Radiologic management of central venous access
A central catheter can be placed into a small or large vein in the body, with the tip located in a large vein close to the heart in the chest, and is used for a longer time” Savo and Dill (2019). Abstract: Venous access is a procedure in which a catheter is placed into a […]
Outcomes of children with chronic intestinal failure
Retrospective review of children requiring parenteral nutrition (PN) for >3 months who were assessed for home PN between 1991 and 2011″ Jo et al (2019). Abstract: BACKGROUND & AIMS: To aid decisions on prognosis and transplantation, this study describes the outcome of children with intestinal failure managed by the multidisciplinary intestinal rehabilitation program at the […]
Chronically retained central venous catheter in deceased donor liver allograft
Here we describe a chronically retained catheter within the inferior vena cava (IVC) that was asymptomatic and neither diagnosed nor addressed until time of deceased donor liver donation” Zielsdorf et al (2019). Abstract: Central venous catheters (CVC) are commonly used across multiple medical specialties and are inserted for various reasons. A known, but rare, serious […]
Residual lipid emulsion in chambers of flushed totally implantable ports
The aim of the present study was to use a quantitative fluorescence imaging technique to evaluate the invisible amount of residual lipid emulsion in port chambers flushed with various fundamental protocols” Okamura et al (2019). Abstract: The aim of the present study was to use a quantitative fluorescence imaging technique to evaluate the invisible amount […]
Guide to sonographic confirmation of central venous catheter position
Though the use of ultrasound (US) is widespread for the placement of central venous catheters (CVCs), its real time use for guiding optimal tip position is not established yet in paediatric population” Kesarkar et al (2019). Abstract: Central Venous Cannulation is a crucial skill for an anesthesiologist. To prevent complications like arrhythmias, cardiac perforation, tamponade, […]
Migration of PICC after contrast-enhanced computed tomography
Surprisingly, two days after catheter insertion, chest X-rays showed the catheter had become displaced into the ipsilateral internal jugular vein” Lee and Seong (2019). Extract: A 35-year-old man with end-stage renal disease was admitted for chronic respiratory failure. During hospitalization, arteriovenous graft malfunction occurred and a computed tomography (CT) angiography was planned. A 5 French […]
Repair of central venous catheter in adult home parenteral nutrition patients
Catheter repair can increase the catheter survival without increasing the risk of CLABSI, providing not only socioeconomic benefit but also decreasing risk of compromising future vascular access” Velapati et al 92019). Abstract: BACKGROUND: Patients with chronic intestinal failure who require long-term parenteral nutrition rely on central venous catheters (CVCs) for access to nutrition and hydration. […]
Survival time of Staphylococcus aureus on ultrasound probes
The use of ultrasound (US) transducer heads on patient skin requires the use of a coupling gel. If not properly cleaned between patients the risk for cross contamination increases, potentially leading to healthcare associated infections (HAIs). This study examined survival time of Staphylococcus aureus (SA) in various matrices” Levine et al (2019). Abstract: BACKGROUND: The […]
Review of patients with lower extremity dialysis vascular access
Lower extremity arteriovenous (AV) access is an alternative when upper extremity access options have been exhausted. Our goal was to assess short- and medium-term outcomes of lower extremity hemodialysis access” Pike et al (2019). Abstract: OBJECTIVE: Lower extremity arteriovenous (AV) access is an alternative when upper extremity access options have been exhausted. Our goal was […]
Custom 3-Dimensional printed ultrasound-compatible VA training model
To generate 3-dimensional (3D) printed ultrasound (US)-compatible vascular models (3DPVAM) and test them for noninferiority in training medical students in femoral artery access” Sheu et al (2019). Abstract: PURPOSE: To generate 3-dimensional (3D) printed ultrasound (US)-compatible vascular models (3DPVAM) and test them for noninferiority in training medical students in femoral artery access. MATERIALS AND METHODS: […]
Vascular access outcomes in patients initiating dialysis with a tunneled catheter
Our aim was to determine factors that influence time to removal of tunneled hemodialysis catheter (THC), probability of repeat vascular access creation, and time to repeat vascular access” Copeland et al (2019). Abstract: BACKGROUND: Our aim was to determine factors that influence time to removal of tunneled hemodialysis catheter (THC), probability of repeat vascular access […]
Patient positioning tool for central venous access and brachial plexus blocks
Positioning of the patient is an important prerequisite for central venous cannulation (CVC) and to perform the brachial plexus blocks (BPB) in the operation theater” Hooda et al (2019). Abstract: Positioning of the patient is an important prerequisite for central venous cannulation (CVC) and to perform the brachial plexus blocks (BPB) in the operation theater. […]
Complications in internal jugular vs subclavian ultrasound-guided central venous catheterization
Results demonstrated that the complication rates of IJV and SCV catheterizations using US are very low, showing no superiority of the SCV approach compared to the IJV” Shin et al (2019). Abstract: PURPOSE: The use of real-time ultrasound (US) has been shown to reduce complications of central venous (CV) catheterization. However, complication rates have not […]
Use of PICCs in patients with advanced chronic kidney disease
In this sample of hospitalized patients who received PICCs, placement in those with CKD was common and not concordant with clinical guidelines” Paje et al 92019). Abstract: BACKGROUND: Existing guidelines, including Choosing Wisely recommendations, endorse avoiding placement of peripherally inserted central catheters (PICCs) in patients with chronic kidney disease (CKD). OBJECTIVE: To describe the frequency […]
Are infusion sets with precision flow regulators suitable for pediatric anesthesia?
Infusion sets with precision flow regulators are frequently used in children undergoing surgery in order to control the perioperative administration of fluids” Bollinger et al (2019). Abstract: BACKGROUND: Infusion sets with precision flow regulators are frequently used in children undergoing surgery in order to control the perioperative administration of fluids. There are no data about […]
Impact of repeat infection timeframe on CLABSI surveillance
In January 2015, NHSN updated surveillance procedures to include the implementation of the 14-day repeat infection timeframe (RIT), to clarify the definition of resolved versus continued infection” Williams et al (2019). Abstract: BACKGROUND: Mandatory reporting of central line-associated bloodstream infections (CLABSIs) to the National Healthcare Safety Network (NHSN) is used as a measure of healthcare […]
Surveillance of World Health Organization’s 5 moments of hand hygiene
Caregivers have been found to have suboptimal HH practices. The World Health Organization (WHO) 5 Moments of HH program was implemented in an acute-care hospital in an effort to increase caregiver participation, renew interest, and raise visibility” Kessler and Powers (2019). Abstract: BACKGROUND: Hand hygiene (HH) is critical to the prevention of serious infections in […]
Safety of ultrasound-guided placement of PICC performed by neurointensivist
We evaluated the safety and feasibility of ultrasound-guided peripherally-inserted central venous catheters (PICC) by a neurointensivist at the bedside compared to fluoroscopy-guided PICC and conventional central venous catheter (CCVC)” Kim et al (2019). Abstract: We evaluated the safety and feasibility of ultrasound-guided peripherally-inserted central venous catheters (PICC) by a neurointensivist at the bedside compared to […]
Blood culture results and antimicrobial stewardship
A protocol was designed to integrate a comprehensive blood culture identification (BCID) test into our antimicrobial stewardship program to determine if we could decrease our broad spectrum antibiotic use” Ezdon and Cahill (2019). Abstract: BACKGROUND: Antimicrobial stewardship aids in reducing the emergence of multi-drug resistant organisms (MDRO) and enhances clinical outcomes through optimization of antimicrobial […]
Intravenous versus subcutaneous trastuzumab administration
Since 2005, when the first patients outside of a clinical trial were treated with trastuzumab at The Christie NHS Foundation Trust, a nurse-led service has been developed to facilitate and support a safe treatment pathway for patients” Mitchell and Morrissey (2019). Abstract: Since 2005, when the first patients outside of a clinical trial were treated […]
Vancomycin population pharmacokinetics for adult patients with sepsis
This observational study aims to describe the population pharmacokinetics of vancomycin in adult patients with sepsis or septic shock” Heffernan et al (2019). Abstract: PURPOSE: Vancomycin is commonly used for the management of severe infections; however, vancomycin dosing may be challenging in critically ill patients. This observational study aims to describe the population pharmacokinetics of […]
Colistin methanesulfonate infusion solutions for home administration
The stability of colistin methanesulfonate (CMS) was determined in quadruplicate in elastomeric home infusion pumps containing 1, 2 or 3 MU CMS and in infusion bags with 2 MU CMS all in 100 mL normal saline” Post et al (2018). Abstract: The stability of colistin methanesulfonate (CMS) was determined in quadruplicate in elastomeric home infusion pumps […]
Health-economic comparison of adhesive and subcutaneous engineered VA stabilisation devices
This review found that subcutaneous securement offers both patient and facilities a safe, effective and economical alternative for device securement with patients who are unable to tolerate or have successful securement with adhesive securement devices” McParlan et al (2019). Abstract: The Infusional Services Team at a large cancer centre in Belfast, Northern Ireland, performed a […]
Implementation of tunneled versus not tunneled PICC service
Tunneled peripherally inserted central catheters (PICCs) offer several advantages such as an exit site at the green zone no matter where the puncture point is and a long subcutaneous route, which is considered a shield against infections and provides comfort to the patient” Maria et al (2019). Abstract: Tunneled peripherally inserted central catheters (PICCs) offer […]
Physical and chemical stability of ceftaroline in an elastomeric infusion device
Our findings support 12 or 24hours continuous elastomeric infusion of ceftaroline-NS admixture, and bulk preparation of elastomeric pumps containing ceftaroline solution in advance” Al Madfai et al (2018). Abstract: BACKGROUND: Severe infections such as endocarditis and osteomyelitis require long-term treatment with parenteral antibiotics and hence prolonged hospitalisation. Continuous infusion of ceftaroline through elastomeric devices can […]
Skin preparation for prevention of blood culture contamination in children
Our study results suggest that a single application of 70% IPA may be the optimal skin preparation method for obtaining peripheral blood cultures for children in Japan” Yodoshi et al (2019). Abstract: BACKGROUND: In Japan, blood cultures for children are performed by pediatric residents, and povidone-iodine (PI) is the recommended solution for skin preparation. Since […]
Report on vancomycin-induced Kounis Syndrome
Kounis Syndrome is a rare allergic reaction that results in coronary vasospasm and may occur in patients with and without coronary artery disease” Leibee et al (2019). Abstract: Kounis Syndrome is a rare allergic reaction that results in coronary vasospasm and may occur in patients with and without coronary artery disease. A 57-year-old man receiving […]
Patient and informal caregiver performance of OPAT tasks
The objective of this study was to perform a patient-centered goal-directed task analysis to identify what is required for successful completion of OPAT” Keller et al (2019). Abstract: Outpatient parenteral antimicrobial therapy (OPAT) requires patients and caregivers to infuse antimicrobials through venous catheters (VCs) in the home. The objective of this study was to perform […]
Power-injectable totally implantable venous access devices
“To retrospectively evaluate the success rates, peri-interventional, early and late complications and patient satisfaction associated with power-injectable totally implantable venous access devices (TIVAPs)” Kunz-Virk and Krüger (2019).
Utilizing technology to provide real-time central line feedback
The MICU reduced the number of CLABSIs by 50%. A consistent, comprehensive, interdisciplinary approach to assessing the central lines has allowed the MICU to more effectively assess the central lines” Murphy et al (2019). Abstract: BACKGROUND: A multidisciplinary team, including critical care nurses and specialists, critical care intensivist physicians and infection preventionists developed and implemented […]