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
Turnaround time for blood transfusion as a quality indicator
The turnaround time (TAT) for blood transfusion (BT) is an important quality indicator for the health-care institutions undertaking this procedure” Agnihotri and Agnihotri (2018). Abstract:
Three years’ experience of dialysis event surveillance
The main study aim was to track infections, evaluate performance, and identify opportunities for improved practice since infections, especially those associated with multidrug-resistant organisms, are
Bacterial colonization of peripheral intravenous cannulae
Studies showing the actual prevalence of colonization of peripheral IV cannulas and its role in BSI are lacking. Hence, this study was aimed to estimate
Validation of the A-DIVA scale for difficult intravenous access in adults
This study aimed to improve the A-DIVA scale (Adult Difficult Intra Venous Access Scale) by external validation, to predict the likelihood of difficult intravenous access
Stenosis and thrombosis-unveiled complications of buttonhole cannulation
We discuss two cases of stenosis and thrombosis related to buttonhole puncture which heralded angiography intervention, raising awareness for the demand of close surveillance of
Addition of dextrose to IV crystalloid therapy provide clinical benefit in acute dehydration?
Intravenous dextrose halts endogenous ketone production and is commonly recommended in dehydrated patients unable to tolerate oral intake” Grigsby et al (2019). Abstract: What is
Left femoral artery to right femoral vein bypass graft for hemodialysis access
The purpose of this case report was to describe our experience in creating a prosthetic graft between left femoral artery and right femoral vein in
Use of infusion pump for intrauterine transfusion
The purpose of this article is to share our experience on how we carried out the procedure safely using a syringe infusion pump as opposed
Administering intravenous therapy in patients’ homes
This article looks at the practicalities of administering home IV therapy… Payne (2019). Abstract: Intravenous therapy in patients’ homes is a relatively new procedure in
Description of differences between intravenous iron products
Evaluation of published clinical and non-clinical studies with different i.v. iron products in this review suggests that study results obtained with one i.v. iron product
Ultrasound-guided right brachiocephalic and right subclavian vein cannulation
To compare ultrasound-guided right brachiocephalic vein (BCV) central venous catheter (CVC) placement to right subclavian vein (SCV) CVC insertion in terms of the puncture success
Oral versus intravenous antibiotics for bone and joint infection
Oral antibiotic therapy was noninferior to intravenous antibiotic therapy when used during the first 6 weeks for complex orthopedic infection, as assessed by treatment failure
Implementation of a paediatric peripheral intravenous catheter care bundle
To improve paediatric peripheral intravenous catheter (PIVC) care through the implementation of care bundles” Kleidon et al (2019). Abstract: AIM: To improve paediatric peripheral intravenous
Improving hand hygiene compliance with automation
A new automated hand hygiene compliance system (HHCS) was trialed as an alternative to human observers in an intensive care unit and an intensive care
Handling of infusions and risk of occupational exposure to solutions and medications
The handling of infusions may involve a risk of nurses’ exposure to active agents by release of infusion solution into the work environment” Segner et
Drug-related problems associated with OPAT services
Despite the numerous benefits of outpatient parenteral antimicrobial therapy (OPAT), appreciable risks of drug-related problems (DRPs) exist. No studies to date comprehensively assess DRPs in
Ultrasound confirmation of central venous catheter tip placement
We present a case highlighting that the real-time visualization of the guidewire in the internal jugular vein with ultrasound, and confirmation of correct position of
Epinephrine administration in out-of-hospital cardiac arrest: Intraosseous versus intravenous access
The 2015 advanced cardiac life support update continues to advocate administering epinephrine during cardiac arrest. The goal of our study is to determine if prehospital
What are the local complications experienced by children with peripheral intravenous catheters?
This study was conducted to evaluate the local complications in children who had a peripheral intravenous catheter” Abusafia and Boztepe (2017). Abstract: AIM: This study
Medical robot that safely and rapidly cannulates peripheral blood vessels
In this paper, we present a medical robot that safely and rapidly cannulates peripheral blood vessels-a procedure commonly known as venipuncture” Balter et al (2017).
Implementation of nursing-based vascular access team
To describe the implementation of nursing-based venous access team (VAT) and standardized interventional radiology (IR) protocols in accordance with Kidney Disease Outcomes Quality Initiative (K/DOQI)
Acute Kidney Injury after intravenous contrast media administration
The study objective was to determine whether intravenous contrast administration for computed tomography (CT) is independently associated with increased risk for acute kidney injury and
Development of intravenous to oral antibiotic switch criteria
Despite huge overlap in suggested criteria for a safe intravenous (iv)-to-oral antibiotic switch, there is considerable variation in their operationalization. The objective of this study
Role of fluid administration in developing acute respiratory distress syndrome in septic patients
This study examined the role of early fluid administration and identified other risk factors within the first 6 h of hospital presentation associated with developing
Improving roll-plate technique when investigating possible CLABSI
Our objective was to compare the yield of traditional roll-plate technique (TRP), roll-plate after slicing (RPS), and sonication after slicing (SS) for the detection of
How to determine the trauma patient’s response to IV fluid resuscitation?
This topic involves several key concepts that include permissive hypotension (restrictive fluid resuscitation), which is a strategy that restricts fluid use before any bleeding is
Venipuncture pain among patients attending the Emergency Department
However, there are very few studies that have addressed iatrogenic pain related to the application of routine procedures at the ED in adults” Ballesteros-Peña et
Skin cleansing prior to central venous catheter placement
The purpose of this study was to compare the effects of skin cleaning with 5% NaHCO3 to 75% alcohol on the removal of skin grease
Comparison of Peres’ formula and a radiological landmark-based approach for central line tip placement
The lower superior vena cava (SVC), near its junction with the right atrium (RA), is considered the ideal location for the central venous catheter tip
Implantable central venous access port complication review
Although ports have a superior safety margin compared with other long-term venous access devices, there are a number of complications associated with their use” Tabatabaie
How to manage electrolyte disorders in the critically ill
This article provides a review of and guide to the aetiology, analysis, and management of major electrolytes disorders in the critically ill” Tan and Freebairn
PICC-related bloodstream infection caused by Kocuria marina
We herein report a case of a peripherally inserted central catheter (PICC)-related bloodstream infection caused by Kocuria marina in a 90-year-old Japanese with multiple cancer”
CLABSI rates and bacterial resistance in intensive care units of Venezuela
Device-associated healthcare-acquired infections (DA-HAI) pose a threat to patient safety in the intensive care unit (ICU)” Empaire et al (2017). Abstract: BACKGROUND: Device-associated healthcare-acquired infections
Impact of DNR orders on invasive organ-supportive treatments
Hospitals vary widely in the scope of invasive or organ-supporting treatments provided to patients with DNR orders” Walkey et al (2017). Abstract: OBJECTIVE: To determine
Venipuncture-induced pain prevention in cancer patients
The prevention of venipuncture-induced cancer pain requires a structured training program, which should reflect the views of nurses in clinical practice” Filbet et al (2017).
Dwell times of 1-French peripherally inserted central catheters
In this cohort, dwell times of 1FR-PICC lines removed non-electively were similar to 1.9- or 2.0FR-PICC. PICC tips positioned in the axillary, cephalic, external iliac,
Vascular access placement in patients with chronic kidney disease
The majority of incident hemodialysis (HD) patients initiate dialysis via catheters. We sought to identify factors associated with initiating hemodialysis with a functioning arterio-venous (AV)
Platelets play a crucial role in vascular access thrombus formation
After stenosis of arteriovenous vascular access in hemodialysis patients, platelets play a crucial role in subsequent thrombus formation, leading to access failure” Shin et al
Analysis of needlestick injuries over a 10 year period
Here we investigated needlestick and similar injuries reported over a 10-year period between April 2004 and March 2014. The purpose of this study was to
Review of invasive vascular access in severely injured patients
Important procedures may include placement of arterial lines and central venous catheters (CVCs). Knowledge of indication, performance and localization of invasive catheterisation of trauma care
Reducing the number of peripherally inserted central catheters inserted in infants
Our objective was to safely reduce the number of peripherally inserted central catheters (PICCs) inserted in infants with umbilical venous catheter using quality improvement methods”
Umbilical venous catheter versus PICC in neonates
UVC is a cheaper alternative to PICC, with similar success rate, short-term complications and time needed for insertion” Dongara et al (2017). Abstract: OVERVIEW: Peripherally
Evaluation of the adsorption of filgrastim on infusion bag, line and filter
The purpose of the study was to evaluate the adsorption of filgrastim on infusion sets (comprising infusion bag, line and filter) and to compare the