CHG IV dressings reduced CRBSI caused by Gram-positive microorganisms
We compared the protective effects of secure Chlorhexidine Gluconate (CHG)-containing dressings with those of non-antimicrobial transparent dressings” Ergul et al (2018). Abstract: OBJECTIVE: We compared the protective effects of secure Chlorhexidine Gluconate (CHG)-containing dressings with those of non-antimicrobial transparent dressings. METHODS: This prospective, comparative, single-center clinical study was conducted in a tertiary pediatric intensive care […]
Barriers to ultrasound CVC insertion in a resource-constrained environment
We sought to identify perceived barriers to the use of US to guide CVC insertion in a resource-constrained environment” Zaver et al (2018). Abstract: BACKGROUND: While ultrasound (US) use for internal jugular central venous catheter (CVC) placement is standard of care in North America, most developing countries have not adopted this practice. Previous surveys of […]
Demographic and patient outcomes related to home parenteral nutrition
We conducted a retrospective analysis of outcome data of children on home Parenteral Nutrition (HPN), over a 15 year period” brown et al (2018). Abstract: AIM: We performed this study to examine and understand the evolving demographics and changing outcomes of intestinal failure, and its implications for healthcare delivery. METHOD: We conducted a retrospective analysis […]
Implementation of evidence-based practice in CLABSI prevention
To describe knowledge, values, and implementation of evidence-based practice (EBP) and use of two National Patient Safety Goals-Central Line Associated Blood Stream Infections (CLABSI) and Surgical Site Infections (SSI)-between nurses working in Magnet® versus non-Magnet® designated hospitals” Connor (2018). Abstract: PURPOSE: To describe knowledge, values, and implementation of evidence-based practice (EBP) and use of two […]
Device-associated nosocomial infection in the Kingdom of Saudi Arabia
This study aims to identify DA-HAI rates among a group of selected hospitals in the Kingdom of Saudi Arabia (KSA), 2013-2016″ Said metal (2017). Abstract: Healthcare-associated infections (HAIs) including device-associated HAI (DA-HAI) are a serious patient safety issue in hospitals worldwide, affecting 5-10% of hospitalized patients and deadly for patients in intensive care units (ICUs). […]
Novel needleless connector results in dramatic decrease in CLABSI
We wanted to determine if the use of a novel needleless connector, impregnated with chlorhexidine and silver ions, paired with nursing education to consistently apply best practices would reduce CLABSI rates in a high-risk population” McCombs and Cisar (2018). Background: Central lines are a common device in Intensive Care Unit (ICU) and oncology patients, however, […]
Femoral placed totally implantable central venous access port
We present a case of a 70-year-old colorectal adenocarcinoma patient diagnosed with subclavian vein hypoplasia. Her care team decided intraoperatively to implant a port system by the right femoral access” Cherkashin et al (2018). Abstract: Totally implanted venous access port (TIVAP) systems provide adequate quality of care and life, especially for oncology patients. Long-term vascular […]
How often do we perform painful procedures in the paediatric intensive care unit?
The primary objective was to determine the number of painful and stressful procedures per patient per day in our PICU patients, including the numbers of attempts” Baarslag et al (2018). Abstract: BACKGROUND: Adequate analgesia and sedation is crucial in critical care. There is little knowledge on the extent of painful and stressful procedures on children […]
Vascular access selection in elderly patients starting hemodialysis
In elderly hemodialysis patients initiating hemodialysis therapy with a catheter, the optimal vascular access selection depends on tradeoffs between shorter catheter dependence and less frequent interventions to make the vascular access (AVG) functional versus longer access patency and fewer interventions after successful use of the vascular access (AVF)” Lee et al (2018). Abstract: RATIONALE & […]
Inadvertent right vertebral artery rupture during dialysis catheter insertion
We report the case of a 79-year-old female dialysis patient who suffered a vertebral artery (VA) injury complicated by a herald bleeding on the 3rd post-intervention day after an internal jugular vein dialysis catheter replacement” Tasopoulou et al (2018). Abstract: Central venous (CV) catheterization is not only an invaluable diagnostic modality but also an essential […]
Incidence of midline catheter-associated bloodstream infections
Unlike CLABSI, reporting of BSIs associated with MCs is not mandatory and the incidence of MC-associated BSIs (MLABSIs) has not been extensively studied. The objective of this study was to determine MLABSI incidence” Hogle et al (2018). Background: A midline catheter (MC) is a non-central venous catheter that may remain in place for up to […]
Hub disinfection technique to prevent central line-associated blood stream infections
Increasing evidence shows using Chlorhexidine Gluconate (CHG) may help prevent certain health care associated infections, and may also prove beneficial for the prevention of CLABSI” Cooney et al (2018). Background: Central line-associated blood stream infection (CLABSI) events lead to increased complications, costs, morbidity and mortality. A review of CLABSI events was conducted at a large […]
Focus on central line dressings and infusion tubing care as a CLABSI prevention methodology
The most common causes of CLABSIs are related to imperfect maintenance of the line and associated tubing” Parada et al (2018). Background: Central line associated blood stream infections (CLABSI) endanger patient safety and increase morbidity, mortality, length of stay and the cost of medical care. The most common causes of CLABSIs are related to imperfect […]
Expert-based recommendations for OPAT services in Spain
The objective of this clinical guideline is therefore to provide evidence- and expert-based recommendations with a view to standardizing clinical practice in this care modality and contribute to a progressive increase in the number of patients who can be cared for and receive intravenous therapy in their own homes” López Cortés et al (2018). Abstract: […]
The challenge of learning to self-cannulate arteriovenous access
Patients with end-stage kidney disease who are considering home hemodialysis (HHD) face the challenge of learning to self-cannulate their arteriovenous access” Ward et al (2018). Abstract: Patients with end-stage kidney disease who are considering home hemodialysis (HHD) face the challenge of learning to self-cannulate their arteriovenous access. Current practice discourages the use of tunneled central […]
Augmented reality glasses in central line insertion simulation
The aim of this study was to investigate the feasibility of using augmented reality (AR) glasses in central line simulation by novice operators and compare its efficacy to standard central line simulation/teaching” Huang et al (2018). Abstract: OBJECTIVE: The aim of this study was to investigate the feasibility of using augmented reality (AR) glasses in […]
Intraperitoneally located tip of femoral central venous catheter
It was concluded that in any case of acute abdominal issues, following insertion of femoral venous catheter, evaluation of catheter misplacement by the means of contrast injection through it can be helpful for better diagnosis, and may help avoid unnecessary surgical interventions” Shafiee et al (2018). Abstract: Central venous catheterization is a common procedure in […]
Epidemiology of catheter-related bloodstream infections in cancer patients
We compared the etiologic organisms of bloodstream infections (BSIs) in cancer patients with central venous catheters (CVCs) between 2 cohorts separated by more than a decade” Chaftari et al (2018). Abstract: We compared the etiologic organisms of bloodstream infections (BSIs) in cancer patients with central venous catheters (CVCs) between 2 cohorts separated by more than […]
Malposition of central venous catheter due to radiation-induced venous stenosis
CXR was done postinsertion to confirm the position of CVC, which revealed that the tip of the catheter was in the right internal jugular vein (IJV)” Extract: “The day before surgery, using the standard Seldinger technique with portable ultrasound (ACUSON, Siemens) guidance, the right subclavian vein (SV) was cannulated with 7 Fr triple-lumen central venous […]
The subclavian vein approach for central venous catheter insertion
In this report, we describe a patient with a chemotherapy port placed in the subclavian vein that underwent spontaneous fracture” Sun and Soares (2018). Introduction: Central venous catheters (CVCs) are commonly used and have a range of outpatient and inpatient indications. A subclavian vein approach has traditionally been used for placement of these catheters; however, […]
Effectiveness of infusion filters to remove particulate contamination during a multidrug infusion protocol
We have investigated the ability of IV in-line filters to eliminate particulate matter from multidrug infusion lines and so prevent contamination. The impact on particle occurrence of the internal volume of the IV line below the in-line filter was then evaluated” Perez et al (2018). Abstract: The large number of drugs administered simultaneously to neonates […]
Subclavian central venous catheter complications at insertion
The aim of the present study was to determine the success of the placement of CVCs without ultrasonographic guidance and the number and type of complications associated with insertion of these” Hernández-Franco and and Martínez-Ordaz (2018). Abstract: BACKGROUND: Central Venous Catheters (CVC) are used as a tool in critically ill patients requiring hemodynamic monitoring and […]
Effect of phellodendron wet compress in treating infusion phlebitis
Aim of the study was to observe and analyze the clinical effect of phellodendron wet compress in treating the phlebitis caused by infusion” Wan (2018). Abstract: Aim of the study was to observe and analyze the clinical effect of phellodendron wet compress in treating the phlebitis caused by infusion. The research objects were 600 cases […]
Ultrasound-guided vascular cannulation in critically-ill pediatric patients
To describe the characteristics of ultrasound-guided vascular cannulation in critically-ill pediatric patients” López Álvarez et al (2018). Abstract: INTRODUCTION: Central vascular cannulation in children is a highly complex technique and poses many difficulties. Vascular ultrasound can make this procedure easier. OBJECTIVE: To describe the characteristics of ultrasound-guided vascular cannulation in critically-ill pediatric patients. POPULATION AND […]
Septic pulmonary emboli as a complication of peripheral IV catheter insertion
We describe a case of widespread cellulitis and septic pulmonary emboli as a complication of peripheral venous cannulation” Baidya et al (2018). Abstract: Septic pulmonary emboli can occur as a complication of many diseases, most common being right sided infective endocarditis. Septic emboli through a peripheral venous cannula are rarely reported in literature though central […]
Risk factors for CLABSI in adult hematopoietic cell transplant patients
There is a lack of data regarding the incidence and risk factors associated with the development of CLABSIs in the HCT population undergoing outpatient transplantation” McDonald et al (2018). Abstract: BACKGROUND: Allogeneic hematopoietic cell transplant (HCT) patients are at an increased risk of developing central line-associated bloodstream infections (CLABSIs) due to prolonged periods of myelosuppression, […]
Ultrasound-guided CVAD insertion in children weighing ten kilograms or less
This paper analyses the safety of USG percutaneous CVAD insertion in the pediatric population weighing ten kilograms or less” Vierboom et al (2018). Abstract: PURPOSE: Ultrasound-guided (USG) percutaneous insertion of tunnelled central venous access devices (CVADs) has been shown to be safe and effective in adults. However, there have been concerns over the safety of […]
Enhanced central venous catheter bundle for parenteral-dependent pediatric patients
CLABSI occurs more frequently among high-risk pediatric patients, such as those with intestinal failure (IF) who are parenteral nutrition (PN) dependent. Following an increase in CLABSI rates, a quality improvement (QI) initiative was implemented” Ormsby et al (2018). Abstract: Background: Central line–associated bloodstream infections (CLABSIs) cause substantial morbidity and increase antimicrobial use and length of […]
Management of cancer-associated upper extremity deep vein thrombosis
The objective of this study was to determine risk factors for UEDVT and the rates of recurrence and bleeding in a real-world setting” ALKindi et al (2018). Abstract: INTRODUCTION: Data on management of upper extremity deep vein thrombosis (UEDVT) in patients with cancer is limited. The objective of this study was to determine risk factors […]
Prevalence of central vein stenosis in patients referred for vein mapping
Central vein stenosis is considered to be common in patients on hemodialysis but its exact prevalence is not known. In this study, we report the prevalence of central vein stenosis in patients with CKD referred for vein mapping” Tedla et al (2018). Abstract: BACKGROUND AND OBJECTIVES: Central vein stenosis is considered to be common in […]