Septic transfusion case caused by a contaminated platelet pool
Contamination of platelet concentrates (PCs) with Staphylococcus aureus is one of the most significant ongoing transfusion safety risks in developed countries” Loza-Correa et al (2017). Abstract: BACKGROUND: Contamination of platelet concentrates (PCs) with Staphylococcus aureus is one of the most significant ongoing transfusion safety risks in developed countries. [ctt link=”v4168″ template=”1″]ReTweet if useful… Septic transfusion […]
Hypotensive resuscitation among trauma patients
Hypotensive resuscitation, also called permissive hypotension, is a resuscitation strategy that uses limited fluids and blood products during the early stages of treatment for hemorrhagic shock” Carrick et al (2016). Abstract: Hemorrhagic shock is a principal cause of death among trauma patients within the first 24 hours after injury. Optimal fluid resuscitation strategies have been […]
Sharps injury surveillance systems reviewed in this article
The United States Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard as amended by the Needlestick Safety and Prevention Act requiring the use of safety-engineered medical devices to prevent needlesticks and sharps injuries has been in place since 2001” Mitchell et al (2017). Abstract: The United States Occupational Safety and Health Administration (OSHA) Bloodborne […]
How safe is premixed or standardized parenteral nutrition in newborns?
This study aims at assessing the modality of use and safety of premixed standardized PN solutions in a nationwide prospective cohort of newborns treated in clinical practice” Lapillonne et al (2017). Abstract: BACKGROUND & AIMS: Limited or delayed availability of parenteral nutrition (PN) solutions, as well as difficulties in ordering are often identified as reasons […]
Full text publication compares PICC placement with chest X-ray and real time tip navigation
The purpose of this study was to evaluate time and cost of the Sherlock 3CG TCS and blind insertion with chest X-ray tip confirmation (BI/CXR) for PICC insertions” Tomaszewski et al (2017). Abstract: BACKGROUND: The Sherlock 3CG™ Tip Confirmation System (TCS) provides real-time peripherally inserted central catheter (PICC) tip insertion information using passive magnetic navigation […]
Combined risk of hemodialysis catheters and cardiac implantable electronic devices
The concomitant presence of a venous HD catheter and cardiovascular implantable device creates a high-risk circumstance, with potential for causing symptomatic central venous stenosis, and for developing complicated endovascular infection” Saad and Weiner (2017). Abstract: End-stage renal disease is frequently accompanied by cardiac comorbidity that warrants treatment with a cardiovascular implantable electronic device (permanent pacemaker […]
Incidence of phlebitis in patients taking peripherally infused amiodarone
Peripheral infusion of amiodarone may cause blood vessels irritation and phlebitis that is the most common complication of this drug by this route even when it is administered within recommended dosing limits” Ayat-Isfahani et al (2017). Abstract: Intravenous amiodarone is considered an effective treatment option for cardiac ventricular and atrial arrhythmias. Peripheral infusion of amiodarone […]
Management of parenteral nutrition in critically ill patients
If accurately managed, PN can be safely provided for most critically ill patients without expecting a relevant incidence of PN-related complications” Cotogni (2017). Abstract: Artificial nutrition (AN) is necessary to meet the nutritional requirements of critically ill patients at nutrition risk because undernutrition determines a poorer prognosis in these patients. There is debate over which […]
Outcome of ultrasound-guided peripheral intravenous catheters in children
The aim of this study was to examine the success rates, longevity, and complications of ultrasound-guided peripheral intravenous lines (USgPIVs) placed in a pediatric emergency department” Vinograd et al (2017). Abstract: OBJECTIVE: The aim of this study was to examine the success rates, longevity, and complications of ultrasound-guided peripheral intravenous lines (USgPIVs) placed in a […]
Outcome of totally implantable venous access port use in children
We report our long-term follow-up results of utilization of totally implantable venous access devices for long-term chemotherapy in children” Shankar et al (2016). Abstract: Children with malignancy require venous access that is reliable, safe and compliant on a long-term basis. There is little data available on utilization of totally implantable venous access devices (TIVAD) for […]
Vascular access for continuous venous-venous ultrafiltration in a toddler
We present a technique to facilitate exchange of a 4 Fr double-lumen central venous catheter to an 8 Fr double-lumen dialysis catheter for CVVH in a 2-year-old toddler who developed acute renal failure following surgery for congenital heart disease” Tobias (2017). Abstract: Acute renal failure is associated with increased mortality in the Pediatric Intensive Care […]
Experimental method to de-clot occluded implantable vascular access ports
We devised an experimental port model for the evaluation of mechanical TIVAP recanalization prior to its clinical application” Song et al (2017). Abstract: PURPOSE: To test the hypothesis that mechanical injection of saline is safe and effective in restoring patency of totally implantable venous access ports (TIVAPs) with clot occlusion. We devised an experimental port […]
What you can and cannot do with smart infusion pumps?
This article discusses what smart pumps can—and can’t—do and how nurses can avoid common safety pitfalls associated with their use” Giuliano and and Ruppel (2017). Extract: “The Introduction of smart pumps, sometimes called smart infusion pumps or intelligent infusion devices, represents a significant advancement in I.V. medication administration safety.1 Numerous examples in the literature attribute […]
How cost effective are subcutaneously anchored sutureless devices?
Every device must be efficient, safe and cost effective, but it is not enough to use it properly without considering the environment in which it will be employed. We applied this kind of analysis to subcutaneously anchored sutureless devices (SAS)” Zerla et al (2017). Abstract: Purpose: In recent years, a large variety of medical devices […]
List of PICC-related complications in cancer patients?
To evaluate incidence and risk factors of peripherally inserted central catheter (PICC)-related complications in cancer patients” Kang et al (2017). Abstract: PURPOSE: To evaluate incidence and risk factors of peripherally inserted central catheter (PICC)-related complications in cancer patients. [ctt link=”2bQyW” template=”1″]ReTweet if useful… List of PICC-related complications in cancer patients? https://ctt.ec/2bQyW+ @ivteam #ivteam[/ctt] METHODS: A […]
OPAT: Osteomyelitis treatment with continuous infusion of ceftazidime
Here we describe a case of severe skull base osteomyelitis caused by Pseudomonas aeruginosa with progressive palsy of cranial nerves that was successfully managed with prolonged outpatient continuous infusion of ceftazidime plus oral ciprofloxacin” Conde-Díaz et al (2017). Abstract: BACKGROUND: Skull base osteomyelitis is an uncommon disease that usually complicates a malignant external otitis with […]
What is oncology nurses understanding of evidence-based IV care?
The aim of this study is to determine the knowledge levels of oncology nurses about peripheral and central venous catheter during their chemotherapy administration” Kapucu et al (2017). Abstract: OBJECTIVE: The aim of this study is to determine the knowledge levels of oncology nurses about peripheral and central venous catheter during their chemotherapy administration. [ctt […]
What is your knowledge of blood culture contamination?
We developed a questionnaire to assess the knowledge and practice of nursing staff, patient care assistants, phlebotomists, and laboratory technicians regarding blood culture collection and contamination…” Nair et al (2017). Abstract: We developed a questionnaire to assess the knowledge and practice of nursing staff, patient care assistants, phlebotomists, and laboratory technicians regarding blood culture collection […]
PICC line experience in patients with hematologic diseases
The present study demonstrated a low CRBSI incidence rate and found no evidence of serious complications with PICC placement” Hashimoto et al (2017). Abstract: Objective: Although use of the peripherally inserted central venous catheter (PICC) has become increasingly common, there are few reports of PICCs used for patients with hematologic diseases. In this study, we […]
Corynebacterium striatum Bacteremia associated central line infection
The bacterium was detected from the removed central venous catheter tip too, and the patient was diagnosed with catheter-related bloodstream infection by C. striatum” Daisuke et al (2017). Abstract: A 49-year-old woman visited our emergency department because of exertional dyspnea due to severe left ventricular functional failure. It progressed to disseminated intravascular coagulation and disturbance […]
Disability Adjusted Life Year of central-line associated bloodstream infection
CLABSI DALY was 20.44 per 1,000 inpatients, most were the result of premature death (20.42 per 1,000 inpatients). DALY can be useful to guide and measure the impact of healthcare infection prevention” da Rocha et al (2017). Abstract: Central-line bloodstream infection (CLABSI) increases hospital mortality. A cohort study was conducted in a Brazilian hospital to […]
Combined biofilm dispersal agents and antibiotics extend BSI treatment options
These data indicate that combinations of biofilm dispersal agents and antibiotics may extend the therapeutic options for the treatment of S. aureus biofilm associated infections” Hogan et al (2017). Abstract: Staphylococcus aureus is a leading cause of healthcare associated infections. The ability of S. aureus to attach and subsequently accumulate on the surfaces of implanted […]
Correlation between biofilm production and catheter related blood stream infections
Biofilm forming capacity of yeasts colonizing the intravenous devices is considered a key factor involved in the pathogenesis of Candida catheter-related bloodstream infections (CCRBSI)” Brunetti et al (2017). Abstract: Biofilm forming capacity of yeasts colonizing the intravenous devices is considered a key factor involved in the pathogenesis of Candida catheter-related bloodstream infections (CCRBSI). The biofilm […]
Tunnelling technique for peripherally inserted central catheter insertion
To describe a quick tunnelling technique for peripherally inserted central catheter (PICC) insertion called the “extended subcutaneous route” technique” Elli et al (2017). Abstract: PURPOSE: To describe a quick tunnelling technique for peripherally inserted central catheter (PICC) insertion called the “extended subcutaneous route” technique. [ctt link=”0B5Ih” template=”1″]ReTweet if useful… Tunnelling technique for peripherally inserted central […]
How to train for ultrasound-guided peripheral venous access
Our objective was to investigate whether training on phantoms with smaller or larger vessels would improve success rate in novice medical students learning this skill” Davis et al (2017). Abstract: PURPOSE: Our objective was to investigate whether training on phantoms with smaller or larger vessels would improve success rate in novice medical students learning this […]
Is numbing spray an effective method of anaesthetising an intravenous site?
The purpose of this study was to determine if patients would perceive a numbing spray to be an effective method of anesthetizing an intravenous (IV) site” Falotico and Ryan (2017). Abstract: PURPOSE: The purpose of this study was to determine if patients would perceive a numbing spray to be an effective method of anesthetizing an […]
Review of transfusion practices in UK intensive care units
Simple solutions such as electronic patient records that force pause for thought before blood transfusion, or prescriptions that only allow administration of a single unit in non-emergency circumstances may help to reduce the incidence of unnecessary blood transfusions” Plumb et al (2017). Abstract: A consistent message within critical care publications has been that a restrictive […]
Study investigates reason for removal of totally implantable ports
“We investigated the rate of bloodstream infections in elderly malignant disease patients whose totally implantable central venous device (CV ports) had been removed for any reason at our hospital” Aota et al (2017).
Unconventional method of central venous catheter securement described in this article
The findings of this study demonstrated that catheter fixation with skin fold could be an appropriate technique in comparison with current conventional method. However, further studies on other possible and unpredictable complications of this technique is required” Khavanin Zadeh et al (2016). Abstract: Background: Central Venous Catheters (CVCs) are used not only as a tool […]
Central line dislodgement may occur during transport to ICU
Accidental removal of central venous catheter was reported in three (3.75%) patients, drain came out in four (5%) patients, and three (3.75%) patients had accidental extubation” Harish et al (2017). Abstract: BACKGROUND AND AIMS: The transport of critically ill patients for procedures or imaging outside the Intensive Care Unit (ICU) is potentially hazardous; hence, the […]