Biofilm formation evidence discussed in this full text review
Bacterial infections can occur in almost every part of the human body, which indicates that bacteria have adapted to survive in physiologically distinct anatomical locations” Young et al (2016). Excerpt: “Bacterial infections can occur in almost every part of the human body, which indicates that bacteria have adapted to survive in physiologically distinct anatomical locations. […]
Outcomes of guidewire catheter exchange reviewed in this study
Guidewire catheter exchange (GCE) replaces a CVC without repeat venipuncture. This study evaluated the indications, success rate, and complications of GCE in a large cohort of pediatric cancer patients” Fernandez-Pineda et al (2016). Abstract: BACKGROUND: Maintaining long-term central venous catheters (CVCs) in children undergoing chemotherapy can be challenging. Guidewire catheter exchange (GCE) replaces a CVC […]
Rapid and accurate CRBSI diagnosis without removing the central catheter
Rapid and accurate methods for the diagnosis of CRBSIs are needed in order to implement timely and appropriate treatment” Deleers et al (2016). Abstract: Catheter-related bloodstream infections (CRBSIs) remain a leading cause of healthcare-associated infections in preterm infants. Rapid and accurate methods for the diagnosis of CRBSIs are needed in order to implement timely and […]
Vascular injury associated with central venous catheter insertion
Central venous catheterization is an invasive procedure which can be associated with severe complications. These include in particular unsuccessful arterial puncture and vascular injuries, which in addition to loss of blood can lead to massive soft tissue swelling” Engelen et al (2016). Abstract: Central venous catheterization is an invasive procedure which can be associated with […]
Product characteristics of safety-engineered winged blood collection needles
To evaluate differences in product characteristics and user preferences of safety-engineered protection mechanisms of winged blood collection needles” Haupt et al (2016). Abstract: OBJECTIVE: To evaluate differences in product characteristics and user preferences of safety-engineered protection mechanisms of winged blood collection needles. [ctt tweet=”ReTweet if useful… Product characteristics of safety-engineered winged blood collection needles http://ctt.ec/EdL3w+ […]
Patients knowledge of peripherally inserted central catheters
To investigate the Knowledge-Attitude-Practice (KAP) of cancer patients with peripherally inserted central catheter (PICC) and its associated factors” Mou et al (2015). Abstract: OBJECTIVE: To investigate the Knowledge-Attitude-Practice (KAP) of cancer patients with peripherally inserted central catheter (PICC) and its associated factors. [ctt tweet=”ReTweet if useful… Patients knowledge of peripherally inserted central catheters http://ctt.ec/8PD44+ @ivteam […]
Study investigates if CHG bathing reduces ICU CLABSI rates
In this multicenter, real-world analysis of the impact of CHG bathing, hospitals that implemented CHG bathing attained a decrease in ICU CLABSIs…” Dicks et al (2016). Abstract: OBJECTIVE: To determine whether daily chlorhexidine gluconate (CHG) bathing of intensive care unit (ICU) patients leads to a decrease in hospital-acquired infections (HAIs), particularly infections caused by methicillin-resistant […]
Efficacy of rapid IV rehydration in children with gastroenteritis
The aim of this review was to assess the efficacy of rapid IV rehydration compared with standard method in children with gastroenteritis” Toaimah and Mohammad (2016). Abstract: BACKGROUND: Rapid intravenous (IV) rehydration is commonly used for the management of pediatric gastroenteritis in the emergency department. The current practice shows wide variation in the volume and […]
Repeated intravenous lidocaine infusions in fibromyalgia patients
Reported here is the effective use of serial intravenous lidocaine infusions for the chronic management of 3 patients with fibromyalgia. The details of the infusion procedure are described, and relevant literature is reviewed” Marks and Newhouse (2015). Abstract: Fibromyalgia is a painful disorder with no curative treatments, and available medications typically provide partial relief of […]
Review of the treatment of children with anaphylaxis
We evaluated the variation in use of beta-2 agonists, glucocorticoids, histamine-1 antagonists, histamine-2 antagonists, inhaled epinephrine, intravenous fluids, and oxygen” Michelson et al (2016). Abstract: OBJECTIVES: We sought to determine the extent of variation in treatment of children with anaphylaxis. METHODS: We identified children 1 month to 18 years of age presenting with a primary […]
Intravenous fluid replacement did not improve migraine pain outcomes
Intravenous fluid did not improve pain outcomes among patients with acute migraine who were treated with intravenous metoclopramide” Balbin et al (2015). Abstract: BACKGROUND: A total of 1.2 million patients present to US emergency departments (EDs) annually with migraine headache. Intravenous fluid (IVF) hydration is used to treat acute migraine commonly. We were unable to […]
Will preoperative intravenous hydration with 0.9% normal saline prevent postoperative AKI
We investigated whether preoperative intravenous hydration with 0.9% normal saline could prevent postoperative AKI” Serrano et al (2016). Abstract: BACKGROUND: Postoperative acute kidney injury (AKI) is the second leading cause of hospital-acquired AKI. Although many preventive strategies have been tested, none of them has been totally effective. [ctt tweet=”ReTweet if useful… Will preoperative intravenous hydration […]
Outcome of self-administration training to administer intravenous C1 inhibitor
Self-administered therapy potentially allows patients to gain greater control over their attacks, resulting in a reduction in healthcare utilization” Mühlberg et al (2016). Abstract: BACKGROUND: Hereditary angio-oedema (HAE), C1 inhibitor HAE (C1-INH-HAE) type I and C1-INH-HAE type II, are inherited disorders characterised by potentially life-threatening recurrent swellings, caused by a deficiency of C1 inhibitor. Management […]
Compatibility of Y-site administration of vancomycin questioned in this study
Vancomycin 10 mg/mL and oxacillin 20 mg/mL were determined to be physically incompatible for Y-site delivery in this study…” Teibel et al (2015). Abstract: BACKGROUND: Vancomycin and oxacillin may be used together as empiric coverage in patients with proven or suspected Staphylococcus aureus infections. Though vancomycin hydrochloride 20 mg/mL and oxacillin sodium 160 mg/mL are […]
What are the predictors of first time peripheral intravenous cannula insertion success
Reducing failed insertion attempts and improving peripheral intravenous cannulation practice could lead to better staff and patient experiences, as well as improving hospital efficiency” Carr et al (2016). Abstract: Introduction: Peripheral intravenous cannula (PIVC) insertion is one of the most common clinical interventions performed in emergency care worldwide. However, factors associated with successful PIVC placement […]
Review of in-plane and out-of-plane ultrasound guided vascular access
Currently, whether long-axis in-plane (LA-IP) is superior to short-axis out-of-plane (SA-OOP) during ultrasound-guided vascular access remains inconclusive” Gao et al (2016). Abstract: BACKGROUND: Currently, whether long-axis in-plane (LA-IP) is superior to short-axis out-of-plane (SA-OOP) during ultrasound-guided vascular access remains inconclusive. We, therefore, conducted a meta-analysis of randomized controlled trials to compare the effects of LA-IP […]
Severe cases of extravasation reviewed by plastic surgeons
Extravasation occurs frequently, and in the most severe cases plastic surgeons are often summoned to assess the extent of the injury and the possibility for reconstruction” Chiu et al (2016). Abstract: It is common for an intravascular catheter to be inserted to administer various types of therapy. Extravasation occurs frequently, and in the most severe […]
Chemotherapy extravasation at infusion sites reviewed in this article
We review in this article the clinical aspects of chemotherapy extravasation and latest advances in definitions, classification, prevention, management and guidelines” Kreidieh et al (2016). Abstract: Chemotherapy extravasation remains an accidental complication of chemotherapy administration and may result in serious damage to patients. We review in this article the clinical aspects of chemotherapy extravasation and […]
IV software detects error during intravenous chemotherapy preparation
Implementation of a gravimetric-based software system that used barcode verification and real-time alerts improved the detection of errors in the chemotherapy preparation process when compared with self-reporting” Reece et al (2016). Abstract: Purpose: The implementation and evaluation of a gravimetric i.v. workflow software system in an oncology ambulatory care pharmacy are described. [ctt tweet=”ReTweet if […]
Safe injection practices position paper updated by APIC
This document updates the Association for Professionals in Infection Control and Epidemiology (APIC) 2010 position paper on safe injection, infusion, and medication vial practices in healthcare” APIC (2016). Background: “The transmission of bloodborne viruses and other microbial pathogens to patients during routine healthcare procedures continues to occur because of the use of improper injection, infusion, […]
What is the impact of CLABSI on in-hospital mortality rates
To explore the risk-adjusted association between intensive care unit (ICU)-acquired central line-associated bloodstream infection (CLABSI) and in-hospital mortality” Wong et al (2016). Abstract: Objective: To explore the risk-adjusted association between intensive care unit (ICU)-acquired central line-associated bloodstream infection (CLABSI) and in-hospital mortality. Design: Retrospective observational study. [ctt tweet=”ReTweet if useful… What is the impact of […]
Identifying veins for peripheral venous access in morbidly obese patients
Identifying veins with ultrasonography has proven helpful when facing a difficult intravenous (IV) access” Brandt et al (2016). Abstract: INTRODUCTION: Peripheral intravenous access (PIA) is a necessity in the treatment and monitoring of the majority of hospitalised patients. Patients with an increased body mass index (BMI) more often than normal-weight patients have a difficult PIA. […]
Alteplase or urokinase for the treatment of occluded central venous access devices
To compare the efficacy of alteplase vs. urokinase in reestablishing adequate blood flow through completely occluded vascular catheters” Pollo et al (2016). Abstract: Introduction: Thrombosis of tunneled central venous catheters (CVC) in hemodialysis (HD) patients is common and it can lead to the elimination of vascular sites. To compare the efficacy of alteplase vs. urokinase […]
Accuracy of electrocardiogram confirmation of PICC tip location
To reduce cost and delay in use of CVC, new techniques such as intravascular electrocardiogram (ECG) are being used for tip confirmation in place of chest x-ray (CXR). The present study assessed for accuracy of ECG confirmation in home PN (HPN)” Mundi et al (2016). Abstract: BACKGROUND: Parenteral nutrition (PN) is a life-saving therapy for […]
Smart infusion pumps for the administration of high-alert intravenous medications
Smart pumps can reduce the incidence of dose or rate errors using soft and hard limits” Goulding and Bedard (2015). Abstract: BACKGROUND: Most intravenous medication errors occur during administration. Smart pumps can reduce the incidence of dose or rate errors using soft and hard limits. However, industry standard dose error reduction software misses errors that […]
Can you access an implantable port on the day of insertion
Accessing the port on the day of placement does not significantly contribute to an increased likelihood of infection” Young et al (2016). Abstract: PURPOSE: Totally implantable venous access systems (ports) are commonly placed and have a low complication rate. The most common complication is infection, which can have very negative effects on patients resulting in […]
Is pediatric peripheral intravenous catheter care improved with computer reminders
To depict if, in what context, and how computer reminders regarding evidence-based management of PVC in pediatric care are applied according to RNs’ actions and experience” Eldh et al (2016). Abstract: BACKGROUND: Clinical practical guidelines (CPGs) may enhance evidence-based practice, but require implementation. Computer reminders have previously shown various effects in supporting implementation; in a […]
Impact of peripheral intravenous catheter tip vessel contact and irritant drug infusion
The present observational study aimed to clarify the relationship between the tip position of an indwelling venous catheter and the subcutaneous edema using ultrasonography images” Murayama et al (2016). Abstract: The present observational study aimed to clarify the relationship between the tip position of an indwelling venous catheter and the subcutaneous edema using ultrasonography images. […]
Advanced vascular access techniques for peripheral IV access
When an intravenous (IV) catheter is needed and the common approach of inspection and palpation fails, an advanced access technique becomes necessary” Witting et al (2015). Abstract: BACKGROUND: When an intravenous (IV) catheter is needed and the common approach of inspection and palpation fails, an advanced access technique becomes necessary. Our objectives were to estimate […]
Ultrasound-guided internal jugular vein placement of a peripheral intravenous catheter
This is a case report describing the ultrasound-guided placement of a peripheral intravenous catheter into the internal jugular vein of a patient with difficult vascular access” Ash and Raio (2016). Abstract: This is a case report describing the ultrasound-guided placement of a peripheral intravenous catheter into the internal jugular vein of a patient with difficult […]