Existing and future imaging modalities for use in vascular access
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
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
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
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
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 […]
What are the type of central line complications found in neonates?
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
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
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
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
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
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
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
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
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 […]
Compatibility of colistin injection with other antibiotics during simulated Y-site administration
Colistin 1.5 mg/mL was visually compatible with single concentrations of 9 other antimicrobial products during simulated Y-site injection at 26 °C without light protection for at least 1 hour” Katip (2017). Abstract: Purpose: The compatibility of colistin with other antibiotics at concentrations commonly used in intensive care units was studied. Methods: A vial of colistin […]
Update on the prevention of central line-associated bloodstream infections
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
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 […]
Malposition of central venous catheter detected by ultrasonography-guided saline flush
We present a case report where USG was used for detection of a misplaced CVC (from right internal jugular vein to right subclavian vein). With ultrasound, the location of the catheter tip can be confirmed in very less time compared with chest X-ray” Kumar et al (2017). Abstract: Central venous catheter (CVC) insertion is associated […]
CLABSI risk and different central venous catheters in neonates
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
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
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?
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
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
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
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?
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
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?
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 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 […]