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Simulation-based education for central venous access

Peripheral IV failure

We describe the effect of simulation-based education on residents’ adherence to protocols for and performance of central venous access” Jagneaux et al (2017). Abstract: OBJECTIVE: We describe the effect of simulation-based education on residents’ adherence to protocols for and performance of central venous access. [ctt link=”jDpaG” template=”1″]ReTweet if useful… Simulation-based education for central venous access […]

Patient satisfaction and experience with intravenously administered C1-inhibitor

intravenous drip

The survey results identified clinical challenges with IV HAE medication use, including venous access issues and ongoing monthly attack occurrence despite prophylactic C1-INH(IV) administration” Riedl et al (2017). Abstract: BACKGROUND: Hereditary angioedema (HAE) is a rare genetic disorder with substantial morbidity and mortality. Despite expanded choices for effective acute treatment, prophylactic options are more limited. […]

Attitudes to the prevention of central line-associated bloodstream infections

chg dressing

The objectives of the cross-sectional study were to delineate the knowledge, attitudes, and behavior among nurses regarding the prevention of central line-associated bloodstream infections (CLABSIs) and to identify their predisposing factors” Esposito et al (2017). Abstract: The objectives of the cross-sectional study were to delineate the knowledge, attitudes, and behavior among nurses regarding the prevention […]

Patient and nurse satisfaction with elastomeric pumps

im injection

The Comparing Home Infusion Devices (CHID) study plans to assess patient and nurse satisfaction with an elastomeric and electronic pump for delivering intravenous antibiotic treatment in the home” Hobbs et al (2017). Abstract: INTRODUCTION: Previous studies comparing satisfaction with electronic and elastomeric infusion pumps are limited, and improvements in size and usability of electronic pumps […]

Chemical stability of ceftolozane/tazobactam in elastomeric pumps

picc vte

To determine the chemical stability of ceftolozane/tazobactam when reconstituted and stored over an extended time in the AccuFlo (EMED Technologies, El Dorado Hills, California) and I-Flow Homepump Eclipse (Halyard, Alpharetta, Georgia) elastomeric pumps compared with the results of the label-supporting studies in polyvinylchloride (PVC) bags” Terracciano et al (2017). Abstract: BACKGROUND: Elastomeric pumps are often used […]

Daily dosing of intravenous antibiotics administered at home

OPAT

The use of portable programmable pump infusion and elastomeric devices allow efficient and safe infusions for most antimicrobials at home” González Ramallo et al (2017). Abstract: Hospital at Home units allows ambulatory treatment and monitoring of complex and serious infections. Nosocomial infections produce an extension of the stay in hospital often specifying long intravenous treatments […]

Needlestick injuries during surgery among operating room personnel

needlestick injury

To investigate the predictors of NSIs preventive behaviors during surgery among operating room personnel based on a health belief model (HBM)” Fathi et al (2017). Abstract: BACKGROUND: Operating room personnel are at high risk of needlestick injuries (NSIs) and exposure to blood and body fluids. OBJECTIVE: To investigate the predictors of NSIs preventive behaviors during […]

Shift patterns and needle stick injury risk

needlestick

This study investigates the relationship occurring between consecutive workdays, night-shifts, cumulative hours, forward-rotating shift schedules (morning-afternoon-night), and occupational NSSIs frequency” d’Ettorre (2017). Abstract: OBJECTIVES: The prevention of needlestick and sharp injuries (NSSIs) among registered nurses (RNs) employed in hospital wards represents an important issue. Accidental contact with blood, consequent to NSSIs, is the most frequent […]

Choice of resuscitative fluids in emergency department patients with sepsis

intraosseous infusion sites

Balanced resuscitative fluids (BF) have been associated with decreased incidence of hyperchloremic metabolic acidosis in sepsis” Sethi et al (2017). Abstract: Objective: Balanced resuscitative fluids (BF) have been associated with decreased incidence of hyperchloremic metabolic acidosis in sepsis. We hypothesized that higher proportions of BF during resuscitation would thus be associated with improved mortality in […]

Chlorhexidine gluconate bathing practices and skin concentrations

DIVA

Daily bathing with chlorhexidine gluconate (CHG) has been found to be effective in preventing infections in intensive care unit (ICU) patients” Alserehi et al (2017). “Daily bathing with chlorhexidine gluconate (CHG) has been found to be effective in preventing infections in intensive care unit (ICU) patients.1 Although most studies use preimpregnated CHG wipes; hospitals often […]

Dynamic ultrasound-guided short-axis needle tip navigation in children

Ultrasound Vascular Access

Dynamic ultrasound-guided short-axis needle tip navigation is a novel technique for vascular access” Hanada et al (2017). Summary Dynamic ultrasound-guided short-axis needle tip navigation is a novel technique for vascular access. After venipuncture, the needle and catheter are further advanced within the vessel lumen under real-time ultrasound guidance with constant visualisation of the needle tip […]

Ultrasonographically-guided peripheral internal jugular line

Disinfection caps

The peripheral internal jugular line is another option for vascular access that was originally described in 2009” Gottlieb and Russell (2017). Introduction: “Vascular access is an essential procedure in the emergency department (ED). In patients with difficult intravenous access, alternatives to the traditional blind cannulation should be considered, including cannulation of an external jugular vein, […]

Administration of intradermal hyaluronidase after amiodarone extravasation

power flush

Administration of intradermal hyaluronidase after amiodarone extravasation was associated with decreased expansion of erythema and warmth as well as an improvement in patient-reported pain scores without any noted adverse effects” Fox et al (2017). Abstract: Purpose: The case of a patient who experienced extravasation while receiving amiodarone via a peripheral infusion and was treated with […]

Anatomy and physiology relevant to intraosseous cannula insertion

infusion pump

In an emergency situation when intravenous (IV) access cannot be rapidly achieved, the intraosseous (IO) route is recommended in order to infuse medications and fluids” Bewick (2017). Abstract: In an emergency situation when intravenous (IV) access cannot be rapidly achieved, the intraosseous (IO) route is recommended in order to infuse medications and fluids. Specifically designed […]

Impact of sterile tubing change technique in CLABSI reduction efforts

CRBSI

To evaluate the ability to sustain and further reduce central line-associated bloodstream infection (CLABSI) rates in NICUs participating in a multicenter CLABSI reduction collaborative and to assess the impact of the sterile tubing change (TC) technique as an important component in CLABSI reduction” Pallotto et al (2017). Abstract: OBJECTIVES: To evaluate the ability to sustain […]

Mortality among critically-ill patients with central line-associated bloodstream infections

crbsi

We identified Gram-negative bacteria as leading pathogens of CLABSIs in a Taiwan medical center, and good compliance to care bundle is associated with reduced CLABSI incidence rate” Kuo et al (2017). Abstract: BACKGROUND/PURPOSE: For high risk of central line-associated bloodstream infections (CLABSIs) in patients of intensive care units (ICUs) and scarcely epidemiology and therapeutic recommendations […]

Rapid method for the evaluation of central venous catheter microbial colonization

clabsi

Adherent bacteria and biofilm frequently colonize central venous catheters (CVCs). CVC colonization is correlated to infections and particularly to bloodstream ones” Rosa et al (2017). Abstract: Adherent bacteria and biofilm frequently colonize central venous catheters (CVCs). CVC colonization is correlated to infections and particularly to bloodstream ones. The classical microbiological methods to determine of CVC […]

Efficacy of topical chamomile on the incidence of infusion phlebitis

picc uedvt

The aim of this study was to evaluate the effect of topical chamomile on the incidence of phlebitis due to the administration of an amiodarone infusion into the peripheral vein” Sharifi-Ardani et al (2017). Abstract: BACKGROUND: Amiodarone is a useful antiarrhythmic drug. Phlebitis, caused by intravenous amiodarone, is common in patients in coronary care units […]

Efficacy of near-infrared devices in facilitating peripheral intravenous access in children

extravasation

To determine the efficacy of near-infrared devices in facilitating peripheral intravenous access in children, using a systematic review and meta-analysis” Kuo et al (2017). Abstract: BACKGROUND: Peripheral intravenous access is a common and invasive procedure that is performed in pediatric clinical settings. Children often have difficult intravenous-access problems that may not only increase staff stress […]

Surveillance bias influences CLABSI outcomes

cvc

A systematic literature review was conducted to examine whether surveillance bias influences the validity of selected Patient Safety Indicator- and health care associated infection-related measures” Chen et al (2017). Abstract: Surveillance bias may threaten the accuracy of inpatient complication measures. A systematic literature review was conducted to examine whether surveillance bias influences the validity of […]

Impact of care bundle approach to reduce CLABSI rates

zero clabsi

The care bundle approach is a set of evidence-based practices that when performed collectively and reliably have been shown to improve the patient outcome” Prakash et al (2017). Abstract: CONTEXT: The care bundle approach is a set of evidence-based practices that when performed collectively and reliably have been shown to improve the patient outcome. [ctt […]

Infusion-related phlebitis rates when using needleless connectors

intravenous dressings

We conducted a study to investigate the impact of needleless intravenous access devices on the rate of phlebitis in peripheral venous catheters (PVCs)” Ronen et al (2017). Abstract: BACKGROUND: The use of intravascular catheters is often complicated by phlebitis, which is associated with increased morbidity and extended duration of hospitalization. We conducted a study to […]

Insertion technique for totally implantable venous access devices

central access device

PP of the internal jugular vein with ultrasonography appears to be the method of choice for TIVAD insertion owing to its similar success rate in terms of implantation and complication rate to that in SC, with shorter procedural times in pediatric patients” Choi et al (2017). Abstract: PURPOSE: Totally implantable venous access devices (TIVADs) are […]

Totally implanted venous access ports and bacterial composition

clabsi

This study therefore provides a new view of bacterial communities and colonization patterns in intravascular TIVAPs and suggests that microbial ecology approaches could improve our understanding of device-associated infections and could be a prognostic tool to monitor the evolution of bacterial communities in implants and their potential susceptibility to infections” Stressmann et al (2017). Abstract: […]

Vascular access flow and mortality in chronic haemodialysis patients

ultrasound guided cvc

To investigate the impact of vascular access flow (Qa) on vascular and all-cause mortality in chronic haemodialysis (HD) patients” Wuet al (2017). Abstract: OBJECTIVES: To investigate the impact of vascular access flow (Qa) on vascular and all-cause mortality in chronic haemodialysis (HD) patients. [ctt link=”pC4Ro” template=”1″]ReTweet if useful… Vascular access flow and mortality in chronic […]

What is the value of infectious diseases physicians to healthcare systems

ava 2015

In response to this disparity, the Infectious Diseases Society of America Clinical Affairs Committee has long endeavored to quantify the value of ID physicians to the system, which is challenging in part because of the many avenues through which they influence healthcare” McQuillen and MacIntyre (2017). Abstract: While a career in infectious diseases (ID) has […]

Parenteral therapy and complications in patients with intestinal failure

The rate of CRBSI did not differ from larger centres in Denmark but the rate of thrombotic events was higher than expected. Parenteral therapy can safely and effectively be offered to patients with IF in smaller centres” Lorentsen et al (2017). Abstract OBJECTIVE: To describe a cohort of patients with intestinal failure (IF) and tunnelled […]

The role of central venous catheter salvage in children

paediatric BSI

Our objective was to examine the outcome of attempted line salvage in children with S. aureus CLABSI and assess predictors of success” Corkum et al (2017). Abstract: BACKGROUND: Prompt central venous catheter (CVC) removal is currently recommended in children with Staphylococcus aureus central line-associated bloodstream infection (CLABSI). Our objective was to examine the outcome of […]

Venous thromboembolism risk in children with cystic fibrosis

central catheter

Cystic fibrosis (CF) is a risk for recurrent pediatric VTE and has potential thrombophilic tendency. However, much remains unknown, including incidence and intrapopulation risk factors” Knight-Perry et al (2017). Abstract: INTRODUCTION: Pediatric venous thromboembolism (VTE) is a rare but serious medical condition. Cystic fibrosis (CF) is a risk for recurrent pediatric VTE and has potential […]