Vascular access flow and mortality in chronic haemodialysis patients
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
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
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
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 […]
Fluctuations of the infectious risk with hemodialysis catheters
The fluctuation profile of the infectious risk show that preventive precautions should target the first months of catheterization” Izoard et al (2017). Abstract: BACKGROUND: International guidelines recommend to limit the long-term use of central-veinous catheters in patients undergoing hemodialysis, because they expose the patient to a higher infectious risk than the fistulas. However, for some […]
Removal of embolized implantable port catheter from within the heart
We describe two patients with embolized chemoport catheters within the heart that were successfully removed percutaneously using a goose-neck snare technique” Yoon and Lee (2017). Abstract: Central venous access devices are routinely used in patients with cancer. Although rare, catheter transaction with subsequent embolization is one of the major complications of intra-vascular devices. We describe […]
Risk of venous thromboembolism associated with PICC in ambulant cancer patients
We analysed a cohort of cancer patients subjected to PICC insertion in a single cancer centre for the incidence of all-type vascular thromboembolism (VTE) and investigated relative risk factors” Jones et al (2017). Abstract: BACKGROUND: Deep vein thrombosis (DVT) is a common complication of peripherally inserted central catheters (PICCs). PICCs are increasingly utilised in the […]
Peripherally inserted central catheter insertion and radiation exposure
To evaluate the influence of the combination of venous access site and level of training on FTs and DAPs during peripherally inserted central catheters (PICC) implantations in a large cohort of patients” Jonczyk et al (2017). Abstract: Background: Several interventional procedures show a dependency on fluoroscopy times (FT) and level of training. Furthermore, FT and […]
Procedural pain systematic review focuses on parent experience of child pain
We systematically reviewed the literature on parents’ experiences and information needs related to managing their child’s pain for common medical procedures” Gates et al (2017). Abstract: Parents wish to reduce their child’s pain during medical procedures but may not know how to do so. We systematically reviewed the literature on parents’ experiences and information needs […]
OPAT therapy in acute exacerbation of chronic obstructive pulmonary disease
We analysed the effectiveness and safety of outpatient parenteral antibiotic therapy (OPAT) in acute exacerbation of chronic obstructive pulmonary disease (AECOPD) in patients admitted to home hospitalisation units (HHU)” Ponce González et al (2017). Abstract: AIM: We analysed the effectiveness and safety of outpatient parenteral antibiotic therapy (OPAT) in acute exacerbation of chronic obstructive pulmonary […]
Anatomy for tibial intraosseous access in adults
There is a lack of detailed description for the landmark for the insertion point in the literature. The aim of this study was to determine the exact location for intraosseous access” Polat et al (2017). Abstract: INTRODUCTION: Intraosseous access is a method for providing vascular access in resuscitation of critically ill and injured patients when […]
Predesigned labels to prevent intravenous medication errors in hospitalized patients
Our institution implemented the use of pre-designed labeling of intravenous drugs and fluids, administration routes and infusion pumps of to prevent medication errors” Morales-González and Galiano Gálvez (2017). Abstract: INTRODUCTION: Our institution implemented the use of pre-designed labeling of intravenous drugs and fluids, administration routes and infusion pumps of to prevent medication errors. OBJECTIVE: To […]
Infection prevention strategies for procedural classifications
No comprehensive guidelines or classification exist for infection prevention strategies for medical procedures performed outside operating rooms. We reviewed the available literature and used our clinical experience to develop a progressive, 5-tiered classification of procedures, encompassing clean, aseptic, sterile-superficial, sterile-invasive, and surgical-like procedures to address this need” Masse et al (2017). Abstract: No comprehensive guidelines […]
Intravenous carnitine administration in addition to parenteral nutrition
A prospective randomized study was performed to investigate the validity of intravenous carnitine administration during postoperative parenteral nutrition (PN) with lipid emulsion” Koyama et al (2017). Abstract: BACKGROUND: A prospective randomized study was performed to investigate the validity of intravenous carnitine administration during postoperative parenteral nutrition (PN) with lipid emulsion. [ctt link=”s6Ob4″ template=”1″]ReTweet if useful… […]
Does intravenous lactated Ringer’s solution raise serum lactate?
Federally mandated sepsis care guidelines have led to an increasing reliance on using serum lactate as a screen for sepsis and as a marker for the success of resuscitative efforts, despite confounders” Skaggs et al (2017). Abstract: Study Objectives: Federally mandated sepsis care guidelines have led to an increasing reliance on using serum lactate as […]
In vitro effect of vancomycin and daptomycin on biofilm formation
The lower detection of MBEC and MBEC/MIC values of daptomycin compared to the same values of vancomycin suggested that daptomycin might be effective at lower doses than vancomycin in the treatment of biofilm infections” Öcal et al (2017). Abstract: Coagulase-negative staphylococci (CNS) are one of the primer agents of blood stream infections (BSI) and catheter-related […]
Multi-disciplinary vascular access care and access outcomes in hemodialysis patients
We examined the effect of a multidisciplinary vascular access team, including nurses, surgeons, and radiologists, on the probability of using a fistula catheter-free, and rates of access-related procedures in incident patients receiving hemodialysis” Gill et al (2017). Abstract: BACKGROUND AND OBJECTIVES: Fistulas, the preferred form of hemodialysis access, are difficult to establish and maintain. We […]
Treatment-related complications in children hospitalized with disseminated Lyme disease
We describe here treatment approaches and treatment-related complications in 138 hospitalized children with disseminated Lyme disease” Chang et al (2017). Abstract: We describe here treatment approaches and treatment-related complications in 138 hospitalized children with disseminated Lyme disease. The patients who received parenteral antibiotics had a higher rate of complications than those who received oral therapy […]
Supraclavicular ultrasound-guided cannulation of the brachiocephalic vein in neonates
This supraclavicular, in-plane, real-time, ultrasound-guided cannulation of the brachiocephalic vein seems to be a convenient and effective method to insert central venous catheters in preterm infants” Breschan et al (2017). Abstract: BACKGROUND: The aim of this retrospective analysis was to evaluate the clinical effectiveness of the supraclavicular ultrasound-guided cannulation of the brachiocephalic vein in preterm […]
Case study highlights a patient with a catheter related intracardiac fistula
Our case emphasizes the importance of having high index of suspicion for unusual complications in patients presenting with possible catheter-related blood stream infection and early use of complementary tools such as trans-oesophageal echocardiography whenever applicable” Koratala et al (2017). Abstract: In end stage renal disease patients on dialysis, the use of catheter as a vascular […]
Comparison of suture techniques to secure central venous catheters
To compare the fixation of the central venous catheter (CVC) using two suture techniques” Leal et al (2017). Abstract: PURPOSE: To compare the fixation of the central venous catheter (CVC) using two suture techniques. [ctt link=”bv26Q” template=”1″]ReTweet if useful… Comparison of suture techniques to secure central venous catheters https://ctt.ec/bv26Q+ @ivteam #ivteam[/ctt] METHODS: A clinical, analytical, […]
Evaluation of the DripAssist™ device in out of hospital environments
The DripAssist™ device we investigated monitors drip rates by counting drops in the IV tubing drip chamber. It securely attaches to IV tubing, is small, weighs 3.8 oz., lasts 290 hours on a single AA battery, and will alarm for a +/- 13% change in rate from the set rate. We theorized this may provide […]
Long-axis view for ultrasound-guided central venous catheter placement
We describe jugular vein access techniques and use the long-axis view as an alternative to the commonly employed short-axis cross-section view for internal jugular vein access and cannulation” Mahan et al (2017). Abstract: BACKGROUND: In modern practice, real-time ultrasound guidance is commonly employed for the placement of internal jugular vein catheters. With a new tool, […]
How to read infection prevention associated systematic reviews?
Infection preventionists need to become familiar with reading systematic reviews and learn to critically appraise the findings and implications for practice” Grota et al (2017). Abstract: Systematic reviews have become a key strategy to identifying evidence-based practice guidelines in infection prevention. They are considered the highest level of evidence providing the most effective answers to […]
Presepsin may be a helpful rapid marker in early diagnosis of CRBSI in children
In hospitalized pediatric patients with CRBSI, presepsin may be a helpful rapid marker in early diagnosis” Tanır Basaranoglu et al (2017). Abstract: BACKGROUND: Catheter related blood stream infections (CRBSI) are mostly preventable hospital-acquired conditions. We aimed to investigate the value of presepsin in detection of CRBSI in hospitalized children. [ctt link=”5nRS_” template=”1″]ReTweet if useful… Presepsin […]
Central venous catheter insertion and bedside ultrasound?
The frequency of CVC with correctly positioned catheter tip raised from 55% in the historical group to 87% in the ultrasound group (p < 0.001). In the ultrasound group, the time from end of procedure to line utilization was 2.4 hours, whereas the average time for the ultrasound procedure was 15 minutes” Remerand and Espitalier […]
Validation of a checklist for ultrasound-guided jugular central venous catheter
The authors sought to determine the reliability of a central line checklist in assessing attending physician skill” Hock et al (2017). Abstract: Study Objectives: Practicing physicians have been required by the Joint Commission to demonstrate procedural competence on an ongoing basis as part of the Ongoing Professional Practice Evaluation (OPPE) since 2009. Checklist tools have […]
IV contrast extravasation rates from peripheral IVs placed by Registered Nurses
The primary outcome of this study is comparison of the CE events between USGIVs placed by RNs and those placed using standard technique” Ehrman et al (2017). Abstract: Study Objectives: Placement of ultrasound-guided peripheral IVs (USGIV) is common practice in many emergency departments; many of these are used for administration of IV contrast for computed […]
Enhancing blood donor skin disinfection using natural oils
Effective donor skin disinfection is essential in preventing bacterial contamination of blood components with skin flora bacteria like Staphylococcus epidermidis” Alabdullatif et al (2017). Abstract: BACKGROUND: Effective donor skin disinfection is essential in preventing bacterial contamination of blood components with skin flora bacteria like Staphylococcus epidermidis. Cell aggregates of S. epidermidis (biofilms) are found on […]