Complications associated with home parenteral nutrition
Many problems relate to the presence of the venous access device and concern infections or vascular occlusion due to thrombosis. Patient training remains key to prevent these complications” Wanten (2016). Abstract: Severe malabsorption of fluids and nutrients leads to intestinal failure (IF) where intravenous supplementation of nutrients and fluids is necessary to maintain health and/or […]
Lethal case of Sphingomonas paucimobilis CLABSI
A 55-year-old female was hospitalized for diabetic foot ulcer in the presence of multiple comorbidities: diabetes mellitus, colonic tuberculosis, end-stage renal disease, and indwelling catheters for central venous catheter and hemodialysis” Hardjo Lugito et al (2016). Abstract: Sphingomonas paucimobilis is a yellow-pigmented, glucose nonfermenting, aerobic, Gram negative bacillus of low pathogenicity. This organism was found […]
Feasibility of sampling nose blood for point of care testing
This study is a pilot study evaluating the feasibility of sampling nose blood during an emergency using a commercially available rapid test device” Stadler and Soyka (2016). Abstract: OBJECTIVES/HYPOTHESIS: This study is a pilot study evaluating the feasibility of sampling nose blood during an emergency using a commercially available rapid test device. It also compares […]
Vascular access simulation in veterinary education
An equine neck model was created that allows repetitive practice of jugular phlebotomy, intramuscular injection, and intravenous catheterization” Williamson et al (2016). Abstract: Simulation in veterinary education offers a solution for bridging the gap between observation and performance of clinical skills. An equine neck model was created that allows repetitive practice of jugular phlebotomy, intramuscular […]
OPAT outcomes in the treatment of cellulitis
This retrospective study investigated the demographics and treatment outcomes of patients with cellulitis receiving outpatient parenteral antibiotic therapy (OPAT) between 2010 and 2014 in Cambridge University Hospitals” Zhang et al (2016). Abstract: This retrospective study investigated the demographics and treatment outcomes of patients with cellulitis receiving outpatient parenteral antibiotic therapy (OPAT) between 2010 and 2014 […]
Long-term parenteral nutrition and risk of pulmonary embolism
Pulmonary embolism (PE) is a complication of parenteral nutrition (PN) with a prevalence of 35% in children” Pichler et al (2016). Abstract: BACKGROUND & AIMS: Pulmonary embolism (PE) is a complication of parenteral nutrition (PN) with a prevalence of 35% in children. In 2003 new intravenous lipid emulsions (ILEs) with MCT, olive and/or fish oil […]
OPAT treatment and the risk of readmission
We aimed to identify factors at presentation that were associated with the requirement for IV antibiotic therapy delivered in hospital and 30-day readmission” Palani Velu et al (2016). Abstract: BACKGROUND: The safety and efficacy of domiciliary intravenous (IV) antibiotic therapy compared to inpatient hospital treatment for exacerbations of bronchiectasis has been established. Factors that determine […]
Dosing of intravenous acyclovir for herpes encephalitis in obese patients
To determine national dosing practices of intravenous acyclovir across a range of patient weights” Wong et al (2016). Abstract: BACKGROUND: Dosing of intravenous acyclovir for herpes encephalitis in obese patients is recommended to be based on ideal body weight. However, limited data support this recommendation, and recent data suggest this may lead to underdosing. [ctt […]
Intravenous fluid administration and monitoring in children
Understanding the composition of fluid prescribed and administering an appropriate rate is essential for safe fluid administration, along with regular monitoring” McNab (2016). Abstract: Intravenous fluids are frequently used in paediatrics but have been associated with significant adverse outcomes. Understanding the composition of fluid prescribed and administering an appropriate rate is essential for safe fluid […]
What is the incidence of PICC associated thrombosis in lymphoma patients?
This study aimed to investigate the incidence of PICC-associated thrombosis in lymphoma compared with its incidences in other types of cancer” Zhang et al (2016). Abstract: Peripherally inserted central venous catheters (PICCs) are widely used in cancer patients. Although PICC is a convenient tool, its use is associated with an obvious increase in the incidence […]
Systematic review of intraosseous access in emergency situations
IO infusion should be implemented in all critical situations when peripheral venous access is not easily obtainable” Petitpas et al (2016). Abstract: BACKGROUND: Indications for intra-osseous (IO) infusion are increasing in adults requiring administration of fluids and medications during initial resuscitation. However, this route is rarely used nowadays due to a lack of knowlegde and […]
Hepatic complications associated with umbilical venous catheterization
Hepatic complications of malposition of umbilical venous catheter (UVC) are uncommon and occur due to extravasation of hypertonic fluids and the blood products in the liver tissue” Sherwani et al (2016). Abstract: Hepatic complications of malposition of umbilical venous catheter (UVC) are uncommon and occur due to extravasation of hypertonic fluids and the blood products […]
Systematic, real-time data is required to improve patient safety outcomes
Without these measures, the key ingredient in these efforts is missing: systematic, real-time data on adverse events with timely feedback to clinicians and health care organizations” Jha and Pronovost (2016). Abstract: It has been more than 15 years since To Err Is Human, the landmark report by the Institute of Medicine (IOM), revealed the substantial […]
How to take uncontaminated blood samples from central venous catheters
This study demonstrates the feasibility of replacing the discard blood sampling method for central vascular access devices with the push-pull method” Byrne (2016). Abstract: This study demonstrates the feasibility of replacing the discard blood sampling method for central vascular access devices with the push-pull method. A comparative, within-subject design was used to evaluate 61 unique, […]
The role of the infusion nurse in pharmacogenomics
Additionally, there are brief summaries of the role infusion nurses can play relative to toxicity monitoring, patient education, and other aspects of PGx” Kisor et al (2016). Abstract: Pharmacogenomics (PGx) describes the relationship between an individual’s genes and his or her response to drug therapy. Data are accumulating that indicate that PGx has application in […]
PICC placement and venous thromboembolism in IBD patients
The case report includes a thorough discussion of medical history, symptomology, PICC insertion, and events leading to VTE development” Maneval and Clemence (2016). Abstract: Patients with inflammatory bowel disease (IBD) have a greater risk for developing venous thromboembolism (VTE). Patients admitted to the hospital with IBD flares often require insertion of long-term venous access devices, […]
How confident are you with your peripheral IV insertion skills?
The Peripheral Intravenous Insertion Confidence Assessment for short peripheral catheters is a 10-item, 5-point Likert scale, self-administered tool to measure a person’s confidence in his or her personal intravenous insertion skills, including site selection and assessment, procedure, dressing, and documentation” Schuster et al (2016). Abstract: The Peripheral Intravenous Insertion Confidence Assessment for short peripheral catheters […]
Neonatal peripherally inserted central catheter associated pleural effusion
To describe the characteristics of pleural effusion (PLE) associated with PICC use in a large level III neonatal intensive care unit” Bashir et al (2016). Abstract: Background: Although peripherally inserted central catheters (PICCs) provide vascular access in newborns who require parenteral nutrition and medications, they can be associated with complications that lead to significant morbidity […]
Impact of intravenous fluid resuscitation within 30 minutes of a sepsis diagnosis
We evaluate the association of intravenous fluid resuscitation initiation within 30 minutes of severe sepsis or septic shock identification…” Leisman et al (2016). Abstract: Study objective: We evaluate the association of intravenous fluid resuscitation initiation within 30 minutes of severe sepsis or septic shock identification in the emergency department (ED) with inhospital mortality and hospital […]
CRBSI impact on home parenteral nutrition patients
The prevalence of central venous catheter (CVC)-related blood-stream infections (CRBSI), infecting agents and the effectiveness of antibiotic therapy were evaluated in 172 adult patients on Home Parenteral Nutrition…” Santarpia et al (2016). Abstract: BACKGROUND: The prevalence of central venous catheter (CVC)-related blood-stream infections (CRBSI), infecting agents and the effectiveness of antibiotic therapy were evaluated in […]
What is the cause of delays in hemodialysis catheter placement
We compared treatment delays associated with tunneled hemodialysis catheter (TDC) placement between interventional radiologists and nephrologists” Kim et al (2016). Abstract: BACKGROUND/AIMS: Fragmented care in nephrology can cause treatment delays. Nephrologists are qualified to perform vascular access-related procedures because they understand the pathophysiology of renal disease and perform physical examination for vascular access. We compared […]
Barriers to care provided to hemodialysis patients
The aim of this study was to assess the barriers and facilitators of care for hemodialysis patients” Nobahar and Tamadon (2016). Abstract: INTRODUCTION: Patients undergoing hemodialysis require direct and continuous care. Identifying the barriers to and factors facilitating hemodialysis care can improve care quality. [ctt tweet=”ReTweet if useful… Barriers to care provided to hemodialysis patients […]
Transmission of dengue virus infection by needlestick injury
This is the first case, to our knowledge, of dengue virus infection by needlestick injury in a laboratory environment” Lee et al (2016). Abstract: BACKGROUND: Dengue fever is one of the most dominant vector-borne diseases, putting approximately 3.9 billion people at risk worldwide. While it is generally vector-borne, other routes of transmission such as needlestick […]
Impact of ultrasound guided arterial line placement
The use of ultrasonography for arterial line placement is associated with decreased first-attempt failure…” Gottlieb and Bailitz (2016). Abstract: The use of ultrasonography for arterial line placement is associated with decreased first-attempt failure, mean attempts to successful placement, mean time to successful placement, and associated complications compared with direct palpation. [ctt tweet=”ReTweet if useful… Impact […]
Ultrasound transducer disinfection guidelines discussed
In order to mitigate risk to patients and reduce health care costs linked to nosocomial infections; healthcare providers, ultrasound companies, and disinfectant manufacturers must develop a universal use disinfectant and a standard protocol for ultrasound device disinfection for noncritical device disinfection in the emergency department” Hoyer et al (2016). Abstract: Background: External ultrasound transducer disinfection […]
Review of 6-step vs 3-step hand hygiene technique
To evaluate the microbiologic effectiveness of the World Health Organization’s 6-step and the Centers for Disease Control and Prevention’s 3-step hand hygiene techniques using alcohol-based handrub” Reilly et al (2016). Abstract: OBJECTIVE: To evaluate the microbiologic effectiveness of the World Health Organization’s 6-step and the Centers for Disease Control and Prevention’s 3-step hand hygiene techniques […]
How to complete point prevalence monitoring of HCAIs
In areas with limited personnel and resources, regular investigation of the point prevalence of HCAIs can be performed in lieu of comprehensive monitoring to elucidate risk factors and disease burdens of HCAIs” Liu et al (2016). Abstract: Background: Point-prevalence studies can identify priorities for infection control. Aim: In May 2014, the Beijing Nosocomial Infection Control […]
When to stop antibiotic treatment in prosthetic joint infection treatment
The only factor associated with failure was the oral antibiotic selection, not the duration of treatment” Tornero et al (2016). Abstract: Objectives: Early prosthetic joint infections (PJIs) are managed with debridement, implant retention and antibiotics (DAIR). Our aim was to evaluate risk factors for failure after stopping antibiotic treatment. [ctt tweet=”ReTweet if useful… When to […]
Bundled split-septum needleless connectors and single-use prefilled flushing devices
Central line-associated bloodstream infections (CLABSIs) are among the most frequent health care-associated infections. Central line bundle (CLB) programs are useful for reducing CLABSIs” Devrim et al (2016). Abstract: BACKGROUND: Central line-associated bloodstream infections (CLABSIs) are among the most frequent health care-associated infections. Central line bundle (CLB) programs are useful for reducing CLABSIs. [ctt tweet=”ReTweet if […]
Esophageal perforation during cuffed tunneled catheter insertion
In this report, we present a case that was misplaced the catheter in esophagus and to analyze the reason of catheter malposition during percutaneous tunneled hemodialysis catheter insertion” Burak Çildağ and Faruk Kutsi Köseoğlu (2016). Abstract: The percutaneous catheterization of central veins is increasingly used in nephrological practice as a temporary or permanent vascular access. […]