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Transfusion management in patients with acute leukemia

transfusion

This survey confirmed wide variations in blood product transfusion practices across several clinical scenarios in patients with AL” Pine et al (2016). Abstract: BACKGROUND: Transfusion of blood products is a key component of the supportive management in patients with acute leukemia (AL). However high-quality trial evidence and clinical outcome data to support specific transfusion goals […]

Intranasal ketamine versus intravenous morphine in reducing pain

power flush

To compare the effectiveness of intranasal (IN) ketamine versus intravenous (IV) morphine in reducing pain in patients with renal colic” Farnia et al (2016). Abstract: Background: Various drugs have been used to relieve abdominal pain in patients with renal colic. Ketamine is a popular choice as an analgesic. [ctt link=”X1YVx” template=”1″]ReTweet if useful… Intranasal ketamine […]

Infraclavicular access to the axillary vein for central venous access

ultrasound assisted vascular access

In this narrative review, we evaluate the usefulness of the infraclavicular access to the axillary vein” Gawda et al (2016). Abstract: Central vein cannulation is one of the most commonly performed procedures in intensive care. Traditionally, the jugular and subclavian vein are recommended as the first choice option. Nevertheless, these attempts are not always obtainable […]

Superior vena cava syndrome as a complication of vascular access

picc teams

Superior vena cava (SVC) obstruction is emerging as a frequent chronic complication of central vein cannulation that not only jeopardizes the availability of vascular access for hemodialysis, but can become a life-threatening emergency” Agarwal et al (2016). Abstract: Stenosis or occlusion of central veins in hemodialysis patients is common, especially with previous intravascular catheter or […]

Vascular imaging for hemodialysis vascular access planning

ultrasound training

Fewer than half of patients who initiated HD with a CVC had vascular imaging” McGill et al (2016). Abstract: Introduction: Central venous catheters (CVC) increase risks associated with hemodialysis (HD), but may be necessary until an arteriovenous fistula (AVF) or graft (AVG) is achieved. The impact of vascular imaging on achievement of working AVF and […]

Prediction of fluid responsiveness in patients with acute circulatory failure

iv drip

In patients with acute circulatory failure, the decision to give fluids or not should not be taken lightly. The risk of overzealous fluid administration has been clearly established” Monnet et al (2016). Abstract: In patients with acute circulatory failure, the decision to give fluids or not should not be taken lightly. The risk of overzealous […]

Vascular access and resuscitation via corpus cavernous in male patients

intraosseous

Pre-hospital systemic vascular access with early resuscitation in the hypovolemic trauma patient can be problematic and is attempted through venous cut-downs, peripheral IV lines, and/or interosseous routes. This brief report examines an alternative for males via the corpus cavernosum (CC)” Bradley (2016). Abstract: BACKGROUND: Pre-hospital systemic vascular access with early resuscitation in the hypovolemic trauma […]

Article describes the development of a portable procedural surface

iv safety needle

We designed and built a novel, open-source, portable, bedside procedural surface through an iterative development process with use testing in simulated and live clinical environments” Zhang et al (2016). Abstract: Study objective: A stable and readily accessible work surface for bedside medical procedures represents a valuable tool for acute care providers. In emergency department (ED) […]

Surface bioburden and frequently touched sites in intensive care

CVC

Near-patient surfaces act as reservoirs of microbial soil, which may contain pathogens. This study aimed to correlate soil levels with hand-touch frequency of near-patient sites in an Intensive Care Unit (ICU)” Adams et al (2016). Summary: Aims: Critical care patients are at increased risk of infection. Near-patient surfaces act as reservoirs of microbial soil, which […]

Forty year review of therapeutic drug monitoring

venipuncture

Initially they focused on laboratory aspects of drug concentration measurement then they changed more to the application of TDM in a clinical setting” Reeves et al (2016). Abstract: Since the Journal of Antimicrobial Chemotherapy was first published in 1975, papers addressing therapeutic drug monitoring (TDM) have been a regular feature. Initially they focused on laboratory […]

Interventions to improve peripheral intravenous cannulation in children

extravasation

…interventions associated with peripheral intravenous catheterization first attempt success in pediatric inpatients and emergency department patients who require vascular access for therapeutic interventions” Parker et al (2016). Abstract: Aim: To identify interventions associated with peripheral intravenous catheterization first attempt success in pediatric inpatients and emergency department patients who require vascular access for therapeutic interventions. Background: […]

Outpatient use of ceftaroline fosamil versus vancomycin for osteoarticular infection

glass particles

The objective of this study was to describe the long-term effectiveness and safety of ceftaroline for the treatment of OAI” Athans et al (2016). Abstract: Objectives: There are few convenient intravenous options for long-term outpatient treatment of osteoarticular infection (OAI) and limited effectiveness and safety data exist for this off-label use of ceftaroline. The objective […]

Variations in outpatient antibiotic consumption in New Zealand

potassium intravenous solutions

The aims of this study were to (i) determine national patterns of antibiotic consumption, including assessment of seasonal variation in prescribing, and (ii) explore potential associations between antibiotic consumption and patient characteristics, such as age, sex and ethnicity” Williamson et al (2016). Abstract: Objectives: Knowledge of the patterns of antibiotic consumption within a population provides […]

Use of Taurolidine in pediatric home parenteral nutrition patients

IV Flush

In order to reduce the incidence of catheter-related bloodstream infections (CRBSI) in home parenteral nutrition patients, the use of taurolidine was introduced in the Sophia Children’s Hospital in 2011” Hulshof et al (2016). Abstract: In order to reduce the incidence of catheter-related bloodstream infections (CRBSI) in home parenteral nutrition patients, the use of taurolidine was […]

Can ultrasound be used to determine central venous catheter tip location?

cvc ultrasound

We aimed to compare contrast-enhanced ultrasonography (CEUS) and chest radiography for detecting the correct location of CVCs” Kamalipour et al (2016). Abstract: BACKGROUND: Chest radiography after central venous catheter (CVC) insertion is the main method of verifying the catheter location. Despite the widespread use of radiography for detecting catheter position, x-ray may not always be […]

Impact of ClearGuard HD antimicrobial barrier cap on hemodialysis CLABSI rates

central line bundle

The findings show that use of ClearGuard HD Antimicrobial Barrier Caps, when compared with standard CVC caps, significantly lowers rates of catheter-related BSIs and hospital admissions for BSI in HD patients using CVCs” Hymes et al (2016). Abstract: BACKGROUND: The rate of bloodstream infections (BSIs) is disproportionately high in hemodialysis (HD) patients with central venous […]

Benefit of Daptomycin for outpatient parenteral antibiotic therapy

opat

Daptomycin is an optimal choice for outpatient parenteral antibiotic therapy (OPAT) because of its safety, once-daily administration and its activity against Gram-positive bacteria” Cervera et al (2016). Abstract: BACKGROUND: Daptomycin is an optimal choice for outpatient parenteral antibiotic therapy (OPAT) because of its safety, once-daily administration and its activity against Gram-positive bacteria. Although daptomycin is […]

Impact of implantable ports on quality of life and patient satisfaction

ultrasound guided cvc

We assessed the impact on quality of life and satisfaction with their venous device, for patients with a chest TIVAD versus an upper arm TIVAD” Burbridge and Goval (2016). Abstract: Introduction: Venous access devices are essential for the provision of care for patients requiring chemotherapy. Totally implanted venous access devices (TIVADs), also known as ports, […]

Will antihypertensive medication improve hemodialysis catheter patency?

IV flush

Angiotensin converting enzyme inhibitor (ACE-I), angiotensin receptor blocker (ARB), and calcium channel blocker (CCB) are known for their antihypertensive and cardio-protective effects, however, their effects on long-term vascular access patency are still inconclusive” Chen et al (2016). Abstract: BACKGROUND: Vascular access failure is a huge burden for patients undergoing hemodialysis. Many efforts have been made […]

Intravenous filters and subvisible particle levels in IV solutions

In this study, we determined the subvisible particle levels in IV solutions and after the solutions were processed with an IV administration setup that mimicked the typical clinical method of administration” Pardeshi et al (2016). Abstract: Intravenous (IV) infusion is used for administration of a large proportion of biologic therapeutics, including most monoclonal antibody products. […]

How to recognize and treat hemodialysis emergencies

vascular access

These emergencies include dialysis disequilibrium syndrome, venous air embolism, hemolysis, venous needle dislodgement, vascular access hemorrhage, major allergic reactions to the dialyzer or treatment medications, and disruption or contamination of the dialysis water system. Finally, we describe root cause analysis after a dialysis emergency has occurred to prevent a future recurrence” Saha and Allon (2016). […]

Wearable device for subcutaneous delivery of larger volume bolus injections

opat

Introduction of a wearable device for subcutaneous delivery of larger volume bolus injections would encourage patient compliance and reduce the burden on healthcare services” Torjman et al (2016). Abstract: OBJECTIVES: Introduction of a wearable device for subcutaneous delivery of larger volume bolus injections would encourage patient compliance and reduce the burden on healthcare services. With […]

Review of silicone central venous catheter rupture in implantable port patients

picc tip

This present study reports the frequency and outcome of material failure of the silicone catheter lines of a port device implanted in the upper arm during a 5-year period” Busch et al (2016). Abstract: OBJECTIVE: This present study reports the frequency and outcome of material failure of the silicone catheter lines of a port device […]

What to consider when changing smart infusion pump vendors

Peripheral IV

Smart infusion pump technology is a mainstay in health care, and the integration and use of those pumps is crucial for patient safety” Arthur et al (2016). Abstract: Smart infusion pump technology is a mainstay in health care, and the integration and use of those pumps is crucial for patient safety. An institution purchasing smart […]

Guidelines on the use of alteplase in Neonatal Intensive Care Units

PICC

The apparent safety and favorable value analysis prompted us to develop a consistent approach to alteplase usage in the Intermountain Healthcare NICUs, using the data in this report to standardize the guidelines across our health system” Scott et al (2016). Abstract: OBJECTIVE: In 2001, the US Food and Drug Administration approved recombinant tissue plasminogen activator […]

Paediatric patient safety during Central Venous Catheter placement

cvad

The aim of this study was to explore appropriate technique to maintain the safety of pediatric patients during CVC” Kaji et al (2016). Abstract: BACKGROUND: The ability to safely insert a central venous catheter (CVC) is critical to avoid associated complications. The aim of this study was to explore appropriate technique to maintain the safety […]

Oxaliplatin-induced vascular pain secondary to peripheral vein administration

Long peripheral IV

The present study examined the correlation of subjective and objective assessment of oxaliplatin-induced vascular pain using VAS and PV, respectively” Yoshida et al (2016). Abstract: BACKGROUND: During oxaliplatin chemotherapy administration via a peripheral vein, vascular pain requires changing of the intravenous infusion route on occasion. Vascular pain induced by anticancer drugs reduces the rate of […]

Epidemiology and mortality of central venous catheter related candidemia

Candida cvc infection

Our objective was to compare mortality, epidemiology, and morbidity in hospitalized patients with candidemia which was both related and unrelated to the central venous catheter (CVC)” Arias et al (2016). Abstract: Our objective was to compare mortality, epidemiology, and morbidity in hospitalized patients with candidemia which was both related and unrelated to the central venous […]

Position-dependent VT related to PICC tip location

icu clabsi

Position-dependent VT related to PICC requires careful history taking and PICC repositioning to make the diagnosis. X-ray in different patient positions during PICC placement can be considered to evaluate for ventricular migration” Alvarez et al (2016). Abstract: We report a case of a 51-year-old male who developed frequent nonsustained episodes of monomorphic ventricular tachycardia after […]

Issues that promote successful infusion therapy in older adults

picc uedvt

Older adults are a special patient population who require attention to a variety of issues and considerations related to infusion therapy” Coulter (2016). Abstract: Older adults are a special patient population who require attention to a variety of issues and considerations related to infusion therapy. The need to alter practice approaches includes vascular access techniques […]