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Establishing a vascular access team in the emergency department

central line exchange

The aim of this article is to describe a needs assessment performed in a level-one academic emergency department to establish the need for a dedicated team for patients with difficult vascular access” Whalen et al (2017). Abstract: Peripheral vascular access is one of the most common procedures performed in emergency departments across the United States. […]

Taking blood samples from short peripheral IV catheters

preanalytical error

A new US Food and Drug Administration-cleared needleless blood collection device (PIVO; Velano Vascular, San Francisco, CA) for short peripheral catheters was compared with conventional venipuncture for collecting blood samples for routine laboratory analysis from adult healthy volunteers” Cadacio and Nachamkin (2017). Abstract: A new US Food and Drug Administration-cleared needleless blood collection device (PIVO; […]

What is the impact of extending short peripheral IV catheter dwell time

marsi

Removing and not routinely restarting unneccessary intravenous catheters can help prevent catheter-related infections and other vascular complications and reduce cost” Ansel et al (2017). Abstract: Complications involving short peripheral catheters (SPCs) can significantly affect health care costs, patient quality of life, morbidity, mortality, and treatment expense, especially when the hospital stay is lengthened. This article […]

Ultrasound assisted peripheral IV placement and thrombosis risk

Ultrasound

This study compared the rate of venous thrombosis in patients with and without US-guided catheter placement” Holder et al (2017). Abstract: Approximately 90% of hospitalized patients have a short peripheral intravenous catheter (SPC) placed. Methods of inserting the catheter have evolved over time and now include the use of ultrasound (US)-guided procedures for placement. Little […]

Evidence based practice for implantable port care

infusion

This article identifies strategies implemented at a comprehensive ambulatory cancer center to integrate professional evidence-based standards and guidelines for implanted port care into nursing practice at the point of care” Conley et al (2017). Abstract: Nearly 3 million central vascular access devices (CVADs) are used in the United States each year. These devices are an […]

Safety review of peripherally inserted central catheters during pregnancy

PICC

We investigated the incidence of complications associated with peripherally inserted central line catheters, inserted using a standardized technique, during pregnancy and the postpartum period” Jacques et al (2017). Abstract: PURPOSE: We investigated the incidence of complications associated with peripherally inserted central line catheters, inserted using a standardized technique, during pregnancy and the postpartum period. [ctt […]

Case report examines the differential diagnosis of trabectedin extravasation

However, there is no report of the utility of skin biopsies in the diagnosis of trabectedin extravasation” Yoshimi et al (2017). Extract: “Trabectedin is an alkylating antitumor agent. Studies have reported that trabectedin causes serious tissue injury. However, there is no report of the utility of skin biopsies in the diagnosis of trabectedin extravasation. [ctt […]

Survey compares the management of extravasation injury

tip location

Extravasation injury may occur in 0.1–6.5% of patients receiving chemotherapy1 and up to 11% in pediatric patients receiving intravenous (IV) fluids” Ching and Wong (2017). Abstract: Extravasation injury may occur in 0.1–6.5% of patients receiving chemotherapy1 and up to 11% in pediatric patients receiving intravenous (IV) fluids. Furthermore, rates extending to 70% have been observed […]

Prevalence of bacterial contamination in platelet concentrates in Mexico

Most common bacterial sepsis associated with transfusion is caused by contaminated Platelet Concentrates (PC). The screening of PC to detect bacterial contamination is obligatory in Mexico, and it is carried out in quality control programs” Ibáñez-Cervantes et al (2017). Abstract: OBJECTIVES: Most common bacterial sepsis associated with transfusion is caused by contaminated Platelet Concentrates (PC). […]

Avoiding nerve injury during venipuncture procedures

picc bloods

The median and radial nerves are two important neural structures found in the cubital fossa. The trajectory and landmarks used to identify their location are important when procedures are done in this area” Voin et al (2017). Abstract: INTRODUCTION: The median and radial nerves are two important neural structures found in the cubital fossa. The […]

Comparison of IV site antimicrobial impregnated disc dressings

CLABSI

To investigate the feasibility and safety of comparing two antimicrobial impregnated discs to prevent CLABSI” Webster et al (2017). Abstract: Background: A number of antimicrobial impregnated discs to prevent central-line associated blood stream infection (CLABSI) are marketed but it is unclear which disc is most effective. [ctt link=”vUKO2″ template=”1″]ReTweet if useful… Comparison of IV site […]

Urgent peritoneal dialysis decreases use of central venous catheters

infection prevention

Recent use of urgent peritoneal dialysis as the initial dialysis modality has resulted in decreased exposure to CVCs and in-center HD” Moist and Lok (2017). Abstract: The initiation of dialysis is a challenging time of transition for patients, families, and their supporters. Patients with exposure to a comprehensive chronic kidney disease clinic may have had […]

Successes and controversies in neonatal CLABSI reduction

Neonatal CLABSI rate

Over the past decade, numerous local, statewide, and national quality improvement initiatives have resulted in a significant reduction in CLABSI rates” Mobley and Bizzarro (2017). Abstract: Central line-associated bloodstream infections (CLABSI) are among the most common healthcare-acquired infections in the neonatal intensive care unit (NICU) population and are associated with an increased risk of morbidity […]

Massive hemothorax following placement of central venous catheter

UEDVT

However, a massive left hemothorax developed because of perforation of the brachiocephalic vein and violation of the pleural space” Wetzel et al (2017). Abstract: An elderly male presented for emergent repair of a ruptured abdominal aortic aneurysm. For anticipated volume resuscitation, vasopressor administration, and hemodynamic monitoring, a large-bore central venous catheter was placed in the […]

Families can help detect medical errors and safety incidents that hospitals miss

child iv

This review discusses new research comparing rates of medical errors and adverse events collected by interviews with families or caregivers to standard methods of hospital safety surveillance” McBride (2017). Abstract: Identifying medical errors and adverse events (events that cause harm) is an essential part of hospital safety surveillance systems, but usually do not include input […]

What is the effect of tourniquet application after local forearm warming prior to cannulation?

piv

To evaluate the effectiveness of tourniquet application after local forearm warming with that of tourniquet application alone in young and middle-aged adults” Yamagami et al (2017). Abstract: BACKGROUND: Local forearm warming before tourniquet application is often used to promote venodilation for peripheral intravenous cannulation; however, few studies have compared the effect of tourniquet application with […]

Effectiveness of beraprost sodium in maintaining vascular access patency

therapeutic temperature management

This study aimed to investigate the effects of beraprost sodium, an oral synthetic analog of prostaglandin I2, on vascular access patency in patients on hemodialysis who experienced primary hemodialysis vascular access failure” Kim et al (2017). Abstract: PURPOSE: Hemodialysis vascular access dysfunction, mostly attributed to neointimal hyperplasia, is a major cause of morbidity and hospitalization […]

Nursing undergraduate students’ knowledge of intravenous procedures

midline catheters

to assess the knowledge of scholars on Nursing regarding simple hands hygiene (SHH), blood pressure measurement (BP), peripheral venipuncture (PV) with venous catheter and male urethral catheterization delay (UCD) procedures” Melo et al (2017). Abstract: OBJECTIVE: to assess the knowledge of scholars on Nursing regarding simple hands hygiene (SHH), blood pressure measurement (BP), peripheral venipuncture […]

Draft genome sequence of Roseomonas mucosa strain AU37 isolated from peripheral IV catheter tip

central venous catheter

Here, we report the draft genome sequence of Roseomonas mucosa strain AU37, isolated from a peripheral intravenous catheter tip” Abu Choudhury et al 92017). Abstract: Roseomonas mucosa is an opportunistic pathogen that causes infections in humans and is often associated with vascular catheter-related bacteremia. Here, we report the draft genome sequence of Roseomonas mucosa strain […]

Cost of radiological placement of central venous port and PICC catheters

picc teams

To perform a retrospective analysis of interventional radiologic implantation of CVPS and PICC lines in a large patient population including a cost analysis of both methods as well as an investigation the learning curve in terms of the interventions’ durations” Rotzinger et al (2017). Abstract: Background: Placement of central venous port catheters (CVPS) and peripherally […]

Update on biofilms and central venous access devices

CRBSI

Beside aseptic care and antibiotic-impregnated catheters (like minocycline/rifampin), preventive locks can be proposed in some cases, whereas non-biocidal approaches are under active research like anti-adhesive or competitive interactions strategies. When the diagnosis of catheter-related bloodstream infection (CRBSI) is suspected on clinical symptoms, it requires a microbiological confirmation by paired blood cultures in order to avoid […]

Tracking and understanding BSI in pediatric hematology-oncology patients

child iv

To assess the burden of bloodstream infections (BSIs) among pediatric hematology-oncology (PHO) inpatients, to propose a comprehensive, all-BSI tracking approach, and to discuss how such an approach helps better inform within-center and across-center differences in CLABSI rate” Gaur et al (2017). Abstract: OBJECTIVE: To assess the burden of bloodstream infections (BSIs) among pediatric hematology-oncology (PHO) […]

Comparing CRBSI in pediatric and adult cancer patients

clabsi

In this study, we compared CRBSIs in both the pediatric and adult cancer population” Zakhour et al (2017). Abstract: OBJECTIVE: Central venous catheters (CVCs) are essential to treatment of children with cancer. There are no studies comparing catheter-related bloodstream infections (CRBSIs) in pediatric cancer patients to those in adults, although current guidelines for management of […]

Neonatal hemidiaphragmatic paralysis following central venous catheter extravasation

neonatal picc

We report a case of a preterm neonate born at 26 weeks’ of gestation diagnosed with unilateral diaphragmatic paralysis. This paralysis was a consequence of a phrenic nerve injury due to extravasation of hyperosmolar parenteral nutrition fluid in the upper thorax” Hobson et al (2017). Abstract: We report a case of a preterm neonate born […]

Percutaneous retrieval of a fractured dialysis central venous catheter using a balloon

central tip

A gooseneck loop snare is the most popular device for endovascular retrieval of intravascular foreign bodies” Lee et al (2017). Abstract: Intravascular foreign bodies can cause serious complications and catheter fracture with or without embolization is a rare, serious event. Intravascular fragments from broken catheters can be retrieved percutaneously or surgically, and should be removed […]

Medication error prevention using the Toyota Production System quality improvement methodology

picc line prevalence

Systematic evaluation and standardization of medication handling processes by anesthesia providers in the operating room can decrease medication errors and improve patient safety” Martin et al (2017). Abstract: The Institute of Medicine has called for development of strategies to prevent medication errors, which are one important cause of preventable harm. Although the field of anesthesiology […]

Risk factors for developing CLABSI in children with malignancies

paediatric BSI

This retrospective epidemiological study reviewed 91 children with malignancies over a 5-year period between 2011 and 2015 and analyzed potential risk factors for developing a CLABSI” Miliaraki et al (2017). Abstract: BACKGROUND: A central line-associated bloodstream infection (CLABSI) is a common complication in children with malignancies, often leading to prolonged hospitalization, delay in chemotherapy or […]

Reliability of administrative coded data for the identification of HAI

clabsi bundle

To conduct an updated assessment of the validity and reliability of administrative coded data (ACD) in identifying hospital-acquired infections (HAIs)” Redondo-González et al (2017). Abstract: OBJECTIVE: To conduct an updated assessment of the validity and reliability of administrative coded data (ACD) in identifying hospital-acquired infections (HAIs). METHODS: We systematically searched three libraries for studies on […]

Inadvertent aortic arch cannulation complicated by stroke

cvc

Accidental arterial cannulation during central venous catheter insertion is a serious complication that is associated with a high risk of vascular and neurologic complications” Othman et al (2017). Extract: Accidental arterial cannulation during central venous catheter insertion is a serious complication that is associated with a high risk of vascular and neurologic complications. Herein, we […]

OPAT service for children with pyelonephritis and meningitis

PICC

Despite the benefits of home treatment with outpatient parenteral antimicrobial therapy (OPAT), children with pyelonephritis and meningitis are rarely included” Hensey et al (2017). Abstract: BACKGROUND: Despite the benefits of home treatment with outpatient parenteral antimicrobial therapy (OPAT), children with pyelonephritis and meningitis are rarely included. We aimed to compare clinical characteristics and outcomes between […]