of vascular access devices
The purpose of the study was to assess clinical practice guidelines for peripheral and central venous access device care and prevention of related complications” Blanco-Mavillard et al (2018). Abstract: OBJECTIVE: Catheter-related bloodstream infections are one of the most important adverse events for patients. Evidence-based practice embraces interventions to prevent and reduce catheter-related bloodstream infections in […]
Hemolysis risk after packed red blood cells transfusion with infusion pumps
To evaluate the hemolysis biomarkers of packed red blood cells transfused by two different linear peristaltic infusion pumps at two infusion rates” Wilson et al (2018). Abstract: OBJECTIVE: To evaluate the hemolysis biomarkers of packed red blood cells transfused by two different linear peristaltic infusion pumps at two infusion rates. METHOD: An experimental and randomized […]
How to decrease central line-associated bloodstream infections
To study the impact of a quality improvement (QI) initiative using care bundle approach on Central-line associated bloodstream infections (CLABSI) rates” Balla et al (2018). Abstract: OBJECTIVE: To study the impact of a quality improvement (QI) initiative using care bundle approach on Central-line associated bloodstream infections (CLABSI) rates. METHODS: A QI team for infection control […]
Current status of dialysis and vascular access in Taiwan
However, the statistics and vascular access monitoring are relatively insufficient in the past. The comprehensive integration of vascular access management into public policy related to kidney disease will complete the missing piece of the puzzle of overall care” Chen et al (2018), Abstract: Due to the implementation of the National Health Insurance system in 1995, […]
Intravenous fluid treatment for migraine headache
This pilot study showed no statistically significant treatment effect from fluid administration, but does not exclude the possibility of a clinically important treatment effect” Jones et al (2018). Abstract: Study objective: The objective of this pilot study is to assess the feasibility and necessity of performing a large-scale trial to measure the effect of intravenous […]
Evaluation of a novel flushing protocol for a peripherally inserted central catheter
We investigated whether a novel flushing method for PICCs could decrease the risk of venous thromboembolism (VT) and catheter-associated bloodstream infections (CABSIs) compared to the traditional flushing method” Liu et al (2018). Abstract: BACKGROUND: Peripherally inserted central catheters (PICCs) are increasingly used in critical care units. Venous arterial blood management protection (VAMP) for PICCs could […]
Caution when using pumps for intravenous fluid infusion on a tucked limb
Cost-utility of OPAT compared to Inpatient Parenteral Antimicrobial Therapy (IPAT)
This study assesses the cost-utility of OPAT compared to Inpatient Parenteral Antimicrobial Therapy (IPAT) from the perspective of a public university hospital and the Brazilian National Health System (SUS)” Psaltikidis et al (2018). Abstract: BACKGROUND: Outpatient Parenteral Antimicrobial Therapy (OPAT) has been used for decades in different countries to reduce hospitalization rates, with favorable clinical […]
Continuous infusion ampicillin for the outpatient management of Enterococcal endocarditis
Studies evaluating ampicillin stability utilizing high-pressure liquid chromatography have indicated enhanced stability (greater than 24 hours at room temperature), supporting outpatient administration” Lewis et al (2018). Abstract: Treatment of enterococcal endocarditis requires up to 6 weeks of intravenous (IV) antimicrobial therapy. When susceptible, an ampicillin-based regimen is preferred. Studies evaluating ampicillin stability utilizing high-pressure liquid […]
Systematic review of fluid challenge during anesthesia
The key components of FC including type of fluid (colloids, often 6% HES), volume (500 and 250 mL in non-GDT studies and GDT studies, respectively), and time of infusion (10 minutes) are quite standardized in operating room” Messina et al (2018). Abstract: BACKGROUND: Assessing the volemic status of patients undergoing surgery is part of the […]
Clinical review of Sherlock-3CG® for positioning PICC
Our study could not demonstrate any specific advantage of Sherlock-3CG either as a magnetic-based tip navigation method or as an electrocardiogram-based tip location method” Pittiruti et al (2018). Abstract: INTRODUCTION: Intracavitary electrocardiogram technique is recognized as a safe, accurate, and inexpensive method for verifying the tip location of central venous access devices. While the technique […]
ASPEN guidelines for the selection and care of CVAD
This document represents the American Society for Parenteral and Enteral Nutrition (ASPEN) clinical guidelines to describe best practices in the selection and care of central venous access devices (CVADs) for the infusion of home parenteral nutrition (HPN) admixtures in adult patients” Kovacevich et al (2018). Abstract: This document represents the American Society for Parenteral and […]