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What are the type of central line complications found in neonates?

neonatal ultrasound

To investigate the incidence and risk factors for central line related complications in neonates” Soares et al (2017). Abstract: OBJECTIVE: To investigate the incidence and risk factors for central line related complications in neonates. METHODS: A retrospective cohort study of infants who underwent central line (CL) placement, from 1 July 2014 to 31 June 2016, […]

Pediatric OPAT returns to the emergency department

intravenous cannulation

The objectives of this study are to quantify the burden of scheduled RTED for OPAT on PED utilization and to examine how frequently OPAT use are supported by published practice standards for 3 common pediatric infections-cellulitis, pneumonia, and urinary tract infections” Xu and and Doan (2017). Abstract: BACKGROUND: Pediatric returns to the emergency department (RTED) […]

Prehospital interventions during mass-casualty events

peripheral iv catheter assessment

The most common prehospital interventions were tourniquet and pressure dressing hemorrhage control, along with pain medication administration. Larger data sets are needed to guide development of MASCAL in-theater clinical practice guidelines” Schauer et al (2017). Abstract: BACKGROUND: Mass-casualty (MASCAL) events are known to occur in the combat setting. There are very limited data at this […]

Impact of phosphate-balanced crystalloid infusion on acid-base homeostasis

iv drip

This study aims to investigate the effects of a modified, balanced crystalloid including phosphate in a perioperative setting in order to maintain a stable electrolyte and acid-base homeostasis in the patient” Pagel et al (2017). Abstract: BACKGROUND: This study aims to investigate the effects of a modified, balanced crystalloid including phosphate in a perioperative setting […]

Effectiveness of IV remifentanil patient-controlled analgesia for the pain of labour

Intravenous catheter securement

We aimed to assess the effectiveness of remifentanil used as intravenous patient-controlled analgesia for the pain of labour” Jelting et al (2017). Summary: We aimed to assess the effectiveness of remifentanil used as intravenous patient-controlled analgesia for the pain of labour. We performed a systematic literature search in December 2015 (updated in December 2016). We […]

Cardiac arrhythmias resulting from peripherally inserted central catheters

icu clabsi

We present two cases of patients being treated for diabetic ketoacidosis in the intensive care unit who experienced cardiac arrhythmia secondary to peripherally inserted central catheters (PICCs)” Gapp et al (2017). Abstract: We present two cases of patients being treated for diabetic ketoacidosis in the intensive care unit who experienced cardiac arrhythmia secondary to peripherally […]

Complications in trauma patients with prehospital peripheral intravenous access

emergency iv access

At our large urban Level I trauma center, we identified a cluster of 7 PIV complications from prehospital insertions in a 5-month period” Garrett et al (2017). Abstract: Peripheral intravenous (PIV) catheterization is commonly performed, and its complications are costly, may result in serious health issues, and may adversely affect patient satisfaction. At our large […]

Systematic review of antimicrobial lock therapy for CLABSI prevention

Glass Particles

Lock therapy may be an adjunct in high-risk cancer patients for the prevention of CLABSI; higher quality evidence is needed for specific ALT recommendations” Norris et al (2017). Abstract: BACKGROUND: Central venous catheter (CVC) use is commonplace in cancer patients. Antimicrobial lock therapy (ALT), the instillation of a concentrated antimicrobial solution into the catheter lumen, […]

The role of guideline dosing in achieving target vancomycin levels

phlebotomy

Results of a study comparing the performance of allometric versus consensus guideline–recommended vancomycin dosing in achieving initial trough concentrations within the desired range are reported” Brown et al (2017). Abstract Purpose: Results of a study comparing the performance of allometric versus consensus guideline–recommended vancomycin dosing in achieving initial trough concentrations within the desired range are […]

Update on the prevention of central line-associated bloodstream infections

crbsi

Evidence-based guidelines have led to a significant reduction in the incidence of blood stream infections associated with CVCs. The combination of guideline implementation and newer technologies has the potential to further reduce morbidity and mortality from infections related to CVCs” Bell and O’Grady (2017). Abstract: Central venous catheters (CVCs) are commonly used in critically ill […]

Article describes multiple central line failures in one child

child iv

However device failure and complications rates are high.Over 2½ years, a child requiring parenteral nutrition and associated vascular access dependency due to ‘short gut syndrome’ (intestinal failure secondary to gastroschisis and resultant significant bowel resection) had ten CVADs inserted, with ninesubsequently failing” Ullman et al (2017). Abstract: Central venous access devices (CVADs) form an important […]

CLABSI risk and different central venous catheters in neonates

neonatal picc

We evaluated the incidence and risk factors for CLABSI in a cohort of neonates with femoral venous catheters (FVCs), UVCs, and PICCs, with a gestational age ≥34 weeks born between January 1, 2006 and June 30, 2013. We included 2,986 neonates with a total of 656 catheters” Dubbink-Verheij et al (2017). Abstract: Central venous catheters (CVCs) […]

How many intravenous sets are used in typical infusion scenarios

Use of interchangeable, single-design IV sets across gravity and automated infusions minimizes disruptions to closed systems, may reduce nurses being distracted from patients’ clinical needs when replacing sets, and may yield supply cost savings” Hedlund et al (2017). Abstract: This retrospective study of 6426 hip replacement, coronary artery bypass graft, and colectomy surgeries across 23 […]

Subcutaneous tunnel for high upper arm PICC placement

picc survey

Subcutaneous tunneling, when applied to bedside PICC insertions, provides a safe, effective, and cost-efficient option for a select, more challenging patient population” Ostroff and Moureau (2017). Abstract: The majority of peripherally inserted central catheters (PICCs) are currently inserted with the aid of ultrasound guidance in the middle third of the upper arm. A growing patient […]

Health and safety issues for home infusion therapy services

opat

The need for home infusion therapy will continue to grow in the future, and safety interventions to prevent or minimize OSH risks are essential” Markkanen et al (2017). Abstract: In the United States, home health care (HHC) is a rapidly growing industry and home infusion therapy is a rapidly growing market. HHC can present substantial […]

How often and why do peripheral intravenous catheters fail?

vascular access study

This prospective observational study was designed to clarify the rate of peripheral intravenous catheter, especially short peripheral catheter, failures among adult patients in medical and surgical wards” Murayama et al (2017). Abstract: This prospective observational study was designed to clarify the rate of peripheral intravenous catheter, especially short peripheral catheter, failures among adult patients in […]

Article investigates acceptance of infusion pump technology

central line occlusion

Using data from a sample of 311 nurses in a large teaching hospital in the midwestern United States, this study sought to determine whether age predicted satisfaction perceptions of infusion pump technology” Perrigino et al (2017). Abstract: Previous studies demonstrate that age and receptiveness to new technologies tend to be negatively correlated. Using data from […]

Compatibility of glue with alcoholic chlorhexidine gluconate skin preparation

clabsi

The compatibility of a 2% chlorhexidine gluconate/70% isopropyl alcohol (CHG/IPA) skin preparation with a gum mastic liquid adhesive (GMLA) and liquid adhesive remover (LAR) was assessed in healthy volunteers” Ryder and Duley (2017). Abstract: The compatibility of a 2% chlorhexidine gluconate/70% isopropyl alcohol (CHG/IPA) skin preparation with a gum mastic liquid adhesive (GMLA) and liquid […]

Sixty-one percent of intravenous drug users fail OPAT treatment

Peripheral IV failure

Sixty-one percent of intravenous drug users (IVDUs) who received outpatient parenteral antibiotic therapy (OPAT) failed treatment” Buehrle et al (2017). Abstract: Sixty-one percent of intravenous drug users (IVDUs) who received outpatient parenteral antibiotic therapy (OPAT) failed treatment. Hospital readmission and adverse drug reactions occurred in 25%. By multivariate analysis, time since last IVDU was associated […]

What is the incidence of post-infusion phlebitis?

intravenous dressings

The incidence of phlebitis during PIC was 7.15% and the incidence of post-infusion phlebitis was 22.9%” Urbanetto et al (2017). Abstract: OBJECTIVE: to determine the incidence of phlebitis during and after the use of peripheral intravenous catheter (PIC), and analyse the association of this complication with risk factors. [ctt link=”A8dcb” template=”1″]ReTweet if useful… What is […]

Simulated ultrasound-guided jugular central venous catheter placement

Ultrasound

The aim of this study was to evaluate the effectiveness of a simulation-based training program for improving novice technical performance during ultrasound-guided internal jugular CVC placement” Corvetto et al (2017). Abstract BACKGROUND: Current evidence supports the utility of simulation training for bedside procedures such as ultrasound-guided jugular central venous catheter (CVC) insertion. However, a standardized […]

Incidence of upper extremity DVT in children after PICC placement?

CLABSI

To determine the incidence of venous thrombosis and/or stenosis after PICC placement and identify factors that increase the risk of venous thrombosis and/or stenosis after PICC placement in children” Shin et al (2017). Abstract: BACKGROUND: Peripherally inserted central catheters (PICCs) can lead to development of venous thrombosis and/or stenosis. The presence of venous thrombosis and/or […]

Needlesticks for interventional radiology physicians

needlestick

Needlestick injuries are ubiquitous among interventional radiologists and are often not reported” Deipolyi et al (2017). Abstract: Purpose: To determine the prevalence of and risk factors for needlesticks in interventional radiology physicians, as well as the attitudes, behaviors, and conditions that promote or interfere with reporting of these injuries. [ctt link=”d1yt9″ template=”1″]ReTweet if useful… Needlesticks […]

Human factors and adherence to CLABSI prevention practices

central line bundle

A human factors engineering-based intervention aimed at the modification of task behavior to increase adherence to best practices and the reduction of central line-associated bloodstream infections (CLABSI)” Drews et al (2017). Abstract: Objective: A human factors engineering-based intervention aimed at the modification of task behavior to increase adherence to best practices and the reduction of […]

Administration of intramuscular injections to the ventrogluteal site

picc care

The objective of this study was to identify the frequency of use of the ventrogluteal site and the level of nurses’ knowledge of administering an intramuscular injection to this site” Sari et al (2017). Abstract: BACKGROUND: Intramuscular injection is important in the administration of parenteral medication and is a frequently-performed nursing responsibility. OBJECTIVE: The objective […]

Management of diabetic patients during parenteral nutrition administration

peripheral iv catheter

The goal of this paper is to provide the latest evidence and expert recommendations for management of hospitalized patients with diabetes or hyperglycemia receiving enteral (EN), parenteral (PN) nutrition support or, those with unrestricted oral diet, consuming meals on demand” Drincic et al (2017). Abstract: PURPOSE OF REVIEW: The goal of this paper is to […]

CLABSI treated with antibiotic-lock rescue therapy

Vancomycin dosing

This is the first report on successful salvage of a long-term device colonized by multi-resistant Chryseobacterium indologenes” Corbella et al (2017). Abstract: We report the case of a catheter-related bloodstream infection caused by Chryseobacterium indologenes, an uncommon and multi-resistant pathogen, in a pediatric patient with a long-term vascular access device placed for chemotherapy treatment. The […]

Risk-adjustment model for CLABSI using electronically available comorbidities

crbsi

Our risk-adjustment model for CLABSI using electronically available comorbidities demonstrated better discrimination than did the CDC model. The CDC should strongly consider comorbidity-based risk adjustment to more accurately compare CLABSI rates across hospitals” Jackson et al (2017). Abstract: BACKGROUND: Risk adjustment is needed to fairly compare central-line-associated bloodstream infection (CLABSI) rates between hospitals. Until 2017, […]