Frequency of central vein stenosis in hemodialysis patients
Adverse effects of this type of dialysis access include central venous stenosis, for which the risk factors and consequences are incompletely understood” Adwaney et al (2019). Abstract: BACKGROUND AND OBJECTIVES: Central venous catheters have traditionally provided access for urgent hemodialysis, but are also sometimes advocated as an option for older or more comorbid patients. Adverse […]
Impact of blood culture reduction on antibiotic use in pediatrics
The objective of this study was to evaluate whether antibiotic use in the PICU changed in association with a reduction in blood culture utilization” Sick-Samuels et al (2019) Abstract: Blood cultures are essential for the evaluation of sepsis. However, they may sometimes be obtained inappropriately, leading to high false-positive rates, largely due to contamination. As […]
Review of Leipzig protocol for intravenous insulin infusion in pediatric patients
Our protocol for IV insulin therapy proved to be appropriate for adequate glycemic control in pediatric patients with T1D during intercurrent illness and surgery” Thiele et al (2019). Abstract: OBJECTIVE: Continuous intravenous (IV) insulin infusion therapy minimizes blood glucose (BG) fluctuations and prevents metabolic deterioration in pediatric patients with type 1 diabetes (T1D) during intercurrent […]
Safety of peripheral IV administration of 3% hypertonic saline and mannitol
The objective of this study was to compare the incidence of extravasation injury when HTS or mannitol was administered via peripheral i.v. line (PIV)” Mesghali et al (2019). Abstract: BACKGROUND: Hypertonic saline (HTS) and mannitol are frequently utilized in the emergency department (ED) to manage elevations in intracranial pressure (ICP). OBJECTIVE: The objective of this […]
Association between neutropenia and early infection-related implantable port removal
To compare the incidence of early infection-related chest port removal in adults when placed in neutropenic versus nonneutropenic patient groups” Perez et al 92019). Abstract: Background: Patients who require long-term central venous access can present for port placement with depressed immune function as a result of their treatment or disease process. At present, there is […]
Risk factors for vancomycin nephrotoxicity
Although the risk factors for VCM nephrotoxicity have been evaluated, the time course of renal function during VCM treatment is unknown” Hirai et al (2019). Abstract: PURPOSE: Vancomycin (VCM) is used for the treatment of methicillin-resistant Staphylococcus aureus. Although the risk factors for VCM nephrotoxicity have been evaluated, the time course of renal function during […]
Prevalence of peripheral IV catheters as HAI risk factor
The aim of this study was to determine the prevalence of health care–associated infections (HAI) in our university hospitals (UH) and to delineate the risk factors associated with HAI” Ayed et al (2019). Abstract: Background: The aim of this study was to determine the prevalence of health care–associated infections (HAI) in our university hospitals (UH) […]
Intravenous medication administration and cerebral venous air embolism
A brain computed tomography (CT) showed multiple cerebral venous gas emboli. No potential causes were found apart from previous peripheral vein cannulation and intravenous medication administration” Costa Carneiro et al (2019). Abstract: Cerebral venous air embolism (CVAE) is an extremely rare phenomenon. Most reports of cerebral air embolism focus on the arterial territory, and consequently […]
Misplacement of tunneled central venous catheter into azygos vein
Central venous catheter (CVC) is commonly used to provide access for hemodialysis (HD) when arteriovenous access is not available. The misplacement of CVC into azygos vein (AV) is a rare but a potential serious complication” Li et al (2019). Abstract: BACKGROUND: Central venous catheter (CVC) is commonly used to provide access for hemodialysis (HD) when […]
Audit of propofol administration in the intensive care unit
In this cohort of patients, the bolus administration of propofol was frequently not documented, potentially placing some patients at risk of drug-related toxicity” McGain et al 92019). Abstract: BACKGROUND: Although propofol is widely used for sedation in intensive care units around Australia, evaluation of bedside nursing practices of the administration of propofol have been limited. […]
Radiographic appearance of central venous split-tip hemodialysis catheter
It is essential to be aware of the normal imaging appearances of these catheters as they may simulate pathological appearance due to the shape of their tips. This knowledge will help avoid misdiagnosis and unnecessary medical interventions” Sarv and Simon (2019). Abstract: Long-term cuffed hemodialysis catheters are being increasingly used in the management of patients […]
AIUM practice parameter for the use of ultrasound to guide vascular access procedures
Ultrasound should be used to aid in central venous, peripheral venous, and arterial access procedures. When used appropriately by qualified personnel, there are no absolute contraindications to using ultrasound as a procedural adjunct for vascular guidance” No authors listed (2019). Extract: Ultrasound should be used to aid in central venous, peripheral venous, and arterial access […]
Safety of PICC placement in chemotherapy patients
Use of PICC for chemotherapy administration was associated with a low all-AEs rate. The basilic vein was the safer site, and valved systems had fewer AEs than open systems” Campagna et al (2019). Abstract: BACKGROUND: Peripherally inserted central catheters (PICCs) are central venous catheters (CVCs) that are commonly used in onco-hematologic settings for chemotherapy administration. […]
Comparison of two different intraosseous access methods
We wanted to compare the use of a sternal and tibial/humeral intraosseous device in a physician-staffed helicopter emergency medical service” Sørgjerd et al (2019). Abstract: BACKGROUND: Intravenous access in critically ill and injured patients can be difficult or impossible in the field. Intraosseous access is a well-established alternative to achieve access to a noncollapsible vascular […]
Is perioperative colloid infusion more effective than crystalloid?
We aimed to evaluate the effect of hydration, according to the type of fluid, on PONV as previous studies have reported inconsistent results” Kim et al (2019). Abstract: BACKGROUND: Adequate intravenous fluid replacement is recommended as an effective nonpharmacologic strategy for reducing postoperative nausea and vomiting (PONV), one of the most common and stressful complications […]
Implications of culture collection after the first antimicrobial dose in sepsis
Sepsis patients who have cultures obtained after FAD (represented in the AF cohort) had less positive-cultures, shorter TFAD, a trend toward longer ICU and hospital LOS, and perhaps higher risk of C. difficile infection, and mortality” Cascone et al (2019). Abstract: Background: Previous research has illustrated the importance of collection of microbiologic cultures prior to […]
Central line salvage strategy for children with CLABSI
This study aims to evaluate catheter salvage strategy in children with S. aureus CLABSI, and to determine treatment failure rates and associated risk factors” Alby-Laurent et al (2019). Abstract: Introduction: Current international guidelines strongly recommend catheter removal in case of S. aureus central line-associated bloodstream infection (CLASBI), but a catheter salvage strategy may be considered […]
Health care worker sensitivity to chlorhexidine
This study examined the prevalence of self-reported symptoms of sensitivity to chlorhexidine solutions among health care workers” Barnes et al (2019). Reference: Background: Health service hand hygiene programs have seen widespread use of chlorhexidine solutions. Reports of both immediate and delayed hypersensitivity to chlorhexidine are increasing among health care workers. This study examined the prevalence […]
Quality improvement project to reduce perioperative blood-borne pathogen exposure
Mandatory double gloving, a safety zone, engineered-sharps injury prevention devices, and clear communication when passing sharps were implemented in an evidence-based fashion at one institution” Gurria et al 92019). Abstract: BACKGROUND: Blood-borne pathogen exposure (BBPE) represents a significant safety and resource burden, with more than 380,000 events reported annually across hospitals in the United States. […]
PICC placement is safe and effective for patients with malignant tumours
Compared with the traditional CVAD catheterization, the PICC is more safe and effective for the patients with malignant tumors, thus which may become a alternative method for CVAD” Fan et al (2019). Abstract: OBJECTIVE: To evaluate the effects of peripheral introvascular central catheters (PICC) on the catheter-associated bloodstream infections (CRBSI) and the formations of catheter-related […]
Association of intravenous insulin and glucose infusion with mortality
Intravenous insulin administration is associated with an increased risk of ICU and hospital mortality, after correction for potential confounders” van Steen et al (2019). Abstract: Background: We assessed the association of intravenous insulin and glucose infusion with intensive care unit (ICU) and hospital mortality. Methods: For this retrospective association study, we used data from all […]
Vascular access audit in home hemodialysis patients
Vascular access audit is a feasible quality initiative, which leads to a decrease in the number of patient reported errors in vascular access” Dhruve et al (2019). Abstract: INTRODUCTION: Vascular access complications are associated with increased morbidity and mortality in home hemodialysis (HHD). Nurse-administered vascular access checklist is a feasible quality improvement strategy aimed to […]
Outpatient follow-up of OPAT patients reduces readmission
We conducted a pair-matched case-control study to examine the association between outpatient infectious disease follow-up and the risk of 30-day readmission in 384 patients receiving outpatient parenteral antimicrobial therapy (OPAT)” Saini et al (2019). Abstract: We conducted a pair-matched case-control study to examine the association between outpatient infectious disease follow-up and the risk of 30-day […]
Repair of central venous catheters in home parenteral nutrition patients
CVC repairs can be performed in the office or on the ward and are cost effective when compared with CVC replacement. When performed by trained clinical staff, the procedures are highly successful and associated with low risk” Salonen et al (2019). Abstract: For patients receiving home parenteral nutrition (HPN), vascular access with a central venous […]
Challenges of long-term home parenteral nutrition
Patients receiving long-term home parenteral nutrition (HPN) and clinicians managing their care face complex challenges not fully addressed by existing clinical practice guidelines” Kumpf (2019). Abstract: Patients receiving long-term home parenteral nutrition (HPN) and clinicians managing their care face complex challenges not fully addressed by existing clinical practice guidelines. This review aims to increase awareness […]
Bloodstream infections due to carbapenemase-producing Enterobacteriaceae in Italy
Most of the cases originated in hospitals (87.2%), mainly in intensive care units (38.0%), and were associated with central or peripheral venous catheter use (23.9%) or with urinary tract infections (21.1%)” Iacchini et al (2019). Abstract: Following the rapid increase of infections due to carbapenemase-producing Enterobacteriaceae (CPE) in Italy, the national surveillance of bloodstream infections […]
Use of needleless connectors in neonates
To compare the duration of patency of peripheral intravenous cannulas between continuous infusion and intermittent flushing, while using a needleless intravenous connector in newborns admitted to the neonatal intensive care unit (NICU)” Hoff et al (2019). Abstract: Objective: To compare the duration of patency of peripheral intravenous cannulas between continuous infusion and intermittent flushing, while […]
Ceftazidime stability during continuous IV infusion
This article reviews the literature concerning ceftazidime stability and potential for toxicity from pyridine (a degradation product) in the light of decades of apparent safe use of this antibiotic when given by continuous i.v. infusion but recent changes in regulatory body/manufacturer advise a need to change infusion devices more frequently” Jones et al (2019). Abstract: […]
Vascular access outcomes in patients on hemodialysis
Vascular access dysfunction is a major cause of morbidity in patients with end-stage renal disease (ESRD) on hemodialysis (HD). Thus, identifying risk factors for vascular access failure is important” Kim et al (2019). Abstract: INTRODUCTION: Vascular access dysfunction is a major cause of morbidity in patients with end-stage renal disease (ESRD) on hemodialysis (HD). Thus, […]
Impact of central venous access in sepsis
The insertion of central venous catheters and access to a critical care physician during sepsis treatment are important capabilities in hospitals that transfer fewer sepsis patients” Ilko et al (2019). Abstract: OBJECTIVES: Severe sepsis is a complex, resource intensive, and potentially lethal condition and rural patients have worse outcomes than urban patients. Early identification and […]