Drug combinations suitable for continuous subcutaneous infusion
A continuous subcutaneous infusion (CSCI) delivered via syringe pump is a method of drug administration used to maintain symptom control when a patient is no longer able to tolerate oral medication” Dickman et al (2017). Abstract: BACKGROUND: A continuous subcutaneous infusion (CSCI) delivered via syringe pump is a method of drug administration used to maintain […]
Developing a method to remove embedded tunnelled vascular access catheters
Embedded catheters can be successfully managed by endoluminal dilatation with minimal complications and factors associated with embedding include dwell times > 2 years and/or with a history of central venous stenosis” Talreja et al (2017). Abstract: BACKGROUND: With the increasing frequency of tunneled hemodialysis catheter use there is a parallel increase in the need for […]
Protocol example for usability validation of medical devices
This paper proposes and demonstrates an extended protocol for usability validation testing of medical devices” Schmettow et al (2017). Abstract: This paper proposes and demonstrates an extended protocol for usability validation testing of medical devices. A review of currently used methods for the usability evaluation of medical devices revealed two main shortcomings. Firstly, the lack […]
Key points of updated hand hygiene guidelines
The updated AORN “Guideline for hand hygiene” provides guidance on hand hygiene and surgical hand antisepsis, the wearing of fingernail polish and artificial nails, proper skin care to prevent dermatitis, the wearing of jewelry, hand hygiene product selection, and quality assurance and performance improvement considerations” Goldberg (2017). Abstract: Performing proper hand hygiene and surgical hand […]
Knowledge about interventional patient hygiene in critical care units
To identify the level of nurses’ practice and knowledge about interventional patient hygiene and identify barriers for implementing interventional patient hygiene in critical care units” El-Soussi and Asfour (2017). Abstract: BACKGROUND: The Nursing profession is struggling to return to basic nursing care to maintain patients’ safety. “Interventional patient hygiene” (IPH) is a measurement model for […]
Persistent left superior vena cava observed following implantable port placement
Persistent left superior vena cava is the most common congenital venous anomaly of the thoracic venous system, occurring in 0.3% to 0.5% of individuals in the general population” Sarsenov et al (2017). Abstract: Persistent left superior vena cava is the most common congenital venous anomaly of the thoracic venous system, occurring in 0.3% to 0.5% […]
Clinical characteristics and mortality of central line associated candidaemia
Central venous catheters among non-albicans Candida candidaemia episodes and urinary system among C. albicans candidaemia episodes were common source of candidaemia compared to each other” Yeşilkaya et al (2017). Abstract: Candidaemia still continues to be a serious medical concern and the epidemiology of candidaemia varies according to geographical areas. We aim to determine the incidence, […]
Central line associated sepsis in children receiving parenteral nutrition
The objective of the study was to report the incidence of CLABSI and associated mortality in children receiving PN in the Royal Hospital and study the indication and duration of PN use” Al Lawati et al (2017). Abstract: Parenteral Nutrition (PN) is used when gut fails to provide complete nutrition. Central line Associate Blood Stream […]
Effect of familiar auditory stimulus on the physiologic response to venipuncture pain
This study sought to test the effects of a familiar auditory stimulus on the physiologic responses to pain of venipuncture among neonates in intensive care unit” Azarmnejad et al (2017). Abstract: Hospitalized neonates usually undergo different painful procedures. This study sought to test the effects of a familiar auditory stimulus on the physiologic responses to […]
Risk factors for candidemia among non-neutropenic patients
The aim of our study was to identify risk factors for candidemia among non-neutropenic patients hospitalized in IMWs” Falcone et al (2017). Abstract: BACKGROUND: An increasing prevalence of candidemia has been reported in Internal Medicine wards (IMWs). The aim of our study was to identify risk factors for candidemia among non-neutropenic patients hospitalized in IMWs. […]
Complications of peripherally inserted central catheters in advanced cancer patients
This study aimed to identify whether patients with advanced cancers were at high risk of peripherally inserted central catheter (PICC)-related complications when treated with concurrent chemo-radiotherapy” Xie et al (2017). Abstract: AIMS AND OBJECTIVES: This study aimed to identify whether patients with advanced cancers were at high risk of peripherally inserted central catheter (PICC)-related complications […]
Procedural aspects in inserting central venous catheters that minimise CLABSI risk
To investigate the procedural aspects in inserting central venous catheters that minimise central line associated bloodstream infections rates in adult intensive care units through a structured literature review” Hina and McDowell (2017). Abstract: AIM: To investigate the procedural aspects in inserting central venous catheters that minimise central line associated bloodstream infections rates in adult intensive […]
Comparative effectiveness of linezolid versus vancomycin antibiotic therapy
There was no statistically significant difference between linezolid and vancomycin when used as definitive treatment for hVICoNS CLABSI in NICU patients, in terms of CLABSI duration, recurrence or all-cause mortality” Blanchard et al (2017). Abstract: OBJECTIVES: Heterogeneously resistant vancomycin-intermediate coagulase-negative staphylococci (hVICoNS) are emerging pathogens causing central-line-associated bloodstream infections (CLABSIs) in neonatal intensive care unit […]
Definitional change associated with an increase in CLABSI events
We compared CAUTI and CLABSI NHSN-defined outcomes for calendar years 2014 and 2015 in the adult intensive care units (ICUs) of a single large health system” Fakih et al (2017). Abstract: BACKGROUND The National Healthcare Safety Network (NHSN) catheter-associated urinary tract infection (CAUTI) definition was revised as of January 2015 to exclude funguria and lower […]
Standardizing concentrations of adult intravenous drug infusions
A multidisciplinary, consensus-driven initiative to promote the use of standardized medication concentrations for adult drug infusions across the state of Indiana is described” Walroth et al (2017). Abstract: Purpose: A multidisciplinary, consensus-driven initiative to promote the use of standardized medication concentrations for adult drug infusions across the state of Indiana is described. [ctt link=”0e21N” template=”1″]ReTweet […]
Y-site compatibility testing between vancomycin and piperacillin-tazobactam
Despite observed compatibility between vancomycin and piperacillin-tazobactam via simulated Y-site testing, visual evidence of physical incompatibility was observed during actual Y-site infusion” Kufel et al (2017). Abstract: Background: Published literature has demonstrated commercially available premix vancomycin (5 mg/mL) and piperacillin-tazobactam (67.5 mg/mL) as physically compatible via simulated Y-site methodology. Compatibility via actual Y-site infusion has […]
Risks associated with central venous access device use in children
Adherence to CVC care protocols is essential in reducing infectious complications” Ares and Hunter (2017). Abstract: PURPOSE OF REVIEW: Central venous catheters (CVCs) have a prominent role in the diagnostic and therapy of neonates and children. Herein, we describe the multiple indications for CVC use and the different devices available for central venous access. Given […]
Scoping review of central venous catheter care standards
Randomized controlled trials evaluate the effectiveness of interventions for central venous access devices, however, high complication rates remain. Scoping reviews map the available evidence and demonstrate evidence deficiencies to focus ongoing research priorities” Takashima et al (2017). Abstract: BACKGROUND: Randomized controlled trials evaluate the effectiveness of interventions for central venous access devices, however, high complication […]
Persistent left superior vena cava and absent of right internal jugular vein
This prompted insertion of a central venous catheter on the left side of the neck in the presence of normal vascular anatomy. A subsequent chest X-ray revealed an abnormal course of the catheter consistent with presence of persistent left superior vena cava” Sonawane et al (2017). Abstract: Persistent left superior vena cava is a rare […]
Which microorganisms contaminate intravenous needleless connectors?
The aim of this study was to quantify culturable microorganisms on needleless connectors (NCs) attached to peripheral intravenous catheters in hospitalized adult medical patients” Slater et al (2017). Abstract: The aim of this study was to quantify culturable microorganisms on needleless connectors (NCs) attached to peripheral intravenous catheters in hospitalized adult medical patients. Half (50%) […]
Implantable port catheter placement in patients with mastectomy
To evaluate long-term clinical follow-up results of implanting subcutaneous port catheters (SPCs) on ipsilateral or contralateral with mastectomy side in patients with axillary lymph node dissection” Nas et al (2017). Abstract: PURPOSE: To evaluate long-term clinical follow-up results of implanting subcutaneous port catheters (SPCs) on ipsilateral or contralateral with mastectomy side in patients with axillary […]
Efficacy of various IV cannula for rapid IV fluid administration
The current study prospectively evaluates the administration of fluid through commonly used vascular cannulas of various length and diameter” Kamata et al (2017). Abstract: OBJECTIVES: The current study prospectively evaluates the administration of fluid through commonly used vascular cannulas of various length and diameter. DESIGN: Observational, in vitro experiment. [ctt link=”c51WG” template=”1″]ReTweet if useful… Efficacy […]
Ultrasound-guided venous catheterization in apheresis
To investigate if ultrasound guidance for PVC could be implemented among apheresis nurses. Second, how implementation of ultrasound guidance affected the number of CVCs used for apheresis per patient” Gopalasingam et al (2017). Abstract: BACKGROUND: Apheresis treatments can be performed with peripheral venous catheters (PVC), although central venous catheters (CVC) are inserted when PVCs fail […]
Delta checks effective tool for detecting transfusion blood group errors
Delta checks proved to be an effective tool for detecting blood group errors and prevention of accidental mismatched blood transfusions” Makroo and Bhatia (2017). Abstract: BACKGROUND: Blood grouping is the single most important test performed by each and every transfusion service. A blood group error has a potential for causing severe life-threatening complications. A number […]
Echocardiogram determines umbilical venous catheter tip location in very low birth weight infants
To compare chest X-ray with echocardiogram (ECHO) in the localization of an umbilical venous catheter (UVC) tip in very low birth weight infants (VLBW)” Karber et al (2017). Abstract: OBJECTIVE: To compare chest X-ray with echocardiogram (ECHO) in the localization of an umbilical venous catheter (UVC) tip in very low birth weight infants (VLBW). Secondary […]
Negative-pressure wound therapy treats epirubicin extravasation injury
To the best of the authors’ knowledge, this is the first report of a strategy comprising the combination of negative-pressure wound therapy and a latissimus pedicle flap for reconstruction of the chest wall after soft tissue necrosis following epirubicin extravasation” Papadakis et al (2017). Abstract PURPOSE: Accidental extravasation is a serious iatrogenic injury among patients […]
Missed guide wire in inferior vena cava after central venous cannulation
We report an interesting clinical report of missed guide wire during central venous cannulation in the right internal jugular vein (IJV)” Tomar et al (2017). Extract: “We report an interesting clinical report of missed guide wire during central venous cannulation in the right internal jugular vein (IJV). A 79-year-old female patient, known case of chronic […]
Rapid detection and species-level identification of yeasts
The purpose of this study was to explore if a disposable CSA could differentially identify 7 species of pathogenic yeasts growing in blood culture” Shrestha et al (2017). Abstract BACKGROUND: A colorimetric sensor array (CSA) has been demonstrated to rapidly detect and identify bacteria growing in blood cultures by obtaining a species-specific “fingerprint” of the […]
Evaluation of peripherally inserted central catheter complications
We describe a prospective observational cohort (N = 187) to evaluate peripherally inserted central catheter line complications concurrently from the time of placement until removal” Liscynesky et al (2017). Abstract: We describe a prospective observational cohort (N = 187) to evaluate peripherally inserted central catheter line complications concurrently from the time of placement until removal. A significantly higher percentage […]
Rates of central line–associated bloodstream infection in 3 Arabian gulf countries
After adjusting for differences in intensive care unit types, the risk of CLABSI in GCC hospitals was 146% higher than NHSN hospitals but 33% lower than INICC hospitals” Balkhy et al (2017). Abstract: The objective of this study was to compare central line–associated bloodstream infection (CLABSI) rates in Gulf Cooperation Council (GCC) states with those […]