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Methods of ECMO device-related infection diagnosis

central line education

Nosocomial infections occurring during extracorporeal membrane oxygenation (ECMO) support have already been reported, but few studied infections directly related to ECMO devices. This study aims to evaluate the rate of both colonisations and infections related to ECMO devices at the time of ECMO removal” Thomas et al (2017). Abstract: Background: Nosocomial infections occurring during extracorporeal […]

Comparing injecting drug users with others receiving OPAT

Antibiotic infusion

We have therefore compared outcomes of our cohort of both IDU and non-IDU OPAT patients, all of whom receive OPAT in the home environment” Dobson et al (2017). Extract: “Our service defines success as completion of an OPAT course with measurable signs of clearance of infection regardless of whether a patient has had an episode […]

‘Afternoon tea technique’ as a teaching method for ultrasound probe stabilisation

ultrasound cvc insertion

The purpose of this correspondence is to highlight the ‘afternoon tea technique’ as a potential teaching method for probe stabilisation” McMenamin et al (2017). Abstract: BACKGROUND: Globally, ultrasound is being used to assist in central venous and difficult peripheral intravenous access in a variety of emergency and non-emergency clinical settings. [ctt link=”BWsfx” template=”1″]ReTweet if useful… […]

Haptic robotic trainer for central venous catheterization

Peripheral IV failure

In order to address this gap, a Dynamic Haptic Robotic Trainer (DHRT) was developed to help train surgical residents in the placement of ultrasound guided Internal Jugular Central Venous Catheters and to incorporate personalized learning” Yovanoff et al (2017). Abstract: While Virtual Reality (VR) has emerged as a viable method for training new medical residents, […]

Chitosan-based coatings in the prevention of intravascular catheter-associated infections

CLABSI

Central venous access devices play an important role in patients with prolonged intravenous administration requirements. In the last years, the coating of these devices with bactericidal compounds has emerged as a potential tool to prevent bacterial colonization” Mendoza et al (2017). Abstract: Central venous access devices play an important role in patients with prolonged intravenous […]

Review of paediatric intraosseous needle placement

IO

This study aimed to compare success rates and time to placement for Manual IO versus EZ-IO needles in PED patients ≤8 and >8 kg” Pifko et al (2017). Abstract: AIM: Intraosseous (IO) access is a life-saving option during resuscitations in the paediatric emergency department (PED). This study aimed to compare success rates and time to placement […]

Learning from infusion device errors in the home care environment

ultrasound guided cvc

We identified 606 records of incidents associated with infusion devices that had occurred in a private home and were reported to the UK National Reporting and Learning Service (2005-2015 inclusive). We used thematic analysis to identify key themes” Lyons and Branford (2018). Abstract: OBJECTIVE: Complex medical devices such as infusion pumps are increasingly being used […]

Characteristics and risk factors for PICC-related bloodstream infections

clabsi bundle

The study was aimed to investigate the pathogens distribution and risk factors for PICC-related bloodstream infection in intensive care unit (ICU) patients” Zhang et al (2017). Abstract: The study was aimed to investigate the pathogens distribution and risk factors for PICC-related bloodstream infection in intensive care unit (ICU) patients. 402 patients placed with PICC in […]

ABO blood group related venous thrombosis risk in PICC patients

PICC uedvt

To investigate the association between ABO blood group and venous thrombosis (VT) risk in patients with peripherally inserted central catheters (PICC)” Koo et al (2017). Abstract: OBJECTIVE: To investigate the association between ABO blood group and venous thrombosis (VT) risk in patients with peripherally inserted central catheters (PICC). METHODS: Single centre retrospective cohort study. A […]

What is the impact of PICC vascular access certification?

Ultrasound

The purpose of this study was to gather information regarding whether certified and noncertified PICC inserters differ with respect to their practices and views about PICC use” Chopra et al (2017). Abstract: Study reveals differences in practices and views between certified and noncertified inserters. Background: Although certification by an accredited agency is often a practice […]

The role of the lungs in maintaining fluid balance

tip location

The lungs, in addition, perform a number of other important non-respiratory functions, including modification of circulating levels of a range of biologically active materials, filtration of blood and serving as a reservoir of blood for rapid adjustment of input to the left atrium when needed” Kirkman et al (2017). Abstract: The primary function of the […]

Decontamination regimen reduces catheter-related bloodstream infections

needleless connectors

Implementation of this safe and effective topical decontamination regimen enhances routine CRBSI-prevention measures for haematology patients requiring central venous line insertion” Samuelson et al (2017). Abstract: OBJECTIVES: To assess impact of a topical decontamination regimen on rates of catheter-related bloodstream infections (CRBSI) in intensively-treated haematology patients. METHODS: A historically-controlled cohort study was used to evaluate […]

Thermography as an early prediction tool for extravasation

peripheral IV

This study showed that thermography offers an accurate prediction of extravasation” Matsui et al (2017). Abstract: Early detection of extravasation is important, but conventional methods of detection lack objectivity and reliability. This study evaluated the predictive validity of thermography for identifying extravasation during intravenous antineoplastic therapy. Of 257 patients who received chemotherapy through peripheral veins, […]

Site reactions in peripheral fosaprepitant infusions

Intravenous catheter securement

To verify the incidence of infusion site reactions and the relationship among risk factors, a quantitative retrospective cohort study was undertaken” Gonçalves et al (2017). Abstract: Fosaprepitant is administered intravenously to treat chemotherapy-induced nausea and vomiting. To verify the incidence of infusion site reactions and the relationship among risk factors, a quantitative retrospective cohort study […]

Safe administration of biologics in rheumatoid arthritis

Rheumatoid arthritis is used as a model to explain the basics of autoimmune disease. The infusion nurse plays a key role in patient education and the safe administration of biologics” Kirchner (2017). Abstract: Approximately 1 in 5 people in the United States suffers from autoimmune diseases. To explain the pathophysiology of autoimmune disease, a basic […]

Instituting Vincristine minibag administration process

Glass Particles

The first fatal incident of wrong-route administration of vinca alkaloids occurred in 1968. Initial recommendations for practice change occurred in 2005” Corbitt et al (2017). Abstract: The first fatal incident of wrong-route administration of vinca alkaloids occurred in 1968. Initial recommendations for practice change occurred in 2005. In 2012, 54% of oncology treatment sites had […]

Role of immunoglobulin in the treatment of peripheral neuropathies

This review summarizes current data on the rationale for the use of IVIg in immune-mediated neuropathies, addressing mechanism of action, clinical evidence, and practical considerations for its use” Tobon (2017). Abstract: Immune-mediated neuropathies are a group of peripheral nerve disorders characterized by motor or sensory deficits caused by inflammation leading to demyelination or axonal injury. […]

Localizing PICCs in postplacement portable chest radiographs

central tip

The goal of this study was to determine the best method for localizing peripherally inserted central catheters (PICCs) in postplacement portable chest radiographs” Jones et al (2017). Abstract: The goal of this study was to determine the best method for localizing peripherally inserted central catheters (PICCs) in postplacement portable chest radiographs. A retrospective analysis showed […]

Best practices for intravenous push medication administration

opat

In 2015, the Institute for Safe Medication Practices (ISMP) released safe practice guidelines for adult intravenous (IV) push medications. ISMP’s most recent set of guidelines has added to a growing list of recommendations from professional groups on the safe use of IV medications” Lenz et al (2017). Abstract: In 2015, the Institute for Safe Medication […]

Role of the Registered Nurse in the insertion of central venous access devices

hand hygiene

As the result of requests from several state boards of nursing, the Infusion Nurses Society (INS) convened a task force to determine whether insertion of central vascular access devices by appropriately trained registered nurses (RNs) should be recommended” Plohal et al (2017). Abstract: As the result of requests from several state boards of nursing, the […]

Implementing a multidimensional central-line bundle

Peripheral IV

This study assessed the effect of the central line bundle on the rate of central line-associated bloodstream infections (CLABSI) in intensive care units (ICUs) in Taiwan” Lai et al (2017). Abstract: BACKGROUND/PURPOSE: This study assessed the effect of the central line bundle on the rate of central line-associated bloodstream infections (CLABSI) in intensive care units […]

Full text overview of peripherally inserted central catheters

Venous access can be obtained through conventional peripheral intravenous (IV) lines, midline peripheral catheters, and central venous catheters (CVCs)” Gonzalez and Cassaro (2017). Excerpt: The ability to obtain venous access in the inpatient and outpatient setting is one of the most fundamental, yet, crucial components for a large number of diagnostic and therapeutic interventions. It […]

Review of different types of Taurolidine central venous catheter lock solution

Antibiotic infusion

In this prospective, randomized, controlled trial, patients were randomized to receive either Taurolock/Hep or Taurolock/U and were followed for 6 months” Al-Ali et al (2017). Abstract: BACKGROUND: Taurolidine citrate with heparin (Taurolock/Hep) is a promising central venous catheter lock solution. Despite its universal use among our hemodialysis patients, the prevalence of catheter malfunction was high. We […]

Guideline development on the management of central venous access

femoral line

The device selected for central venous access depends on the clinical indication, duration of the treatment, and associated comorbidities. It is important for health care providers to familiarize themselves with the types of central venous catheters available, including information about their indications, contraindications, and potential complications, especially the management of catheters in the setting of […]

Evaluation of central venous catheters coated with a noble metal alloy

clabsi

We have evaluated the durability of a noble metal coated CVC (the Bactiguard Infectious Protection, BIP CVC) and compared with an uncoated CVC for clinical tolerability (Adverse Events, AEs) and performance, in order to create a baseline for a large future study” Björling et al (2017). Abstract: The use of Central Venous Catheters (CVCs) commonly […]

Peripheral parenteral nutrition solution infection risk

clabsi risk factors

Therefore, we investigated the effects of water soluble vitamins on growth of microorganisms in PPN solutions” Omotani et al (2017). Abstract: Peripheral parenteral nutrition (PPN) solutions contain amino acids, glucose, and electrolytes, with or without some water soluble vitamins. Peripheral venous catheters are one of the causes of catheter related blood stream infection (CRBSI), which […]

Treating central venous haemodialysis catheter malfunction

vascular access

Although discouraged due to high rates of infectious and thrombotic complications as well as technical issues that limit their life span, CVC have the significant advantage of being immediately usable and are the only means of vascular access in a significant number of patients” Kennard et al (2017). Abstract: BACKGROUND: Adequate haemodialysis (HD) in people […]

IV push Cephalosporin antibiotics in the emergency department

central line days

To improve the care of patients with sepsis within our 73-bed emergency department (ED), a “first-dose” intravenous push (IVP) cephalosporin antibiotic protocol was initiated” McLaughlin et al (2017). Abstract: Delays in administration of appropriate antibiotics to patients with septic shock are associated with increased mortality. To improve the care of patients with sepsis within our […]

Hand-held robotic device for peripheral intravenous catheterization

central venous catheter

In this article, we present the design, development and experimental evaluation of a novel hand-held robotic device for improving the process of peripheral intravenous catheterization by facilitating the needle insertion procedure” Cheng et al (2017). Abstract: Intravenous catheterization is frequently required for numerous medical treatments. However, this process is characterized by a high failure rate, […]

Central venous catheters for chronic hemodialysis

dialysis vascular access

There is mounting evidence that much of the difference in patient outcomes may be explained by patient factors, rather than choice of vascular access” Dumaine et al (2017). Abstract: Since the publication of the first vascular access clinical practice guidelines in 1997, the global nephrology community has dedicated significant time and resources toward increasing the […]