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Determine if vapocoolant will reduce pain perception with peripheral intravenous access

peripheral iv

The purpose of this study was to investigate whether the use of a topical anesthetic spray (vapocoolant) at the site of intravenous access reduces pain and anxiety associated with peripheral intravenous (PIV) catheter insertion in an adult emergency department population” Edwards and Noah (2017). Abstract: The purpose of this study was to investigate whether the […]

PICCs are suitable for patients receiving stem-cell transplantation

paediatric BSI

Our data suggest that PICCs are a safe and effective alternative to conventional central venous catheters even in pediatric patients with high risk of infectious and hemorrhagic complications such as patients receiving stem-cell transplantation” Benvenuti et al (2017). Abstract: INTRODUCTION: The aim of our study was to present our experience with the use of peripherally […]

Anti-Candida activity of antimicrobial impregnated central venous catheters

clabsi

Data from this in vitro study may suggest that patients at high risk for invasive candidosis could benefit from the use of CSS-CVCs” Cobrado et al (2017). Abstract: Background: Whenever the rate of central line-associated bloodstream infections (CLABSIs) remains high even after the implementation of preventive strategies, the use of chlorhexidine/silver sulfadiazine (CSS) or minocycline/rifampin […]

What is the duration of anthracycline infusion in children with cancer?

infusion

We aimed to provide recommendations on the infusion duration of anthracycline chemotherapy agents in children with cancer” Loeffen et al (2017). Abstract: We aimed to provide recommendations on the infusion duration of anthracycline chemotherapy agents in children with cancer. This study also serves as a practice example of the essential steps that need to be […]

Stopcock technique delivers lower-than-intended drug doses?

glass particles

Administration of adenosine through a stopcock delivers doses lower than intended in patients weighing less than 10 kg, which may account for the decreased response of infants to the first dose of adenosine” Weberding et al (2017). Abstract: Study objective: Adenosine administration with a stopcock is the recommended treatment for pediatric patients with acute supraventricular […]

Review of glove use during potential exposure to blood and body fluids

intravenous dressings

Occupational exposure to blood and body fluids presents a major safety risk for bloodborne viruses to all health care workers (HCWs)” Jain and Clezy (2017). Occupational exposure to blood and body fluids presents a major safety risk for bloodborne viruses to all health care workers (HCWs). In response to human immunodeficiency syndrome (HIV), various strategies […]

Surgical hand preparation with chlorhexidine soap or povidone iodine

hand hygiene improvement

Our new double chlorhexidine application permits surgical hand preparation with chlorhexidine, as a safe alternative to use of alcohols, because it can surpass EN12791” Herruzo et al (2017). Abstract: Introduction: Surgical use of 4% chlorhexidine soap (CHX-4) and 10% iodine povidone (PVP-I-10) do not meet the standards defined by EN12791. We investigated whether it would […]

Cutaneous manifestations of phosphate solution extravasation

Extravasation injuries can lead to skin ulceration and nerve and tendon damage, and therefore to permanent disability. We report three cases of phosphate solution extravasation leading to unusual cutaneous manifestations” Verykiou et al (2017). Abstract: Extravasation injuries are common in patients receiving multiple intravenous infusions. Although such injuries are closely associated with the infusion of […]

Impact of ceftriaxone for treatment of MSSA BSI

clabsi

In this case series, we identified 15 patients receiving ceftriaxone for treatment of MSSA BSI, either following standard of care therapy or as initial therapy” Lowe et al (2017). Abstract: Methicillin-susceptible Staphylococcus aureus (MSSA) causes 45% of S. aureus bloodstream infections (BSI) and is the most important cause of BSI-associated death. The standard of care […]

Self-administered outpatient parenteral antimicrobial therapy

IV Flush

This study aimed to evaluate the efficiency of treatment of infectious endocarditis (IE) via Self-administered Outpatient Parenteral Antimicrobial Therapy (S-OPAT) supported by a shortening hospital admission program in a hospitalization-at-home unit (HAH), including a short review of the literature” Pajarón et al (2017). Abstract: OBJECTIVE: This study aimed to evaluate the efficiency of treatment of […]

Nursing students are at high risk of needlestick injuries

needlestick

Nursing students are at high risk of NSIs in China. Occupational safety training should be developed and implemented to prevent NSIs among this vulnerable population” Zhang et al (2017). Abstract: Needlestick and sharps injuries (NSIs) are a major cause of occupational injuries for health care workers worldwide. In this study, the authors report the prevalence […]

Is staphylococcus aureus biofilm a cause of bacterial virulence

clabsi

Staphylococcus aureus biofilm may constitute a major cause of virulence. Our main objective was to analyze whether there was an association between biofilm production and poor outcome in patients with S. aureus bacteremia” Guembe et al (2017). Abstract: Objective: Staphylococcus aureus biofilm may constitute a major cause of virulence. Our main objective was to analyze […]

Nonpharmacological methods of cannulation pain reduction in adults

vascular access study

The aim of this study was to compare the effectiveness in reducing pain during peripheral intravenous catheterization of coughing, blowing into a spirometer and squeezing a stress ball” Yılmaz and Güneş (2017). Abstract: AIMS AND OBJECTIVES: The aim of this study was to compare the effectiveness in reducing pain during peripheral intravenous catheterization of coughing, […]

Inferior petrosal sinus thrombosis in a child due to CVC malposition

Peripheral IV

To report a case of inferior petrosal sinus(IPS) thrombosis associated with malposition of central venous catheterization (CVC)” Akıncı et al (2017). Abstract: OBJECTIVE: To report a case of inferior petrosal sinus(IPS) thrombosis associated with malposition of central venous catheterization(CVC). [ctt link=”5YdIW” template=”1″]ReTweet if useful… Inferior petrosal sinus thrombosis in a child due to CVC malposition […]

PICC tip migration following CT contrast injection

intravenous infusion

While they are generally regarded as safe, they are not free from complication. In this case review, we present three cases of PICC tips migrating post-CT contrast pressure injection…” Craigie et al (2017). Abstract: Pressure-injectable peripherally inserted central catheters are now widely used for contrast pressure injections for CT scans. While they are generally regarded […]

Medical liability associated with neonatal peripheral IV catheter insertion

neonatal picc

In the presented case, after the positioning of a PVC in a newborn, no clear signs/symptoms of phlebitis were registered before the sixth day and, despite the immediate removal of the catheter, the thrombotic process, secondary to phlebitis, was already occurring, causing serious and permanent disabling outcomes, susceptible to legal medical evaluation and financial compensation” […]

Introduction of a research protocol that examines intravenous access during resuscitation

emergency iv access

To compare the effects of central versus peripheral drug administration on the rate of return of organised electrical activity and/or spontaneous circulation during CPR” Nanayakkara and Smulder (2017). Abstract: OBJECTIVE: To compare the effects of central versus peripheral drug administration on the rate of return of organised electrical activity and/or spontaneous circulation during CPR. [ctt […]

High resolution computational fluid dynamic simulation of haemodialysis cannulation

vascular access

This study utilized computational fluid dynamics on a patient specific radio-cephalic fistula under hemodialysis treatment to determine the dynamics of access recirculation and identify the presence of disturbed flow” Fulker et al (2017). Abstract: Arteriovenous fistulae are the preferred choice of vascular access in hemodialysis patients, however complications such as stenosis can lead to access […]

Interactive online learning for ultrasound-guided central venous catheter insertion

cvc

The CVC training module increased declarative knowledge acquisition and retention. No significant difference in simulated CVC performance was found over the three time points” Boet et al (2017). Abstract: Evidence has demonstrated that the use of dynamic ultrasound guidance (USG) for central venous catheter (CVC) significantly decreases attempts, failures, and complication rates. Despite national organizations […]

Quality initiative improves sepsis treatment for home parenteral nutrition children

central catheter

We designed an emergency department (ED) quality improvement (QI) initiative to reduce time to administration of intravenous antibiotics in febrile children with IF on PN” Hudgins et al (2017). Abstract: BACKGROUND: Children with intestinal failure (IF) on parenteral nutrition (PN) are at high risk for bacteremia, and delays in antibiotic administration have been associated with […]

Vascular access options in lipoprotein apheresis treatment

ultrasound training

The aim of this study is to characterise vascular access practice at the UK’s largest LA centre and forward suggestions for future approaches” Doherty et al (2017). Abstract: INTRODUCTION: Lipoprotein apheresis (LA) has proven to be an effective, safe and life-saving therapy. Vascular access is needed to facilitate this treatment but has recognised complications. Despite […]

Will simultaneous use of three CVC ports improve fluid resuscitation?

implanted port

However, there are no studies comparing simultaneous use of all three lumens of a triple lumen (TL) central venous catheter (CVC) with other catheter types. Our objective was to compare the flow rates of normal saline (NS) through various resuscitation catheters against a TL CVC using all 3 ports” Traylor et al (2017). Abstract: BACKGROUND: […]

Which is the most effective solution for neonatal skin prep prior to CVC placement?

neonatal picc

To determine whether 2% chlorhexidine gluconate-70% isopropyl alcohol (CHX-IA) is superior to 10% aqueous povidone-iodine (PI) in preventing catheter-related blood stream infection (CR-BSI) when used to clean insertion sites before placing central venous catheters (CVCs) in preterm infants” Kieran et al (2017). Abstract: OBJECTIVE: To determine whether 2% chlorhexidine gluconate-70% isopropyl alcohol (CHX-IA) is superior […]

Incidence of device associated infections in intensive care units

cvad wire exchange

The incidence of healthcare-associated infections and sepsis (HAIs) is 5-10 times higher in patients in intensive care units (ICUs) than in those at other hospital departments” Hamp et al (2017). Abstract: The incidence of healthcare-associated infections and sepsis (HAIs) is 5-10 times higher in patients in intensive care units (ICUs) than in those at other […]

Opportunities exist to implement interventions that “break the links” of the CLABSI chain

ppe

Within the “Chain of Infection” that leads to DRIs in older adults, multiple opportunities exist to implement interventions that “break the links” and reduce colonization with multidrug-resistant organisms, reduce infections, and improve antimicrobial use” Schrank and Branch-Elliman (2017). Abstract: Device-related infections (DRIs) are a significant cause of morbidity and mortality among older adults. Indwelling devices […]

Developing an OPAT risk stratification criteria for active intravenous substance users

intravenous

This retrospective review from January 2014 through July 2016 aimed to develop a risk stratification approach to aid rural healthcare providers in determining who among patients with addictive disorders could safely be discharged for outpatient antimicrobial therapy with a peripherally inserted central catheter (PICC)” Camsari and Libertin (2017). Abstract: Background: An active intravenous substance use […]

Three paediatric ultrasound-guided vascular access techniques reviewed

intravenous cannulation

The authors aimed to determine paediatric emergency department nurses’ attitudes toward ultrasound-guided IV access techniques and assessed practice change after training” Ng et al (2017). Abstract: Background: although nurses often place peripheral intravenous (IV) catheters, little is known about their perceptions regarding use of ultrasound guidance. Aim: the authors aimed to determine paediatric emergency department […]

Observational study of peripheral intravenous catheter outcomes

piv

Modifiable risk factors should inform education and inserter skill development to reduce the currently high rate of PIV failure” Marsh et al (2017). Abstract: BACKGROUND: Almost 70% of hospitalized patients require a peripheral intravenous catheter (PIV), yet up to 69% of PIVs fail prior to completion of therapy. [ctt link=”0Sf7Q” template=”1″]ReTweet if useful… Observational study […]

Patient experiences of peripheral IV insertion in hospital

opat

The aim of this study was to gain an understanding of patients’ experiences of PVC insertion” Larsen et al (2017). Adult medical and surgical patients admitted to tertiary hospitals regularly have peripheral venous catheters (PVCs) inserted for their treatment. Anecdotally, patients report varying levels of pain and anxiety during the insertion procedure; however, lived experiences […]