Prevention of peripherally inserted central line-associated blood stream infections
The use of a CLB guideline with a standard checklist could be effective and feasible for preventing CRIs in VLBWIs and prolonging indwelling catheter time” Wang et al (2015). Reference: Wang, W., Zhao, C., Ji, Q., Liu, Y., Shen, G. and Wei, L. (2015) Prevention of peripherally inserted central line-associated blood stream infections in very […]
US-guided supraclavicular cannulation of the right brachiocephalic vein
The aim of this prospective study was to evaluate whether there was an association between the optimum ultrasonographic view as obtained of the entire longitudinal extension of the right BCV and the ease of supraclavicular cannulation when using a strict in-plane technique via a linear US probe in small infants” Breschan et al (2015). Reference: […]
Parenteral nutritional support in gastrointestinal and liver diseases
In this article, the current role of PN for various gastrointestinal diseases will be reviewed and discussed Ye (2015). Reference: Ye, B.D. (2015) Parenteral Nutritional Support in Gastrointestinal and Liver Diseases. The Korean Journal of Gastroenterology. 65(6), p.346-53. [Article in Korean]. [ctt tweet=”Parenteral nutritional support in gastrointestinal and liver diseases http://ctt.ec/TY861+ @ivteam #ivteam” coverup=”TY861″] Abstract: […]
PICC line use in pediatric hematology/oncology patients
The purpose of this study was to assess the feasibility of PICCs and determine PICC-related complications in pediatric hematology/oncology patients in a resource-poor setting” Fadoo et al (2015). Reference: Fadoo, Z., Nisar, M.I., Iftikhar, R., Ali, S., Mushtaq, N. and Sayani, R. (2015) Peripherally Inserted Central Venous Catheters in Pediatric Hematology/Oncology Patients in Tertiary Care […]
Long-term sustainability of zero CLABSI
With the implementation of the central-line bundle of care, together with emphasis on high compliance with all its components and a culture of patient safety, it was possible to achieve and maintain a zero rate of CLABSI in this ICU” Hakko et al (2015). Reference: Hakko, E., Guvenc, S., Karaman, I., Cakmak, A., Erdem, T. […]
Totally implantable port: Review of post operative complications
Therefore, the aim of this systematic review is to summarize evidence for peri- and postoperative complication rates in patients undergoing OCD or CC” Klaiber et al (2015). Reference: Klaiber, U., Grummich, K., Jensen, K., Saure, D., Contin, P., Hüttner, F.J., Diener, M.K. and Knebel, P. (2015) Closed cannulation of subclavian vein vs open cut-down of cephalic […]
Open versus closed implantation strategies for vascular access port insertion
The aim of this trial is to identify the strategy for the implantation of TIVAPs with the lowest risk of pneumothorax and haemothorax” Hüttner et al (2015). Reference: Hüttner, F.J., Bruckner, T., Alldinger, I., Hennes, R., Ulrich, A., Büchler, M.W., Diener, M.K. and Knebel, P. (2015) Frequency of pneumothorax and haemothorax after primary open versus closed […]
Use of dual lumen implantable port for red cell exchange
Red cell exchange (RCE) is a common procedure in adults with sickle cell disease (SCD). Implantable dual lumen Vortex (DLV) ports can be used for RCE in patients with poor peripheral venous access” Shrestha et al (2015). Reference: Shrestha, A., Jawa, Z., Koch, K.L., Rankin, A.B., Xiang, Q., Padmanabhan, A., Karafin, M.S. and Field, J.J. […]
Investigating central venous catheter-related thrombosis
In this research, we aimed to investigate the incidence rate of CVC-related venous thrombosis in senile patients and give a further discussion on the related risk factors and predictors” Liu et al (2015). Reference: Liu, G., Fu, Z.Q., Zhu, P. and Li, S.J. (2015) Central venous catheter-related thrombosis in senile male patients: New risk factors […]
Systematic review of disinfection of needleless connector hubs
It is critical for healthcare facilities and clinicians to take responsibility for compliance with basic principles of asepsis compliance, to involve frontline staff in strategies, to facilitate education that promotes understanding of the consequences of failure, and to comply with the standard of care for hub disinfection” Moureau and Flynn (2015). Reference: Moureau, N.L. and Flynn, […]
Sampling lumen to detect central venous catheter-related bloodstream infections
Sampling of only one CVC lumen/ port chamber screening for CRBSI in hematooncological patients seems not to be a useful tool for anticipative diagnosis of CRBSI” Rabensteiner et al (2015). Reference: Rabensteiner, J., Theiler, G., Duettmann, W., Zollner-Schwetz, I., Hoenigl, M., Valentin, T., Leitner, E., Luxner, J., Grisold, A., Valentin, A., Neumeister, P. and Krause, […]
Central venous line complications with chronic ambulatory infusion of prostacyclin analogues
We conducted a retrospective cohort study involving pediatric patients with pulmonary hypertension treated with chronic intravenous infusion of PGI2 at Boston Children’s Hospital and determined the rate (per 1,000 line-days) of various CVL-related complications” Marr et al (2015). Reference: Marr, C.R., McSweeney, J.E., Mullen, M.P. and Kulik, T.J. (2015) Central venous line complications with chronic […]
Inadvertent subclavian artery cannulation during central venous catheterisation
This case demonstrates that the confirmation of the guidewire in the proximal segment of the vein is insufficient to exclude arterial cannulation” Tan et al (2015). Reference: Tan, A.Y., Chan, D.X. and Soh, C.R. (2015) An unusual route taken by a central venous catheter resulting in inadvertent subclavian artery cannulation: a case report. Oxford Medical […]
Accuracy of bedside point-of-care blood glucose measurements
We evaluated the accuracy of two devices for bedside point-of-care blood glucose measurements using arterial, fingerstick and catheter venous blood samples in ICU patients, and assessed which factors could impair their accuracy” Pereira et al (2015). Reference: Pereira, A.J., Corrêa, T.D., de Almeida, F.P., Deliberato, R.O., Lobato, M.D., Akamine, N., Silva, E. and Cavalcanti, A.B. […]
Communication tool reduces use of central venous catheters
Implementation of a multidisciplinary communication tool serves as a simple, resource-conscious, and customizable instrument to reduce the risk factors for developing HACs” Afsar-Manesh et al (2015). Reference: Afsar-Manesh, N., Perkins, C.E., Breger, K.S. and Zadunayski, M.M. (2015) ABCs of Hospitalized Patients: A Simple Before-After Study of a Communication Tool to Improve Quality of Inpatient Care. Journal […]
Using clinical parameters to guide fluid therapy in high-risk thoracic surgery
The use of clinical parameters to balance fluid restriction and a sufficient circulation in patients undergoing EPP was associated with a reduction in mean LOSI without increasing the incidence of postoperative complications” Bjerregaard et al (2015). Reference: Bjerregaard, L.S., Møller-Sørensen, H., Hansen, K.L., Ravn, J. and Nilsson, J.C. (2015) Using clinical parameters to guide fluid […]
Cochrane review of intravenous dressings to secure peripheral venous catheters
Given the large cost differences between some different dressings and securement devices, future trials should include a robust cost-effectiveness analysis” Marsh et al (2015). Reference: Marsh, N., Webster, J., Mihala, G. and Rickard, C.M. (2015) Devices and dressings to secure peripheral venous catheters to prevent complications. The Cochrane Database of Systematic Reviews. June 12th.CD011070. [epub […]
Peyton’s step 3 is the most crucial part in central line insertion training
Following the training, the first independent performance of a central venous catheter (CVC) insertion using a manikin was video-recorded and scored by independent video assessors using binary checklists” Krautter et al (2015). Reference: Krautter, M., Dittrich, R., Safi, A., Krautter, J., Maatouk, I., Moeltner, A., Herzog, W. and Nikendei, C. (2015) Peyton’s four-step approach: differential effects […]
Confirmation of central venous catheter placement
This case which involves a misplaced central venous catheter demonstrates the importance of certain recognition of intravenous placement before the administration of fluids and medicine” Nyby (2015). Reference: Nyby, S. (2015) Aspiration of blood does not verify intravenous location of central venous catheters. Ugeskrift for Laeger. 177(23). [article in Danish]. [ctt tweet=”Confirmation of central venous […]
Infection with multidrug-resistant bacteria in a pediatric oncology ICU
This study aimed at evaluating the predictors and outcomes associated with multidrug-resistant gram-negative bacterial (MDR-GNB) infections in an oncology pediatric intensive care unit (PICU)” de Oliveira Costa et al (2015). Reference: de Oliveira Costa, P., Atta, E.H. and da Silva, A.R. (2015) Infection with multidrug-resistant gram-negative bacteria in a pediatric oncology intensive care unit: risk […]
Central line-related thrombosis after hematopoietic stem cell transplant
We present a 14-year-old adolescent with a history of acute leukemia and central line-related complications, including SVC thrombosis with subsequent formation of downhill esophageal varices” Yeung et al (2014). Reference: Yeung, A.K., Guilcher, G.M. and deBruyn, J.C. (2015) Conservative Management of Downhill Esophageal Varices Secondary to Central Line-related Thrombosis After Hematopoietic Stem Cell Transplant. Journal […]
Endothelial cell toxicity of vancomycin infusion
Vancomycin infusion has been implicated in cases of phlebitis, with endothelial toxicity depending on concentration and infusion duration” Drouet et al (2015). Reference: Drouet, M., Chai, F., Barthélémy, C., Lebuffe, G., Debaene, B., Décaudin, B. and Odou, P. (2015) Endothelial cell toxicity of vancomycin infusion associated with other antibiotics. Antimicrobial Agents and Chemotherapy. June 8th. […]
Sharps injuries among nurses at a teaching hospital in China
Needlestick and sharps injuries (NSIs) are a major occupational injury to health care workers worldwide. This study aimed to report the prevalence and risk factors of NSIs among nurses working at a Chinese teaching hospital” Zhang et al (2015). Reference: Zhang, X., Gu, Y., Cui, M., Stallones, L. and Xiang, H. (2015) Needlestick and Sharps […]
Pediatric intensive care unit CLABSI outcomes from a national collaborative perspective
The purpose of the study was to explore the use of 20 Implementation Methods by 57 Pediatric Intensive Care Units (PICUs) participating in the National Association of Children’s Hospitals and Related Institutions (NACHRI, 2011) collaborative to eliminate central line associated blood stream infections (CLABSI) in critically ill children” Ridling and Magyary (2015). Reference: Ridling, D.A. […]
Antibiotic lock for the prevention of catheter-related infection in neonates
…assess the effectiveness of antibiotic lock versus no antibiotic lock or alternative antibiotic lock in the prevention of catheter-related infections in newborn infants of any gestational age during their initial stay in the neonatal unit and to study any relevant adverse effects from antibiotic lock therapy” Taylor et al (2015). Reference: Taylor, J.E., Tan, K., […]
Incidence and risk factors of peripherally inserted central catheter-related infection
Our study was to identify the prevalence, patterns, and risk factors of catheter-related infections associated with PICCs” Gao et al (2015). Reference: Gao, Y., Liu, Y., Ma, X., Wei, L., Chen, W. and Song, L. (2015). The incidence and risk factors of peripherally inserted central catheter-related infection among cancer patients. Therapeutics and Clinical Risk Management. […]
Physician liability for central venous catheterization procedure related injury
This study reviewed the occurrence patterns and rulings of the courts related to CVC in South Korea and tried to find pitfalls that medical professionals should keep in mind before, during and after medical procedures” Lee et al (2015). Reference: Lee, S.B., Bae, H. and Kim, S.E. (2015) Physician liability for procedure related injury: Focused […]
Stuck dialysis catheter eventually removed along with fibrin sheath
We present the case of an adult female hemodialysis (HD) patient with a dysfunctioning HD tunneled cuffed catheter” Galanopoulos and Lambidis (2015). Reference: Galanopoulos, G. and Lambidis, C. (2015) The stuck dialysis catheter: A nasty astonishment. Saudi Journal of Kidney Diseases and Transplantation. 26(3), p.560-3. [ctt tweet=”Stuck dialysis catheter eventually removed along with fibrin sheath […]
Cost and morbidity analysis of implantable chest port insertion
To compare complications and cost, from a hospital perspective, of chest port insertions performed in an interventional radiology (IR) suite versus in surgery in an operating room (OR)” LaRoy et al (2015). Reference: LaRoy, J.R., White, S.B., Jayakrishnan, T., Dybul, S., Ungerer, D., Turaga, K. and Patel, P.J. (2015) Cost and Morbidity Analysis of Chest […]
Endovascular recanalization of a port catheter-associated superior vena cava syndrome
We report a case of endovascular revascularization of a port catheter-associated complete occlusion of the SVC with reversed flow in the azygos vein” Tonak et al (2015). Reference: Tonak, J., Fetscher, S., Barkhausen, J. and Goltz, J.P. (2015) Endovascular recanalization of a port catheter-associated superior vena cava syndrome. The Journal of Vascular Access. May 30th. […]