Peripheral intravenous catheter mechanical complication rate published
“The results showed that 211 (59%) out of 365 monitored devices were replaced due to phlebitis (28%), dislocation (19%) or obstruction (12%)” Vallecoccia et al (2014). Reference: Vallecoccia, M.S., De Pascale, G., Taraschi, C., De Angelis Durante, R., Dolcetti, L., Pittiruti, M. and Scoppettuolo, G. (2014) Closed vs open systems: when should short peripheral intravenous […]
How to reduce vancomycin induced infusion phlebitis
“The increasing use of vancomycin means that new guidelines are required to avoid phlebitis. If peripheral intravenous therapy is used to reduce infusion time, along with intermittent infusion, vein irritation and localized phlebitis may be reduced.” Drouet et al Reference: Drouet, M., Chai, F., Barthélémy, C., Lebuffe, G., Debaene, B., Décaudin, B. and Odou, P. (2014) […]
Risk of hemolysis when blood sampling from peripheral IV catheters
“The aim of this work is to identify interventions that reduce risk of hemolysis if the blood sample is from a peripheral IV catheter” Danielis (2014). Reference: Danielis, M. (2014) Risk of hemolysis in blood sampling from peripheral intravenous catheter: a literature review. Professioni Infermieristiche. 67(3), p.166-172. [Article in Italian]. [ctt tweet=”Risk of hemolysis when […]
Incidence of pneumothorax following central venous catheterization
“We undertook this multicenter study to estimate the incidence of immediate catheter-related pneumothorax in community EDs and to determine associations with site of access, failed access, and positive pressure ventilation” Vinson et al (2014). Reference: Vinson, D.R., Ballard, D.W., Hance, L.G., Stevenson, M.D., Clague, V.A., Rauchwerger, A.S., Reed, M.E. and Mark, D.G. (2014) Pneumothorax is […]
Comparison of 3 different intraosseous access devices
“The study was designed to investigate the success rate and time of insertion intraosseous access during simulated resuscitation” Kurowski et al (2014). Reference: Kurowski, A., Timler, D., Evrin, T. and Szarpak, L. (2014) Comparison of 3 different intraosseous access devices for adult during resuscitation. Randomized crossover manikin study. The American Journal of Emergency Medicine. September […]
Intraosseous access learning curve described
“As a result of this study, which enlightened the use of IO route of administration, demonstrated the usefulness of IO route of administration, revealed the learning curve…” Polat et al (2014). Reference: Polat, O., Oğuz, A.B., Cömert, A., Demirkan, A., Günalp, M. and Tüccar, E. (2014) Intraosseous access learning curve; is it really practical? The […]
Improving CLABSI prevention bundle compliance rates
“Our objective was to improve maintenance bundle compliance rates and nursing competency surrounding central venous line (CVL) care in our paediatric intensive care unit (PICU) Hebbar et al (2014). Reference: Hebbar, K.B., Cunningham, C., McCracken, C., Kamat, P. and Fortenberry, J.D. (2014) Simulation-based paediatric intensive care unit central venous line maintenance bundle training. Intensive & […]
The use of antibiotic-ethanol lock therapy in the management of CRBSI
“The use of antibiotic-ethanol lock therapy in the management of CRBSI is equally effective as catheter replacement” Lawiński et al (2014). Reference: Lawiński, M., Majewska, K., Gradowski, L., Fołtyn, I. and Singer, P. (2014) A comparison of two methods of treatment for catheter-related bloodstream infections in patients on home parenteral nutrition. Clinical Nutrition. October 7th. […]
Meta-analysis examines effectiveness of silver-impregnated central venous catheters
“The purpose of this meta-analysis was to examine the effectiveness of silver-impregnated central venous catheters (CVCs) in preventing catheter bacterial colonization and catheter-related blood stream infections (CRBSIs)” Chen et al (2014) Reference: Chen, Y.M., Dai, A.P., Shi, Y., Liu, Z.J., Gong, M.F. and Yin, X.B. (2014) Effectiveness of silver-impregnated central venous catheters for preventing catheter-related […]
12 free EPIC3 events are being held throughout the UK and Ireland
IPS report “The IPS Implementation Learning Laboratories ‘Spoke’ Events are aimed at practitioners interested in best practice. This free event will help you to understand and overcome the barriers to implementing infection prevention guidance by providing a package of resources and ongoing support from IPS and colleagues. Building on the momentum and outputs of the […]
Implementation of standardized dosing units for six intravenous medications
“Possible options to standardize i.v. medications along with their pros and cons were presented for discussion to key providers in all of the intensive care units.” Jung et al (2014). Reference: Jung, B., Couldry, R., Wilkinson, S. and Grauer, D. (2014) Implementation of standardized dosing units for i.v. medications. American Journal of Health-System Pharmacy. 71(24), […]
Triggers for the transfusion of blood and blood products
“Although the evidence-base for red cell transfusion practice is incomplete, randomised studies across a range of clinical settings, including surgery, consistently support the restrictive use of red cells, with no evidence of benefit for maintaining patients at higher haemoglobin thresholds (liberal strategy) Shah et al (2014). Reference: Shah, A., Stanworth, S.J. and McKechnie, S. (2015) […]
Trends in infection prevention in ICU: Including CLABSI prevention
“This article reviews the modern trends in infection control practices to prevent HAIs in ICUs with a focus on methods for monitoring hand hygiene, updates in isolation precautions, new methods for environmental cleaning, antimicrobial bathing, prevention of ventilator-associated pneumonia, central line-associated bloodstream infections, catheter-associated urinary tract infections, and Clostridium difficile infection” Gandra and Ellison (2014). […]
Catheter-related Candida bloodstream infection in intensive care unit patients
“In China, CRCBSI was more likely to occur in old patients with low body weight” Hu et al (2014). Reference: Hu, B., Du, Z., Kang, Y., Zang, B., Cui, W., Qin, B., Fang, Q., Qiu, H. and Li, J. (2014) Catheter-related Candida bloodstream infection in intensive care unit patients: a subgroup analysis of the China-SCAN […]
Peripherally inserted central catheter placement in cystic fibrosis patients
“PICC is an alternative to CP for intravenous antibiotherapy in CF patients” Betegnie et al (2014). Reference: Betegnie, A.L., Cracowski, C., Bedouch, P., Segond, C., Robein-Dobremez, M.J., Pin, I. and Allenet, B (2014) Peripherally inserted central catheter antibiotic therapy for cystic fibrosis patients. Revue des Maladies Respiratoires. 31(9), p.822-830. [Article in French]. [ctt tweet=”Peripherally inserted […]
Cochrane review on home versus in-centre haemodialysis
“To evaluate the benefits and harms of home haemodialysis versus in-centre haemodialysis in adults with end-stage kidney disease (ESKD)” Palmer et al (2014). Reference: Palmer, S.C., Palmer, A.R., Craig, J.C., Johnson, D.W., Stroumza, P., Frantzen, L., Leal, M., Hoischen, S., Hegbrant, J. and Strippoli, G.F. (2014) Home versus in-centre haemodialysis for end-stage kidney disease. The […]
Relationships between the use of temporary nursing staff and CLABSI rates
“…relationships between the use of temporary nursing staff and the occurrence of nosocomial infections (central line-associated blood stream infections and ventilator-associated pneumonia)” Bae et al (2014). Reference: Bae, S.H., Brewer, C.S., Kelly, M. and Spencer, A. (2014) Use of temporary nursing staff and nosocomial infections in intensive care units. Journal of Clinical Nursing. November 28th. […]
Central venous implantable port complications reviewed
“Central venous (CV) ports are being used increasingly in both hospital and home care settings. Here, we investigated the rates and causes of CV port complications” Okada et al (2014).
Central venous catheter competencies reviewed
“This study evaluates existing published tools on this procedure and systematically summarizes key competencies for the assessment of this technical skill” Ma et al (2014). Reference: Ma, I.W.Y., Sharma, N., Brindle, M.E., Caird, J. and McLaughlin (2014) Measuring competence in central venous catheterization: a systematic-review. SpringerPlus. 3(33). [button link=”http://www.springerplus.com/content/pdf/2193-1801-3-33.pdf” color=”default”]Full Text[/button] [ctt tweet=”Central venous catheter […]
Neonatal candida krusei fungemia tracked to an infusate
“We report an outbreak of C krusei fungemia in the neonatal Intensive care unit (ICU) of our hospital over a short period of 2 weeks” Rongpharpi et al (2014). Reference: Rongpharpi, S.R., Gur, R., Duggal, S., Kumar, A., Nayar, R., Xess, I., Wadhwa, V. and Khanijo, C.M. (2014) Candida krusei fungemia in 7 neonates: Clonality […]
Fluid and electrolyte balance in pediatric patients
“In this review we examine the indications for parenteral fluid management: maintenance requirements, correction of any deficit and replacement of ongoing losses” Terris et al (2014). Reference: Terris, M. and Crean, P. (2014) Fluid and electrolyte balance in children. Anaesthesia & Intensive Care Medicine. 15(12), p.554–557. [ctt tweet=”Fluid and electrolyte balance in pediatric patients http://ctt.ec/C7c3U+ […]
Current recommendations for use of intraosseous access in children
“This review outlines the current recommendations for use of intraosseous access in children” Cullen (2014). Reference: Cullen, P.M. (2014) Intraosseous cannulation in children. Anaesthesia & Intensive Care Medicine. 15(12), p.567–569. [ctt tweet=”Current recommendations for use of intraosseous access in children http://ctt.ec/28zAx+ @ivteam #ivteam” coverup=”28zAx”] Abstract: This review outlines the current recommendations for use of intraosseous […]
Laboratory performance review of three fluid warmers
“We measured heating of isotonic saline by three fluid warmers in six experiments” Kim et al (2014). Reference: Kim, H.J., Yoo, S.M., Jung, J.S., Lee, S.H., Sun, K. and Son, H.S. (2014) The laboratory performance of the enFLOW®, buddy lite™ and ThermoSens® fluid warmers. Anaesthesia. November 10th. [epub ahead of print]. [ctt tweet=”Laboratory performance review […]
Stability of IV admixture of metoclopramide, diphenhydramine and dexamethasone
“The chemical stability of a sterile admixture containing metoclopramide 1.6 mg/mL, diphenhydramine hydrochloride 2 mg/mL, and dexamethasone sodium phosphate 0.16 mg/mL in 0.9% sodium chloride injection was evaluated” Kintzel et al (2014). Reference: Kintzel, P.E., Zhao, T., Wen, B. and Sun, D. (2014) Stability of i.v. admixture containing metoclopramide, diphenhydramine hydrochloride, and dexamethasone sodium phosphate […]
Associated costs of occluded central venous catheters
“Central venous catheter (CVC) occlusion is common, affecting 30% of all CVCs” Ernst (2014). Reference: Ernst, F.R. (2014) Comparison of Hospital Length of Stay, Costs, and Readmissions Among Patients With Occluded Central Venous Catheters Receiving Alteplase Versus Catheter Replacement. The Journal of the Association for Vascular Access. 19(4), p.210. [ctt tweet=”Associated costs of occluded central […]
The OMG PIVC Study: Global prevalence study on peripheral IV catheters
“The OMG Study is a global prevalence investigation being undertaken across hundreds of hospitals in over 30 countries” Alexandrou (2014). Reference: Alexandrou, E. (2014) A Global Prevalence Study on Peripheral Catheters–The OMG PIVC Study. The Journal of the Association for Vascular Access. 19(4), p.212. [ctt tweet=”The OMG PIVC Study: Global prevalence study on peripheral IV […]
Chlorhexidine-soaked cloths reduce MRSA carriage
“To assess an intervention to limit community-associated methicillin-resistant Staphylococcus aureus (MRSA) dissemination” David et al (2014). Reference: David, M.Z., Siegel, J.D., Henderson, J., Leos, G., Lo, K., Iwuora, J., Porsa, E., Schumm, L.P., Boyle-Vavra, S. and Daum, R.S. (2014) A Randomized, Controlled Trial of Chlorhexidine-Soaked Cloths to Reduce Methicillin-Resistant and Methicillin-Susceptible Staphylococcus aureus Carriage Prevalence […]
Barriers and enablers to physician hand hygiene compliance
“…identify the behavioral determinants—both barriers and enablers—that may impact physician hand hygiene compliance” Squires et al (2014). Reference: Squires, J.E., Linklater, S., Grimshaw, J.M., Graham, I.D., Sullivan, K., Bruce, N., Gartke, K., Karovitch, A., Roth, V., Stockton, K., Trickett, J., Worthington, J. and Suh, K.N. (2014) Understanding Practice: Factors That Influence Physician Hand Hygiene Compliance. […]
Study recommends obtaining paired blood cultures
“The objectives of the study were to determine the epidemiology, source and concordance of healthcare-associated bloodstream infections with clinical site isolates.” Culshaw et al (2014). Reference: Culshaw, N., Glover, G., Whiteley, C., Rowland, K., Wyncoll, D., Jones, A. and Shankar-Hari, M. (2014) Healthcare-associated bloodstream infections in critically ill patients: descriptive cross-sectional database study evaluating concordance with […]
Retrospective study of home infusion patients with CLABSI
“…retrospective study of home infusion patients with central line–associated bloodstream infection” Caroff et al (2014). Reference: Caroff, D.A., Norris, A.H., Keller, S., Vinnard, C., Zeitler, K.E., Lukaszewicz, J., Zborowski, K.A. and Linkin, D.R. (2014) Catheter salvage in home infusion patients with central line–associated bloodstream infection. American Journal of Infection Control. 42(12), p.1331–1333. [ctt tweet=”Retrospective study […]