Central line associated blood stream infections in gastroschisis patients
The aim of this study was to determine the risk of central line associated blood-stream infections (CLABSI) in neonatal gastroschisis patients, risk factors, outcomes, and financial implications” Snyder and Burjonrappa (2019). Abstract: PURPOSE: The aim of this study was to determine the risk of central line associated blood-stream infections (CLABSI) in neonatal gastroschisis patients, risk […]
Compartment syndrome of the leg following IO needle Insertion
Intraosseous (IO) needles are used in patients who are critically ill when it is not possible to obtain venous access” Kibrik et al (2019). Abstract: Intraosseous (IO) needles are used in patients who are critically ill when it is not possible to obtain venous access. While IO allows for immediate access, IO infusions are associated […]
Inadvertent arterial placement of central venous catheter
During such an emergency and placing without imaging guidance, sometimes inadvertent placement of CVC in subclavian artery (SCA) can occur” Shaw et al (2019). Abstract: The frequency of placing a central venous catheter (CVC) has increased and it is often performed in emergency situation for venous access. During such an emergency and placing without imaging […]
Safety of peripheral administration of vasopressor medications
Reports of the administration of vasopressors via PiVCs, when given for a limited duration, under close observation, suggest that extravasation is uncommon and is unlikely to lead to major complications” Tian et al (2019). Abstract: OBJECTIVE: Vasopressor medications have traditionally been administered via central venous catheters (CVCs), primarily due to concerns of peripheral extravasation of […]
Novel treatment of a vaccinia virus infection from an occupational needlestick
CDC was notified about an unvaccinated laboratory worker with a needlestick exposure to VACV, who developed a lesion on her left index finger” Whitehouse et al (2019). Abstract: Vaccinia virus (VACV) is an orthopoxvirus used in smallpox vaccines, as a vector for novel cancer treatments, and for experimental vaccine research (1). The Advisory Committee on […]
PICC-PORT totally implantable vascular access device in breast cancer patients
The peripherally inserted central catheter-PORT is a safe vascular device for chemotherapy delivery that achieves similar clinical results as traditional long-term vascular access devices (peripherally inserted central catheter and arm totally implantable vascular access device” Bertoglio et al (2019). Abstract: BACKGROUND AND OBJECTIVES: The increasing use of arm totally implantable vascular access devices for breast […]
Complication of right internal jugular vein catheter insertion
Iatrogenic superior vena cava pericardial fistula caused by central venous catheterization is rare but can lead to life-threatening condition” Bosemani and Sakthivel (2019). Abstract: Iatrogenic superior vena cava pericardial fistula caused by central venous catheterization is rare but can lead to life-threatening condition. Despite the potential risk of pericardial effusion causing pericardial tamponade, a conservative […]
Asymptomatic pulmonary artery embolization port catheter fragment
Broken catheter embolism is a rare but often fatal complication of implantable venous access devices” Tandon et al (2019). Abstract: Broken catheter embolism is a rare but often fatal complication of implantable venous access devices. Prompt removal is key to avoiding an adverse outcome. You may also be interested in… [rp4wp] Reference: Tandon, S., Livingston, […]
Outcome of underfilling of vacuum blood collection tubes
Underfilling of tubes leads to a higher proportion of blood aspirated with high velocity and relevant elevations in LD. This finding should be considered in cases of clinically implausible elevated LD activities” Neuwinger et al (2019). Abstract: Background: Lactate dehydrogenase (LD) activity is routinely monitored for therapeutic risk stratification of malignant diseases, but is also […]
Complications of indwelling port-catheter system for hepatic infusion
We discuss various cases with complications arising in the indwelling port area in hepatic arterial infusion of chemotherapy and report whether the system was salvaged” Ueda et al (2019). Abstract: INTRODUCTION: Regional hepatic arterial infusion of chemotherapy is performed for unresectable liver tumors via percutaneously implanted port-catheter systems; while these port-catheter systems are effective administration […]
Evaluation of an improved small gauge needle for venipuncture in children
Aims were to compare the performances of two Beckton-Dickinson (BD) Vacutainer® Blood Collection Sets in a pediatric setting: UltraTouch™ Push Button (UT-PBBCS) and Safety-Lok™ (SLBCS)” Padoan et al (2019). Abstract: BACKGROUND: Smaller needles gauge (G) may reduce pain and improve vein access in difficult venous access (DVA). Aims were to compare the performances of two […]
Cost analysis comparison between PICC and ports
We conducted a randomised controlled trial including 399 patients with cancer and performed a health economic evaluation investigating the cost related to PICCs and PORTs” Taxbro et al (2019). Abstract: BACKGROUND: A reliable central venous access device is a cornerstone in the treatment of cancer. Both peripherally inserted central catheters (PICC) and totally implanted chest […]
Thrombotic risk associated with femoral inserted central catheters
Our study aimed to scrutinize the incidence and risk factors of femoral inserted central catheter (FICC)-related thrombosis in patients with superior vena cava syndrome (SVCS) undergoing chemotherapy” Hou et al (2019). Abstract: OBJECTIVE: Our study aimed to scrutinize the incidence and risk factors of femoral inserted central catheter (FICC)-related thrombosis in patients with superior vena […]
Image-guided central line placement in children
The aim of this study was to investigate the utility of postoperative chest radiograph (CXR) after image-guided central venous line (CVL) placement in children” Cunningham et al (2019). Abstract: BACKGROUND: The aim of this study was to investigate the utility of postoperative chest radiograph (CXR) after image-guided central venous line (CVL) placement in children. METHODS: […]
Intraosseous administration of hypertonic saline solution
Intraosseous (IO) access is an alternative method of medication and fluid delivery which is not associated with life-threatening complications and can be inserted faster than CVCs” Lawson et al (2019). Abstract: BACKGROUND: Central venous catheters are often used to administer hypertonic saline (HTS) but might be associated with serious complications. Intraosseous (IO) access is an […]
Effect of tunneled peripherally inserted central catheter placement
To compare the effect of tunneled and nontunneled peripherally inserted central catheter placement under B-mode ultrasound’ Dei et al (2019). Abstract: PURPOSE: To compare the effect of tunneled and nontunneled peripherally inserted central catheter placement under B-mode ultrasound. METHODS: A single center, randomized, controlled, nonblinded, prospective trial was conducted in Guangzhou, China, between July 2018 […]
Nurse management of vasoactive medications
The management of vasoactive medications is core business for intensive care nurses, but little is known on how nurses manage these ubiquitous and potentially harmful medications” Hunter et al (2019). Abstract: INTRODUCTION: The management of vasoactive medications is core business for intensive care nurses, but little is known on how nurses manage these ubiquitous and […]
Hemofilter obstruction with intravenous lipid administration
A critically ill patient requiring continuous venovenous hemofiltration therapy received parenteral nutrition through the same commonly used intravascular device” Boullata et al (2019). Abstract: A critically ill patient requiring continuous venovenous hemofiltration therapy received parenteral nutrition through the same commonly used intravascular device. The inclusion of injectable lipid emulsion had an adverse effect on hemofilter […]
Arterial injury during blind central venous catheterisation
To evaluate the safety and clinical efficacy of interventional treatment for arterial injury during blind, central venous catheterisation in the upper thorax at two tertiary medical centres” Park et al (2019). Abstract: AIM: To evaluate the safety and clinical efficacy of interventional treatment for arterial injury during blind, central venous catheterisation in the upper thorax […]
Evaluation of infections in intensive care units
Infection control is a top priority for hospitals, especially in intensive care units (ICU). In intensive care units, prevalence of infection is estimated to be 30% worldwide, which is a major cause of morbidity and mortality” Araç et al (2019). Abstract: Infection control is a top priority for hospitals, especially in intensive care units (ICU). […]
Taurolidine-citrate lock solution for prevention of endoluminal central venous catheter infection
We aimed to determine whether a lock solution with taurolidine-citrate-heparin would be more effective than placebo for preventing non-tunnelled CVC infection in high-risk neutropenic hematologic patients” Gudiol et al (2019). Abstract: Background: Infection of long-term central venous catheters (CVCs) remains a challenge in the clinical management of cancer patients. We aimed to determine whether a […]
Techniques for ultrasound-guided peripheral IV catheter placement
We performed a randomized pre-hospital clinical study to compare two different techniques of ultrasound-guided peripheral venous catheter (PVC) insertion and the conventional cannulation technique in the pre-hospital emergency setting” Skulec et al (2019). Abstract: We performed a randomized pre-hospital clinical study to compare two different techniques of ultrasound-guided peripheral venous catheter (PVC) insertion and the […]
Incidental azygos vein cannulation in a neonate
Incidental azygos vein cannulation has been reported in a few cases of neonatal extracorporeal membrane oxygenation (ECMO)” Mayer et al (2019). Abstract: Incidental azygos vein cannulation has been reported in a few cases of neonatal extracorporeal membrane oxygenation (ECMO). This complication is described in the literature mainly in pathological conditions wherein increased central venous pressure […]
Avoiding problems in tunneled dialysis catheter placement
Tunneled dialysis catheters (TDCs) remain the predominant vascular access for initiation of hemodialysis (HD) worldwide” Agarwal et al (2019). Abstract: Tunneled dialysis catheters (TDCs) remain the predominant vascular access for initiation of hemodialysis (HD) worldwide. TDCs are also utilized in a significant number of prevalent patients for continuation of dialysis and during the periods of […]
Intramuscular hemorrhage and fluid extravasation following IO placement
Fluid extravasation is a possible complication of intraosseous needle access that can lead to compartment syndrome” Wasserman et al (2019). Abstract: Intraosseous needle access is a reliable method of vascular access used for rapid fluid resuscitation and delivery of medications in certain emergent settings. Fluid extravasation is a possible complication of intraosseous needle access that […]
Allergy status check before medication administration
This article employs a paediatric case study, involving a 3-year-old child who had an anaphylactic reaction that occurred as a result of the multidisciplinary team’s failure to identify and acknowledge the patient’s documented ‘known allergy’ status” Mortell (2019). Abstract: This article employs a paediatric case study, involving a 3-year-old child who had an anaphylactic reaction […]
Machine learning for clinical decision support in infectious diseases
Machine learning (ML) is a growing field in medicine. This narrative review describes the current body of literature on ML for clinical decision support in infectious diseases (ID)” Peiffer-Smadja et al (2019). Abstract: Background: Machine learning (ML) is a growing field in medicine. This narrative review describes the current body of literature on ML for […]
Short-term dialysis catheter versus central venous catheter infections
Little is known on catheter-related infections associated with short-term dialysis catheters (DC). Recommendations for infection prevention are mostly derived from those related to central venous catheters (CVC)” Buetti et al (2019). Abstract: PURPOSE: Little is known on catheter-related infections associated with short-term dialysis catheters (DC). Recommendations for infection prevention are mostly derived from those related […]
Systematic review of balloon angioplasty for the treatment of failing hemodialysis access
To perform a meta-analysis comparing target lesion primary patency rates at 6 months and 1 year, and major procedure-associated complications between drug-eluting balloon (DEB) and plain balloon angioplasty (PBA) for the treatment of arteriovenous fistula (AVF) or synthetic arteriovenous graft (AVG) stenosis” Yuan et al (2019). Abstract: PURPOSE: To perform a meta-analysis comparing target lesion […]
Effects of continuous ketamine infusion on hemodynamics and mortality
We investigated the hemodynamic and mortality effects of continuous ketamine infusion in critically ill pediatric patients” Park et al (2019). Abstract: We investigated the hemodynamic and mortality effects of continuous ketamine infusion in critically ill pediatric patients. We conducted a retrospective cohort study in a tertiary pediatric intensive care unit (PICU). Patients who used continuous […]