Catheter failure rates in hemodialysis patients with tunneled cuffed central venous catheters
The study highlighted that first tCVC survival rates and patient survival rates were high in HD patients who were using tCVCs as long-term vascular access, with low incidence of catheter-related infections” Shi et al (2017). Abstract: BACKGROUND: As of now, only a few studies have focused on the failure of tunneled cuffed venous catheter (tCVC) […]
Comparison of tibial intraosseous and intravenous administration of Hextend
To determine if there were significant differences between the tibial intraosseous (TIO) and intravenous (IV) administration of Hextend relative to time and in hemodynamics in a hypovolemic model” Wilson et al (2016). Abstract: OBJECTIVE: To determine if there were significant differences between the tibial intraosseous (TIO) and intravenous (IV) administration of Hextend relative to time […]
Comparison of the effects of sternal and tibial intraosseous administered resuscitative drugs
Compare vasopressin, amiodarone, and epinephrine administration by sternal intraosseous (SIO), tibial intraosseous (TIO), and intravenous (IV) routes in a swine model of cardiac arrest” O’Sullivan et al (2016). Abstract: OBJECTIVE: Compare vasopressin, amiodarone, and epinephrine administration by sternal intraosseous (SIO), tibial intraosseous (TIO), and intravenous (IV) routes in a swine model of cardiac arrest. DESIGN: […]
Central venous access related adverse events after trabectedin infusions
Trabectedin infusion commonly leads to central venous access related adverse events. Sterile inflammation along the catheter trajectory is one of the most common adverse events and can be prevented by placing the catheter deeper under the skin” Verboom et al (2017). Abstract: BACKGROUND: Trabectedin has shown efficacy against soft tissue sarcomas (STS) and has manageable […]
How to achieve ultrasound-guided femoral venous access
Bedside vascular ultrasound machines are increasingly available. They are used to facilitate safer vascular access across a number of different specialties” Wiles et al (2017). Abstract: PURPOSE: Bedside vascular ultrasound machines are increasingly available. They are used to facilitate safer vascular access across a number of different specialties. In the electrophysiology laboratory however, where patients […]
Impact of central venous catheters on pediatric venous thromboembolism
The use of central venous catheters (CVCs) in children is escalating, which is likely linked to the increased incidence of pediatric venous thromboembolism (VTE)” Jaffray et al (2017). Abstract: The use of central venous catheters (CVCs) in children is escalating, which is likely linked to the increased incidence of pediatric venous thromboembolism (VTE). In order […]
Plastic base implantable ports and the impact on flushing efficacy
Multiple needle impacts created an irregular surface on the Port’s base, which decreased flushing efficacy” Guiffant et al (2017). Abstract: BACKGROUND: Three types of totally implantable venous access devices, Ports, are currently in use: titanium, plastic (polyoxymethylene, POM), and mixed (titanium base with a POM shell). Physics theory suggests that the interaction between a non-coring […]
Example of standardised approach to phlebotomy job description development
Standardization of practices, including job descriptions, is an important step on this journey” Cook (2017). Abstract: BACKGROUND: The University of Maryland Medical System, like all other medical systems, is faced with providing the highest quality care in an environment of increased demands and competition for resources. Some responses to this pressure include improved integration, coordination, […]
What is the role of the nurse in the prevention of medication errors?
This article highlights the significance of medication errors, identifying potential issues and support systems required” Kavanagh (2017). Abstract: This article highlights the significance of medication errors, identifying potential issues and support systems required. Medication errors involve different health professionals and present at various stages of the medication cycle. [ctt link=”0aj7k” template=”1″]ReTweet if useful… What is […]
Patient outcomes of totally implantable venous access devices
Identifying risk factors for premature totally implantable venous access device (TIVAD) catheter removal is crucial; however, because of the diversity of study methodologies, there is no consensus on such factors” Wang et al (2017). Abstract: PURPOSE: Identifying risk factors for premature totally implantable venous access device (TIVAD) catheter removal is crucial; however, because of the […]
Repairing Peripherally Inserted Central Catheters in pediatric patients
The results of this study support repairing a broken PICC instead of removing or replacing the line” Gnannt et al (2017). Abstract: INTRODUCTION: Preservation of venous access in children is a major concern in pediatric interventional radiology. If a peripherally inserted central catheter (PICC) breaks, there are two options: repair the line with a repair […]
Fibrin sheath treatment and the role of urokinase for long term effective treatment
Evaluation of the efficacy of single-shot, low-dose urokinase administration for the treatment of port catheter-associated fibrin sheaths” Chang et al (2017). Abstract: PURPOSE: Evaluation of the efficacy of single-shot, low-dose urokinase administration for the treatment of port catheter-associated fibrin sheaths. [ctt link=”M003n” template=”1″]ReTweet if useful… Fibrin sheath treatment and the role of urokinase for long […]
Comparison of complications between Broviacs® and PICCs in children
This study compares complications between Broviacs® and PICCs in children with IF” Blotte et al (2017). Abstract: PURPOSE: Central venous catheters (CVCs) are a source of morbidity for children with intestinal failure (IF). Complications include infection, breakage, occlusion, and venous thrombosis. Broviacs® have traditionally been preferred, but peripherally inserted central catheters (PICCs) are gaining popularity. […]
Preliminary study for designing a novel vein-visualizing device
This paper proposes a new vein-visualizing device applying a new penetration method using near-infrared (NIR) light” Kim et al (2017). Abstract: Venipuncture is an important health diagnosis process. Although venipuncture is one of the most commonly performed procedures in medical environments, locating the veins of infants, obese, anemic, or colored patients is still an arduous […]
How to label blood collection tubes to ensure patient safety
Moreover, after weighing advantages and drawbacks, labeling blood collection tubes before and not after venipuncture may be considered a safer practice for safeguarding patient safety and optimizing phlebotomist’s activity” Lippi et al (2017). Abstract: Identification errors have emerged as a critical issue in health care, as testified by the ample scientific literature on this argument. […]
Avoiding central venous catheter complications in children
In order to reduce the rate of complications of CVCs it is indispensable to perform a risk-benefit analysis for the individual patient before every insertion” Aprili and Erb (2017). Abstract: Central venous catheters (CVCs) are an important tool in the treatment of children. The insertion of a catheter may result in different complications depending of […]
Infusion therapy and implications for patient care and safety
Many patients admitted to hospital or receiving care in other settings, including their own homes, are recipients of one or more infusion therapies” Dean (2017). Abstract: Many patients admitted to hospital or receiving care in other settings, including their own homes, are recipients of one or more infusion therapies. Total parenteral nutrition, chemotherapy, parenteral antimicrobial […]
Onset and duration of intravenous and intraosseous rocuronium
Compare the onset and duration of rocuronium administered via the intravenous (IV), and intraosseous (IO) routes in a hypovolemic swine model” Nemeth et al (2017). Abstract: OBJECTIVE: Compare the onset and duration of rocuronium administered via the intravenous (IV), and intraosseous (IO) routes in a hypovolemic swine model. DESIGN: Prospective, between subjects, experimental study. [ctt […]
Amiodarone administration by humerus intraosseous route
To compare the effects of amiodarone administration by humerus intraosseous (HIO) and intravenous (IV) routes on return of spontaneous circulation (ROSC), time to maximum concentration (Tmax), maximum plasma drug concentration (Cmax), time to ROSC, and mean concentrations over time in a hypovolemic cardiac arrest model” Holloway et al (2016). Abstract: OBJECTIVE: To compare the effects […]
Infusion pump algorithm accelerates initial drug delivery
The output of infusion pumps can be predictably controlled and coordinated by a computer-executed algorithm in a model of neonatal/pediatric drug infusions” Parker et al (2017). Abstract: BACKGROUND: Laboratory data suggest that newly initiated drug infusions reach steady-state delivery after a significant time lag. Depending on drug and carrier flow rates and the infusion system’s […]
The history of intraosseous access is described in this article
The purpose of this review was to provide the reader with a succinct review of the history, clinical considerations, and devices associated with IO access” Burgert (2016). Abstract: OBJECTIVE: Intraosseous (IO) access is a method recommended by the American Heart Association and the European Resuscitation Council to administer resuscitative drugs and fluids when intravenous (IV) […]
Intraosseous vascular access in disasters and mass casualty events
It is unknown that to what extent the IO route has been used to gain vascular access during disasters and mass casualty events” Burgert (2016). Abstract: OBJECTIVE: The intraosseous (IO) route of vascular access has been increasingly used to administer resuscitative fluids and drugs to patients in whom reliable intravenous (IV) access could not be […]
Various intraosseous sites compared with the intravenous route
To determine if there were significant differences among humerus intraosseous (HIO), sternal intraosseous (SIO), and intravenous (IV) administration of 500 mL Hextend in hemodynamics or administration time in a hypovolemic swine model” Blouin et al (2016). Abstract: OBJECTIVE: To determine if there were significant differences among humerus intraosseous (HIO), sternal intraosseous (SIO), and intravenous (IV) […]
Comparison of tibial and humerus intraosseous and intravenous vasopressin administration
Compare maximum concentration (Cmax), time to maximum concentration (Tmax), mean serum concentration of vasopressin, return of spontaneous circulation (ROSC), time to ROSC, and odds of survival relative to vasopressin administration by tibial intraosseous (TIO), humerus intraosseous (HIO), and intravenous (IV) routes in a hypovolemic cardiac arrest model” Adams et al (2016). Abstract: OBJECTIVE: Compare maximum […]
The effects of intraosseous and intravenous vasopressin administration on pharmacokinetics
Purposes of this study were to compare intravenous (IV) and sternal intraosseous (SIO) administration of vasopressin relative to concentration maximum (Cmax), time to maximum concentration (Tmax), and mean concentration in a cardiac arrest model” Vallier et al (2016). Abstract: OBJECTIVE: Purposes of this study were to compare intravenous (IV) and sternal intraosseous (SIO) administration of […]
En route emergency vascular access options?
To describe and compare vascular access practices used by en route care providers during medical evacuation (MEDEVAC)” Savell et al (2016). Abstract: OBJECTIVE: To describe and compare vascular access practices used by en route care providers during medical evacuation (MEDEVAC). DESIGN: This was a retrospective cohort study. Medical records of US military personnel injured in […]
CHG-transparent dressing for hemodialysis patients decreases CLABSI rates
Replacing adhesive dry gauze dressing with CHG-transparent dressing for hemodialysis patients with tunneled CVC was associated with decreased CRI rates” Apata et al (2017). Abstract: PURPOSE: Central venous catheters (CVC) are associated with increased infection rates, morbidity and mortality compared to other hemodialysis vascular access. Chlorhexidine-impregnated transparent (CHG-transparent) dressings allow for continuous antimicrobial exposure and […]
Prevalence of difficult vascular access in complex patients?
To estimate the prevalence of difficult venous access in complex patients with multimorbidity and to identify associated risk factors” Armenteros-Yeguas et al (2017). Abstract: AIMS AND OBJECTIVES: To estimate the prevalence of difficult venous access in complex patients with multimorbidity and to identify associated risk factors. BACKGROUND: In highly complex patients, factors like ageing, the […]
Infusion nurse staffing model for outpatient chemotherapy centers
The implications of establishing this standard for infusion nursing has allowed us to duplicate the methodology across the health system and achieve a level of staffing that matches well with patient care needs” Rodgers (2016). Abstract: BACKGROUND: Nursing roles and responsibilities within ambulatory oncology infusion suites across our health system are not clearly defined and […]
Appraisal of haemodialysis vascular access provision in Scotland
A comprehensive appraisal was undertaken to understand the processes underpinning VA creation and maintenance across Scotland” Oliver et al (2017). Abstract: PURPOSE: Published registry data demonstrate longstanding variation in the utilisation of different vascular access (VA) modalities between Scottish renal units; this may reflect different clinical processes between centres. A comprehensive appraisal was undertaken to […]