Medication errors with push dose pressors in the emergency department
Due to prominence of this topic in FOAMed, indications are expanding to include bridge to continuous infusion vasopressors, medication related hypotension during procedural sedation and anaphylaxis” Acquisto et al (2017). Abstract: Utilization of push dose pressors (PDP, low doses of phenylephrine or epinephrine administered IV push) during care of emergency medicine (EM) patients is increasingly […]
Safe use recommendations for “Bolus-Dose” vasopressors in the emergency department
This article discusses the wide range of issues to consider when evaluating the role of bolus-dose vasopressors in the ED and provides recommendations based on current safe medication practices guidelines” Holden et al (2017). Abstract: The use of intermittently administered doses of vasopressors to correct hypotension in the emergency department (ED), commonly referred to as […]
What are the risk factors for persistent candidemia in adult patients?
We investigated the clinical characteristics and risk factors for mortality in adults with persistent candidemia” Kang et al (2017). Abstract: BACKGROUND: We investigated the clinical characteristics and risk factors for mortality in adults with persistent candidemia. [ctt link=”lL9V7″ template=”1″]ReTweet if useful… What are the risk factors for persistent candidemia in adult patients? https://ctt.ec/lL9V7+ @ivteam #ivteam[/ctt] […]
Effect of the use of Buzzy during phlebotomy on blood donors
The objective of this study was to investigate the effect of the use of Buzzy on phlebotomy satisfaction and pain relating to the phlebotomy process in healthy adult blood donors voluntarily donating blood” Yılmaz et al (2017). Abstract: Phlebotomy causes pain and discomfort to adults. The objective of this study was to investigate the effect […]
Sciatic nerve injuries from gluteal intramuscular injection
The purpose of the study was to analyze the cases discussed in High Health Council (HHC) and to determine the solutions for the problems on gluteal intramuscular injection (IMI) applications” Kadioğlu (2017). Abstract: AIM: The purpose of the study was to analyze the cases discussed in High Health Council (HHC) and to determine the solutions […]
OPAT suitable for elderly patients with infective endocarditis
OPAT could be considered an effective alternative for appropriately-selected elderly patients with infective endocarditis” Kortajarena et al (2017). Abstract: OBJECTIVE: The incidence of infective endocarditis is progressively increasing, especially in elderly patients. Outpatient parenteral antibiotic therapy (OPAT) is being an excellent alternative for treatment, but advanced age is one of the relative contraindications. The aim […]
Risk factors of catheter-related bloodstream infection in Japan
In this multicenter, matched case-control study, patients diagnosed with catheter-related bloodstream infection (CRBSI) caused by Bacillus cereus (n = 108) were matched to controls (n = 269)” Kutsuna et al (2017). Abstract: In this multicenter, matched case-control study, patients diagnosed with catheter-related bloodstream infection (CRBSI) caused by Bacillus cereus (n = 108) were matched to controls (n = 269). In the multivariable analysis, […]
Totally implantable IV Treprostinil therapy in pulmonary hypertension
Prostacyclins improve symptoms and survival in pulmonary arterial hypertension (PAH). In response to risks associated with external delivery systems, an implantable intravenous infusion system was developed” Waxman et al (2017). Abstract: BACKGROUND: Prostacyclins improve symptoms and survival in pulmonary arterial hypertension (PAH). In response to risks associated with external delivery systems, an implantable intravenous infusion […]
Ultrasound for placement of central venous catheters in pediatrics
To study the variability of techniques used for vascular access of central venous devices, totally implanted and external tunneled, as well as polling the use of ultrasound by pediatric surgeons in Spain” Sánchez Sánchez et al (2017). Abstract: OBJECTIVES: To study the variability of techniques used for vascular access of central venous devices, totally implanted […]
Review of Tactical Combat Casualty Care includes intraosseous access
Twenty years ago, the original Tactical Combat Casualty Care (TCCC) article was published in this journal” Butler (2017). Abstract BACKGROUND: Twenty years ago, the original Tactical Combat Casualty Care (TCCC) article was published in this journal. Since TCCC is essentially a set of bestpractice prehospital trauma care guidelines customized for use on the battlefield, the […]
PICC in the paediatric intensive care setting for CLABSI prevention
PICC should be an alternative to CVC in the paediatric intensive care setting for CLABSI prevention” Yamaguchi et al (2017). Abstract: PURPOSE: Central line-associated bloodstream infection (CLABSI) is an important cause of complications in paediatric intensive care units (PICUs). Peripherally inserted central catheters (PICCs) could be an alternative to central venous catheters (CVCs) and the […]
MRSA guidelines have a direct impact on CLABSI rates
During the study period, HA-MRSA and CLABSI rates decreased significantly. In 2007-2009, the significant decrease in HA-MRSA rates with stable CLABSI rates suggests an impact from MRSA-specific guidelines” Li et al (2017). Abstract: OBJECTIVE: We examined the impact of methicillin-resistant Staphylococcus aureus (MRSA) guidelines in Québec adult hospitals from January 1, 2006, to March 31, […]
Central venous catheter complications in patients with cystic fibrosis
This is the first longitudinal, multicenter assessment of complication rates for PICCs and TIVADs in a large cohort of adults and children with CF” May et al (2017). Abstract: BACKGROUND: Totally implantable venous access devices (TIVADs) or peripherally inserted central venous catheters (PICCs) are commonly used in the care of patients with cystic fibrosis (CF), […]
What is the impact of ethanol locks in home parenteral nutrition patients?
Ethanol lock therapy (ELT) has been shown to reduce the rate of catheter-related bloodstream infection (CRBSI) in high-risk home parenteral nutrition (HPN) patients. The aim of this study was to determine whether ELT therapy for all patients newly started on HPN would reduce the incidence of CRBSI” Salonen et al (2017). Abstract: BACKGROUND & AIMS: […]
The impact of pediatric-specific vancomycin dosing guidelines
Using quality improvement methodology with standardized higher initial vancomycin doses, we demonstrated improved adherence to national trough guidelines without noted safety detriment” Miloslavsky et al (2017). Abstract: BACKGROUND AND OBJECTIVES: There are limited data guiding vancomycin dosing practices in the pediatric population to target the goal troughs recommended by national vancomycin guidelines. In this study, […]
Clinical cases and analysis of calcium gluconate extravasation
Calcium gluconate extravasation is a process, which, although infrequent, is associated with serious skin and soft-tissue lesions, mainly affecting infants” Pacheco Compaña et al (2017). Abstract: INTRODUCTION: Calcium gluconate extravasation is a process, which, while not common, occurs more frequently in neonatal intensive care units. The aim of this study is to present a number […]
Possible treatment approach to an extravasation of 177Lu-PSMA-617
A rare accident of a subcutaneous extravasation in the elbow with 4280 MBq Lu-PSMA-617 occurred in our clinic” Schlenkhoff et al (2017). Abstract: A rare accident of a subcutaneous extravasation in the elbow with 4280 MBq Lu-PSMA-617 occurred in our clinic. We tried to reduce the damage by warming the elbow for 12 hours, then […]
Management of insulin therapy in neonatal diabetes mellitus
Neonatal diabetes mellitus (NDM) is a rare disorder, and guidance is limited regarding its optimal management. We reviewed insulin usage in NDM, with a focus on continuous subcutaneous insulin infusion (CSII)” Rabbone et al (2017). Abstract: AIMS: Neonatal diabetes mellitus (NDM) is a rare disorder, and guidance is limited regarding its optimal management. We reviewed […]
Ultrasound technique for axillary artery catheter placement
This report describes a needle-guided ultrasound technique for axillary arterial line placement in critically ill patients” Htet et al (2017). Abstract: PURPOSE: Axillary arterial cannulation for blood pressure monitoring has been reported in adults since 1973. Reported failure rates using palpation landmarks are high. This report describes a needle-guided ultrasound technique for axillary arterial line […]
Safety of Phenylephrine infusion through peripheral intravenous catheters
The traditional approach for infusing vasopressors is to insert central venous catheters, which is associated with several complications. Phenylephrine is a commonly used vasopressor in the neurologic intensive care unit (neuro ICU), and due to its modest potency, the risk of local tissue injury from extravasation may be overestimated” Datar et al (2017). Abstract: OBJECTIVE: […]
What are PICC associated complications in pediatric oncology patients?
The present population-based study evaluates the management and complications of peripherally inserted central catheters (PICC) in all pediatric oncology patients diagnosed in Maritimes, Canada from 2000 to 2014” Borretta et al (2017). Abstract: The present population-based study evaluates the management and complications of peripherally inserted central catheters (PICC) in all pediatric oncology patients diagnosed in […]
Nursing staff experience of using intravenous therapy technologies
To identify what are the difficulties of the nursing staff in the management of technologies during intravenous therapy (IVT) and discuss the difficulties identified under the perspective of patient’s safety” Moreira et al (2017). Abstract OBJECTIVES: To identify what are the difficulties of the nursing staff in the management of technologies during intravenous therapy (IVT) […]
Effect of IV paracetamol on pain from PICC placement in preterm infants
To determine the analgesic effects of different single intravenous paracetamol doses on pain from peripherally inserted central catheter (PICC) placement in preterm infants” Roofthooft et al (2017). Abstract: BACKGROUND: The availability of a safe and effective pharmacological therapy to reduce procedural pain in preterm infants is limited. The effective analgesic single dose of intravenous paracetamol […]
Review of vascular access in pediatric patients in the emergency department
Timely and effective assessment and management of difficult-access patients, pain control techniques that can assist vascular access, and contraindications to each type of vascular access are also discussed” Whitney and Langhan (2017). Abstract: Vascular access is a potentially life-saving procedure that is a mainstay of emergency medicine practice. There are a number of challenges associated […]
Evidence-based vascular access practice in burn care
This article reviews 5 areas in burn care that increasingly use evidence-based medicine to optimize quality and safety: resuscitation protocols, transfusion practices, vascular access…” Dale and Hultman (2017). Abstract: This article reviews 5 areas in burn care that increasingly use evidence-based medicine to optimize quality and safety: resuscitation protocols, transfusion practices, vascular access, venous thromboembolic […]
Experience of PICC placement by nurses in Hungary
We discuss our experience in insertion of PICC line at Pécs University, where the procedure is solely done by a certified registered nurse. We hope that with continuous progression of nurse competency, this procedure will be implemented at a higher scale in Hungary” Kollár et al (2017). Abstract: What is PICC line insertion? The PICC […]
Totally implantable venous access devices in children with medical complexity
In a subset of children with medical complexity (CMC) a continuous access to the central vascular system is advisable to eliminate unnecessary pain and stress and to improve home management and palliative care” Geremia et al (2017). Abstract: INTRODUCTION: Children with special health-care needs are an emerging and consistent population. In a subset of children […]
Reporting rate of needlestick injuries to nurses in Iran
The purpose of this systematic review and meta-analysis was to provide a precise estimate of the period prevalence of needlestick injuries (NSI) among nurses working in hospitals in Iran and the reporting rate of NSI to nurse managers” Rezaei et al (2017). Abstract: The purpose of this systematic review and meta-analysis was to provide a […]
Will patient posture affect blood sample results?
The results of this investigation provide further support to the notion that effort should be made to achieve widespread standardization in the practice of phlebotomy, including patient posture” Lima-Oliveira et al (2017). Abstract: BACKGROUND: Although data about the effect of posture on routine hematological testing were published 28 years ago, this pre-analytical issue has not […]
Measurement of electrolytes in patients admitted to the intensive care unit
To investigate whether benchtop auto-analyzers (AAs) and arterial blood gas (ABG) analyzers, for measuring electrolyte levels of patients admitted to intensive care units (ICU), are equal and whether they can be used interchangeably” Pant et al (2017). Abstract: OBJECTIVE: To investigate whether benchtop auto-analyzers (AAs) and arterial blood gas (ABG) analyzers, for measuring electrolyte levels […]