Popliteal venous access in critically ill COVID-19 patient in prone position
“This case report outlines a possible challenging scenario that may encounter vascular interventionist when dealing with COVID-19 patients with respiratory compromise in prone position” Adams and Mousa (2020).
How to reduce risk of medical adhesive-related skin injuries?
“However, the removal of devices, especially those associated with medical adhesive, can cause significant skin injuries, which often could be avoided if this aspect is included in the care bundle and the risk factors are better understood in healthcare” Barton (2020).
Evaluation of dialysis centres from a stakeholder perspective – Full Text
“The present study aimed to determine the opinions and preferences of stakeholders and establish their relative importance, considering the complexity of their interactions, to facilitate a comprehensive evaluation of haemodialysis centres” Parra et al (2020).
Review of occupational exposure to HIV among nurses
“One out of every nine nurses had occupational exposure to HIV at a major tertiary hospital with poor reporting and utilization of post-exposure prophylaxis” Kabotho and Chivese (2020).
How to correctly administer IV push medication
“Some nurses continue to routinely dilute I.V. push medications, a practice associated with a high risk of errors” Deutsch (2020).
Bundle-approach dramatically reduced blood culture contamination rates
“Our intervention bundle dramatically reduced the contamination rate when drawing blood culture in our ED” Kai et al (2020).
Blood transfusion in children at a university hospital in a middle-income country
“Our principal objective was to evaluate the adherence to national guidelines for blood transfusion in pediatric patients at a third level university hospital” Villarreal-Martínez et al (2020).
Diagnosis of catheter-related bloodstream infections in neonates
“Catheter-drawn blood sampling is an efficient method of diagnosing catheter-related bloodstream infection (CRBSI) in neonates; it has greater sensitivity and accuracy than methods using catheter-tip cultures” Ferreira et al (2020).
Have legislative interventions impacted the incidence of needlestick injuries?
“The aim of this study was to examine the impact the EU Directive for the Prevention of Sharps injuries had on the incidence of needlestick injuries (NSI) in Ireland” O’Sullivan and Gallagher (2020).
Massive fatal pulmonary embolism while on therapeutic heparin infusion
“We present a case of a patient with an acute DVT who was treated with a therapeutic heparin drip, then developed syncope while in the hospital and found to have massive bilateral PEs” Hajouli (2020).
IV infusion versus IV bolus for chemotherapy-induced nausea and vomiting prophylaxis
“Phase 3 study of palonosetron intravenous (IV) infusion versus IV bolus for chemotherapy-induced nausea and vomiting prophylaxis following highly emetogenic chemotherapy” Karthaus et al (2020).
Infusion rates and clinical outcomes in patients with septic shock
“In septic shock patients, initial fluid resuscitation rate of 0.25-0.50 ml/kg/min (i.e., completion of the initial 30 ml/kg IV fluid resuscitation within the first 2 h), may be associated with early shock reversal and lower 28-day mortality compared with slower rates of infusion” Hu et al (2020).
Review of the technical aspects of hepatic artery infusion pump placement
“The preferential blood supply from the hepatic artery to liver tumors allows for the regional delivery of chemotherapy, commonly referred to as hepatic artery infusion chemotherapy via a subcutaneous pump” Thiels et al (2020).
Research examines when to replace peripheral IV catheters
“Clinically indicated peripheral intravenous catheter replacement was not inferior to routine (96 h) replacement regarding phlebitis occurrence, and was associated with significantly less phlebitis per 1000 days” Vendramim et al (2020).
What is the carbon footprint of pathology testing?
“The carbon footprint of common pathology tests was dominated by those of sample collection and phlebotomy” McAlister et al (2020).
Management of electrolyte disorders in the critically ill patient
“This article provides a guide to the aetiology, analysis and management of major electrolyte disorders in the critically ill” Arachchige and McClure (2020).
Study examines long-term stability of analgesic infusions in glass bottles
“Infusion of paracetamol, alizapride, ketorolac and tramadol remains stable for 7 days in glass bottles at 5°C ± 3 °C and could be prepared in advance with these storage conditions” Colsoul et al (2020).
Critical review of vancomycin continuous infusion in pediatric patients
“Continuous infusions may also benefit individuals who do not achieve target concentrations or who experience significant red man syndrome with traditional dosing” Girand (2020).
Handheld ultrasound for difficult peripheral intravenous access
“The purpose of this study was to evaluate the performance of a handheld ultrasound device for difficult peripheral intravenous (PIV) access performed by nurses and paramedics in the emergency department” Acuña et al (2020).
Suggested heightened CLABSI risk during a pandemic
“Programs seeking to protect their vulnerable patients from COVID-19 are taking unprecedented steps to minimize healthcare exposure, efforts undermined by the recent price increase and shortage of sterile ethanol” Mezoff et al (2020).
Vascular access evidence review for neonatal parenteral nutrition
“This review aims to look at whether the osmolality or osmolarity of PN can help guide whether it is safe to administer peripherally or if PN should be administered centrally” NICE (2020).
Timing of antibiotics and mortality among septic shock patients
“The relationship between the timing of antibiotics and mortality among septic shock patients has not been examined among patients specifically with Staphylococcus aureus bacteremia” Corl et al (2020).
Vascular Access and IV Therapy Resource
Planning and evaluation for dialysis vascular access in the elderly
This article reviews access considerations for AVF placement in the elderly population and considers the possibility that the fistula first approach to vascular access should
Incidence of PICC associated DVT is 5.6% in this study
PICC-VTE is a common complication in NPC patients, with an incidence of 5.6% in our analysis” Liang et al (2018). Abstract: BACKGROUND: Despite wide usage,
Thrombophlebitis after administration of flucloxacillin via a peripheral IV
Flucloxacillin exerts antibacterial activity by binding to and inactivating penicillin-binding proteins present on the inner membrane of the bacterial cell wall” O’Connor et al (2018).
Worldwide study of peripheral intravenous catheters
In this study, we found that many PIVCs were placed in areas of flexion, were symptomatic or idle, had suboptimal dressings, or lacked adequate documentation.
Patient outcomes on long-term home parenteral nutrition
We performed this study to examine and understand the evolving demographics and changing outcomes of intestinal failure, and its implications for healthcare delivery” Brown et
Literature review of antimicrobial resistance in CRBSI
Catheter-related or central line-associated bloodstream infections (CRBSIs/CLABSIs) are among the most common complications of central vascular catheterization and are associated with a high economic burden”
Upper-extremity deep vein thrombosis in patients with breast cancer
The objective of this study was to assess the incidence of upper-extremity deep vein thrombosis (UEDVT) in patients with breast cancer to determine whether the
Bloodstream infection and occlusion of central venous catheters in children
One in ten children with a central venous catheter (CVC) develops a central line-associated bloodstream infection (CLABSI)…” Rickard and Ullman (2018). Abstract: One in ten
Pressure injuries secondary to limb splinting for intravascular access
This review aims to present a case series on pressure injury (PI) formation secondary to limb-splinting for preservation of peripheral intravascular catheter (PIVC) access in
Increased demand for PICCs directly linked to outpatient intravenous antibiotic services
The clear increase in demand for PICCs in our institution is directly linked to the advent of outpatient intravenous antibiotic services. In this paper, we
Introducing a checklist to reduce central venous line associated bloodstream infections
The introduction of a checklist to improve the adherence to hygiene standards while placement of central venous lines reduced the frequency of infections significantly” Wichmann
Review of acute management of intravenous extravasation injuries
The goal of this article was to provide plastic surgeons and health care providers with a general overview of the acute management of intravenous infiltration
Ultrasound guidance in a simulated central venous line procedure
It is therefore necessary to develop reliable quantitative metrics to establish standards for the attainment and maintenance of competence. This work identifies such a metric
Comparison of the performance of battery-operated IV fluid warmers
We compared the warming properties and resistance to flow of currently available battery-operated fluid warmers” Lehavi et al (2018). Abstract: OBJECTIVES: Warming intravenous fluids is
Strategies for managing smart infusion pump alarm and alert fatigue
“Although smart infusion pumps are intended to prevent medication errors by alerting users about doses that exceed set thresholds, a large number of clinically insignificant alarms and alerts create the potential for alert and alarm fatigue” Shah et al (2018).
How to manage smart-infusion pump drug libraries
Through implementation of a standardized, consensus-driven process for smart-pump drug library optimization, ICPS member health systems reduced clinically insignificant smart-pump alerts” Walroth et al (2018).
Efficacy and safety of a novel skin cleansing formulation versus chlorhexidine gluconate
The colloidal silver-based product was noninferior to the 4% CHG product at 10 minutes and 6 hours postapplication” Paulson et al (2018). Reference: Background: This
Adoption of principal guidelines and international recommendations on vascular access
There is a wide variety of options available for venous access. Device selection for venous access must be adapted to the patient’s needs, and to
What is the drying time of needleless IV connectors?
Needleless connector drying times after a 15-second scrub with isopropyl-alcohol, isopropyl-alcohol/chlorhexidine, or povidone-iodine varied from 5 seconds to >6 minutes” Slater et al (2018). Reference:
What is the impact of reconstituting IV medication with 0.9% sodium chloride injection
In conclusion, 0.9% sodium chloride injection may be considered for reconstituting medications for peripheral IVP administration if the final osmolarity is deemed reasonable” Gandhi et
Antibiotic-free vascular catheter lock solution formed from gas plasma-activated disinfectant
We investigated the efficacy and safety of a novel antibiotic-free lock solution formed from gas plasma-activated disinfectant (PAD)” Bhatt et al (2018). Abstract: Antimicrobial lock
An unusual case of stuck guide wire during central venous catheter placement
This problem was solved by simultaneous withdrawal of guidewire along with the needle, and on examination we found soft tissue debris lodged within the lumen
Central Venous Catheter-directed tPA treats pulmonary embolism
We describe the approach of a tPA bolus directed through a central venous catheter, resulting in return of spontaneous circulation and immediate improvement in physiologic
What is the effect of ipsilateral tilt position on right subclavian vein catheterization
This is the first trial to investigate the effects of the ipsilateral tilt position on right SCV catheterization” Jung et al (2018). Abstract: BACKGROUND: The
Implementation of the non-physician provider as an alternative ICU staffing model
The aim of this study is to provide insight on how a Dutch ICU implemented non-physician providers (NPP), besides residents, and what this staffing model
Vascular trauma associated with the peripheral venous catheter
to determine the incidence rate and risk factors for the nursing-sensitive indicators phlebitis and infiltration in patients with peripheral venous catheters (PVCs)” Braga et al
Impact of unit-wide chlorhexidine bathing in intensive care on CLABSI rates
To test whether the introduction of ICU-wide CHG bathing in place of triclosan would affect rates of the primary outcome of central line-associated bloodstream infections
Tibial osteomyelitis following prehospital intraosseous access
We describe the case of a HIV-negative, otherwise immunocompetent adult patient who underwent prehospital insertion of a tibial IO device. Following successful resuscitation, the patient
Inadvertent placement of CVC in the right common carotid artery
We are reporting a case of inadvertent placement of central venous catheter in the right common carotid artery with the use of ultrasound guidance during
Identifying fibrin sheath of a peripherally inserted central catheter
A color Doppler and probe compression technique revealed the presence of a fibrin sheath, which could not be detected by gray-scale (real-time B-mode) ultrasonography. This