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Ultrasound-guided cannulation of the brachiocephalic vein in children

child iv

Ultrasound-guided (USG) cannulation of the brachiocephalic vein (BCV) has been shown to be technically easy. We hypothesised that adoption of USG in-plane cannulation of the BCV as the primary approach to central venous cannulation at our institution would lead to central venous cannulation for a greater variety of indications” Thompson (2017). Abstract: OBJECTIVE: Ultrasound-guided (USG) […]

Guidelines for the provision of nutrition support in the pediatric critically ill patient

central line days

This document represents the first collaboration between 2 organizations-the American Society for Parenteral and Enteral Nutrition and the Society of Critical Care Medicine-to describe best practices in nutrition therapy in critically ill children” Mehta et al (2017). Abstract: This document represents the first collaboration between 2 organizations-the American Society for Parenteral and Enteral Nutrition and […]

Comparison of the performance and survival of two different tunnelled haemodialysis catheters

PICC

We sought to determine which of two tunnelled HDCs, DuraMax® (Angiodynamics, NY, USA) or SplitCath® (MedComp, PA, USA) delivers the best performance, safety and reliability for dialysis patients” McGarry et al (2017). Abstract: Background: Despite their well-recognised shortcomings, haemodialysis catheters (HDCs) remain an important form of haemodialysis access for many patients. There are several HDCs […]

Dosing considerations for daptomycin in adult patients with haematological malignancies

clabsi

To assess the population pharmacokinetics (popPK) of daptomycin at the conventional dose of 6 mg/kg/day in a cohort of oncohaematological patients” Cojutti et al (2017). Abstract: Objectives: To assess the population pharmacokinetics (popPK) of daptomycin at the conventional dose of 6 mg/kg/day in a cohort of oncohaematological patients. [ctt link=”mg91Y” template=”1″]ReTweet if useful… Dosing considerations for daptomycin […]

Soft tissue laceration caused by intraosseous access insertion

IO

The IO needle length was 45 mm and its gauge 15 Ga. EZ-IO® stabiliser dressing was not used during placement” Bromberg et al (2017). Extract: “An 85-year-old woman presented with septic shock due to lobar pneumonia. Physical examination revealed a dehydrated, hypotensive, morbidly obese woman with anasarca and lower extremity lymphoedema. [ctt link=”e91df” template=”1″]ReTweet if useful… […]

Managing end-stage renal disease in morbid obese patients

dialysis

To our knowledge, no study has been done evaluating RRT options available to extremely morbid obese patients and the challenges associated with these options. Here, we report a case series and discuss the potential challenges faced by extremely obese patients with ESRD requiring RRT” Turgut and Abdel-Rahman (2017). Abstract: Obesity has grown into an epidemic […]

Mechanism protects central venous catheters fibrin sheath formation

clabsi

The WISP technique also provides a novel strategy for drug administration for biofilm treatment. Reduction in adherent protein indicates a restriction on long-term fibrin sheath and biofilm formation making WISP a promising technology which improves a wide range of vascular access treatments” Sutherland et al (2017). Abstract: Protein adhesion in central venous catheters (CVCs) leads […]

Ultrasound-guided radial artery catheterisation increases insertion success rate

Ultrasound Vascular Access

The palpation technique is generally used for radial artery catheterisation, but is associated with a high rate of failure and complications. Dynamic needle tip positioning (DNTP) is a new ultrasound-guided technique. We aimed to compare the traditional palpation technique with DNTP performed by four anaesthesiology residents” Gopalasingam et al (2017). Abstract: Introduction: The palpation technique […]

Health-related quality of life outcomes in patients with PICC catheters

intravenous infusion

This pilot exploratory study aimed to compare the health-related quality of life (HRQOL) among patients diagnosed with different types of cancer receiving peripherally inserted central catheters (PICCs)” Kang et al (2017). Abstract: Introduction: This pilot exploratory study aimed to compare the health-related quality of life (HRQOL) among patients diagnosed with different types of cancer receiving […]

Infection attributed to contaminated sterile gel used for central line insertion

ultrasound training

We report an outbreak of Burkholderia cenocepacia bacteremia and infection in 11 patients predominately in intensive care units caused by contaminated ultrasound gel used in central line insertion and sterile procedures within 4 hospitals across Australia” Shaban et al (2017). Background: We report an outbreak of Burkholderia cenocepacia bacteremia and infection in 11 patients predominately […]

Procalcitonin as a diagnostic marker in detecting CRBSI

CRBSI

Procalcitonin (PCT) is a valid marker in sepsis. Our goal in this study is to evaluate its usefulness as a diagnostic marker in detecting CRBSI among hemodialysis patients who present with suspected CRBSI” Hamada Imam and Gamal (2017). Abstract: Introduction: Catheter-related bloodstream infection (CRBSI) is a frequent complication among hemodialysis patients who usually are presented […]

Urokinase locking solution for the prevention of dialysis catheter dysfunction?

Vancomycin dosing

We conduct a multicenter, double-blind, randomized controlled trial and test the hypothesis that weekly use of urokinase lock will reduce the incidence of thrombotic malfunction by 50% in prevalent hemodialysis patients with a history of thrombotic malfunction” Bonkain et al (2017). Abstract: Introduction: The prophylactic use of recombinant tissue plasminogen activator once weekly reduces the […]

Innovative approach to hydration for a patient with dementia

Patient experience of peripheral intravenous cannulation

If oral hydration methods are not successful, the alternatives are intravenous (IV) or subcutaneous fluid hydration therapy. These are invasive methods and may not be tolerated by all patients. This article uses a case study to explore an innovative approach to oral hydration” Beales (2017). Abstract: Nursing older people in acute settings involves the provision […]

How to prevent bloodstream infection in IV therapy and vascular access?

cvad wire exchange

Because it is so common, ensuring safe vascular access is an essential focus for all health professionals. All vascular access procedures are invasive, regardless of patient group, therapeutic rationale, the device used, route and site of insertion and particular technique” Hugill (2017). Abstract: Healthcare-associated infections (HAI) are one cause of preventable harm to patients, and […]

What is best practice standards for closed arterial lab sampling devices?

needlestick

The project extensively reviewed comparative literature of studies between conventional three-way stopcock methods and closed arterial lab sampling devices” Benedict et al (2017). Abstract: As the quality of patient care continues to improve, nursing professionals are continuously tasked with researching, implementing, and evaluating best practices. The practice of obtaining blood samples from paediatric patients, using […]

What are the challenges to vascular access in an ageing population?

marsi

This article aims to increase awareness of vascular access challenges in older patients so the potential for complications relating to venepuncture, cannulation and infusion therapy can be minimised, thereby improving their overall quality of care” Gabriel (2017). Abstract: At the beginning of the 21st century, one in five of UK residents can expect to see […]

Cost-effectiveness of outpatient parenteral antibiotic therapy

Needlefree

Services include: IVA administration at a hospital outpatient clinic (HO); IVA administration at home by a general nurse (GN) or a specialist nurse (SN); or patient self-administered (SA) IVA administration following training. There is uncertainty regarding which OPAT services represent value for money; this study aimed to estimate their cost-effectiveness” Vargas-Palacios et al (2017). Abstract: […]

Incidence of prescribing errors in parenteral nutrition for neonatal patients

neonatal picc

Aside from prescribing via a computerized physician order entry system (CPOE), we evaluated the effect of cross-checking by a clinical pharmacist to prevent harm from PN order errors in a neonatal and pediatric intensive care unit (NICU/PICU)” Hermanspann et al (2017). Abstract: OBJECTIVES: Pediatric inpatients are particularly vulnerable to medication errors (MEs), especially in highly […]

Patient satisfaction with totally implantable central venous catheters

picc dressing

In the present study, we conducted a large, prospective, multicenter study in cancer patients aimed to analyze factors that could influence patients’ acceptance of, and satisfaction with, their device” Marcy et al (2017). Abstract: INTRODUCTION: Most cancer patients require a totally implanted central venous catheter (TIVAD) for their treatment. In a previous study, we developed […]

Maintaining patency of vascular access for haemodialysis

dialysis access

All types of vascular access, a necessity for haemodialysis, are prone to thrombosis and if untreated this results in failure. Thrombosis results from the combination of impaired blood flow, endothelial and vessel wall injury and a propensity towards pro-coagulative states, either intrinsic or aggravated by dialysis or dehydration” Inston et al (2017). Abstract: All types […]

Predicting risk of peripherally inserted central catheter related thrombosis

Disinfection caps

Our findings might help clinicians predict thrombosis risk in individual patients, select proper therapeutic strategies and optimize the timing of anticoagulation therapy” Has et al (2017). Abstract: The use of peripherally inserted central catheters (PICCs) is increasing rapidly worldwide. A number of patient-related, clinical-related and device-related characteristics might be risk factors for PICC-related thrombosis. We […]

FDA regulatory perspectives for studies on hemodialysis vascular access

picc teams

This particular Kidney Health Initiative project focused on products related to hemodialysis vascular access, with the goal of clarifying appropriate trial end points that could subsequently inform clinical, regulatory, and coverage decisions” Hurst et al (2017). Abstract: In an effort to foster innovation and new product development, the American Society of Nephrology and the US […]

Impact of subcutaneous trastuzumab in the community

intravenous medication safety

Trastuzumab has become standard of care in the treatment of early and metastatic HER2-positive breast cancer. Initially trastuzumab could only be administered intravenously (IV), however since a few years there is also a subcutaneous (SC) formulation” Tjalma et al (2017). Abstract: Trastuzumab has become standard of care in the treatment of early and metastatic HER2-positive […]

A case of neonatal PICC line knot formation

neonatal vascular access

A peripherally inserted central Nutriline catheter (24G PICC) was placed into the vena femoralis of a preterm baby. Radiography demonstrated looping and a possible knot formation of the catheter…” Keulemans et al (2017). Extract: “A peripherally inserted central Nutriline catheter (24G PICC) was placed into the vena femoralis of a preterm baby. Radiography demonstrated looping […]

Effectiveness of StatLock securement for peripherally inserted central catheters

Intravenous catheter securement

In this systematic review and meta-analysis, we evaluated the effectiveness, safety and comfort of StatLock for the securement of peripherally-inserted central catheters” Luo et al (2017). Abstract: In this systematic review and meta-analysis, we evaluated the effectiveness, safety and comfort of StatLock for the securement of peripherally-inserted central catheters. PubMed, EMBASE, Cochrane Library, China National […]

Single-stick tunneled central venous access technique for neonates

central venous catheter

Describe and assess the safety and efficacy of tunneled jugular central venous catheter placement performed under ultrasound (US) and fluoroscopic guidance in neonates and infants weighing <5 kg using the single-stick technique at three tertiary pediatric hospitals” Lindquester et al (2017). Abstract: BACKGROUND: Despite the demonstrated feasibility of the single-stick technique in the femoral vein, […]

Panel of experts define reasons for central venous catheter removal

cvad

We convened a multidisciplinary panel of experts to propose standardized definitions of catheter end points to guide the design of future clinical trials seeking approval from the Food and Drug Administration” Allon et al (2017). Abstract: Central venous catheters are used frequently in patients on hemodialysis as a bridge to a permanent vascular access. They […]

Lancisi’s sign and central venous catheter tip position

io infusion

The inappropriate placement of a 25-cm temporary CVC in the right internal jugular vein worsened the tricuspid valve regurgitation, which became evident by the Lancisi’s sign” Vigo et al (2017). Abstract: INTRODUCTION: Valvular disease and pulmonary hypertension are common conditions in haemodialysis patients. In presence of tricuspid regurgitation, an increased retrograde blood flow into the […]

Sarcoidosis lesions located at venipuncture sites

iv safety needle

Our objective was to describe 3 patients who developed specific lesions of sarcoidosis in areas of venipuncture and to discuss their possible pathogenesis” Marcoval et al (2017). Abstract: It has been suggested that the predilection of sarcoidosis to affect scars is due to the presence of antigens or foreign bodies that can serve as a […]

Systematic review of extravasation injury management in neonates

parenteral nutrition

Primary objective To compare the efficacy and safety of saline irrigation or saline irrigation with prior hyaluronidase infiltration versus no intervention or normal wound care for tissue healing in neonates with extravasation injury” Gopalakrishnan et al (2017). Abstract: BACKGROUND: Extravasation injury, a complication commonly seen in the neonatal intensive care unit, can result in scarring […]