Health care worker sensitivity to chlorhexidine
This study examined the prevalence of self-reported symptoms of sensitivity to chlorhexidine solutions among health care workers” Barnes et al (2019). Reference: Background: Health service
Quality improvement project to reduce perioperative blood-borne pathogen exposure
Mandatory double gloving, a safety zone, engineered-sharps injury prevention devices, and clear communication when passing sharps were implemented in an evidence-based fashion at one institution”
PICC placement is safe and effective for patients with malignant tumours
Compared with the traditional CVAD catheterization, the PICC is more safe and effective for the patients with malignant tumors, thus which may become a alternative
Association of intravenous insulin and glucose infusion with mortality
Intravenous insulin administration is associated with an increased risk of ICU and hospital mortality, after correction for potential confounders” van Steen et al (2019). Abstract:
Vascular access audit in home hemodialysis patients
Vascular access audit is a feasible quality initiative, which leads to a decrease in the number of patient reported errors in vascular access” Dhruve et
Outpatient follow-up of OPAT patients reduces readmission
We conducted a pair-matched case-control study to examine the association between outpatient infectious disease follow-up and the risk of 30-day readmission in 384 patients receiving
Repair of central venous catheters in home parenteral nutrition patients
CVC repairs can be performed in the office or on the ward and are cost effective when compared with CVC replacement. When performed by trained
Challenges of long-term home parenteral nutrition
Patients receiving long-term home parenteral nutrition (HPN) and clinicians managing their care face complex challenges not fully addressed by existing clinical practice guidelines” Kumpf (2019).
Bloodstream infections due to carbapenemase-producing Enterobacteriaceae in Italy
Most of the cases originated in hospitals (87.2%), mainly in intensive care units (38.0%), and were associated with central or peripheral venous catheter use (23.9%)
Use of needleless connectors in neonates
To compare the duration of patency of peripheral intravenous cannulas between continuous infusion and intermittent flushing, while using a needleless intravenous connector in newborns admitted
Ceftazidime stability during continuous IV infusion
This article reviews the literature concerning ceftazidime stability and potential for toxicity from pyridine (a degradation product) in the light of decades of apparent safe
Vascular access outcomes in patients on hemodialysis
Vascular access dysfunction is a major cause of morbidity in patients with end-stage renal disease (ESRD) on hemodialysis (HD). Thus, identifying risk factors for vascular
Impact of central venous access in sepsis
The insertion of central venous catheters and access to a critical care physician during sepsis treatment are important capabilities in hospitals that transfer fewer sepsis
Safety of potassium replacement in critically ill patients
To evaluate the effectiveness and safety of rule-of-thumb potassium replacement in critically ill patients with mild and moderate hypokalemia” Hammond et al (2019). Abstract: BACKGROUND:
Scrub the hub duration for the decolonization of needleless connectors
The aim of this prospective study was to identify colonization on the external surface of needleless connectors on central venous catheters and measure the efficiency
PICC insertion in the sitting position for a patient with congestive heart failure
A peripherally inserted central catheter (PICC) is typically inserted with the patient in the supine position. Here, we placed a PICC in a patient in
Elastomeric pump malfunction resulting in over-infusion
About 17 h after the elastomeric pump was connected to the catheter, the 550 mL reservoir was found to be empty, indicating the pump’s infusion rate was
Contribution of red blood cell transfusion to neonatal morbidity and mortality
Anaemia of prematurity will affect 90% of all very preterm infants, resulting in at least one red blood cell (RBC) transfusion. A significant proportion of
Role of implantable ports in children with haematological malignancies
Totally implantable chemoports are preferred in children with solid and hematological malignancies because of decreased pain, the rate of infection, and ability to maintain patency
Infusion therapy standards of practice to improve peripheral IV catheter care
A case study approach is used to illustrate application of infusion therapy standards of practice in peripheral intravenous catheter insertion, indications for catheter placement, and
Guide to better practice reduces amiodarone-induced phlebitis
Understanding factors that increase the risk of amiodarone-induced phlebitis can guide better practice. In-line filters and nursing guidelines should always be implemented when administering intravenous
Intranasal route is comparable to intravenous administration
Medications administered by the intranasal route have efficacy comparable to intravenous administration and typically have superior efficacy to subcutaneous or intramuscular routes” Tucker et al
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
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
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
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
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:
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
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
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
Guidelines for intravenous midazlolam sedation infusion in infants
Proper sedation for neonates undergoing uncomfortable procedures may reduce stress and avoid complications. Midazolam is a short-acting benzodiazepine that is used increasingly in neonatal intensive
Article includes and review of vascular access hazard perception
To determine if medical and nursing students can identify hazards of hospitalization that could result in harm to patients and to detect differences between professions
Successful subclavian vein catheterizations in small infants
This large series of subclavian vein catheterizations in small infants demonstrates the feasibility of subclavian vein catheterizations even in very small neonates weighing less than
CLABSI rates among ambulatory pediatric hematology/oncology patients
Further investigation is necessary to develop effective infection reduction strategies for ambulatory PHO patients with central lines” Bundy et al (2016). Abstract: BACKGROUND: Pediatric hematology/oncology
Cardiac tamponade following umbilical venous catheterisation
The authors present a case of cardiac tamponade following umbilical venous catheterisation in a neonate” Chioukh et al (2016). Abstract: With more and more extreme
Alcohol impregnated port protectors reduce CLABSI in a burn ICU
Introduction of an alcohol impregnated central venous line port protector can reduce the incidence of CLABSI in a burn unit” Martino et al (2017). Abstract:
PICC tip location by ECG technique method is safe and reliable
Tip location by ECG technique implemented by the PICC team is feasible and safe. The cost/benefit ratio suggests its adoption as main tip location technique”
What is the patient lived experience of implantable vascular access port?
Many variables impact on the choice to implant a totally implantable long-term central venous catheter’s (Port), in spite of its proven efficacy. The patients’ perception
PICC lines are a safe method of administering chemotherapy in developing countries
Use of CVC and PICC is a safe, reliable and cost saving way of administration of chemotherapy in developing countries” Babu et al (2016). Abstract:
Experience with arteriovenous access creation for apheresis
Access surgeons are occasionally asked to create arteriovenous access for non-dialysis functions. Subjectively noting overall poor results, we seek to present our experience with arteriovenous
Ralstonia pickettii BSI following contaminated normal saline solution
R. pickettii can grow in saline solutions and cause bloodstream infections. Hospital monitoring mechanisms are extremely important measures in identifying and ending such outbreaks” Chen
Cost-effectiveness of the screening of blood donations for hepatitis E virus
The incidence of hepatitis E virus (HEV) has increased substantially in Europe recently, thereby threatening blood safety” de Vos et al (2017). Abstract: BACKGROUND: The
Platelet transfusions and the risk of transfusion-transmitted bacterial infections
Transfusion-transmitted bacterial infections (TTBIs) are among the most concerning risks of transfusion of platelet (PLT) concentrates” Kreuger et al (2017). Abstract: BACKGROUND: Transfusion-transmitted bacterial infections
Management of cancer-associated venous thromboembolism
Patients with cancer are at increased risk of venous thromboembolism, and emergency physicians can play a significant role in addressing one of the leading causes
Adding antiseptic barrier caps to central-line maintenance bundles
An alternative is the use of an antiseptic barrier cap, which cleans the catheter hub by continuous passive disinfection” Voor In ‘t Holt et al
Ultrasound assists obstetric central and peripheral vascular access
This article provides an overview of the use of ultrasonography in obstetric anesthesia” Talati et al (2017). Abstract: This article provides an overview of the
Detection of PICC colonization and catheter-related bacteremia in newborns
Peripherally inserted central venous catheters (PICCs) are widely used in intensive care units, but studies about procedures for detection of colonization are scarce in neonates”
Antibiotic checklist resulted in appropriate intravenous antibiotics use
We evaluated whether a checklist based on these QIs affects appropriate antibiotic use and length of hospital stay” van Daalen et al (2017). Abstract: Objectives:
Complication rates associated with central venous access devices in infants
The management of central venous access device (CVAD) is extremely difficult in babies and small infants (BSI)” Ohno et al (2016). Abstract: BACKGROUND: The management
Case study describes totally implantable catheter migration
The Authors report a case of deployment of a Port-a-Cath catheter and its percutaneous retrieval” Intagliata et al (2017). Abstract: Totally subcutaneous intravascular portals have
First time success with needle procedures with local anaesthetic creams
This study examined how many needle procedures were successful at the first attempt when children received either a warm lidocaine and tetracaine patch or an
CLABSI outcomes and the implications for the clinical microbiology laboratory
The increasing pressure to lower HAI rates comes at a time when advances in the clinical microbiology laboratory (CML) provide more precise and sensitive tests,