Management of hyperkalemia in the acutely ill patient
To review the mechanisms of action, expected efficacy and side effects of strategies to control hyperkalemia in acutely ill patients” Dépret et al 92019). Abstract:
Stability of the Infliximab following extended storage of the diluted preparation
Physicochemical and biological analyses demonstrated that the infliximab biosimilar PF-SZ-IFX was not affected by extended storage of the diluted preparations used for intravenous infusion” Vimpolsek
Scrubbing the hub decontamination for peripheral intravenous catheter care
“This observational study (n = 108) found high compliance with “scrubbing the hub,” although scrub time was shorter than the recommended duration (average 6.1 seconds)” Slater et al (2019).
Procedure for drawing blood cultures through IV catheters
Local guidelines regarding sites for blood culture collection should reflect institution-level blood culture contamination rates for percutaneously-drawn and catheter-drawn cultures using currently available technologies that
Unusual mechanical complications of central venous catheterization
The use of CVC is associated with potential major complications occurring particularly during emergency situations” Katrancioglu (2019). Abstract: To present an unusual major mechanical complication
Clinical impact of noble metal coated central venous catheters
There was no efficacy of BG-thin noble metal coated CVCs in reducing infectious and non-infectious complications (thrombosis) in our study” Iftikhar et al (2019). Abstract:
Vascular access-related blood-stream infections among Irish haemodialysis patients
Rates of access-related bloodstream infections (AR-BSI) are influenced by patient characteristics and local protocols. We explored factors associated with AR-BSI in a contemporary cohort of
Meta-analysis of intracavitary electrocardiogram guidance for PICC placement
The intracavitary electrocardiogram method had a more favorable positioning accuracy versus traditional X-ray method for peripherally inserted central catheter placement in adult patients” Liu et
Association between intraoperative magnesium sulfate infusion and postoperative AKI
We investigated the association between intraoperative magnesium sulfate infusion and incidence of AKI after major laparoscopic abdominal surgery” Oh et al (2019). Abstract: Magnesium sulfate
Impact of antibacterial and antibiofilm polyurethane IV catheter coating
In this study, a novel auranofin releasing antibacterial and antibiofilm polyurethane (PU) catheter coating was developed and investigated for future use in preventing CRBSIs” Liu
Tissue plasminogen activator vs heparin for locking central venous catheters
In this study, catheter malfunction rates using recombinant tissue plasminogen activator (rt-PA) vs heparin for locking CVC between apheresis procedures were compared” Mathur et al
Simulation case involves a child with hypovolemic shock who requires IO needle placement
Interns need to be able to recognize critical illness such as hypovolemic shock, obtain access, and manage complications. This simulation case involves a child with
Efficacy of educational interventions and port protectors on CLABSI
We evaluated efficacy of educational interventions on rate of CLABSIs and effects of port protector as adjuvant tool” Inchingolo et al (2019). Abstract: BACKGROUND: Central
Modified glove use for dry contact procedures
We trailed the removal of gloves for contact precautions for contacts not expected to involve body fluids to improve hand hygiene between multiple contacts of
Evidence-based practice regarding pediatric central venous catheters
This article highlights the key considerations, pitfalls and evidence-based practices regarding the use pediatric central venous catheters” Jamshidi (2019). Abstract: Central venous catheters (CVC) are
Infective endocarditis in chronic hemodialysis patients
Patients requiring chronic dialysis are at increased risk for a severe complication such as Infective Endocarditis (IE)” Spaleniak et al (2019). Abstract: Patients requiring chronic
Strategies to avoid intraoperative blood transfusion
This article addresses the current evidence base for correction of preoperative anaemia, normalization of iatrogenic and pathological coagulopathy, intraoperative strategies for optimal blood product usage
Smart IV pump link to auto-documentation of infusion-therapy services
Smart pump-electronic health record (EHR) interoperability has been demonstrated to reduce adverse events and increase documentation and billing accuracy. However, relatively little is known about
High-alert medication administration and intravenous smart pumps
These findings indicate that the majority of alerts generated are bypassed by clinicians at the point of care, a symptom of alert fatigue” Marwitz et
Review of deep vein thrombosis in upper extremities
The prevalence of patients with DVT in upper extremities was 3.0% in the current large-scale real-world registry” Yamashita et al (2019).iv6 Abstract: INTRODUCTION: There is
Parenteral nutrition and oxidant stress in the newborn
There is strong evidence that oxidant molecules from various sources contaminate solutions of parenteral nutrition following interactions between the mixture of nutrients and some of
Nutritional and post-transplantation outcomes of enteral versus parenteral nutrition
This has traditionally been provided via parenteral nutrition (PN), but pediatric evidence is increasingly advocating enteral nutrition (EN) as a preferential alternative” Evans et al
Why are dialysis vascular access management guidelines controversial?
Dialysis vascular access management in the United States changed significantly after National Kidney Foundation-Kidney Disease Outcome Quality Initiative (NKF-KDOQI) clinical practice guidelines were first published
Clinical leadership the main recommendation to reduce blood culture contamination rates
The evidence shows that the new process decreased the blood culture contamination rate from a baseline rate of 5.37% to 1.76%” Moeller (2016).
Jet injection of Lidocaine for IV-related pain management
Our objective was to increase JIL use with IV placements in our ED from 11% at baseline to 50% within 12 months” Jain et al
What are the treatment options for upper extremity deep vein thrombosis?
In this article, the authors describe the evidence for the currently available treatment options and an approach to a patient with acute UEDVT” Carlon and
Intracavitary electrocardiogram guidance for PICC placement in patients with cancer
Intracavitary electrocardiogram (IC ECG) guidance emerges as a new technique for peripherally inserted central catheters (PICCs) placement and demonstrates many potential advantages in recent observational
Acute dental infections managed within an OPAT program
This study aims to address this knowledge gap through evaluation of ADI referrals to a regional OPAT program in a large Canadian center” Connors et
Type of vascular access and the incidence of mortality in Japanese dialysis patients
The aim of the present study was to examine the association between the type of vascular access at the initiation of dialysis and the incidence
How to correct coagulopathy prior CVC placement?
Correction of coagulopathy prior to central venous catheter (CVC) placement is advocated by guidelines, while retrospective studies support restrictive use of transfusion products” van de
PICC line catheters and long-term home parenteral nutrition
The objective of this study was to examine a group of HPN patients with a PICC in place for more than six months, and the
PICC induced right atrium thrombosis and superior vena cava dissection
A peripherally inserted central catheter (PICC) was inserted because the patient had poor venous access. Transesophageal echocardiography was done to rule out infective endocarditis. The
Septic pulmonary emboli detection in children with CLABSI
The purpose of this article is to describe the role of 18F-FDG PET/CT in the diagnosis of septic pulmonary embolism in children with S. aureus
The role of CLABSI prevention bundles in Thailand
We evaluated the practices used in Thai hospitals to prevent catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), and ventilator-associated pneumonia (VAP)” Apisarnthanarak
What is the incidence of central access catheter hub bacterial contamination?
“This study found a high incidence of central access catheter hub bacterial contamination, which correlated with positive blood cultures in 2 of 3 total bacteremia cases identified in the 45 patients” Holroyd et al (2017).
Implementing a framework prevent healthcare-acquired infection harm
The purpose of this paper is to provide a practical framework that health care organizations could use to decrease preventable healthcare-acquired harms” Pronovost et al
What is the learning process associated with haptic IV simulator?
Combining the haptic IV simulator with practical experience on the IV arm may be the best practice for learning IV insertion” McWilliams and Malecha (2017).
Four step approach to intraosseous access training
The essentials of the IO access procedure can be taught to medical students using a modified version of the Walker and Peyton’s four-step approach and
Case study describes retained intraosseous sternal needles
We discuss a rare complication of intraosseous needle insertion in two patients where the needle tip remained in the sternum after the device had been
What is the impact of vascular access teams in acute care hospitals
The benefits of reduction in central line-associated bloodstream infections at Banner Boswell Medical Center in Sun City, Arizona, include decreased expenses and increased efficiency, quality
5 years experience administering intravenous vancomycin through a midline catheter
These outcomes summarize more than 5 years of experience administering intravenous vancomycin (4 mg/mL) safely and cost-efficiently through a nontrimmable midline catheter” Caparas and Hung
Literature review of radiology implanted forearm ports
Insertion of totally implanted venous access devices; that is, port systems, in the forearm is an option for long-term venous access” Burbridge et al (2017).
Compassionate vascular access care of patients with a history of intravenous drug abuse
In the following case, a hospital was challenged to provide appropriate care while remaining responsible and compassionate throughout the duration of infusate delivery” Hawes and
Impact of persistent left superior vena cava and ECG PICC tip placement
In rare cases, complete absence of a right sided superior vena cava may have dispersion of pacemaker and conduction tissue leading to abnormal electrocardiography readings”
Review of the accuracy of intraosseous access placement with CT scans
A survey was performed to evaluate intramedullary needle placement by means of computed axial tomography” Jansen et al (2017). Abstract: BACKGROUND: Use of intraosseous access
Vascular access most frequent emergency intervention for air medical services trauma victims
To analyze emergency interventions for air medical services trauma victims, considering the time at the scene of trauma and the severity of the victims” Schweitzer
Recommendation for a checklist to reduce blood sample collection errors
The implementation of a simple and rapid check-list, including verification of blood collection devices, patient preparation and sampling techniques, was found to be effective for
Analysis of early cannulation arteriovenous grafts versus tunneled central venous catheters
Early cannulation arteriovenous grafts (ecAVGs) are proposed as an alternative to tunneled central venous catheters (TCVCs) in patients requiring immediate vascular access for hemodialysis (HD).
What is the impact of staff burnout in relation to healthcare-associated infections?
To examine burnout prevalence among California neonatal intensive care units (NICUs) and to test the relation between burnout and healthcare-associated infection (HAI) rates in very
Home infusion company’s experience with pediatric outpatient milrinone therapy
Milrinone is a phosphodiesterase 3 inhibitor with both positive inotropic and vasodilator properties. Administered as a continuous infusion, milrinone is indicated for the short-term treatment
Integrating quality and safety competencies to improve infusion therapy outcomes
This study examines individual and system application of the QSEN competencies and the Infusion Nurses Society’s 2016 Infusion Therapy Standards of Practice in the improvement
Risk of heparin-induced thrombocytopenia in vascular access care
This article reviews the risk factors for, pathophysiology of, and management of HIT” Frazer (2017). Abstract: Heparin-induced thrombocytopenia (HIT) is an immune-mediated complication of heparin