Management of central-line-associated bloodstream infections
Chelators such as citrate and EDTA have been widely studied alone or in combination with other antimicrobial agents in catheter lock solutions to prevent catheter-related bloodstream infections and to maintain catheter patency” Chaftari et al (2019). Abstract: The proper functioning of central lines is imperative for the management of patients with cancer or on hemodialysis. […]
Challenges of ultrasound in dialysis vascular access
Ultrasound may be used across the spectrum of dialysis access, including central venous catheter placements, vascular mapping, regional anesthesia, creation, maintenance and assessment of hemodialysis access” Niyyar (2019). Abstract: Sonography is increasingly being used by nephrologists and the field of dialysis access is no exception. Advances in technology have allowed the addition of this universally […]
Decision-making about IV administration set replacement
To explore nurses’ decision making regarding intravenous administration set replacement for vascular access device infusions in paediatric and adult clinical settings” Ray-Barruel et al (2019). Abstract: AIM AND OBJECTIVES: To explore nurses’ decision making regarding intravenous administration set replacement for vascular access device infusions in paediatric and adult clinical settings. BACKGROUND: Intravenous administration sets are […]
Attitudes towards needlestick injuries among junior doctors
To estimate the prevalence of under-reporting of NSIs and to evaluate the knowledge, attitude and behaviour towards NSIs among junior doctors in a tertiary hospital in Singapore” One et al (2019). Abstract: BACKGROUND: Needlestick injuries (NSIs) are common healthcare-related injuries and possible consequences include blood-borne infections. Despite that, a large proportion of NSIs are not […]
Biomarkers for the prediction of catheter-related venous thromboembolism
Pediatric venous thromboembolism (VTE) has increased over the past 10 years, with central venous catheters (CVC) being the strongest risk factor” Nossair et al (2019). Abstract: BACKGROUND: Pediatric venous thromboembolism (VTE) has increased over the past 10 years, with central venous catheters (CVC) being the strongest risk factor. Current tools are not sufficient to predict […]
Central venous catheter use increases ischemic stroke risk
CVC placement increases ischemic stroke risk, particularly in those aged ≤35 years; this trend warrants further investigation” Liao et al (2019). Abstract: BACKGROUND: Central venous catheter (CVC) placement is a common procedure used for the treatment of critically ill patients. However, ischemic stroke is a complication after CVC placement. AIM: This study investigated the association […]
Vascular access-related infections in two haemodialysis units
Access-related infections are a major cause of morbidity and mortality in haemodialysis patients. Our goal was to decrease the rate of these infections by implementing an intervention and surveillance program” Gork et al (2019). Abstract: BACKGROUND: Access-related infections are a major cause of morbidity and mortality in haemodialysis patients. Our goal was to decrease the […]
Venodilation effects of tapping versus massaging for venipuncture
No significant differences were observed between the degrees of venodilation that were achieved using the three investigated venodilation techniques” Yasuda et al (2019). Abstract: AIM: To compare the effectiveness of tapping and massaging venodilation techniques by evaluating venous cross-sectional area, venous depth, venous palpation score, and questionnaire responses of study participants. METHODS: This study had […]
Short versus long axis ultrasound guided approach for internal jugular vein cannulation
The long-axis view for IJV cannulation has similar insertion and procedure timings to the short-axis view. However, the complication rate and number of needle punctures required were less with the long-axis view than with those with the short-axis view” Rath et al (2019). Abstract: OBJECTIVES: Ultrasound-guided internal jugular vein cannulation is a standard procedure performed […]
Endovascular port-a-cath rescue in acute superior vena cava syndrome
Acute superior vena cava (SVC) syndrome is managed by endovascular recanalization, venoplasty with stenting, and anticoagulation. It is often associated with central venous catheters” Amberger et al (2019). Abstract: Acute superior vena cava (SVC) syndrome is managed by endovascular recanalization, venoplasty with stenting, and anticoagulation. It is often associated with central venous catheters. We present […]
High-risk needlestick injuries and virus transmission
Evaluation of the follow-up monitoring after NSI with respect to early recognition of transmission of HIV, HCV and HBV as well as adherence and psychological burden of HCP” Safari et al (2019). Abstract: BACKGROUND: Needlestick injuries (NSI) of healthcare personnel (HCP) are work-related accidents with a risk of transmission of blood-borne human immunodeficiency virus (HIV), […]
AV fistula maturation rate with ipsilateral tunneled dialysis catheter
The effect that ipsilateral tunneled dialysis catheters (TDC) have on arteriovenous fistula (AVF) maturation is unclear” Kim et al (2019). Abstract: OBJECTIVE: The effect that ipsilateral tunneled dialysis catheters (TDC) have on arteriovenous fistula (AVF) maturation is unclear. We sought to define this association by comparing AVF maturation rates in patients with contralateral TDC with […]
Risk factors for a difficult intravenous access
To summarise the evidence about patient-related risk factors for difficult intravenous access in adults, and at identifying nurses’ beliefs and their consistency with evidence” Piredda et al (2019). Abstract: AIMS AND OBJECTIVES: To summarise the evidence about patient-related risk factors for difficult intravenous access in adults, and at identifying nurses’ beliefs and their consistency with […]
Impact of home infusion therapies on caregivers
To describe the scope of home infusion therapy in cancer care, expectations related to caregiver involvement in home infusion therapy, literature addressing the impact upon caregivers, and nursing implications” Gorski (2019). Abstract: OBJECTIVES: To describe the scope of home infusion therapy in cancer care, expectations related to caregiver involvement in home infusion therapy, literature addressing […]
Management of amphotericin-induced infusion phlebitis
Amphotericin-induced phlebitis is a common infusion-related reaction in patients managed for cryptococcal meningitis. High-quality nursing care is critical component to successful cryptococcosis treatment” Ahimbisibwe et al (2019). Abstract: BACKGROUND: Amphotericin-induced phlebitis is a common infusion-related reaction in patients managed for cryptococcal meningitis. High-quality nursing care is critical component to successful cryptococcosis treatment. We highlight the […]
Accidental removal of devices in intensive care unit
In the intensive care unit, invasive devices can be accidentally removed by the patient or by the operators, increasing workload, staff stress level and hospitalisation costs” Galazzi et al (2019). Abstract: BACKGROUND: In the intensive care unit, invasive devices can be accidentally removed by the patient or by the operators, increasing workload, staff stress level […]
Technology-assisted or manual IV room workflow
The benefits of technology-assisted workflow (TAWF) compared with manual workflow (non-TAWF) on i.v. room efficiency, costs, and safety at hospitals with more than 200 beds are evaluated” Eckel et al (2019). Abstract: Purpose: The benefits of technology-assisted workflow (TAWF) compared with manual workflow (non-TAWF) on i.v. room efficiency, costs, and safety at hospitals with more […]
Full text version of Vessel Health and Preservation textbook
Vessel health and preservation (VHP) is a model applied to vascular access and the administration of IV medications and treatment that structures evidence-based practices within four quadrants of medical care: assessment/selection, insertion, management, and evaluation of vascular access devices” Moureau (2019). Extract: Vessel health and preservation (VHP) is a model applied to vascular access and […]
Review of nurse-led central venous catheter insertion
The implementation of the ‘Transfer of competence: nurse-led central venous catheter insertion’ cooperation protocol in 2016, in the Paris hospital trust (AP-HP), has enabled these waiting times to be reduced without any increase in the frequency of complications or effects on the safety of the procedure” Fournier et al (2019). Abstract: Chemotherapy for cancer patients […]
Prolonged Gentamicin-lock therapy reduces hemodialysis catheter-related infections
In the current study, gentamicin-lock therapy was associated with a significant reduction in CRBSI specially with P. aeruginosa and other Gram-negative bacteria” Padilla-Orozco et al (2019). Abstract: INTRODUCTION: The incidence of catheter-related bloodstream infections (CRBSI) ranges from 2.2 to 5.5 episodes per 1,000 catheter-days. Our aim was to evaluate the utility of a generalized and […]
Use of the Lean methodology in the management of cancer patients
The Lean methodology could provide a robust framework for improved understanding and management of complex system constraints in outpatient oncology clinics” De Belvis et al (2019). Abstract: AIM: The aim of this study was to map a patient’s journey along all stages of his daily care path in an Oncology outpatient department, to identify and […]
Usefulness of PICC for cancer patients in palliative care settings
We evaluated the safety and usefulness of ultrasound-guided PICC placement for cancer patients in palliative care settings” Ikeda et al (2019). Abstract: Peripherally inserted central venous catheters(PICCs)are widely used given they have lower incidence of serious complications than central venous catheters. We evaluated the safety and usefulness of ultrasound-guided PICC placement for cancer patients in […]
Adiós Bacteriemias: a multi-country quality improvement collaborative project to reduce CLABSI
Adiós Bacteriemias was effective in reducing the incidence of CLABSI and improving the adherence to good practices for CL insertion and maintenance processes in participating ICUs in Latin America” Arrieta et al (2019). Abstract: QUALITY PROBLEM: The incidence of central line-associated bloodstream infections (CLABSI) in Latin America has been estimated at 4.9 episodes per 1000 […]
Diagnosis of central venous catheter colonization
The conventional diagnostic techniques for catheter colonization (CC) take at least 48 h to yield results. Therefore, new diagnostic procedures that speed up the time necessary for results are needed” Alonso et al (2019). Abstract: The conventional diagnostic techniques for catheter colonization (CC) take at least 48 h to yield results. Therefore, new diagnostic procedures […]
The challenge of vascular access for hemodialysis
Vascular access for hemodialysis has a long and rich history. This article highlights major innovations and milestones in the history of angioaccess for hemodialysis” Murea et al (2019). Abstract: Vascular access for hemodialysis has a long and rich history. This article highlights major innovations and milestones in the history of angioaccess for hemodialysis. Advances in […]
Systematic review of occupational hazards for health workers in Africa
This systematic review examined occupational exposure rates to blood and bloodborne pathogen among healthcare workers in sub-Saharan Africa” Mossburg et al (2019). Abstract: BACKGROUND: While all healthcare workers are exposed to occupational hazards, workers in sub-Saharan Africa have higher rates of occupational exposure to infectious diseases than workers in developed countries. Identifying prevalence and context […]
Stability of Meropenem after reconstitution for administration by prolonged infusion
Although results obtained indicate that meropenem should not be continuously infused over 24 hours, it is possible that meropenem could be continuously infused for at least 7 hours if temperature does not exceed 22°C and for 5 hours if temperature does not exceed 33°C” Fawaz et al (2019). Abstract: Objective: Meropenem is a parenteral carbapenem […]
Flow rate accuracy of ambulatory elastomeric and electronic infusion pumps
Elastomeric infusion pumps are widely used in the delivery of parenteral medications in the home, but real-life conditions may not match calibration or standardised testing conditions. This study investigated the impact of changes in infusion pump height and/or back pressure on infusion pump function” Hobbs et al (2019). Abstract: Background: Elastomeric infusion pumps are widely […]
Underreporting of bloodborne pathogen exposures in nursing students
Although nursing students perform many of the same procedures as licensed nurses, students are less skillful when handling sharps and are at higher risk of injury” Black Thomas (2019). Abstract: BACKGROUND: Although nursing students perform many of the same procedures as licensed nurses, students are less skillful when handling sharps and are at higher risk […]
Evaluation of the two-bag system in adult diabetic ketoacidosis patients
This study was designed to assess if the two-bag (TB) system, which utilizes 2 intravenous (IV) fluid bags, one containing sodium chloride and the other containing sodium chloride and dextrose, is an effective and safe alternative to the traditional one-bag (OB) system in adults with DKA” Cho et al (2019). Abstract: PURPOSE: Diabetic ketoacidosis (DKA) […]