IV drug administration and aseptic technique in the anaesthetic room
The aseptic techniques of anesthesiologists in the preparation and administration of injected medications have not been extensively investigated, but emerging data demonstrate that inadvertent lapses in aseptic technique may be an important contributor to surgical site and other postoperative infections” Gargiulo et al (2016). Abstract: BACKGROUND: The aseptic techniques of anesthesiologists in the preparation and […]
8.4% sodium bicarbonate to buffer vancomycin for midline administration
The primary objective of this study was to evaluate the use of 8.4% sodium bicarbonate in the buffering of commonly administered vancomycin hydrochloride solutions for use with midline or peripheral line catheters” Puertos and Spencer (2015). Abstract: The primary objective of this study was to evaluate the use of 8.4% sodium bicarbonate in the buffering […]
Incidence and risk factors of vascular access device-associated infection
Our aim was to determine the incidence and risk factors of device-associated infection and those of mortality in a Tunisia ICU” Bouafia et al (2015). Abstract: BACKGROUND: Intensive care unit -acquired infections constitute an important worldwide health problem. [ctt tweet=”ReTweet if useful… Incidence and risk factors of vascular access device-associated infection http://ctt.ec/m2IOt+ @ivteam #ivteam” coverup=”m2IOt”] […]
Vascular access research animal study protocols developed
Venous access catheters used in clinics are prone to biofilm contamination, contributing to chronic and nosocomial infections” Chauhan et al (2016). Abstract: Venous access catheters used in clinics are prone to biofilm contamination, contributing to chronic and nosocomial infections. Although several animal models for studying device-associated biofilms were previously described, only a few detailed protocols are […]
Safety of subcutaneous parenteral nutrition reviewed
The objective of this study was to compare the safety and efficacy of subcutaneous (SC) administration of parenteral nutrition with the peripheral IV route” Zaloga et al (2016). Abstract: Background: Many patients who cannot tolerate adequate enteral nutrition could benefit from parenteral nutrition support but fail to receive it due to difficult intravenous (IV) access. […]
Central venous catheter malposition in the azygos vein case study
In this case, we attempted central access via the right subclavian vein, but the catheter was repeatedly inserted into the azygos vein, which was confirmed by radiology” Moon et al (2016). Abstract: Ankylosing spondylitis (AS) can be challenging for anesthesiologists because central venous access can be difficult, and the airway can be blocked due to […]
Air embolism following central venous access device removal
We experienced a living-donor liver transplant recipient who presented with unexpected cerebral air embolism and transient neurologic abnormalities that subsequently developed just after the removal of the pulmonary artery catheter from the central venous access device” Kim et al (2016). Abstract: Cerebral air embolism is a rare but potentially life-threatening complication. We experienced a living-donor […]
Use of personal protective equipment by emergency medical personnel in the Republic of Korea
Few studies of occupational exposure (OE) to infectious risk among emergency medical personnel (EMP) or their use of personal protective equipment (PPE) have been conducted in the Republic of Korea” Oh and Uhm (2016). Abstract: BACKGROUND: Few studies of occupational exposure (OE) to infectious risk among emergency medical personnel (EMP) or their use of personal […]
Review of outpatient parenteral antimicrobial therapy: OPAT in Switzerland
Outpatient parenteral antimicrobial therapy (OPAT) has been recognised as a useful, cost-effective and safe alternative to inpatient treatment, but no formal OPAT unit existed in Switzerland until recently” Gardiol et al (2016). Abstract: Outpatient parenteral antimicrobial therapy (OPAT) has been recognised as a useful, cost-effective and safe alternative to inpatient treatment, but no formal OPAT […]
Extravasation injury identification and early recognition
The main physiological actions of these agents are discussed, with reference to the immediate infusion-related side effects and complications that may arise from an extravasation injury” Gallimore (2016). Abstract: This article provides a comprehensive overview of the risks associated with the administration of chemotherapy, monoclonal antibodies and targeted or biological therapies in the management of […]
Flap reconstruction following chemotherapy extravasation
To study the results of hypogastric flap reconstruction in chemotherapy extravasation wounds over dorsum of hand” Salunke et al (2015). Abstract: CONTEXT: Management of extravasation injuries over the dorsum of hand after administration of chemotherapeutic agents. [ctt tweet=”ReTweet if useful… Flap reconstruction following chemotherapy extravasation http://ctt.ec/J6WPF+ @ivteam #ivteam” coverup=”J6WPF”] AIM: To study the results of […]
Development of a wireless implantable infusion micropump
We present an implantable micropump with a miniature form factor and completely wireless operation that enables chronic drug administration intended for evaluation and development of cancer therapies in freely moving small research animals such as rodents” Cobo et al (2016). Abstract: We present an implantable micropump with a miniature form factor and completely wireless operation […]
Impact of insulin infusion sets on insulin pharmacokinetics
There are intensive discussions about the impact the choice of material for insulin application has on insulin pharmacokinetics” Heinemann (2016). Abstract: An insulin infusion set (IIS) is a key component of insulin pumps. In daily practice issues with the IIS appear to be as relevant for a successful insulin therapy as the pumps themselves. [ctt […]
Minocycline and rifampin impregnated PICC research
The purpose of the present study was to determine whether patients receiving PICCs impregnated with minocycline and rifampin had a lower rate of CLABSI compared with a concurrent control group of patients receiving uncoated PICCs” Yousif et al (2016). Abstract: The use of peripherally inserted central catheters (PICCs) has increased over the past few years […]
Simulated central venous catheterisation with the aid of a motion-tracking device
This study aims to validate the use of a tracking motion device, the imperial college surgical assessment device (ICSAD), by comparing it with validated global rating scales (GRS) to measure CVC performance in a simulated torso” Varas et al (2016). Abstract: BACKGROUND: Central venous catheterization (CVC) is a basic requirement for many medical specialties. Simulated […]
Landmark method for right internal jugular vein cannulation
The aim of the present study was to explore a simple and safe method for central venous catheterization (CVC) from the right internal jugular vein (RIJV) by comparing carotid artery (CA) positioning with sternocleidomastoid (SCM) positioning” Yu et al (2016). Abstract: The aim of the present study was to explore a simple and safe method […]
Candidemia in patients undergoing chronic hemodialysis
The aim of this study was to evaluate the epidemiology of candidemia in outpatients with renal replacement therapy (RRT) by hemodialysis where the fungemia clearly represents a healthcare-associated infection” Ourives et al (2016). Abstract: BACKGROUND: Hemodialysis has been described as an important risk factor for the development of candidemia in patients suffering from chronic renal […]
Peripherally inserted central catheter fragment found in azygous vein
Based on chest computed tomography (CT) findings and her clinical history, this was felt to be a broken fragment of a peripherally inserted central catheter (PICC), which was placed for intravenous antibiotics, a few months prior to this presentation” Dhillon et al (2016). Abstract: An 84-year-old woman underwent Convex-probe Endobronchial Ultrasound (CP-EBUS) for 18 F-fluorodeoxyglucose […]
Vascular access guidelines from the Association of Anaesthetists of Great Britain and Ireland
The result is a consensus document which provides practical advice on the safe insertion and removal of vascular access devices” Bodenham et al (2016). Summary: Safe vascular access is integral to anaesthetic and critical care practice, but procedures are a frequent source of patient adverse events. Ensuring safe and effective approaches to vascular catheter insertion […]
Are breast cancer patients with a PICC at an increased risk of upper extremity DVT
To identify clinical incidence, risk factors and treatment of peripherally inserted central venous catheters (PICCs)-related upper extremity venous thrombosis (UEVT) in breast cancer patients undergoing chemotherapy” Kang et al (2016). Abstract: Purpose: To identify clinical incidence, risk factors and treatment of peripherally inserted central venous catheters (PICCs)-related upper extremity venous thrombosis (UEVT) in breast cancer […]
Effect of hemodialysis central venous catheter tip design on hemodialysis treatment
To observe fluid flow patterns and measure recirculation rates of tunneled hemodialysis catheters using a mechanical model that simulates hemodialysis treatment” Vesely and Ravenscroft (2016). Abstract: Purpose: To observe fluid flow patterns and measure recirculation rates of tunneled hemodialysis catheters using a mechanical model that simulates hemodialysis treatment. Materials and methods: Nine tunneled hemodialysis catheters […]
Choosing and using vascular access devices in the neonatal patients
The aim of this article is to increase knowledge and understanding of issues relating to choosing and using vascular access devices in the neonatal patient population” Hugill (2016). Abstract: The aim of this article is to increase knowledge and understanding of issues relating to choosing and using vascular access devices in the neonatal patient population. […]
Variation of PICC use across ten different hospitals
Consequently, little is known about variation in PICC use or outcomes across hospitals” Chopra et al (2016). Extract: This multicenter study examines whether recently developed and evolving guidelines may reduce current substantial variation in indications, patterns of use, and outcomes of the use of peripherally inserted central catheters. [ctt tweet=”ReTweet if useful… Variation of PICC […]
Revised EPIC3 now recommend 2% CHG gel-impregnated and 2% CHG sponge IV dressings
Following a review of the evidence, the Guideline Development Group has revised the recommendation to include 2% CHG gel-impregnated dressings in addition to 2% CHG-impregnated sponge dressings” Loveday et al (2015). Abstract: In parallel with the National Institute for Health and Care Excellence (NICE) MTG review of Tegaderm 2% chlorhexidine gluconate (CHG) gel-impregnated dressing, the epic3 […]
Reducing high blood-culture contamination rates in neonatal intensive care
We instigated a successful intervention combining skin antisepsis using sterile applicators with 2% chlorhexidine gluconate in 70% isopropanol prior to phlebotomy (replacing 70% isopropanol) and staff education” O’Connor et al (2016). Summary: Contaminated blood cultures represent challenges regarding diagnosis, duration of hospitalization, antimicrobial use, pharmacy and laboratory costs. Facing problematic neonatal blood culture contamination (3.8%), […]
How to avoid glass particulate contamination of IV drugs
Particulate contamination of parenteral fluids is a fact of life. Particulate infusion is unlikely to cause immediate or severe signs and symptoms, but adverse effects, tissue damage, and loss of function are likely in the long term” Zarour-Shalev et al (2015). Abstract: One major current challenge facing companies producing injectable drugs contained in glass vials […]
Scrub the hub audit tool developed to monitor compliance with aseptic standards
The objective of this study was to design and implement a standardised tool to monitor compliance with ‘scrub the hub’ practices at an Australian centre” Desra et al (2016). Abstract: BACKGROUND: To reduce the risk of infections associated with indwelling central venous catheters (CVCs), practices for hub disinfection have been widely promoted. The objective of […]
Femoral placement of totally implantable venous access ports
Aim of this study was to determine the rate of complications following femoral placement of totally implantable venous access ports (f-TIVAP) in women with bilateral breast cancer…” Almasi-Sperling et al (2016). Abstract: Purpose: Aim of this study was to determine the rate of complications following femoral placement of totally implantable venous access ports (f-TIVAP) in […]
Vest development may help to protect central venous catheters
Nurses at the Royal Manchester Children’s Hospital are trialling a new vest that could help prevent patients’ central venous catheters (CVCs) from falling out accidentally” No authors listed (2016). Abstract: Nurses at the Royal Manchester Children’s Hospital are trialling a new vest that could help prevent patients’ central venous catheters (CVCs) from falling out accidentally. […]
Tunneled catheter survival in hemodialysis patients reviewed in this study
The results of tunneled catheters survival are encouraging and they should be taken into consideration during decision-making on vascular access…” Weber et al (2016). Abstract: BACKGROUND: Tunneled catheters are becoming increasingly used as a permanent dialysis access. Easy way of insertion and good long-term patency make them competitive to fistulas in some groups of patients. […]