Chlorhexidine gluconate utilization for infection prevention in the NICU
The purpose of this project was to survey neonatal nurse practitioners and nursing leaders across NICUs regarding the current use of chlorhexidine gluconate (CHG) in term and preterm infants” Beekman and Steward (2019). Abstract: BACKGROUND: Central-line-associated bloodstream infection (CLABSI) contributes to significant morbidity and mortality in the neonatal intensive care unit (NICU). Disinfection of skin […]
Risk factors of catheter-related thrombosis in early-stage breast cancer patients
Totally implantable venous access devices (TIVADs) are widely used in cancer patients. The main purpose of our study is to observe the incidence and identified risk factors of catheter-related thrombosis (CRT) in breast cancer patients with TIVAD” Tan et al (2019). Abstract: PURPOSE: Totally implantable venous access devices (TIVADs) are widely used in cancer patients. […]
Vascular access type and hemodialysis patient outcomes
This study aimed to examine the impact of VA type on cardiovascular and all-cause mortality as well as the predictors for outcome in elderly Chinese patients” You et al (2019). Abstract: OBJECTIVES: Current studies suggest arteriovenous fistula (AVF) and arteriovenous graft as superior vascular access (VA) types for elderly hemodialysis (HD) patients due to better […]
Implications of the SHM position statement on ultrasound guided vascular access
In the position statement released by the Society of Hospital Medicine (SHM), Franco–Sadud et al. outline the transformative effects ultrasound can have in obtaining adult vascular access” Anstey and Lai (2019). Extract: Is there a single intervention more important to hospitalized patients than vascular access? Since their advent in the 1950s, small plastic tubes have […]
Reaching one peripheral IV catheter per patient visit
By centralizing ownership of vascular access with the team for insertion, management, and securement, the PIV Five Rights is the right approach to achieve the right results in transformation of hospital infusion therapy practices” Steere et al (2019). Abstract: Background: Peripheral intravenous catheter (PIVC) sales per year exceed that of the number of people in […]
Severe skin extravasation injury following IV injection of potassium chloride
In our case, the damage owing to extravasation of KCl into the surrounding tissue was severe” Richa et al (2019). Extract: In our case, the damage owing to extravasation of KCl into the surrounding tissue was severe. The main determining factors were GA (loss of pain sensation), type of drug (KCl) with vesicant properties, direct […]
Case of retained central venous catheter guidewire
This report presents a rare case of a retained venous guidewire that was discovered two years after central venous catheterization” Arnous et al (2019). Abstract: BACKGROUND: Retained guidewire is a recognized complication of intravascular interventions. The majority of cases are identified immediately or shortly after the procedure. In rare cases, the guidewire is identified incidentally […]
Prediction of nonelective neonatal central venous catheter removal
Nonelective CVC removal (NER) is an inadequately studied outcome associated with increased morbidity, infant and family stress, and cost” Beard et al (2019). Abstract: INTRODUCTION: Central venous catheters (CVCs) are essential to neonatal care but associated with significant morbidity. Nonelective CVC removal (NER) is an inadequately studied outcome associated with increased morbidity, infant and family […]
Transfer rate of pathogens through implantable port membrane
Our aim was to examine the extent of pathogen transfer into a SVP by puncturing an in vitro contaminated injection membrane and to evaluate techniques to reduce this transmission” Taxbro et al (2019). Abstract: Introduction: Reliable venous access is a cornerstone in delivery of cytotoxic drugs, and subcutaneous venous ports (SVPs) are commonly used. Pocket […]
Risk factors for central venous catheter-related bloodstream infections
Our study aimed to identify the risk factors playing a role in central venous catheter-related bloodstream infections (CR-BSI) in a tertiary large volume university hospital” Bekçibaşi et al (2019). Abstract: Our study aimed to identify the risk factors playing a role in central venous catheter-related bloodstream infections (CR-BSI) in a tertiary large volume university hospital. […]
Impact of early dressing removal on tunneled central venous catheters infections
Central Venous Catheters (CVC) are linked with Catheter-related bloodstream infections (CLABSI) or exit-site infections. Dressings may reduce the rate of infection, but they are uncomfortable, do not eliminate the risk of infection, and in some cases become the cause of infection” Ammar et al (2019). Abstract: BACKGROUND: Central Venous Catheters (CVC) are linked with Catheter-related […]
Needlestick and sharps injuries in orthopedic surgery residents
Needlestick and sharps injury (NSSI) is a common occupational hazard of orthopedic surgery training. The purpose of this study was to examine the incidence and surrounding circumstances of intraoperative NSSI in orthopedic surgery residents and fellows and to examine postexposure reporting” Snavely et al (2019). Abstract: OBJECTIVE: Needlestick and sharps injury (NSSI) is a common […]
What are the predictive factors of peripheral infusion phlebitis?
This study aimed to identify predictive factors of peripheral phlebitis related to intravenous injection among orthopedic inpatients, develop a prediction model, and evaluate the goodness-of-fit of the prediction model” Lee et al (2019). Abstract: Phlebitis leads to increased discomfort for patients, longer hospital stays, and higher healthcare costs. This study aimed to identify predictive factors […]
Effect of PICC administered parenteral nutrition on immune function
Objective of the present study was to investigate the effects of peripherally inserted central catheter (PICC) parenteral nutrition support on immune function and nutritional support in patients undergoing radical gastrectomy for gastric cancer” Zhang et al (2019). Abstract: Objective of the present study was to investigate the effects of peripherally inserted central catheter (PICC) parenteral […]
Air embolism from an unprimed peripheral IV line
We report the first prehospital case of a venous air embolism in a 31-year-old male who became hemodynamically unstable after a peripheral intravenous catheter with unprimed tubing was placed by paramedics in the prehospital setting” Abramson et al (2019). Abstract: Venous air embolisms are rare but a cause of potentially life-threatening events with associated cardiovascular, […]
Heuristic evaluation and simulated use testing of infusion pumps
This study aimed to identify design deficiencies and evaluate the usability and performance of four infusion pump models and thus inform decisions about infusion pump selection” Liu et al (2019). Abstract: BACKGROUND: Poorly designed infusion pumps can lead to user errors and adverse incidents. Therefore, assessments of their usability and performance that can inform managerial […]
Randomized trial of PICC complications in neuro-intensive care
The objective of this study was to compare the relative number of complications from peripherally inserted central venous catheters (PICC) and centrally inserted central venous catheters (CVC) in the neuroscience intensive care unit (NSICU)” Brandmeir et al (2019). Abstract: OBJECTIVE: The objective of this study was to compare the relative number of complications from peripherally […]
Cather-related right atrial thrombosis review
Catheter-related right atrial thrombosis is an under-recognized complication of central venous catheter placement. We performed a retrospective review, characterizing clinical aspects of catheter-related right atrial thrombosis (CRAT)” Tran et al (2019). Abstract: INTRODUCTION: Catheter-related right atrial thrombosis is an under-recognized complication of central venous catheter placement. We performed a retrospective review, characterizing clinical aspects of […]
Dialysis catheter insertion with extended ultrasound monitoring
Dialysis catheter insertion is a routine procedure performed when there is necessity of urgent renal replacement therapy initiation. Due to limited access, higher costs, and long waiting times for fluoroscopy, alternative visualization methods are introduced into clinical practice” Letachowicz et al (2019). Abstract: INTRODUCTION: Dialysis catheter insertion is a routine procedure performed when there is […]
Drug interactions with silicone or polyurethane vascular catheters
This work aims to evaluate the possible impact of interactions between bevacizumab solutions and an implantable port equipped with a silicone or a polyurethane catheter after infusion through a complete infusion set-up in simulated use conditions” Tokhadzé et al92019). Abstract: This work aims to evaluate the possible impact of interactions between bevacizumab solutions and an […]
Will single versus double tourniquet technique improve vein visualisation?
Peripheral, ultrasound-guided intravenous (IV) access occurs frequently in the emergency department, but certain populations present unique challenges for successfully completing this procedure” Price et al (2019). Abstract: INTRODUCTION: Peripheral, ultrasound-guided intravenous (IV) access occurs frequently in the emergency department, but certain populations present unique challenges for successfully completing this procedure. Prior research has demonstrated decreased […]
Patient experience with scalp cooling during chemotherapy
During the visit, the nurse noted Ms. X could not keep her hands out of her hair; she continually played with it. The nurse, judging by Ms. X’s body language, suspected she valued her hair” Weatherby and Brophy (2019). Abstract: CASE STUDY: Ms. X is a 23-year-old female who presented to clinic with stage 2A […]
Shortening OPAT duration of ertapenem for complicated urinary tract infections
Short duration ertapenem via OPAT with or without adjunctive fosfomycin is safe and effective for the treatment of complicated UTIs” Fink et al (2019). Abstract: BACKGROUND: The incidence of multi-drug resistant ESBL-associated urinary tract infections (UTIs) is increasing globally. Patients with abnormal renal tract anatomy and other co-morbidities are at increased risk of complicated UTI […]
Cancer-associated venous thromboembolism in the real world
In a current real-world VTE registry, patients with active cancer had higher risk for VTE recurrence, bleeding, and death, with variations according to cancer status, than patients without active cancer” Sakamoto et al (2019). Abstract: BACKGROUND: There is a paucity of data on the management and prognosis of cancer-associated venous thromboembolism (VTE), leading to uncertainty […]
Impact of needlefree connectors compared with 3-way stopcocks on CRBSI
The aim of this meta-analysis was to compare NFCs with 3-way stopcocks (3WSCs) and their effects on CRBSI rates” Rosenthal (2019). Abstract: BACKGROUND: Needle-free connectors (NFCs) were introduced to eliminate the use of needles in intravascular catheters, and their newest generations were designed to improve patient safety and reduce catheter-related bloodstream infection (CRBSI) risks. The […]
Meta-analysis of infusion phlebitis risk with peripheral IV catheters
Incidence of phlebitis with the use of peripheral intravenous catheters during infusion is 31%. Severe phlebitis develops in 4% of all patients” Lv and Zhang (2019). Abstract: INTRODUCTION: Phlebitis is a common complication associated with the use of peripheral intravenous catheters. The aim of this study was to estimate the incidence of phlebitis with peripheral […]
CRBSI rates when using using metal coated central venous catheters
Among the methods considered in this regard is using catheters coated with antiseptic agents, antibiotics, and metals such as silver and platinum (8). Some studies have suggested using these methods for reducing the mentioned infections and their consequences” Ardehali et al (2019). Abstract: Blood infections due to intravenous catheters make up about 10\% — 15\% […]
Population-based active surveillance for culture-confirmed candidemia
Candidemia is a bloodstream infection (BSI) caused by yeasts in the genus Candida. Candidemia is one of the most common health care-associated BSIs in the United States, with all-cause in-hospital mortality of up to 30%” Toda et al (2019). Abstract: PROBLEM/CONDITION: Candidemia is a bloodstream infection (BSI) caused by yeasts in the genus Candida. Candidemia […]
Computer or paper-based insulin infusion algorithm for diabetic ketoacidosis
We aimed to determine the differences in time to diabetic ketoacidosis resolution and incidence of hypoglycemia between computer and paper-based insulin infusion” Younis et al (2019). Abstract: BACKGROUND: Paper-based and computer-based insulin infusion algorithms facilitate appropriate glycemic therapy. The data comparing these algorithms in the management of diabetic ketoacidosis in the intensive care unit (ICU) […]
Position paper on ultrasound guided central and peripheral vascular access
To increase the success rate of ultrasound-guided vascular access procedures, we recommend that providers should utilize echogenic needles, plastic needle guides, and/or ultrasound beam steering when available” Franco-Sadud et al (2019). Abstract: PREPROCEDURE: 1) We recommend that providers should be familiar with the operation of their specific ultrasound machine prior to initiation of a vascular […]