Management of drug-induced peripherally inserted central catheter obstruction
The purpose of this research is to describe and understand nurses’ knowledge of drug-induced peripherally inserted central catheter obstruction management in developing countries” Zheng et al (2020). Abstract: OBJECTIVES: The purpose of this research is to describe and understand nurses’ knowledge of drug-induced peripherally inserted central catheter obstruction management in developing countries. This research aims […]
Is intravenous supplementation type associated with complications in chronic intestinal failure?
A 1-year international survey was carried out to investigate whether the European Society for Clinical Nutrition and Metabolism clinical classification of CIF, based on the type and volume of the intravenous supplementation (IVS), could be an indicator of CIF severity” Pironi et al (2020). Abstract: BACKGROUND AND AIM: No marker to categorise the severity of […]
Extravasation of peripheral norepinephrine in the emergency department
…Emergency Department (ED) implemented a protocol that recommends peripheral norepinephrine (pNE) be administered through an 18 gauge or larger at or above the antecubital fossa or the external jugular vein with a maximum dose of 20 μg/min” Nguyen et al (2020). Abstract OBJECTIVE: Vasopressors are typically administered through central venous catheters (CVC) due to a […]
Blood loss and anemia from laboratory testing
Blood loss for laboratory testing is substantial in ICU patients and significantly associated with RBC transfusion” Jackson Chornenki et al (2019). Abstract: BACKGROUND: Anemia is common in critically ill patients and associated with adverse outcomes. Phlebotomy associated with laboratory testing is a potentially modifiable contributor. This study aims to 1) characterize the blood volume taken […]
Ultralong versus standard long peripheral intravenous catheters
This study demonstrated increased catheter survival when the ultralong compared with the standard long ultrasonographically guided intravenous peripheral catheter was used” Bahl et al (2020). Abstract: STUDY OBJECTIVE: Ultrasonographically guided intravenous peripheral catheters have dismal dwell time, with most intravenous lines failing before completion of therapy. Catheter length in the vein is directly related to […]
Neonatal red blood cell transfusion practices in Switzerland
The aim of the study was to analyse Swiss practices in blood transfusion services and neonatal units for the preparation and administration of red blood cells in newborns” Arlettaz Mieth et al (2020). Abstract: WHAT IS KNOWN ON THE SUBJECT? Red blood cell transfusions are frequently used in the care of newborns, particularly premature infants. […]
Will use of an antiseptic barrier cap reduce CLABSI rates?
We assessed the effect of the use of antiseptic barrier caps on the incidence of CLABSI in infants and children and evaluated the implementation process” Helder et al (2020). Abstract: BACKGROUND: The use of antiseptic barrier caps reduced the occurrence of central line-associated bloodstream infections (CLABSI) in adult intensive care settings. We assessed the effect […]
Vancomycin pharmacokinetics in obese patients with sepsis
The objective of this study was to characterize vancomycin pharmacokinetics in obese patients with sepsis or septic shock, and to develop a novel pharmacokinetic dosing model based on pharmacokinetic-pharmacodynamic target requirements” Masich et al (2020). Abstract: STUDY OBJECTIVES: Obese patients with sepsis or septic shock may have altered vancomycin pharmacokinetics compared with the general population, […]
Ultrasound-guided percutaneous retrieval of transected radial artery catheter
To report our technique for percutaneous ultrasound-guided retrieval of accidentally transected arterial lines” Derycke and Mallios (2020). Abstract: OBJECTIVE: To report our technique for percutaneous ultrasound-guided retrieval of accidentally transected arterial lines. CASES DESCRIPTION: Two patients are reported herein; in both of these patients, a part of the 20-gauge catheter inserted for invasive monitoring of […]
Vascular access in breast cancer survivors
Due to increased survival, breast cancer survivors go on to develop other healthcare issues that may require vascular access. Therefore, long-held beliefs with regards to risk factors and preventative measures need to be challenged” Larocque and McDiarmid (2019). Abstract: Breast cancer is the most common cancer in women. Breast cancer related lymphedema (BCRL) is a […]
Does tapping enhance vasodilation for venipuncture?
This study evaluated whether tapping enhances vasodilation in individuals with veins that are relatively difficult to palpate” Ichimura et al (2020). Abstract: INTRODUCTION: This study evaluated whether tapping enhances vasodilation in individuals with veins that are relatively difficult to palpate. MATERIALS AND METHODS: Twenty participants (4 men and 16 women, aged 19-22 years) with cutaneous veins […]
Co-administration of multiple intravenous medicines
This study explores ICU nurses’ views on the everyday practice surrounding co-administration of multiple IV medicines down the same lumen” Oduyale et al (2020). Abstract: BACKGROUND: Co-administration of multiple intravenous (IV) medicines down the same lumen of an IV catheter is often necessary in the intensive care unit (ICU) while ensuring medicine compatibility. AIMS AND […]
Insulin adsorption in ICU infusion sets
Insulin adsorption has been observed in ICU delivery lines, and is especially problematic in the delivery of insulin within the neonatal ICU” Knopp et al (2019). Abstract: Insulin adsorption has been observed in ICU delivery lines, and is especially problematic in the delivery of insulin within the neonatal ICU. This paper presents a two state […]
Forecasting hypotension during vasopressor infusion
For optimal management of hypotension during continuous vasopressor infusion, this study investigated two forecasting models, logistic regression (LR) and auto-regressive (AR) models, to predict sustained hypotension episodes (SHEs) in the ICU, before the SHE occurred” Shin et al (2019). Abstract: For optimal management of hypotension during continuous vasopressor infusion, this study investigated two forecasting models, […]
Perceptions of risk factors for infusion phlebitis among Malaysian nurses
To investigate nurses’ perceptions of risk factors for phlebitis in a tertiary teaching hospital in north-east Peninsular Malaysia” Ying et al 92020). Abstract: Background: Intravenous therapy is an integral part of professional nursing practice. Nurses have a responsibility to recognise risk factors for phlebitis. Aims: To investigate nurses’ perceptions of risk factors for phlebitis in […]
Use of 3.15% chlorhexidine gluconate with 70% alcohol IV hub disinfection
This study found that using alcohol with chlorhexidine gluconate prior to accessing central line hubs and vascular grafts allows for reduction in CLABSI events and sustains statistically significant lower CLABSI rates in the inpatient dialysis population” Marty Cooney et al (2020). Abstract: Purpose: Preventing CLABSI events in the dialysis inpatient population represents significant challenges. Bacteremia […]
Clinically indicated removal versus routine replacement of peripheral IV catheters
Implementing clinically indicated removal of PVCs has resulted in better patient experience with fewer PVCs for a course of treatment. Implementation has also resulted in cost savings for the Trust with a notable decrease in number of PVCs used” McGuire and Coronado (2020). Abstract Latest clinical guidelines for peripheral vascular catheters (PVC) recommend that they […]
Acceptability of external jugular venepuncture for patients with liver disease
This study aimed to understand the experience of DVA for liver patients and the acceptability of peripheral venepuncture versus external jugular venepuncture (EJV)” Sheils et al (2020). Abstract: Background: Difficult venous access (DVA) is common in liver patients requiring blood collection using traditional peripheral approaches. This study aimed to understand the experience of DVA for […]
Utility of the DIVA score for experienced emergency department technicians
This study provides preliminary evidence for the validity of the DIVA score when applied to IVs placed by emergency department technicians” Shaukat et al (2020). Abstract: Background: The DIVA score is validated for predicting success of the initial attempt at peripheral intravenous insertion by nurses and physicians. A score of 4 or greater is 50% […]
Risk of contrast extravasation with vascular access in CT
The goal of this study is to describe the risk of contrast extravasation based on IV catheter anatomic location in patients receiving contrast-enhanced CT imaging” Stowell et al (2020). Abstract: PURPOSE: Diagnostic computed tomography (CT) imaging, utilizing intravenous (IV) contrast administration, has become increasingly common. Potential IV contrast-associated complications include local skin and soft tissue […]
Survival after intravenous versus intraosseous Amiodarone
Survival to hospital admission also increased significantly when drugs were given IV but not IO, and favored improved neurological outcome at discharge” Daya et al (2020). Abstract: Background: Antiarrhythmic drugs have not proven to significantly improve overall survival after out-of-hospital cardiac arrest (OHCA) from shock-refractory ventricular fibrillation/pulseless ventricular tachycardia (VF/VT). How this might be influenced […]
Safety of PICC versus implanted port catheters
Both peripherally inserted central catheters (PICCs) and implanted port catheters (PORTs) are used for adjuvant chemotherapy (ACT) administration in patients with early breast cancer (EBC). We aimed to compare the safety between PICCs and PORTs in this setting” Clatot et al (2020). Abstract: BACKGROUND: Both peripherally inserted central catheters (PICCs) and implanted port catheters (PORTs) […]
Treatment of central venous stenosis or occlusion in hemodialysis patients
The present study compared percutaneous transluminal angioplasty (PTA) with percutaneous transluminal angioplasty and stent placement (PTS) for treatment of central venous stenosis or central vein occlusion in hemodialysis patients” Wu et al (2020). Abstract: OBJECTIVES: A common cause of hemodialysis vascular access dysfunction, a primary cause of morbidity and mortality in patients undergoing hemodialysis, is […]
Racial and sex disparities in dialysis catheter use in US
Despite efforts to increase arteriovenous fistula and graft use, 80% of patients in the United States start hemodialysis on a central venous catheter (CVC)” Arya et al (2020). Abstract: BACKGROUND: Despite efforts to increase arteriovenous fistula and graft use, 80% of patients in the United States start hemodialysis on a central venous catheter (CVC). METHODS: […]
Evaluating ultrasound-guided peripheral IV cannulation training
The primary objective of this study was to identify the proportion of clinicians using ultrasound guidance (USG) to insert peripheral intravenous cannulas (PIVCs) in the emergency department (ED) following attendance at a hospital-based USG PIVC training program” Archer-Jones et al (2020). Abstract: OBJECTIVE: The primary objective of this study was to identify the proportion of […]
PVC infusion tubing drug sorption and plasticizer release
Coextruded layered materials appeared to have a lower plasticizer release than PVC alone. As a conclusion, PVC/PE and thermoplastic elastomers alone or coextruded with PVC could be interesting alternatives to PVC tubings with regards to sorption phenomena and plasticizer release” Tokhadze et al (2019). Abstract: Medical tubings in plasticized polyvinylchloride (PVC) are widely used for […]
Persistent barriers to timely IV catheter removal
Indwelling urinary and vascular catheters are valuable devices in patient care, but prolonged or unnecessary use increases the risk of infectious and noninfectious catheter harms” Quinn et al (2019). Abstract: BACKGROUND: Indwelling urinary and vascular catheters are valuable devices in patient care, but prolonged or unnecessary use increases the risk of infectious and noninfectious catheter […]
Safety of intravenous push thiamine administration
The objective of this analysis was to evaluate the incidence of anaphylaxis and IV site reactions associated with IV push thiamine” McLaughlin et al (2020). Abstract: OBJECTIVES: Intravenous (IV) thiamine, administered using both diluted solution for infusion and undiluted solution for IV push, is used to correct low levels of thiamine. Although thiamine has a […]
Outcomes of intermittent-infusion versus continuous-infusion vancomycin
Continuous-infusion vancomycin (CIV) may be associated with a lower risk of vancomycin-associated nephrotoxicity compared with IIV, but studies comparing safety of both dosing strategies are lacking” Ma et al (2020). Abstract: BACKGROUND: Patients with good renal function receiving intermittent-infusion vancomycin (IIV) may require total daily doses ≥4 g to achieve trough concentrations of 15-20 mg/L, increasing the […]
Central line-associated bloodstream infection prevention team
Studies have quantitatively demonstrated that line teams can reduce the rate of CLABSI. The purpose of this study was to qualitatively assess the function of the line team” Stroever et al (2020). Abstract: Background: A central line-associated bloodstream infection (CLABSI) is a serious complication. Patients in the neonatal intensive care unit (NICU) are at increased […]