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Endovascular stent-based revascularization of malignant superior vena cava syndrome

egg tip

The aim of this paper is to evaluate the safety and efficacy of endovascular revascularization of malignant superior vena cava syndrome (SVCS) and simultaneous implantation of a totally implantable venous access port (TIVAP) using a dual venous approach” Anton et al (2017). Abstract: PURPOSE: The aim of this paper is to evaluate the safety and […]

This qualitative study illustrates patient feedback about OPAT services

Outpatient parenteral antimicrobial therapy (OPAT) provides opportunities for improved cost savings, but in the UK, implementation is patchy and a variety of service models are in use” Twiddy et al (2018). Abstract: OBJECTIVE: Outpatient parenteral antimicrobial therapy (OPAT) provides opportunities for improved cost savings, but in the UK, implementation is patchy and a variety of […]

Improving documentation of peripheral intravenous access insertion in theatre

peripheral iv

We assessed documentation on the anaesthetic charts of 50 surgical patients. Purpose-made stickers were then placed on all anaesthetic charts. Re-assessment of a further 50 patients’ charts demonstrated a significant improvement in documentation of the bundle post intervention…” Upadhyaya et al (2018). Abstract: The Department of Health’s ‘High Impact Intervention (HII) – Peripheral intravenous cannula […]

Alert identifies need to flush intravenous cannulae at the end of a procedure

intravenous

If the IV lines and cannulae are not removed or effectively flushed residual anaesthetic and sedative drugs can later be inadvertently introduced into the patient’s circulation causing muscle paralysis, unconsciousness and respiratory and cardiac arrest” NHS Improvement (2017). NHS Improvement report “Patient Safety incidents are occurring from lapses in identifying and flushing all IV lines […]

The role of elastomeric pumps in postoperative analgesia

pain relief

Elastomeric pumps are mechanical devices composed of an elastomeric balloon reservoir into which the drug to be infused is stored, a protective casing (used by some manufacturers), a flow controller and a wound catheter. In orthopaedics they are used to provide continuous local infiltration analgesia” Theodorides (2017). Abstract: Elastomeric pumps are mechanical devices composed of […]

Time to re-calibrate the zero CLABSI model towards one with greater relevance

chg dressing

These findings reflect the complexity of CLABSIs with multiple patient and hospital factors influencing incidence. It suggests the need for further studies to re-calibrate the zero CLABSI model towards one with greater relevance” Strickler et al (2018). Abstract: BACKGROUND: In the USA, central line associated blood stream infections (CLABSIs) have been designated as ‘never events’, […]

Supraclavicular central catheterization of the brachiocephalic vein

Ultrasound Vascular Access

Placement of a central venous catheter (CVC) in the brachiocephalic vein (BCV) via the ultrasound (US)-guided supraclavicular approach was recently described in children. We aimed to determine the CVC maintenance-related complications at this site compared to the others (i.e., the femoral, the subclavian, and the jugular)” Habas et al (2018). Abstract: Placement of a central […]

Stability of sodium bicarbonate injection 8.4% in syringes over a six-week period

needlestick injury

We assessed whether the pre-filled sodium bicarbonate injection in 5 mL syringes would not only preserve sterility and retain its pH and concentration but also amount to the potential cost savings for future use when stored in a refrigerated environment” Seki et al (2017). Abstract: Background: Dysfunctional central venous catheter prohibits the administration of potential life-saving […]

Intraosseous vascular access and out-of-hospital cardiac arrest

intraosseous infusion sites

We seek to determine the effect of intraosseous over intravenous vascular access on outcomes after out-of-hospital cardiac arrest” Kawano et al (2018). Abstract: Study objective: We seek to determine the effect of intraosseous over intravenous vascular access on outcomes after out-of-hospital cardiac arrest. [ctt link=”ah69F” template=”1″]ReTweet if useful… Intraosseous vascular access and out-of-hospital cardiac arrest […]

Looking for a suggested CLABSI rate in burn patients?

anti-biofilm

This study aimed at addressing the epidemiological aspect of CVC infection in a sample of Iranian burn patients admitted to the largest referral burn center in Iran, Motahari Burn Center” Roham et al (2017). Abstract: BACKGROUND AND OBJECTIVES: Currently, there are no well-defined guidelines or criteria for catheter-site care in burn patients, and there is […]

Early central line removal in patients with gram-negative CRBSI

cvad wire exchange

We evaluated the impact of delayed central venous catheter (CVC) removal on clinical outcomes in patients with gram-negative CRBSI” Lee et al (2018). Abstract: Background: Gram-negative bacteria are increasingly the cause of catheter-related bloodstream infections (CRBSI), which show a rapidly rising prevalence of multidrug-resistant strains. We evaluated the impact of delayed central venous catheter (CVC) […]

Central venous catheterisation through external jugular vein

ultrasound training

This prospective randomised controlled study was conducted with the aim of evaluating the efficacy of body manoeuvres in improving the success rate of CVC through EJV” Magoon et al (2017). Abstract: BACKGROUND AND AIMS: The external jugular vein (EJV), often used for resuscitation, has been underutilised for central venous catheterisation (CVC) in view of an […]

Predictive factors of catheter-related bloodstream infection

clabsi

Strict compliance by patients and caregivers with evidence-based instructions together with supervision by well-trained HPN providers is the most effective strategy to prevent CRBSIs” Pichitchaipitak et al (2018). Abstract: OBJECTIVES: The aim of this study was to determine the incidence and predictive factors of catheter-related bloodstream infections (CRBSIs) acquired through a central venous catheter for […]

intraosseous route compared with peripheral and central venous access

ultrasound

Access attempts using IO are as fast as PIV attempts but are more than twice as likely to be successful” Chreiman et al (2017). Abstract: BACKGROUND: Quick and successful vascular access in injured patients arriving in extremis is crucial to enable early resuscitation and rapid OR transport for definitive repair. We hypothesized that intraosseous (IO) […]

Retrospective analysis of dialysis events over a 3-year period

dialysis

To determine the difference in the rates of dialysis events stratified by vascular access type and to describe the microbiological profile and sensitivity patterns of positive blood cultures over a 3-year period” Ramadan and Hebbar (2018). Abstract: OBJECTIVE: To determine the difference in the rates of dialysis events stratified by vascular access type and to […]

Chylothorax in a patient with right-sided subclavian central venous catheter

picc tip

On the 2nd postoperative day in ICU, his airway pressures were high, and chest X-ray revealed massive pleural effusion on right side. Under ultrasound guidance, 1400 milky white fluid was aspirated. It was sent for analysis (triglycerides) that confirmed chyle and hence, chylothorax was made as diagnosis” Asghar and Shamim (2017). Abstract: A young male […]

Effect of CLABSI reduction intensive education and training on nurses

PICC

The aim was to analyze the impact of education and training of nurses on the incidence of ventilator-associated pneumonia (VAP) and central line-associated bloodstream infection (CLABSI)” Sahni et al (2017). Abstract: OBJECTIVE: The aim was to analyze the impact of education and training of nurses on the incidence of ventilator-associated pneumonia (VAP) and central line-associated […]

Ultrasound-guided percutaneous arteriovenous fistula creation

ultrasound assisted vascular access

To evaluate safety and efficacy of arteriovenous fistulas (AVFs) created with a thermal resistance anastomosis device” Hull et al (2017). Abstract: PURPOSE: To evaluate safety and efficacy of arteriovenous fistulas (AVFs) created with a thermal resistance anastomosis device. [ctt link=”delbo” template=”1″]ReTweet if useful… Ultrasound-guided percutaneous arteriovenous fistula creation https://ctt.ec/delbo+ @ivteam #ivteam[/ctt] MATERIALS AND METHODS: A […]

Prevalence of MARSI at the peripherally inserted central catheter insertion site

iv audit

We examined prevalence and associated risk factors of medical adhesive-related skin injury (MARSI) at the peripherally inserted central catheter (PICC) insertion site in hospitalized oncology patients in Guangxi, China” Zhao et al (2018). Abstract: PURPOSE: We examined prevalence and associated risk factors of medical adhesive-related skin injury (MARSI) at the peripherally inserted central catheter (PICC) […]

Study builds on the body of literature on CRBSI reduction

crbsi

This study builds on and is a major contribution to the body of literature on CRBSI prevention in the ICU” Laupland et al (2017). Extract: “This study was a major undertaking that involved more than 35,000 central venous catheter (CVC) insertions among more than 25,000 patients admitted to ICUs. The study may be considered to […]

Example of haemothorax following internal jugular vein cannulation

central tip

We describe a case of hemothorax following internal jugular venous cannulation” Sanjeev Kumar and Anand Kumar (2017). Abstract: Catheterization of central veins is a routine technique which is widely used in emergency department, operation theater, and intensive care units. Seldinger technique is widely used to place central venous and arterial catheters and is generally considered […]

Updated strategies to promote hazardous drug safety

tip location

USP General Chapter 800 (USP <800>) represents a new enforceable standard for HD safety” Eisenberg (2018). The term hazardous drug (HD) includes medications that have any of the following properties: carcinogenicity, teratogenicity, reproductive toxicities, genotoxicities, toxicities at low doses, and a structure that mimics other drugs meeting the criteria. Numerous studies continue to demonstrate widespread […]

The impact of enteral nutrients and the gastrointestinal physiology

marsi

Normal GI physiology is reviewed, and the regulatory impact of luminal nutrients on GI function is discussed” Barnes (2018). The gastrointestinal (GI) tract is a highly efficient organ system with specialized structures to facilitate digestion and absorption of nutrients to meet the body’s needs. The presence of nutrients in the GI tract supports optimal structure […]

Will your needleless connector design affect central catheter occlusion rates?

CVC

This retrospective observational study compared occlusion rates associated with a split-septum neutral-displacement needleless connector versus those of a solid-surface neutral-reflux needleless connector in patients undergoing home infusion therapy” Williams (2018). Thrombotic catheter occlusion is a common complication associated with central venous catheters (CVCs). A wide variety of needleless connectors that differ greatly in design and […]

Literature review on the use of stopcocks for infusion therapy

iv drip

This integrative literature review and clinician practice survey analyzes the published evidence and reports of actual practices with stopcocks, and raises issues about practice changes that could reduce these risks” Hadaway (2018). Stopcocks have been used for decades to deliver infusion therapy in patients of all ages and in all health care settings. During the […]

Nurses need to be able to recognize and respond to transfusion reactions

transfusion review

However, every transfusion recipient runs the risk of developing a transfusion reaction or adverse event” DeLisle (2018). Blood transfusions can be lifesaving. The majority are completed without incident. However, every transfusion recipient runs the risk of developing a transfusion reaction or adverse event. These reactions can be acute, occurring during or soon after transfusion, or […]

Strategies to reduce patient harm from infusion-associated errors

peripheral iv catheter

A scoping review of the literature examined strategies to prevent infusion-associated medication errors” Wolf (2018). A scoping review of the literature examined strategies to prevent infusion-associated medication errors. Twenty articles were appraised and revealed studies using different research designs and types of literature reviews. Most were rated low quality. Observations in clinical agencies and laboratory […]

How difficult is peripheral intravenous access in children?

extravasation

This prospective study examined the characteristics of children admitted to a pediatric emergency department and the factors that influenced the successful establishment of peripheral intravenous (IV) access” de Freitas Floriano et al (2018). This prospective study examined the characteristics of children admitted to a pediatric emergency department and the factors that influenced the successful establishment […]

Study protocol to assess the effectiveness of antimicrobial central venous catheters

clabsi outcomes

This clinical trial will compare the safety and efficiency of Certofix Protect with that of an ordinary Certofix catheter” Wu et al (2017). Abstract: INTRODUCTION: Catheter use is associated with many complications and is an iatrogenic source of morbidity and mortality in intensive care units (ICU). The catheter being studied (Certofix Protect) was developed to […]