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Are picture books effective to reduce distress associated with venipuncture?

venipuncture

We recommend the picture book be routinely read and used during venipunctures to decrease procedural distress in preschool-aged children” Tsao et al (2017). Abstract: AIM: Distress associated with needle-related procedures is a major concern in preschool-aged children nursing. This study developed a medical picture book for supporting preschool-aged children facing a venipuncture and determined the […]

ECG guided peripherally inserted central catheter tip placement among neonates

egg tip

To explore the clinical application of the intracavitary electrocardiogram (IC-ECG) guided Peripherally Inserted Central Catheter (PICC) tip placement among neonates” Zhou et al (2017). Abstract: OBJECTIVE: To explore the clinical application of the intracavitary electrocardiogram (IC-ECG) guided Peripherally Inserted Central Catheter (PICC) tip placement among neonates. BACKGROUND: the ECGs of neonates are difficult to perform […]

National Healthcare Safety Network surveillance CLABSI definition changes

crbsi

Increased ICU primary CLABSI rates were found to be a result of both surveillance definition changes and infection control practices” Corley et al (2017). Calendar year 2015 intensive care unit (ICU) central line–associated bloodstream infections (CLABSIs) from 1 hospital were reviewed using 2014 CLABSI surveillance definitions to assess the relative impact of definition changes and […]

Review of a decade of reported parenteral nutrition errors

parenteral nutrition

This document reviews error reports from the Institute for Safe Medication Practices’ Medication Errors Reporting Program that are associated with the PN use process over the past 10 years” Guenter et al (2017). Abstract Parenteral nutrition (PN) is a complex, high-alert medication, and errors associated with the use of this therapy may lead to significant […]

Indications and safe management of parenteral nutrition administration

central line days

The aim of this article is to provide an overview of what parenteral nutrition (PN) is and when its use is required” Wyer (2017). Abstract: The aim of this article is to provide an overview of what parenteral nutrition (PN) is and when its use is required. It will describe the process of nutritional assessment, […]

What is the prevalence of home parenteral nutrition in the United States

Patient experience of peripheral intravenous cannulation

Due to these benefits, the prevalence of home parenteral and enteral nutrition (HPEN) continues to increase worldwide” Mundi et al (2017). Abstract: BACKGROUND: Malnutrition is highly prevalent and associated with increased morbidity and mortality. Studies continue to reveal significant clinical benefits with nutrition support, including improved wound healing, reduction in complications and length of stay, […]

Supporting children receiving parenteral nutrition at school

peripheral cannula

Care is individualized to the specific child and may include provision of nutrition support therapy while in the school setting, maintenance of a nutrition access device, and monitoring to safely prevent or act on signs of potential complications” Corrigan et al (2017). Abstract: The use of nutrition support outside of institutional settings has contributed to […]

Labelling and filtration requirements for lipid injectable emulsion

intravenous

The American Society for Parenteral and Enteral Nutrition PN Safety Committee surveyed clinicians on how ILE products are prescribed, prepared, and administered to patients from neonates to adults” Christensen et al (2017). Abstract: BACKGROUND: Lipid injectable emulsion (ILE) is an integral part of parenteral nutrition (PN), providing energy and essential fatty acids. With recent consensus […]

Improving peripheral intravenous cannulation success rate in children

paediatric BSI

We assessed using a prospective randomized controlled trial whether the application of heat gel pack increases the needle procedure success rate. The primary study outcome was procedural success rate at the first attempt” Schreiber et al (2017). Abstract OBJECTIVE: Needle-related procedures are the most common sources of pain for children in the hospital setting. The […]

What is the risk of vancomycin-associated nephrotoxicity?

sharps injuries

To evaluate the correlation between incidence of nephrotoxicity associated with weight-based IV vancomycin dosing strategies in nonobese and obese patients” Choi et al (2017). Abstract: BACKGROUND: A consensus statement recommends initial intravenous (IV) vancomycin dosing of 15-20 mg/kg every 8- 24 hours, with an optional 25- to 30-mg/kg loading dose. Although some studies have shown […]

Implementation of chlorhexidine bathing in non-ICU settings

needleless connectors

We are using a systems engineering approach to identify barriers and facilitators to implementation along with a step-wedge design to pilot CHG bathing in several VA medical centers in non-ICU settings” McKinley et al (2017). Background: Daily bathing with chlorhexidine gluconate (CHG) has been shown to reduce healthcare-associated infections (HAIs). Daily CHG bathing has been […]

Outline of the management of catheter-related thrombosis

IM Injection

In this narrative review, the epidemiology, diagnosis, prevention strategies, and management of catheter-related thrombosis are outlined” Baumann Kreuziger et al (2017). Abstract: In this narrative review, the epidemiology, diagnosis, prevention strategies, and management of catheter-related thrombosis are outlined. Central venous catheters have significantly improved the quality of life of patients requiring chemotherapy, parenteral nutrition, and […]

Using ultrasound to prevent a broken catheter from migrating to the heart

ultrasound cvc insertion

A peripheral IV catheter was removed in a 90 year old patient and only half of the catheter was retrieved. By using ultrasound examination the remaining part of the IV catheter was identified, and retrieved surgically, before it could migrate towards the heart” Schraverus et al (2017). Abstract: Peripheral intravenous (IV) catheters can break off […]

Evaluation of a multifaceted procedural skills lab for medical students

venipuncture

Medical students have limited confidence in performing procedural skills. A pilot study was conducted to evaluate the effect of a multifaceted Procedural Skills Lab (PSL) on the confidence of medical students to perform procedural skills” Katz et al (2017). Abstract: BACKGROUND: Medical students have limited confidence in performing procedural skills. A pilot study was conducted […]

Local anaesthesia or two-point acupressure to prevent venipuncture pain

needlestick

The aim of the present study was to compare the effects of topical anesthesia and acupressure at the Yintang (Extra 1) and the Laogong (P-8) points on the severity of venipuncture pain among hospitalized 6-12-year-old children” Pour et al (2017). Abstract: The aim of the present study was to compare the effects of topical anesthesia […]

Phlebotomy excess contributes to anemia in PICU patients

neonatal ultrasound

Phlebotomy excess contributes to anemia in PICU patients and increases the likelihood of red blood cell transfusion, which is associated with risk of adverse outcomes. Excessive phlebotomy reduction (EPR) strategies may reduce the need for transfusion, but have not been evaluated in a PICU population” Steffen et al (2017). Abstract: BACKGROUND AND OBJECTIVES: Phlebotomy excess […]

Will cleansing the venipuncture site with alcohol jeopardize blood alcohol measurement results?

iv safety needle

This study aimed to establish whether an alcoholic antiseptic, wiped or not before venipuncture, may jeopardize alcohol testing with a commercial enzymatic assay and a reference head-space gas chromatography (GC) technique” Lippi et al (2017). Abstract: INTRODUCTION: This study aimed to establish whether an alcoholic antiseptic, wiped or not before venipuncture, may jeopardize alcohol testing […]

Prevalence of needle stick injuries among medical students

needlestick

The objectives of this study were to determine the prevalence of needle stick injuries of the fourth and final year medical students, and to estimate their knowledge about blood-borne pathogens disease transmission and standard precautions” Marusic et al (2017). Abstract: INTRODUCTION: Medical students are mainly exposed to needle stick and sharp object injuries in the […]

Nationwide study on peripheral intravenous catheter associated–bloodstream infections

picc dressing

Our study shows that PVCs carry a significant risk for bacteremia in Spanish IMDs” Guembe et al (2017). Summary: Background: The use of peripheral venous catheters (PVCs) has increased outside the intensive care unit, as have rates of peripheral venous catheter associated-bloodstream infection (PVC-BSI). The internal medicine department (IMD) is one of the main wards […]

Will a change in blood culture media increase bacteraemia detection?

clabsi

During an investigation of pediatric central line-associated bloodstream infections (CLABSI) at an academic medical center in early 2016, an increase was identified in the percent positivity of blood cultures collected from pediatric patients in the fall of 2015” Langstaff et al (2017). Background: During an investigation of pediatric central line-associated bloodstream infections (CLABSI) at an […]

CLABSI prevention bundle for adult haematological patients

clabsi prevention

Hematologic malignancy (hemeonc) and bone marrow transplant (BMT) patients are at higher risk of central line associated bloodstream infection (CLABSI) due to their dependency on central lines for treatment” Dombecki et al (2017). Background: Hematologic malignancy (hemeonc) and bone marrow transplant (BMT) patients are at higher risk of central line associated bloodstream infection (CLABSI) due […]

How to develop community hospital CLABSI reduction?

cvc lock

With the leadership of an infection prevention practitioner, an interprofessional team was formed that is comprised of front line nurses, vascular access device nurses, physicians, nurse educators, and administrative nurses to decrease central line utilization, improve central line care practices and eliminate CLABSI throughout the hospital” Mason and Suresh (2017). Background: Central Line Associated Bloodstream […]

Systematic assessment and central line maintenance and CLABSI prevention

CLABSI

The hospital’s CLABSI rate for 2014 is significantly higher compared to New York State (NYS) benchmark given the small number of central line days being used in the hospital” Pangan and Finerty (2017). Background: A 200 bed orthopedic hospital had two cases of CLABSI in 2014. The hospital’s CLABSI rate for 2014 is significantly higher […]

Expert panel make recommendations for outpatient parenteral antimicrobial therapy in Brazil

infiltration

A panel of national experts was convened by the Brazilian Infectious Diseases Society in order to determine the recommendations for outpatient parenteral antimicrobial therapy (OPAT) in Brazil” Oliveira et al (2017). Abstract A panel of national experts was convened by the Brazilian Infectious Diseases Society in order to determine the recommendations for outpatient parenteral antimicrobial […]

What are the fifty most cited hemodialysis access publications in the medical literature?

arteriovenous vascular access

As the number of patients on hemodialysis has increased dramatically over the past five decades, there has been a commensurate increase in the overall number of publications related to hemodialysis access” Skripochnik et al (2017). Abstract: Objectives: The modern era of hemodialysis access surgery began with the publication in 1966 by Brescia et al. describing […]

Existing and future imaging modalities for use in vascular access

cvc

This review examines four imaging modalities; ultrasound (US), digital subtraction angiography (DSA), magnetic resonance imaging (MRI) and computed tomography (CT), that have common or potential applications in vascular access (VA)” Murphy et al (2017). Abstract: This review examines four imaging modalities; ultrasound (US), digital subtraction angiography (DSA), magnetic resonance imaging (MRI) and computed tomography (CT), […]

What is the economic impact of vascular access device selection for hemodialysis

orthopedic picc

Patients in the United States frequently initiate hemodialysis with a central venous catheter (CVC) and subsequently undergo placement of a new arteriovenous fistula (AVF) or arteriovenous graft (AVG). Little is known about the clinical and economic effects of initial vascular access choice” Al-Balas et al (2017). Abstract: Patients in the United States frequently initiate hemodialysis […]

Oncology patients describe what it is like living with PICC line

therapeutic temperature management

The aim of this study was to describe the experience of using a peripherally inserted central catheter (PICC) in cancer sufferers receiving outpatient treatment” Parás-Bravo et al (2017). Abstract: PURPOSE: The aim of this study was to describe the experience of using a peripherally inserted central catheter (PICC) in cancer sufferers receiving outpatient treatment. [ctt […]

Using Vessel Health and Preservation framework to choose vascular access device

opat

The Vessel Health and Preservation (VHP) framework is a tool that can be used to improve clinical decision-making and the patient experience in relation to vascular access and IV therapy” Shaw (2017). Abstract: There is a range of risk factors that can lead to peripheral intravenous (IV) cannula failure, and several failed cannulation attempts can […]

The prevalence of peripheral intravenous cannulae and pattern of use

peripheral iv

To determine the prevalence and pattern of use of peripheral intravenous cannula (PIVC) in hospital wards” Wong et al (2017). Abstract: AIMS AND OBJECTIVES: to determine the prevalence and pattern of use of peripheral intravenous cannula (PIVC) in hospital wards. [ctt link=”fb9rX” template=”1″]ReTweet if useful… The prevalence of peripheral intravenous cannulae and pattern of use […]