Reduction of exposure to plasticizers in stored red blood cell units
The aim of the study was to assess the concentration of plasticizers in red blood cell units according to storage time and after mechanical rinsing using a cell salvage device” Münch et al (2019). Abstract: INTRODUCTION: Plastic can be toxic and hazardous to an organism’s health, but it is being widely used in our daily […]
PICC associated chronic thromboembolic pulmonary hypertension
This was the first case of CTEPH reported related to long-term PICC use outside the setting of malignant disease” Masding et al (2019). Abstract: A 36-year-old woman presented with recurrent pulmonary emboli (PE) despite oral anticoagulation. She was a type I diabetic with severe gastroparesis requiring insertion of multiple long-term peripherally inserted central catheters (PICC) […]
The use of atypical analgesics by intravenous infusion
This review will focus on three drugs commonly infused as intravenous co-analgesics” Hutchins and Rockett (2019). Abstract: Atypical analgesics include antiepileptics and other membrane stabilizers (lidocaine and mexilitine), antidepressants, alpha-2-noradrenergic agonists, N-methyl-d-aspartate (NMDA) antagonists, corticosteroids and cannabinoids. This review will focus on three drugs commonly infused as intravenous co-analgesics. We will review the theoretical mechanisms […]
Hospital-wide reduction in central line–associated bloodstream infections
Few data are available on hospital-wide incidence of central line–associated bloodstream infection (CLABSI) rates in patients with central venous catheter (CVC) in China, where many systemic obstacles holding back evidence-based guidelines implementation exist” Han et al (2019). Abstract: Background: Few data are available on hospital-wide incidence of central line–associated bloodstream infection (CLABSI) rates in patients […]
Impact of Vascular Access Team implementation
“Central line-associated bloodstream infections (CLABSIs) account for one-third of all hospital-acquired infections and can cost the health care system between $21,000 and $100,000 per infection” Savage et al (2019).
Evaluation of a tool to score donor vein suitability for blood donation
A specific blood donation vein scoring tool was assessed to measure donor vein suitability for whole blood collection and investigate the correlation of the donor’s veins with donation outcomes” Hirani et al (2019). Abstract: BACKGROUND AND OBJECTIVES: Phlebotomy is a central task for whole blood donation, yet there are no published standards regarding systematic donor […]
Utilization of a central venous catheter insertion care bundle
By implementing the CVC care bundle in clinical practice in accordance with national policies, medical utilization decreased, thereby considerably improving medical resource usage” Chung et al (2019). Abstract: OBJECTIVES: The objectives of this study are to explore medical care utilization associated with promoting the central venous catheter (CVC) care bundle plan using Taiwan’s National Health […]
Current practice in dialysis central venous catheter management
To explore the current practices related to the insertion, management and removal of dialysis central venous catheters used in patients with chronic kidney disease requiring haemodialysis” Craswell et al (2019). Abstract: AIM: To explore the current practices related to the insertion, management and removal of dialysis central venous catheters used in patients with chronic kidney […]
Point-of-care analyses of blood samples from intraosseous access
When vascular access is challenging, IO access can be used for emergency POC analyses to help guide clinical decision-making. However, the limitations of IO POC analyses must be carefully considered” Jousi et al (2019). Abstract: BACKGROUND: Intraosseous (IO) access is used for fluid and medication administration in emergency situations when difficulties with vascular access are […]
Cost-effectiveness of infusion pumps to reduce errors in a Pediatric ICU
To analyze cost-effectiveness and to calculate incremental cost-effectiveness ratio of the use of infusion pumps with drug library to reduce errors in intravenous drug administration in pediatric and neonatal patients in Intensive Care Units” Silva et al (2019). Abstract: OBJECTIVE: To analyze cost-effectiveness and to calculate incremental cost-effectiveness ratio of the use of infusion pumps […]
Optical skill-assist device for ultrasound-guided vascular access
Ultrasound-guided central venous catheterization may cause lethal mechanical complications intraoperatively. We developed a novel device to prevent such complications. It works as a needle guide to supplement the operator’s skill” Asao et al (2019). Abstract: Ultrasound-guided central venous catheterization may cause lethal mechanical complications intraoperatively. We developed a novel device to prevent such complications. It […]
Retrospective data of long-term home parenteral nutrition
The aim of this study was to evaluate the safety and efficacy of home parenteral nutrition (HPN) service in patients with benign chronic intestinal failure (CIF)” De Francesco et al (2019). Abstract: OBJECTIVES: The aim of this study was to evaluate the safety and efficacy of home parenteral nutrition (HPN) service in patients with benign […]
Stepwise technique for central venous catheter placement under ultrasound guidance
Due to its relative simplicity, easy reproducibility, and fair accuracy to diagnose distal thrombus; incorporation of this technique into a routine check of CVC, should be feasible” Patil et al (2019). Extract: Response to augmentation maneuvers has been used to diagnose upper extremity thrombosis.[4],[5] Due to its relative simplicity, easy reproducibility, and fair accuracy to […]
Agitated saline during ultrasound subclavian central line placement
Agitated saline during central line placement is described for the purpose of identifying the subclavian vein during ultrasound-guided procedures” Araj et al (2019). Abstract: Agitated saline during central line placement is described for the purpose of identifying the subclavian vein during ultrasound-guided procedures. You may also be interested in… [rp4wp] Reference: Araj, F.G., Pena, J. […]
Maximal sterile barrier precautions independently contribute to decreased CLABSI
Our objective was to investigate the association of MSB implementation with central line-associated bloodstream infection (CLABSI) in very low birth weight infants” Kinoshita et al (2019). Abstract: BACKGROUND: The use of peripherally inserted central catheters (PICCs) in neonates differs among various institutions and countries because there are no random controlled trials or large observational studies […]
Severe anaphylactic reactions triggered by chlorhexidine-coated catheters
Intraoperative insertion of chlorhexidine-coated central venous catheters can trigger life-threatening anaphylaxis in susceptible patients undergoing renal transplantation” Ho et al (2019). Abstract: PURPOSE: Although intraoperative anaphylaxis during surgery is a rare event, we describe five patients who experienced perioperative anaphylactic reactions during renal transplantation and were referred for investigation. CLINICAL FEATURES: Skin-prick and intradermal skin […]
Inadvertent carotid artery cannulation with malposition of catheter tip in right ventricle
We report a rare case of inadvertent cannulation of internal carotid artery in patients of tetralogy of Fallot undergoing intracardiac repair during an attempt to cannulate internal jugular vein” Negi et al (2019). Abstract: Central venous catheterization is an essential procedure in patient undergoing cardiac surgery, as it provides central venous pressure monitoring, fluid administration, […]
Ultrasound-guided central venous catheter placement through the axillary vein
Placement of a central line catheter in the axillary vein using a novel ultrasound- guided bracket-assisted technique may be a feasible, safe and rapid alternative to the conventional jugular and subclavian approaches” Farina et al (2019). Abstract: BACKGROUND: Central venous catheterization is essential for careful administration of fluids and drugs in cardiac critical care patients. […]
Complications associated with internal jugular hemodialysis catheter
The current study examines the complication rate in people due to permanent intrajugular hemodialysis catheterization” Hyder et al (2019). Abstract: Introduction: A significant increase in patients with end-stage renal disease has been observed currently in our community. Kidney transplantation is the most promising cure but the problem is that large numbers of people are not […]
What is the best central venous catheter lock solution?
However, using traditional pairwise meta-analyses to summarise the evidence does not allow the inclusion of data from treatments that have not been compared head to head, which could impact the precision of pooled estimates in a meta-analysis. Therefore, we evaluated the efficacy and safety of the different lock solutions for CRBSI through a network meta-analysis” […]
Vascular access practices for therapeutic apheresis
Obtaining vascular access (VA) is a critical part of the therapeutic apheresis (TA) treatment plan. Currently, there are no guidelines for VA decision-making and maintenance related to TA procedures” Tanhehco et al 92019). Abstract: INTRODUCTION: Obtaining vascular access (VA) is a critical part of the therapeutic apheresis (TA) treatment plan. Currently, there are no guidelines […]
Umbilical catheters as vectors for generalized bacterial infection
The aim of this study was to evaluate bacterial colonization of the umbilical catheter, with a focus on the difference between various sections of the catheter, the duration of catheterization, patient status and gestational age” Sobczak et al (2019). Abstract: INTRODUCTION: Umbilical catheterization offers unique vascular access that is only possible in the neonatal setting […]
Polymer-based anti-quorum catheter coating challenges Staphylococcus aureus
The developed anti-quorum-coated catheter that is non-toxic and biocompatible has the potential to be used in other medical devices, thereby preventing catheter-associated infections” Vasudevan et al (2019). Abstract: Background: MDR Staphylococcus aureus is a major aetiological agent of catheter-associated infections. A quorum sensing targeted drug development approach proves to be an effective alternative strategy to […]
Barcode medication administration implementation in the operating room
Barcode medication administration (BCMA) is endorsed by the American Society of Health-System Pharmacists (ASHP) for use in hospitals to improve safety during medication administration” Dunn and Anderson (2019). Extract: Barcode medication administration (BCMA) is endorsed by the American Society of Health-System Pharmacists (ASHP) for use in hospitals to improve safety during medication administration.1–3 In inpatient […]
Trisodium citrate 4% versus heparin as a catheter lock for non-tunneled hemodialysis catheters
Non-tunneled hemodialysis catheters are currently used for critically ill patients with acute kidney injury requiring extracorporeal renal replacement therapy. Strategies to prevent catheter dysfunction and infection with catheter locks remain controversial” Quenot et al (2019). Abstract: BACKGROUND: Non-tunneled hemodialysis catheters are currently used for critically ill patients with acute kidney injury requiring extracorporeal renal replacement […]
Impact of hospital-based interventions targeting false-positive blood cultures
Blood culture contamination (BCC) increases length of stay (LOS) and leads to unnecessary antimicrobial therapy and/or hospital-acquired conditions (HACs)” Geislera et al (2019). Summary: Background: Blood culture contamination (BCC) increases length of stay (LOS) and leads to unnecessary antimicrobial therapy and/or hospital-acquired conditions (HACs). Aim: To quantify the magnitude of additional LOS, costs to hospitals […]
Should central venous catheters be rapidly removed to treat Staphylococcus aureus CRBSI
The aim of this study was to compare the incidence of failures in neonates and children with Staphylococcus aureus CR-BSI with or without rapid catheter removal” Boussameta et al (2019). Summary: Catheter-related bloodstream infection (CR-BSI) treatment is based on empiric antibiotherapy associated with or without catheter removal. The aim of this study was to compare […]
Peripheral PN containing amino acids associated with Bacillus cereus BSI
This study indicated that 8 h is the maximum appropriate drip infusion time for peripheral parental nutrition containing amino acids to prevent B cereus bloodstream infections” Shiota et al (2019). Extract: In some Japanese hospitals, patients using infusion bags for parenteral nutrition containing amino acids have developed Bacillus cereus bloodstream infections. We considered that proliferation […]
Clinical feasibility and effectiveness of bedside PICC placement
The aim of this study was to evaluate the clinical feasibility and effectiveness of bedside peripherally inserted central catheter (PICC) using portable digital radiography (DR) in intensive care unit (ICU) patients” Cho et al (2019). Abstract: The aim of this study was to evaluate the clinical feasibility and effectiveness of bedside peripherally inserted central catheter […]
Vancomycin monitoring based on area under the concentration–time curve
The purpose of this study was to (1) determine whether academic medical centers implemented area under the concentration–time curve (AUC)–based monitoring for vancomycin and (2) characterize perceived barriers to implementation and challenges experienced during the implementation process” Kufel et al (2019). Abstract: Purpose: The purpose of this study was to (1) determine whether academic medical […]