Successful ultrasound placement of IVs by registered nurses in the emergency department
While the majority of research has focused on physician-performed US-PIVs, some studies have evaluated US-PIV insertion by emergency medical technicians and registered nurses (RNs), documenting successful US-PIV insertion rates of 87–97%” Huang et al (2018). Abstract: Ultrasound (US)-guided peripheral IV (US-PIV) placement is a well-established procedure in patients with difficult IV access [1,2]. Ultrasound has […]
IV crystalloid fluid for acute alcoholic intoxication prolongs ED length of stay
IVF for treatment of acute alcoholic intoxication prolonged ED length of stay even after adjustment for potential confounders. Patients given IVF for acute alcohol intoxication should be selected with care” Homma et al (2018). Abstract: Objectives: Acute alcohol intoxication is often treated in emergency departments by intravenous crystalloid fluid (IVF), but it is not clear […]
Impact of 2015 NHSN Catheter-associated Urinary Tract Infection (CAUTI) definition change on CLABSI rates
However, our rates remained unchanged in 2015 and further declined in 2016 with the implementation of new vascular-access guidelines” Advani et al (2018). Abstract: The 2015 changes in the catheter-associated urinary tract infection definition led to an increase in central line-associated bloodstream infections (CLABSIs) and catheter-related candidemia in some health systems due to the change […]
Ethanol lock is effective on reducing the incidence of CLABSI
Our meta-analysis suggests that ethanol lock is effective on reducing the incidence of CRBSI in hemodialysis patients with tunneled central venous catheters” Zhao et al (2018). Abstract: PURPOSE: The purpose of this meta-analysis is to evaluate the effect of ethanol lock on the incidence of catheter-related bloodstream infection (CRBSI) in patients with central venous catheters. […]
Thematic synthesis of patient experiences of central venous access devices in anti-cancer treatment
The aim of this systematic review is to synthesise existing research regarding patient experiences of these CVADs to help clinicians guide, prepare, and support patients receiving CVADs for the administration of anti-cancer treatment” Ryan et al (2018). Abstract: BACKGROUND: Three types of central venous access devices (CVADs)-peripherally inserted central catheters (PICCs), skin-tunnelled central catheters (Hickman-type […]
CT-guided translumbar placement of permanent central venous catheters
CT-guided translumbar placement of permanent catheters is a technically feasible and safe method for permanent central venous access as last resort in chronically occluded veins of the upper extremities” Grözinger et al (2018). Abstract: PURPOSE: To evaluate indications, technical success rate and complications of CT-guided translumbar catheter placement in the inferior vena cava for long-term […]
Is the nurse a second victim after making an infusion-related error?
The article concludes with strategies to help nurses cope with the aftermath of making an infusion therapy-related medication error” Treiber and Jones (2018). Abstract: Infusion therapy-related adverse events can result in distress and professional suffering for the nurse involved with the event, with long-lasting consequences. This article discusses the second victim syndrome and its impacts […]
Chronic transfusion and primary treatment of iron overload
Deferasirox FCT allows greater convenience and may be associated with fewer gastrointestinal side effects versus the original formulation. Dose adjustment increments, determined by titration monitoring, are lower for the FCT because of greater bioavailability” Tinsley and Hoehner-Cooper et al (2018). Abstract: Iron overload is a concern for patients who require chronic transfusions as a result […]
Evidence associated with routine versus clinically indicated short peripheral IV catheter replacement
A before-and-after design was used to evaluate the impact of SPC replacement when clinically indicated” Stevens et al (2018). Abstract: Despite current, high-quality, level 1 evidence that supports clinically indicated short peripheral catheter (SPC) replacement, the current practice in the health care system studied was to change SPCs routinely every 96 hours. A before-and-after design […]
Comparison of saline lock versus continuous infusion for short peripheral IV catheter patency
Although the saline-locked group had a slightly longer duration time, it was not statistically significant. Factors such as desire to ambulate or nighttime saline flushes merit consideration in SPC care decisions and standardized nurse-driven protocols” Roszell et al (2018). Abstract: Sparse evidence exists about how short peripheral catheter (SPC) duration is affected by the presence […]
Does hyperglycemia affect risk of PICC-related upper extremity venous thrombosis?
The time that a PICC was in place before PRUEVT was diagnosed was longer for diabetic patients, but the authors believe this result must be viewed with caution” Wilson et al (2018). Abstract: It is not clear whether blood glucose (BG) affects the risk of peripherally inserted central catheter (PICC)-related upper extremity venous thrombosis (PRUEVT). […]
Push-pull protocol for waste-free sampling in the pediatric intensive care unit
Blood-sparing sampling techniques such as the push-pull method can significantly reduce sampling-related blood loss and protect patients from anemia and blood transfusions” McBride et al (2018). Abstract: Blood sampling is a major source of blood loss in the pediatric intensive care unit (PICU). Blood-sparing sampling techniques such as the push-pull method can significantly reduce sampling-related […]
Syringe infusion pumps for the transfusion of packed red blood cells
Syringe infusion pumps (SIPs) led to major advances in infusion therapy and were gradually applied to the transfusion of packed red blood cells (RBCs), raising questions about possible cell damage” Gannam et al (2018). Abstract: Syringe infusion pumps (SIPs) led to major advances in infusion therapy and were gradually applied to the transfusion of packed […]
Improving IV site visibility and accomplishing IV complication reduction
This project aims to improve the visibility of the IV site using more adhesive transparent dressings to attain 90% compliance based on the frequent and proper inspection of the IV site and decrease the incidence of IV complications” Lim et al (2018). Abstract: Purpose: This project aims to improve the visibility of the IV site […]
Ethanol lock therapy treatment for biofilm-associated CLABSI
According to our in vitro data, an ethanol-based lock solution with 40% ethanol + 60 IU heparin administered daily for 72 hours is sufficient to almost eradicate the metabolic activity of bacterial and fungal biofilms” Alonso et al (2018). Summary: Ethanol-based lock therapy (LT) solutions are used as an alternative to antibiotics for the conservative […]
Assessing patient risk of central line-associated bacteremia via machine learning
Machine learning can be used to develop accurate models to predict the risk of CLABSI in real time prior to the development of infection” Beeler et al (2018). Abstract: Background: Central line-associated bloodstream infections (CLABSIs) contribute to increased morbidity, length of hospital stay, and cost. Despite progress in understanding the risk factors, there remains a […]
Is chlorhexidine required for needleless connector decontamination?
Unfortunately, intermittent reports from facilities have shown an increase in bloodstream infections (BSIs) thought to be associated with NC use” Flynn et al (2018). Abstract: Since the introduction in the early 1990s of a needleless connector (NC) on vascular access devices to minimize the risk of needle stick injuries to healthcare workers, their use is […]
Chlorhexidine-containing dressings in the prevention of CLABSI
Our study shows similar results in overall direct treatment costs, meaning that higher acquisition costs of chlorhexidine-containing dressings did not translate into higher costs. Expenses were primarily outweighed by a lower rate of probable/definite CRBSI and reduced associated costs” Heimann et al (2018). Reference: Background: A recent study reported a reduction in probable/definite central venous […]
Nanofiber catheter coatings for the prevention of microbial adhesion of biofilms
Surface associated microbial communities, known as biofilms, pose significant challenges in clinical and industrial settings” Ye et al (2018). Abstract: Surface associated microbial communities, known as biofilms, pose significant challenges in clinical and industrial settings. Micro/-nanoscale surface features have been shown to disrupt firm adhesion of planktonic microbes to surfaces, thereby interfering with the earliest […]
Ultrasound guided internal jugular vein cannulation in infants
A novel technique (modified short-axis out-of-plane [MSA-OOP]) to improve first pass success rate of ultrasound-guided IJV CVC in neonates and infants is being compared with conventional SA-OOP method” Rastogi et al (2018). Abstract: BACKGROUND AND AIMS: Central venous cannulation (CVC) through right internal jugular vein (IJV) route is routinely performed in paediatric patients undergoing major […]
Catheter-related venous thrombosis in hospitalized pediatric patients
To describe the incidence and characteristics of central venous catheter (CVC)-related thrombosis in hospitalized pediatric patients with active inflammatory bowel disease (IBD) and report the potential usefulness of anticoagulant thromboprophylaxis (AT)” Diamond et al (2018). Abstract: OBJECTIVE: To describe the incidence and characteristics of central venous catheter (CVC)-related thrombosis in hospitalized pediatric patients with active […]
Accuracy of acid-base diagnoses using a central venous blood gas
In critically ill adult patients, central VBG may be used to detect and diagnose acid-base disturbances with reasonable diagnostic accuracy, even in shock states, compared to the ABG” Schrauben et al (2018). Abstract: BACKGROUND: Acid-base disturbances are frequent in critically ill patients. Arterial blood gas (ABG) is the gold standard in the diagnosis of these […]
Bacteriology of the buttonhole cannulation tract in hemodialysis patients
We describe the frequency and type of bacterial colonization of the buttonhole tract over time and associated clinical infections” Christensen et al (2018). Abstract: BACKGROUND: The buttonhole cannulation technique for arteriovenous fistulas is widely used, but has been associated with an increased rate of vascular access-related infections. We describe the frequency and type of bacterial […]
Bedside ultrasound diagnosis of a malpositioned central venous catheter
Bedside ultrasound offers safety and effectiveness during insertion of CVC. It also exhibits promptness and accuracy compared to post-intervention radiological imaging” Song et al (2018). Abstract RATIONALE: Central venous catheter (CVC) placement is commonly performed in intensive care unit. And CVC placement is associated with risks including CVC malposition, pneumothorax. Many of the previously reported […]
OPAT to treat children with acute urinary tract infection
Outpatient parenteral antimicrobial therapy (OPAT) offers the option of treating children requiring intravenous antibiotics for acute urinary tract infection(UTI)/pyelonephritis at home” Scanlan et al (2018). Abstract: BACKGROUND: Outpatient parenteral antimicrobial therapy (OPAT) offers the option of treating children requiring intravenous antibiotics for acute urinary tract infection(UTI)/pyelonephritis at home. We aimed to determine the outcomes of […]
Nonpharmacological methods of pain reduction during venous cannulation
This study aims to evaluate the role of 3 different nonpharmacological measures such as Valsalva maneuver, flash of light, and distraction method in attenuation of pain during venous cannulation” Shivashankar et al (2018). Abstract: BACKGROUND: Establishing an intravenous access is indispensable for safe administration of anesthesia. Most of the times, it is executed without any analgesia […]
Central venous or peripheral administration of sufentanil
Opioid-induced cough (OIC) is one of the most common complications of opioids during anesthesia induction. This study was designed to assess the incidence of OIC mediated by different intravenous route” He et al (2018). Abstract: BACKGROUND: Opioid-induced cough (OIC) is one of the most common complications of opioids during anesthesia induction. This study was designed […]
Colombian survey of ultrasound guidance for central venous catheterisation
US guidance is not a common technique used for CVC by Colombian anaesthesiologists; an important barrier for its use is lack of equipment” Calvache et al (2018). Abstract: QUALITY PROBLEM OR ISSUE: Ultrasound (US) is a widely propagated medical technology. Anaesthesiologists increase procedural safety by using US techniques, but training and availability are essential for […]
Ultrasound-guided placement of long peripheral cannulas in children
The aim of this study was to compare success rates, dwell times and complications of peripheral venous long cannulas (LCs) inserted under ultrasound guidance with those of SCs in children” Paladini et al (2018). Abstract: OBJECTIVES: Most children admitted to the emergency department (ED) require peripheral venous access (PVA), which is often difficult to perform […]
Pilot randomized controlled trial comparing PICC materials in pediatrics
Our primary aim was to evaluate the feasibility of a large randomized controlled efficacy trial of PICC materials and design to reduce PICC complication in pediatrics” Kleidon et al (2018). Abstract: BACKGROUND: Despite the popularity of peripherally inserted central catheters (PICCs), recent literature highlights their potential injurious complications. Innovative PICC materials have been developed to […]