Full text article describes a dramatic side effect from IV pethidine administration
We report an unusual and dramatic side effect from IV pethidine administration and its implications” Krishnan and Sultan (2014). Abstract: Pethidine is used in some centres for post operative rescue analgaesia, among other indications. We report an unusual and dramatic side effect from IV pethidine administration and its implications. [button link=”http://www.bjmp.org/files/2014-7-1/bjmp-2014-7-1-a707.pdf” color=”default”]Full Text[/button] [spacer height=”20px”] […]
Point-of-care and clinical ultrasound guidelines in medicine
Since the last update of these guidelines in 2008, US use has expanded throughout clinical medicine and established itself as a standard in the clinical evaluation of the emergency patient” American College of Emergency Physicians (2017). Extract: Ultrasound (US) has become an integral modality in emergency care in the United States during the last two […]
What is the benefit of ultrasound screening pre vascular access device insertion?
Hence, plan to cannulate CV was abandoned, and USG-guided peripheral venous access with 22-gauge 80 mm polyethylene pediatric catheter (Leadercath, Vygon) was obtained in median cubital vein. He remained on IV antibiotics and nebulization therapy for 3 days in ICU, to which he responded well and discharged to home after 5 days” Bihani, et al […]
How to treat Deep Vein Thrombosis of the upper extremity – full text
Deep venous thrombosis (DVT) arises with an incidence of about 1 per 1000 persons per year; 4-10% of all DVTs are located in an upper extremity (DVT-UE). DVT-UE can lead to complications such as post-thrombotic syndrome and pulmonary embolism and carries a high mortality” Heil et al (2017). Abstract: BACKGROUND: Deep venous thrombosis (DVT) arises […]
What should we expect from peripheral intravenous cannulation?
…this article will consider the risk of catheter-related bloodstream infections and needlestick injuries, national and international guidelines on infection prevention and safety in intravenous access…” Barton et al (2017). Abstract: Peripheral intravenous cannulation is a common clinical procedure in today’s healthcare setting. There are a range of different devices to choose from, and this article […]
Evaluation of the impact of Vessel Health and Preservation Framework implementation
The Vessel Health and Preservation (VHP) framework was developed with the intention of providing frontline staff with a resource to assist in assessing and selecting the best vascular access device to meet individual patient needs and to preserve veins for future use” Weston et al (2017). Abstract: Vascular access is an important component of health […]
How to implement smart infusion pumps with dose-error reduction software
This article discuses the challenges and benefits of implementing DERS in clinical practice as experienced by three UK trusts” Heron (2017). Abstract: Intravenous (IV) drug administration, especially with ‘smart pumps’, is complex and susceptible to errors. Although errors can occur at any stage of the IV medication process, most errors occur during reconstitution and administration. […]
Vascular access associated medical adhesive-related skin injury
Skin can react to different types of dressings or adhesives, or problems can arise relating to the securement of lines or the development of sensitivities to cleaning solutions” Hitchcock and Savine (2017). Abstract: Establishing vascular access and preventing infection, both at insertion and during ongoing care is generally the top priority; the maintenance of optimal […]
Seroconversion rate among health care workers exposed to HIV-contaminated body fluids
HIV does not seem to be as easily transmitted by needlestick, laceration, or splash injuries as previously surmised” Nwaiwu et al (2017). Reference: Background: The studies enumerating the risk of HIV transmission to health care workers (HCWs) as 0.3% after percutaneous exposure to HIV-positive blood, and 0.09% after a mucous membrane exposure, are weakened by […]
Impact of daily chlorhexidine bathing to reduce colonization
Following the implementation of daily CHG bathing, the incidence of MDROs remained low and constant over time, whereas the prevalence decreased immediately after the implementation” Musuuza et al (2017). Abstract: Background: Colonized patients are a reservoir for transmission of multidrug-resistant organisms (MDROs). Not many studies have examined the effectiveness of daily chlorhexidine gluconate (CHG) bathing […]
Hemodynamic effects of sodium bicarbonate administration in neonates
To describe the hemodynamic changes that occur with sodium bicarbonate (NaHCO3) administration in premature neonates” Katheria et al (2017). Abstract: Objective: To describe the hemodynamic changes that occur with sodium bicarbonate (NaHCO3) administration in premature neonates. [ctt link=”K9dSA” template=”1″]ReTweet if useful… Hemodynamic effects of sodium bicarbonate administration in neonates https://ctt.ec/K9dSA+ @ivteam #ivteam[/ctt] Study Design: This […]
Colonization of central venous catheter and arterial catheter tips
Central line associated bloodstream infections (CLABSIs) are a significant source of morbidity, mortality, and increased cost to hospitalized paediatric patients” Lee et al (2017). Abstract: Central line associated bloodstream infections (CLABSIs) are a significant source of morbidity, mortality, and increased cost to hospitalized paediatric patients. Colonization of central venous catheter (CVC) tips likely increase risk […]
Pharmacodynamics of meropenem, cefepime and aztreonam by IV push over 5 minutes
Simulations of meropenem, cefepime, and aztreonam by i.v. push over 5 minutes indicated that there would be minimal or no effect on pharmacodynamic exposures compared with the effect when administered by 30-minute infusions” Butterfield-Cowper and Burgner (2017). Abstract: Purpose: The effects of i.v. push administration on the pharmacodynamic exposures of meropenem, cefepime, and aztreonam were […]
Stability of methotrexate in 0.9% sodium chloride injection and 5% dextrose injection
Results of an evaluation of the stability of methotrexate in 0.9% sodium chloride injection and 5% dextrose injection are presented” Nissen et al (2017). Abstract: Purpose: Results of an evaluation of the stability of methotrexate in 0.9% sodium chloride injection and 5% dextrose injection are presented. [ctt link=”n146h” template=”1″]ReTweet if useful… Stability of methotrexate in […]
Pleural effusion on the contralateral side of a peripherally inserted central catheter
We report this case of hydrothorax secondary to a misplaced central catheter on the contralateral side of its peripheral insertion” Sancak et al (2017). Abstract: A preterm newborn infant, delivered at 30 weeks of gestation and 965 g birth weight, developed respiratory distress with resistant hypoxia after a central catheter line was inserted via the […]
Method to determine umbilical venous catheter length
Central venous access is frequently provided by way of umbilical venous catheter placement in critically ill newborns. This study compared the methods of Dunn, Shukla-Ferrara, and Revised Shukla-Ferrara in determining the appropriate insertion length of umbilical vein catheters” Mutlu et al (2017). Abstract: AIM: Central venous access is frequently provided by way of umbilical venous […]
Vascular access procedural experience and competence
“This study evaluated associations between residents’ medical procedure skills measured in a simulation laboratory and self-reported procedure experience and year of training” Barsuk et al (2017).
Review of high-fidelity simulation for parent central-line education
As an adjunct to usual care central-line education, translation of high-fidelity simulation to parent education is a novel approach that shows promise for improving central-line care at home in children with cancer” Heiser Rosenberg et al (2017). Abstract: BACKGROUND: Ambulatory central-line infections in children with cancer are life-threatening. Infections are two to three times more […]
Heparin reduces activity of vancomycin and linezolid central catheter lock solutions
Heparin reduced activity of vancomycin and linezolid lock solutions against S. aureus, S. epidermidis, and E. faecalis biofilms. While linezolid or vancomycin lock solution reduced overall biofilm burden, it did not completely eradicate the bacteria at tested concentrations” Luther et al (2016). Abstract Purpose: The activity of linezolid and vancomycin lock solutions against biofilm-producing strains […]
Creating a pediatric joint council to promote patient safety and quality
At Johns Hopkins Medicine, a Pediatric Joint Council was created to help ensure high-quality and safe care across a health system encompassing two full-service children’s hospitals and two community hospitals with significant pediatric volumes across two states” Rosen et al (2017). Abstract: BACKGROUND: Large multihospital health systems with multiple children’s hospitals are relatively few in […]
Device-associated infections in an intensive care unit in Nepal
Incidence of DA-HAIs in the study intensive care unit was high compared with that of developed countries. Formulation and implementation of standard infection control protocols, active surveillance of DA-HAIs, and antimicrobial stewardship are urgently needed in our country” Parajuli et al (2017). Abstract: BACKGROUND: Device-associated health care-acquired infections (DA-HAIs) in intensive care unit patients are […]
Ultrasound screening for central venous catheter tip position and exclusion of pneumothorax
Transthoracic echocardiography and lung ultrasound are noninferior to chest x-ray for screening of pneumothorax and accurate central venous catheter positioning” Amir et al (2017). Abstract: OBJECTIVES: Although real-time ultrasound guidance during central venous catheter insertion has become a standard of care, postinsertion chest radiograph remains the gold standard to confirm central venous catheter tip position […]
Central line fibrin sheath-associated endovascular infection
Although transthoracic echocardiography was unremarkable, transoesophageal echocardiography revealed a fibrin sheath and vegetations in superior vena cava-right atrium junction, which was the site of the tip of a central catheter that had been removed 2 months prior, consistent with fibrin sheath-associated endovascular infection” Sheikh et al (2017). Abstract: Chronic indwelling central venous catheters can result […]
Rivaroxaban for treatment of central venous catheter associated upper extremity deep vein thrombosis
Rivaroxaban showed promise in treating CVC-UEDVT in cancer patients, resulting in preserved line function” Davies et al (2017). Abstract: INTRODUCTION: Patients with cancer are at increased risk of thrombosis, particularly those with central venous catheter (CVC) placement, which may predispose to the development of upper extremity deep vein thrombosis (UEDVT). Standard treatment includes low molecular […]
Improving needle visualization during ultrasound-guided central venous catheter placement
This study evaluated the existing technology used to improve the safety and ease of ultrasound-guided central venous catheterization” Ikhsan et al (2017). Abstract: This study evaluated the existing technology used to improve the safety and ease of ultrasound-guided central venous catheterization. Electronic database searches were conducted in Scopus, IEEE, Google Patents, and relevant conference databases […]
Frequency of first-attempt ultrasound assisted axillary vein cannulation
The primary objective was to compare the frequency of first-attempt successful axillary vein cannulation by the Seldinger technique using out-of-plane ultrasound guidance versus in-plane imaging” Maddali et al (2017). Abstract: OBJECTIVE: The primary objective was to compare the frequency of first-attempt successful axillary vein cannulation by the Seldinger technique using out-of-plane ultrasound guidance versus in-plane […]
Systematic review of YouTube videos that demonstrate blood sampling in newborns
Objective of this study was to conduct a systematic review of YouTube videos showing neonatal blood sampling, and to evaluate pain management and comforting interventions used” Bueno et al (2017). Abstract: Objective of this study was to conduct a systematic review of YouTube videos showing neonatal blood sampling, and to evaluate pain management and comforting […]
Effectiveness of gentamicin lock solutions for dialysis catheters
The lack of antibiotic lock solutions led to an increase in bacteremia rates and higher financial cost for inpatient management of bacteremia. Our findings highlight the importance of consistent supply of pharmaceuticals” Goh et al (2017). Abstract: The use of antibiotic lock solutions as prophylaxis for catheter-associated blood stream infection (CRBSI) has been shown to […]
Evaluation of outpatient parenteral antimicrobial therapy (OPAT) models
Evaluate evidence of the efficacy, safety, acceptability and cost-effectiveness of outpatient parenteral antimicrobial therapy (OPAT) models” Mitchell et al (2017). Abstract: OBJECTIVE: Evaluate evidence of the efficacy, safety, acceptability and cost-effectiveness of outpatient parenteral antimicrobial therapy (OPAT) models. DESIGN: A systematic review. [ctt link=”z36Xa” template=”1″]ReTweet if useful… Evaluation of outpatient parenteral antimicrobial therapy (OPAT) models […]
Authors investigate the care coordination component of OPAT patient preparation
Outpatient parenteral or prolonged oral antibiotic therapy (OPAT) programs reduce inpatient healthcare costs by shifting care to outpatient settings. Care coordination (CC) is a necessary component to successfully transition patients. Our objective was to assess outcomes of provider time spent on nonreimbursable CC activities in a pediatric OPAT program” Vaz et al (2017). Abstract: BACKGROUND: […]