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Home-based intravenous analgesia with elastomeric pump as an outpatient procedure

ultrasound guided cvc

To follow up pain in the immediate postoperative period, using an elastomeric pump in anterior cruciate ligament surgery” Villalba et al (2017). Abstract: OBJECTIVE: To follow up pain in the immediate postoperative period, using an elastomeric pump in anterior cruciate ligament surgery. [ctt link=”c7tLU” template=”1″]ReTweet if useful… Home-based intravenous analgesia with elastomeric pump as an […]

Local warming helps venodilation for peripheral intravenous cannulation?

opat

Our result demonstrated the effectiveness of shorter-duration (5min) local warming for inducing venodilation for peripheral intravenous cannulation” Yamagami et al (2017). Abstract: BACKGROUND: Local warming is one of the most common venodilation techniques for achieving peripheral intravenous cannulation, but the time of application is unclear. [ctt link=”oUIxt” template=”1″]ReTweet if useful… Local warming helps venodilation for […]

Neonatal care bundles to reduce central line-associated bloodstream infections

neonatal io access

There is a substantial body of quasi-experimental evidence to suggest that care bundles may reduce CLABSI rates in the NNU, though it is not clear which bundle elements are effective in specific settings” Payne et al (2017). Abstract: BACKGROUND: Central line-associated bloodstream infections (CLABSIs) are associated with increased mortality, prolonged hospitalisation and increased healthcare costs. […]

Intraosseous access is a common procedure for paediatric emergency clinicians

child iv

More than half of the paediatric emergency clinicians surveyed had performed CPR and inserted an intraosseous needle within the last 12 months. Performance of other non-airway critical procedures was less common, and associated with less procedural confidence” Garrahan et al (2017). Abstract: BACKGROUND: Recent studies suggest that approximately one per thousand paediatric ED attendances may […]

Radiation burden to children following central venous catheter placement

picc tip

The radiation burden to children from percutaneous ultrasound-guided central venous access device insertions is small, in the order of that received during a chest radiograph” Bajaj et al (2017). Abstract: Permanent central venous access is essential for the management of many pediatric patients. Knowing the amount of ionizing radiation used during the insertion of these […]

Pathogenesis of hemodialysis vascular access failure

The development of an assisted HHD care delivery model and advancement of telehealth and technology in provision of HHD care may increase accessibility of HHD services for older patients

This review describes the current understanding of the pathogenesis of arteriovenous fistula and graft failure, the biological effects of antiplatelet agents, fish oil supplementation, RAAS blockers and statins that may be beneficial in improving vascular access survival, results from clinical trials that have investigated the effect of these agents on arteriovenous fistula and graft outcomes, […]

Clinical pathway for the management of difficult venous access

therapeutic temperature management

The use of ultrasound guidance for peripheral intravenous catheter insertion by the after-hours clinical support team for patients with difficult venous access has been successful at our institution with 9 out of every 10 catheters inserted at first attempt with significantly lower recorded pain scores” Sou et al (2017). Abstract: BACKGROUND: Many patients are admitted […]

Warm water compress as a treatment for infusion phlebitis

picc uedvt

The purpose of this study was to investigate the effectiveness of applying a warm compression intervention to reduce the degree of phlebitis” Annisa et al (2017). Abstract: Intravenous fluid therapy is an invasive procedure which may increase the risk of patient complications. One of the most common of these is phlebitis, which may cause discomfort […]

Review of safe medication administration in hospitals

Interventions to reduce medication administration errors have been developed and tested; these include training, double-checking procedures, and technological solutions (such as smart infusion pumps and barcode-controlled drug administration)” van der Veen et al (2017). Abstract: Every day medication is administered to thousands of hospital inpatients, and medication administration errors can occur. Interventions to reduce medication […]

Nanomedicine safety focus on infusion reactions

Antibiotic infusion

Injection/infusion reactions to nanopharmaceuticals (and particulate drug carriers) are idiosyncratic and well documented” Moghimi (2017). Abstract: Injection/infusion reactions to nanopharmaceuticals (and particulate drug carriers) are idiosyncratic and well documented. The molecular basis of nanoparticle-mediated injection reactions is debatable, with two hypotheses as front-runners. [ctt link=”c0a8C” template=”1″]ReTweet if useful… Nanomedicine safety focus on infusion reactions https://ctt.ec/c0a8C+ […]

Drug solubility in the intravenous formulation of Solithromycin

Development of the tri-amino acids-buffered solithromycin IV formulation was achieved using a dynamic in vitro precipitation model” Evans et al (2017). Abstract: Solithromycin is a fluoro-ketolide (a fourth-generation macrolide) antibiotic that has been undergoing clinical trials for the treatment of community-acquired bacterial pneumonia. In this study, development of the tri-amino acid-buffered solithromycin intravenous (IV) formulation […]

Storage time of platelet concentrates and risk of a positive blood culture

Concern of transfusion-transmitted bacterial infections has been the major hurdle to extend shelf life of platelet (PLT) concentrates. We aimed to investigate the association between storage time and risk of positive blood cultures at different times after transfusion” Kreuger et al (2017). Abstract: BACKGROUND: Concern of transfusion-transmitted bacterial infections has been the major hurdle to […]

The emotional impact of errors on healthcare providers in the NICU

PICC

Findings suggest that errors or adverse events can have a harmful impact on healthcare providers and that coworker support may reduce emotional distress” Winning et al (2017). Abstract: Aims: To examine the impact of errors or adverse events on emotional distress and professional quality of life in healthcare providers in the neonatal intensive care unit, […]

Validation of a national hand hygiene proxy measure in NHS Scotland

hand gel

The Scottish national hand hygiene proxy measure uses the volume of alcohol-based hand rub (ABHR) purchased by NHS Scotland boards as an indicator of the number of hand hygiene moments being performed per patient-bed-day” Dalziel et al (2017). Summary: The Scottish national hand hygiene proxy measure uses the volume of alcohol-based hand rub (ABHR) purchased […]

Caring for patients infected with HIV or Hepatitis in Vietnam

needlestick cause

This study examined the factors associated with nurses’ willingness to care for patients infected with human immunodeficiency virus (HIV) or hepatitis B or C virus (HBV/HCV) in Vietnam” Ishimaru et al (2017). Abstract: OBJECTIVES: This study examined the factors associated with nurses’ willingness to care for patients infected with human immunodeficiency virus (HIV) or hepatitis […]

Exploration of the clinical practice of nurses regarding hand hygiene

hand hygiene improvement

In health care, it can be useful to apply the positive deviance approach to care teams instead of individuals to better understand the ideologic and structural differences linked to better hand hygiene performance by the nurses” Létourneau et al (2017). Abstract: Background: Although it is well known that hand hygiene is the most effective measure […]

Patient care technicians managing central venous catheter care

Disinfection caps

The aim of this article is to review the pros and cons of non-nursing staff performing the management and care of CVCs” Bennett and Dewald (2017). Abstract: In the United States, the responsibilities and scope of practice of nephrology nurses and patient care technicians working in hemodialysis units vary from state to state. This occurs […]

Surveillance of healthcare-associated infections in intensive care units

CLABSI

The incidence of healthcare-associated infections (HAIs) in the public health sector in South Africa is not known due to the lack of a surveillance system. We report on the challenges experienced in the implementation of a surveillance system for HAIs in intensive care units (ICUs)” Mahomed et al (2017). Abstract: BACKGROUND: The incidence of healthcare-associated […]

Iatrogenic injury of vertebral artery resulting in stroke after central venous line insertion

picc line prevalence

Iatrogenic injury of the vertebral artery is a rare complication that can result in severe morbidity and mortality” Abeysinghe et al (2017). Abstract: There are many complications of central venous catheter insertion. Iatrogenic injury of the vertebral artery is a rare complication that can result in severe morbidity and mortality. The case presented describes the […]

Effect of 6% hydroxyethyl starch on acute kidney injury

iv therapy

We have evaluated the effect of a colloid solution on acute kidney injury in paediatric cardiac surgery” Oh et al (2017). Summary We have evaluated the effect of a colloid solution on acute kidney injury in paediatric cardiac surgery. A total of 195 patients were ramdomly divided into an hydroxyethyl starch group and a control […]

Impact of probiotics on duration of central venous line usage in premature infants

neonatal ultrasound

The objective of this study was to determine whether the routine use of probiotics was associated with earlier removal of peripherally inserted central catheter (PICC) lines in extremely premature infants born ≤28 weeks’ gestation” Rajput et al (2017). Abstract: The objective of this study was to determine whether the routine use of probiotics was associated […]

Effectiveness of leg crossing and muscle tensing on decreasing vasovagal symptoms

central catheter

A leg crossing technique is a low cost, low risk, and effective strategy to teach to pediatric patients resulting in reducing vasovagal symptoms” McIntyre-Patton et al (2017). Abstract: Peripheral intravenous (PIV) catheter insertion is a common procedure that can cause vasovagal symptoms. Lower extremity muscle tensing techniques decrease these symptoms in adults. However, there are […]

Pain relief effect of expressed breast milk or sucrose two minutes before venepuncture

neonatal picc

Repeated, on-going exposure to pain influences the growth, cognitive and motor functions, behaviour, personality and neurodevelopment of preterm infants. We compared the analgesic effects of expressed breast milk and 24% oral sucrose on preterm neonates during venipuncture” Collados-Gómez et al (2017). Abstract: AIM: Repeated, on-going exposure to pain influences the growth, cognitive and motor functions, […]

Effectiveness of cartoon-patterned clothes and bubbles on venipuncture pain

venipuncture

Atraumatic treatment in the emergency department has been little explored in previous research; therefore, the present study assessed the effectiveness of using the distractions of cartoon-patterned clothes and bubble-blowing on the pain and anxiety of preschool children during venipuncture in the emergency department” Lilik Lestari, et al (2017). Abstract: In preschool children, venipuncture is considered […]

Comparing vapocoolant spray versus placebo spray in adults undergoing venipuncture

venipuncture

The aims of this study, using patient and health care provider questionnaires, were to answer the following questions: (1) Does vapocoolant spray decrease venipuncture pain? (2) Would patients be satisfied with and use a vapocoolant spray in the future? (3) Would providers be satisfied with and use a vapocoolant spray in the future?” Barbour et […]

Effectiveness of virtual reality to minimize pain intensity during venipuncture

Venipuncture

VR can be as an effective tool to minimize pediatric pain and stress due to venipuncture. The MOT-based VR game was suitable for children at the studied age range. This solution can be easily applied by nurses in their clinical practice” Piskorz and Czub (2017). Abstract: PURPOSE: Virtual reality (VR) technology is an effective tool […]

High-dose daptomycin is effective as an antibiotic-lock therapy?

IV Flush

In this study, we report that a high dose of daptomycin-lock therapy may offer a therapeutic advantage for these CRBSI in just 24 h of treatment” Basas et al (2017). Abstract: Long-term catheter-related bloodstream infections (CRBSI) involving coagulase-negative Staphylococci are associated with poor patient outcomes, increased hospitalization and high treatment costs. The use of vancomycin-lock […]

Risk factors for recurrent central line-associated bloodstream infections

cvad wire exchange

The objective of this retrospective study was to evaluate the risk factors for recurrent CLABSI in reinserted catheters in a pediatric intensive care unit” İşgüder et al (2017). Abstract: Background/aim: It is recommended that a central venous catheter (CVC) be removed if central line-associated bloodstream infection (CLABSI) has been diagnosed. The objective of this retrospective […]

Hemodynamic changes in central veins after tunneled central catheter placement

dialysis vascular access

This study is the first try to numerically find out what hemodynamic parameters are predisposed to the initiation and formation of thrombus after CVC insertion” Peng et al (2017). Abstract: The tunneled central venous catheter (CVC) plays an important role for hemodialysis patients, but CVC-related thrombosis in the central veins remain problematic. This study is […]

Effect of clinical variables on the volume of blood collected for blood cultures

blood culture contamination

Blood cultures obtained from central venous catheters contain significantly greater volume than those obtained via peripheral venipuncture” Jones et al (2017). Abstract: OBJECTIVE: To identify clinical variables that influence blood culture volume recovery. DESIGN: Retrospective chart review and linear model analysis. [ctt link=”1JfWu” template=”1″]ReTweet if useful… Effect of clinical variables on the volume of blood […]