CLABSI identified as best infection prevention term used in nursing documentation
Although symptom word documentation does not reduce the number of infections, it may impact the central line-associated bloodstream infection (CLABSI) rate by better differentiating CLABSI from other infection sources, as was observed in this institution” Carry-Littles et al (2016). Abstract: An interprofessional team developed a symptom word documentation tool based on surveillance definitions for specific […]
Needlestick injury in the accident and emergency department
To determine the prevalence of needlestick injuries (NSIs) and associated factors among HCWs in the Accident and Emergency Department of the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria” Isara et al (2016). Abstract: BACKGROUND: Healthcare workers (HCWs) are continually exposed to hazards from contact with blood and body fluids of patients in the […]
Coding errors weaken public reporting and pay-for-performance data
AHRQ Patient Safety Indicators (PSIs) and CMS Hospital-acquired Conditions (HACs) are increasingly being used for pay-for-performance and public reporting despite concerns over their validity” Winters et al (2016). Abstract: BACKGROUND: AHRQ Patient Safety Indicators (PSIs) and CMS Hospital-acquired Conditions (HACs) are increasingly being used for pay-for-performance and public reporting despite concerns over their validity. Given […]
Surveillance definition of CLABSI in cancer patients with mucosal barrier injury
The Centers for Disease Control and Prevention recently introduced the concept of mucosal barrier injury (MBI) in an attempt to recognize the possibility of a gastrointestinal source for certain bloodstream infections” Chaftari et al (2016). Abstract: BACKGROUND: The Centers for Disease Control and Prevention recently introduced the concept of mucosal barrier injury (MBI) in an […]
Are central line complication rates dependent on tip location?
The aim of this study was to determine if internal CVC tip position was correlated with subsequent complications” Ballard et al (2016). Abstract: Central venous catheters (CVCs) are associated with occlusive, infectious, and thrombotic complications. The aim of this study was to determine if internal CVC tip position was correlated with subsequent complications. [ctt tweet=”ReTweet […]
What are the mechanics of central venous catheter breakage
Although a surgical removal of tunneled central venous catheter is usually simple, it can become complicated when the catheter is found to be stuck because of its adherence within a central vein” Idowu et al (2016). Abstract: Although a surgical removal of tunneled central venous catheter is usually simple, it can become complicated when the […]
Review of critical care ultrasound for nephrologists
Several CCUS applications are of particular relevance to nephrologists, including focused renal ultrasound in patients at high risk for urinary tract obstruction, real-time ultrasound guidance and verification during the placement of central venous catheters, and ultrasound-augmented assessment of shock and volume status” Wilson and Breyer (2016). Abstract: The use of point-of-care ultrasound in the intensive […]
Methods of decreasing pain during venipuncture in children
This study contributes to the literature on nonpharmacologic pain relief methods during phlebotomy in children” Aydin et al (2016). Abstract: AIMS AND OBJECTIVES: This study aimed to investigate three different distraction methods (squeezing a soft ball, balloon inflation and distraction cards) on pain and anxiety relief in children during phlebotomy. [ctt tweet=”ReTweet if useful… Methods […]
Global neonatal care delivery improves vascular access infection prevention outcomes
This article presents several aspects of global neonatal care delivery, including vascular access, which may reduce the risk of systemic infection during the hospitalization” Lefrak (2016). Abstract: Neonates are at high risk for developing an infection during their hospital stay in the neonatal intensive care unit. Increased risk occurs because of immaturity of the neonate’s […]
Multicenter comparison of blood culture contamination rates
In this multicenter study, the aim was to evaluate the contamination rates of blood cultures as well as the parameters that affect the culture results” Altindis metal (2016). Abstract: BACKGROUND: The prognostic value of blood culture testing in the diagnosis of bacteremia is limited by contamination. OBJECTIVES: In this multicenter study, the aim was to […]
Results show negative peripheral and positive central line blood culture
Clinical outcomes in patients with negative peripheral and positive central blood culture with coagulase negative staphylococci (CoNS) based on different treatment approach such as intravenous antibiotics, removal of CVC, combined approach or just observation are not known” Shahani and Darouiche (2016). Abstract: OBJECTIVES: Clinical outcomes in patients with negative peripheral and positive central blood culture […]
Point-of-Care INR testing in Warfarin patients
The measurement of international normalization ratio (INR) may be done by venous blood draw and use of a standard lab, or by fingerstick, using a point of care (POC) device such as the CoaguChek XS® (Roche Diagnostics), and the CoaguChek XS® has been validated to meet the International Organization for Standardization (ISO) performance requirements” Richter […]
How effective are central line bundles to help reduce neonatal CLABSI?
The objective of this review was to describe central line bundles that are utilized in the neonatal population and evaluate the current evidence on the effectiveness of bundles for prevention of CLABSIs in the NICU” Pogorzelska-Maziarz (2016). Abstract: Central line-associated bloodstream infections (CLABSIs) are an important cause of increased morbidity, mortality, and costs in neonatal […]
What is the CLABSI rate in burn patients?
To investigate the prevalence of central venous catheter-related infection (CRI) in burn patients and its risk factors, so as to guide the clinical practice” Fang et al (2016). Abstract: OBJECTIVE: To investigate the prevalence of central venous catheter-related infection (CRI) in burn patients and its risk factors, so as to guide the clinical practice. [ctt […]
How to manage a calcium chloride infusion extravasation injury
The reported incidence of extravasation among hospital inpatients varies between 0.1% and 6.5%, but true incidence is likely higher because of inconsistent documentation and under‐reporting” Xu et al (2016). Extract: “Intravenous fluid extravasation is the inadvertent administration of a drug or intravenous (IV) fluid into the surrounding tissue instead of into the intended vascular pathway. […]
Cost-effectiveness of ultrasound-guided central venous catheter insertion
To evaluate the cost-effectiveness, from the funding body’s point of view, of real-time ultrasound-guided central venous catheter insertion compared to the traditional method, which is based on the external anatomical landmark technique” Noritomi et al (2016). Abstract: OBJECTIVE: To evaluate the cost-effectiveness, from the funding body’s point of view, of real-time ultrasound-guided central venous catheter […]
Ultrasound-guided radial artery cannulation in adult and paediatric populations
This is the first level one systematic review to demonstrate strong evidence for the use of ultrasound guidance in radial artery cannulation in adult and paediatric populations” White et al (2016). Abstract: BACKGROUND: Ultrasound is a well-validated adjunct to central venous cannulation; however, previous reviews of ultrasound-guided radial artery cannulation have been inconclusive. The aim […]
Antibiotic prophylaxis before Broviac catheter insertion
Paediatric oncology patients face an increased risk of surgical site infection (SSI) after implantation of long term central venous catheters (CVAD)” Weiss et al (2016). Abstract: Background: Perioperative antimicrobial prophylaxis (PAP) is an important target for internal audits, concerning the judicious use of antibiotics. Paediatric oncology patients face an increased risk of surgical site infection […]
Management of newborn infants with a suspected CLABSI
Uncertainty exists regarding the management of newborn infants with a bloodstream infection and a central venous catheter in place” Vasudevan et al (2016). Abstract: BACKGROUND: Uncertainty exists regarding the management of newborn infants with a bloodstream infection and a central venous catheter in place. The central venous catheter may act as a nidus for infecting […]
OPAT program for orthopaedic infections reviewed
Total sum of days in OPAT regimen was 11,698. Only 3 patients presented adverse effects. Partnership between services of different levels of complexity allowed implantation of a safe and effective public healthcare OPAT program for treatment of orthopedic infections” Oliveira et al (2016). Abstract: Treatment of orthopedic infections usually requires prolonged antimicrobial therapy, ranging from […]
Neonatal peripheral intravenous catheter bacterial colonisation
To study the incidence and risk factors of bacterial colonisation of peripheral venous catheters during the early neonatal period” Tiroumourougane and Bhuvaneswari (2016). Abstract: Aim: To study the incidence and risk factors of bacterial colonisation of peripheral venous catheters during the early neonatal period. [ctt tweet=”ReTweet if useful… Neonatal peripheral intravenous catheter bacterial colonisation http://ctt.ec/b3Uac+ […]
Supply of blood for transfusion to Special Forces in far-forward locations
To provide whole blood on the battlefield can be a challenge, but a buddy system protocol is both an elegant and the only currently available means to supply blood to a Special Forces team in far-forward locations” Eliassen et al (2016). Abstract: BACKGROUND: To provide whole blood on the battlefield can be a challenge, but […]
Blood transfusion demand during mass casualty events
Transfusion demand and capability planning should be an integrated part of the medical planning process for emergency system preparedness” Doughty et al (2016). Abstract: Transfusion support is a key enabler to the response to mass casualty events (MCEs). Transfusion demand and capability planning should be an integrated part of the medical planning process for emergency […]
Full text article examines oxygen debt and organ failure
Point-of-care lactate measuring may be a predictive tool for identifying high-risk trauma patients and occult shock because it provides information beyond that of vital signs and mechanism of injury as it may help predict the level of oxygen debt accumulation and need for resuscitation” Bjerkvig et al (2016). Abstract: Hemorrhagic shock is both a local […]
Whole blood transfusion for resuscitation in major bleeding
Recent combat experience reignited interest in transfusing whole blood (WB) for patients with life-threatening bleeding” Spinella et al (2016). Abstract: Recent combat experience reignited interest in transfusing whole blood (WB) for patients with life-threatening bleeding. US Army data indicate that WB transfusion is associated with improved or comparable survival compared to resuscitation with blood components. […]
HIV prophylaxis following blood or body fluid exposure
For ED patients with blood or body fluid exposures, those with high-risk nonoccupational exposures were not given HIV prophylaxis nearly twice as often as those with high-risk occupational exposure” O’Donnell et al (2016). Abstract: Study objective: Exposures to HIV are frequently managed in the emergency department (ED) for assessment and potential initiation of HIV postexposure […]
Patterns of PICC line use in adults hospitalized with pneumonia
Although peripherally inserted central catheters (PICCs) are often used in adults hospitalized with pneumonia, patterns related to PICC use in this context are unknown” Chopra et al (2016). Abstract: BACKGROUND: Although peripherally inserted central catheters (PICCs) are often used in adults hospitalized with pneumonia, patterns related to PICC use in this context are unknown. [ctt […]
Simulation-based mastery of essential emergency clinical skills
Simulation-based mastery learning using a substantial asynchronous component is an effective way for senior medical students to learn and retain EM clinical skills” Reed et al (2016). Abstract: INTRODUCTION: Simulation-based mastery learning (SBML) improves procedural skills among medical trainees. We employed an SBML method that includes an asynchronous knowledge acquisition portion and a hands-on skill […]
Examples of intravascular dislocated foreign body removal
Evaluation of the technical success rate and complications when retrieving dislocated intravascular foreign bodies” Ayx et al (2016). Abstract: Purpose: Evaluation of the technical success rate and complications when retrieving dislocated intravascular foreign bodies. [ctt tweet=”ReTweet if useful… Examples of intravascular dislocated foreign body removal http://ctt.ec/Hugkw+ @ivteam #ivteam” coverup=”Hugkw”] Material and Methods: Between 1999 and […]
How effective are antibiotic lock solutions for central venous catheters
Antibiotic lock solutions (ABLs) are very effective in both prevention and treatment of CRBs in hemodialysis patients and may be a preferred alternative to catheter replacement especially in patients where catheter salvage is a priority” Krishnan (2016). Abstract: Hemodialysis catheter-related bacteremia (CRB) is the most common complication associated with catheter use in dialysis patients and […]