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Pain scores for intravenous cannulation and arterial blood gas tests

peripheral iv catheter assessment

To analyse vein catheterisation and blood gas test-related pain among adult patients in the emergency department and to explore pain score-related factors” v et al (2017). Abstract: OBJECTIVES: To analyse vein catheterisation and blood gas test-related pain among adult patients in the emergency department and to explore pain score-related factors. [ctt link=”1GJ71″ template=”1″]ReTweet if useful… […]

Ultrasound-guided peripheral intravenous catheter insertion

cvc ultrasound

We evaluated the effectiveness and acceptability of an ultrasound-guided peripheral IV service to reduce the number of newly placed central venous catheters on an inpatient ward” Galen and Southern (2018). Abstract: PURPOSE: The traditional technique of placing a peripheral intravenous (IV) catheter is successful in most cases on inpatient wards. However, when the traditional method […]

Authors describe a case of metronidazole injection infiltration

Intravenous catheter securement

We describe a case of metronidazole injection infiltration which did not require pharmacologic or nonpharmacologic interventions and resulted in complete resolution. This case supplements the current literature by contrasting the sole other case report which resulted in profound necrosis near the intravenous access site” North and Yee (2017). Abstract: Purpose: This report describes a case […]

Authors recommend uniformity in CRBSI definitions and risk factors for surveillance purposes

chlorhexidine–silver sulfadiazine-impregnated venous catheters

One of the factors negatively influencing the incidence is the lack of uniformity in CRBSI definitions, etiology and risk factors for surveillance purposes” Antoňáková Nemčíková and Bednárovská (2017). Abstract: BACKGROUND: Catheter-related bloodstream infections (CRBSI) represent a life-threatening complication. They are associated with high morbidity, mortality and healthcare costs. Cancer patients are at particular risk due […]

Pharmacokinetics of intravenous ketorolac in children

child iv

The aim of this study was to review age- and weight-related effects on ketorolac pharmacokinetic parameters in children and current dosing schedules” McLay et al (2017). Abstract: BACKGROUND: Intravenous ketorolac is commonly administered to children for the control of postoperative pain. An effect site EC50 for analgesia of 0.37 mg. L-1 is described in adults. […]

Radiation exposure during insertion of totally implantable port vascular devices

picc teams

To evaluate the combination of access site and level of experience on fluoroscopy times (FT) and dose area products (DAP) during implantation of port catheters in a large patient population” Jonczyk et al (2017). Abstract: BACKGROUND: Totally implantable central venous port systems provide a safe and effective, long-term means of access for administration of hyperosmolar, […]

Would you choose right or left internal jugular vein for central venous access?

ultrasound assisted vascular access

We aimed to investigate whether variability in the direction of the LIJV/brachiocephalic vein (BV) axis on the frontal plane could be a decisive factor in determining CVC dysfunctions” Granata et al (2017). Abstract: BACKGROUND: Internal jugular vein cannulation has become increasingly widespread. Compared to the left internal jugular vein (LIJV), the right internal jugular vein […]

Vancomycin plus Piperacillin-Tazobactam and acute kidney injury in adults

cvc

The objective of this systematic review and meta-analysis was to assess acute kidney injury with combination therapy of vancomycin plus piperacillin-tazobactam, in general, adult patients and in critically ill adults. Rates of acute kidney injury, time to acute kidney injury, and odds of acute kidney injury were compared with vancomycin monotherapy, vancomycin plus cefepime or […]

Approaches to manage clinical alarms with intent to reduce alarm fatigue

CVC

Alarm fatigue is a widely recognized safety and quality problem where exposure to high rates of clinical alarms results in desensitization leading to dismissal of or slowed response to alarms” Winters et al (2018). Abstract: Objective: Alarm fatigue is a widely recognized safety and quality problem where exposure to high rates of clinical alarms results […]

Fluid replacement with crystalloids and colloids during bleeding and resuscitation

Our aim was to compare colloid and crystalloid based fluid resuscitation during an experimental stroke volume index (SVI) guided hemorrhage and resuscitation animal model” László et al (2017). Abstract: BACKGROUND: Fluid resuscitation remains a cornerstone in the management of acute bleeding. According to Starling’s “Three-compartment model”, four-times more crystalloids have the same volume effect as […]

PICC tip migration with breathing and arm movement

vascular access

The purpose of this study is to assess the degree of PICC tip migration with breathing and arm movement to determine whether accurate positioning is feasible or futile” De Carvalho and Eagar (2017). Abstract: INTRODUCTION: The purpose of this study is to assess the degree of PICC tip migration with breathing and arm movement to […]

Size of peripheral intravenous catheters in maternity patients for postpartum haemorrhage?

intravenous infusion

Postpartum haemorrhage requiring a blood transfusion remains a relatively rare event. Comprehensive risk assessment should be undertaken before inserting large-bore catheters in perinatal women” Webster et al (2017). Abstract: BACKGROUND: Insertion of a 16 or 18 gauge peripheral intravenous catheter is a potentially painful intervention but one frequently experienced by pregnant women when admitted to […]

Compatibility of fosftomycin with selected IV drugs during simulated Y-site administration

implanted port

The results of a study to determine the physical compatibility of ZTI-01 (fosfomycin for injection) in 0.9% sodium chloride or 5% dextrose during simulated Y-site administration with 37 i.v. antimicrobials and 58 nonantimicrobials are reported” Monogue et al (2018). Abstract Purpose The results of a study to determine the physical compatibility of ZTI-01 (fosfomycin for […]

Review of home haemodialysis activity and outcomes in Ireland

picc line

Home haemodialysis (HHD) has the potential to impact positively on patient outcomes and health resource management” Kennedy et al (2017). Abstract: BACKGROUND: Home haemodialysis (HHD) has the potential to impact positively on patient outcomes and health resource management. There has been rejuvenated international interest in HHD in recent years. We aimed to review the activity […]

Hypoglycemia during insulin infusion directed protocols

IV Infusion

This study aimed to compare BG control, time in target BG range, and the rate of hypoglycemia when critically ill patients were managed with an insulin infusion guided by paper-based protocol (PBP) versus eGMS” Rabinovich et al (2017). Abstract: BACKGROUND: Insulin infusions are commonly utilized to control hyperglycemia in critically ill patients and decrease hyperglycemia […]

Safety and efficacy of parenteral iron in children with inflammatory bowel disease

CLABSI

New generation parenteral iron preparations are safe, well tolerated and efficacious in children with IDA and IBD” Papadopoulos et al (2017). Abstract: OBJECTIVES: Iron deficiency anaemia (IDA) frequently complicates inflammatory bowel disease (IBD) in children and adults. Oral iron may exacerbate gastrointestinal symptoms and absorption may be insufficient in intestinal inflammation. Even where oral iron […]

Preoperative intravenous iron therapy in colorectal cancer patients with anemia

Meropenem in its DUPLEX

The aim of this study was to assess the efficacy of preoperative intravenous (IV) iron infusion in optimizing hemoglobin (Hb) levels in anemic colorectal cancer patients” Wilson et al (2017). Abstract: BACKGROUND: In the treatment of preoperative anemia, which is associated with increased postoperative morbidity, iron supplementation can replace blood transfusion and erythropoiesis-stimulating agents. The […]

Agitated saline bubble-enhanced ultrasound for assessing central line position

Ultrasound

The primary aim of this prospective study, which was performed in ventilated, critically ill patients with AKI, was to compare agitated saline bubble−enhanced ultrasound with bedside chest radiography for the confirmation of appropriate positioning of hemodialysis catheter” da Hora Passos et al (2017). Extract: The primary aim of this prospective study, which was performed in […]

Cost analysis of peripherally inserted central catheter in pediatric patients

infusion

This study has demonstrated the costs associated with PICCs. This information may be helpful for healthcare providers to understand PICC related cost in children and resource implications” Dong et al (2017). Abstract: PURPOSE: A peripherally inserted central catheter (PICC) is a useful option in providing secure venous access, which enables patients to be discharged earlier […]

Treatment outcomes of drug extravasation in pediatric patients

central catheter

The aim of this study is to explore the incidence, risk factors and summarize the characteristics and treatment outcomes of extravasation injuries resulting in drug extravasation among Chinese children in our hospital” Yan et al (2017). Abstract: Extravasation injury is a common phenomenon in hospitals. Failure to detect and treat extravasation injury can lead to […]

Improving vancomycin dosing and monitoring

Vancomycin dosing

Using the gathered information presented in this paper, two user-friendly and scientifically based dosing strategies are proposed to improve the efficiency of vancomycin dosing while avoiding the risk of nephrotoxicity and minimizing the cost of therapeutic drug monitoring” Elbarbry (2017). Abstract: After more than six decades of its use as the mainstay antibiotic for the […]

Physiologic basis for goal-directed hemodynamic and fluid therapy

Infusion

The purpose of this narrative review is to describe the pivotal role of the venous circulation in goal-directed hemodynamic and fluid therapy” Gelman and Bigatello (2017). Abstract: PURPOSE: Understanding cardiovascular physiology should help clinicians to understand the purpose of fluid and drug management during the perioperative period. The purpose of this narrative review is to […]

Measurement error in Cyclosporine levels drawn between peripheral and central sources

venipuncture

Despite potential for preanalytical error due to adsorption, cyclosporine infusion and monitoring via CVCs produce results similar to monitoring via peripheral blood draws” Shih et al (2017). Abstract: OBJECTIVES: Cyclosporine is often monitored by drug levels drawn through central venous catheters (CVCs), which may be falsely elevated due to reversible drug adsorption onto the catheter. […]

Efficacy of three topical antiseptic solutions for the prevention of central catheter colonization

CLABSI

To compare the efficacy of three antiseptic solutions [0.5%, and 1.0% alcohol/chlorhexidine gluconate (CHG), and 10% aqueous povidone-iodine (PVI)] for the prevention of intravascular catheter colonization, we conducted a randomized controlled trial in patients from 16 intensive care units in Japan” Yasuda et al (2017). Abstract: BACKGROUND: To compare the efficacy of three antiseptic solutions […]

Lean improvement model applied to the frequency of changing peripheral intravenous catheters

peripheral iv

Once finalized, the blended Lean-EBP model now guides improvement work as highlighted in the example of updating our practice for frequency of changing peripheral intravenous catheters” Halm et al (2017). Abstract: In our journey from Magnet designation to a Lean hospital, a team of advanced practice nurses, a nurse scientist, and Lean specialists developed a […]

Evaluation of intraosseous fluid as a biological specimen in postmortem toxicology

cvc lock

The postmortem redistribution phenomenon is an important factor in the interpretation of blood drug concentrations as a cause or factor in death. Intraosseous fluid (IOF) may serve as an alternative matrix for drug testing” Rodda et al (2017). Abstract: The postmortem redistribution phenomenon is an important factor in the interpretation of blood drug concentrations as […]

Updated Spanish guidelines on vascular access for haemodialysis 2017

dialysis

With a view to finding a common approach, the Spanish Multidisciplinary Group on Vascular Access (GEMAV), which includes experts from the five scientific societies involved (nephrology [S.E.N.], vascular surgery [SEACV], vascular and interventional radiology [SERAM-SERVEI], infectious diseases [SEIMC] and nephrology nursing [SEDEN]), along with the methodological support of the Cochrane Center, has updated the Guidelines […]

Article examines strategies that aim to improve CVC insertion practice

central tip

This study demonstrates that multimodal prevention strategies aiming at improving CVC insertion practice and HH reduce CRBSI in diverse European ICUs” van der Kooi (2017). Abstract: PURPOSE: To test the effectiveness of a central venous catheter (CVC) insertion strategy and a hand hygiene (HH) improvement strategy to prevent central venous catheter-related bloodstream infections (CRBSI) in […]

Blood tests for people with severe learning disabilities

Blood Culture

This article discusses a holistic approach to healthcare for people with severe LD, including patient outcomes, financial and resource implications, and offers practical guidance on venepuncture technique, which is relevant to many aspects of both community and hospital dental practice” Clough et al (2017). Abstract: People with learning disabilities (LDs) have poorer health than their […]