Catheter-related bloodstream infections caused by Trichosporon species
“We report 5 catheter related blood stream infections caused by Trichosporon species over a five-year period at King Chulalongkorn Memorial Hospital, Bangkok, Thailand” Issarachaikul et al (2014).
Retrieval of embolized tip of implanted port intravenous catheter
“Hereby, we report successful extraction of an embolized 10-cm tip of a vascular access port using a macro snare catheter” Bostan et al (2014).
Review of heparin versus normal saline for patency of arterial lines
“Uncertainty exists amongst clinicians as to best practice surrounding the contents of the arterial catheter flush solution (heparin or saline). The use of heparin is more expensive and is accompanied by significant risks such as haemorrhage, hypersensitivity and heparin-induced thrombocytopenia (HIT)” Robertson-Malt et al (2014).
Cost effectiveness of different central venous approaches for port placement
“US real-time guidance to the subclavian vein resulted in the most cost-effective method of central venous port placement and use” Biffi et al (2014).
Multicentre survey evaluating clinical practice of port and Broviac management
“More than 80% of all paediatric oncology patients have a long term central -catheter (CVAD; port or Broviac type). Many aspects considering the use of CVADs have not been studied” Simon et al (2014).
Long-term outcomes and complications of upper arm central venous access ports
“Central venous access port (CV port) is used for long-term treatment of patients with advanced colorectal cancer. To confirm a standard procedure of CV port implant, we analyzed long-term outcomes and complications of upper arm CV ports” Ide et al (2014).
Rapid sequence induction of anaesthesia via the intraosseous route
“We aimed to assess the feasibility of the administration of RSI drugs via an IO catheter in a prospective observational study” Barnard et al (2014).
Comparison of muscle paralysis after intravenous and intraosseous administration of succinylcholine
“Succinylcholine can be effectively administered via the IO route. However, an increased dose may be necessary when administering succinylcholine via the IO route to achieve the same rapid onset as standard IV dosing” Loughren et al (2014).
Result of incorrect selection of syringe type from the IV pump syringe menu
“In this paper we present a previously unreported, but potentially widespread practice which may result in significant over or under-delivery of medication. Even with the naked eye it is evident that syringes of equal volume have different dimensions and to quantify this we sectioned a range of syringes and measured the inner and outer dimensions” Tooke and Howell (2014).
Extended piperacillin-tazobactam infusion with smart pump improves clinical outcomes
“With the help of smart pump technology, our institution successfully completed a conversion to 4-hour extended infusion P-TZ. Through this conversion, pharmacy expenditure of P-TZ was reduced by 38%; the total cost savings was $387,980.62 for the 24-month postintervention phase” Maddox et al (2014).
Parenteral nutrition bags maximum duration of infusion policy
“Recommendations effectively restrict the infusion duration of lipid-containing parenteral nutrition (PN) from a single bag, purportedly because it encourages growth of potential microbial contaminants more than lipid-free PN” Austin et al (2014).
Satisfaction of patients and their caregivers with home parenteral nutrition
“The degree of satisfaction of patients receiving HPN and their caregivers with the care given by doctors, pharmacists and nurses is appropriate, but it s possible to make improvements to optimize the quality of the whole process” Arrabal Durán et al (2014).
Home parenteral nutrition could improve nutritional status of GI cancer patients
“Patients with gastrointestinal cancer are at high risk for deterioration of nutrition. Home parenteral nutrition could improve nutritional status and quality of life” Senesse et al (2014).
Parenteral nutrition in patients with inborn errors of metabolism
“We describe four cases in which parenteral nutrition was extremely difficult due to coincidence with inborn errors of metabolism” Kaluzny et al (2014).
Assessing copper status in pediatric patients receiving parenteral nutrition
“The purpose of this article is to provide data on copper levels in pediatric patients receiving parenteral nutrition (PN) that are useful to guide supplementation in PN formulation” MacKay et al (2014).
Parenteral immunonutrition on clinical outcomes in patients with acute pancreatitis
“We conducted a meta-analysis to evaluate the effects of parenteral immunonutrition on clinical outcomes (infectious complications, length of hospital stay (LOS) and mortality) in patients with acute pancreatitis” Jafari et al (2014).
Management of parenteral nutrition associated hyperglycaemia
“PN is associated with significant hyperglycaemia, which may be detrimental to clinical outcome. There are few data on the management of this phenomenon outside of intensive care units. In our unit, we studied the efficacy of protocol-based intravenous insulin delivery as compared to subcutaneous insulin prescribed individually outside of the critical care setting” Neff et al (2014).
Refeeding syndrome and hypophosphataemia literature review
“The refeeding syndrome is a dangerous condition, which may even lead to death. The syndrome occurs after re-establishment of adequate nutrition in malnourished and cachectic patients. More specifically its occurrence has been reported during oral, enteral and parenteral feeding” Rohrer and Dietrich (2014).
Long-term intravenous catheter-related infections
“These catheter-related infections are associated with morbidity, mortality and increased health-care costs” Lebeaux et al (2014).
Intravenous iron administration to very preterm Jehovah’s Witness twins
“Their parents were Jehovah’s Witnesses and refused blood transfusion for their preterm daughters. Subcutaneous erythropoietin and intravenous iron were given as a prophylactic to avoid anaemia” Poorisrisak et al (2014).
Evaluation of use of electronic patient controlled analgesia pumps
“Study results suggest the importance of a standard process of PCA pump use. Next steps include implementing a safety bundle for improving PCA practice to support safe and effective pain management” Qhashi et al (2014).
Safety of intravenous mistletoe preparations in oncology
“Traditional mistletoe therapy in cancer patients involves subcutaneous applications of Viscum album L. preparations, with doses slowly increasing based on patient responses. Intravenous infusion of high doses may improve therapeutic outcomes and is becoming more common” Steele et al (2014).
Risks and benefits of parenteral nutrition for preterm infants
“Given the importance of appropriate nutrition for long-term metabolic and cognitive health, and the associated healthcare costs, optimising the composition of PN deserves to be seen as a research priority in neonatal medicine” Embleton et al (2014).
Educational intervention reduces implanted port infections
“Between October 2009 and January 2010 seven cases of port a cath contamination caused by P. agglomerans were observed in the Oncological Service of our hospital” Izzo et al (2014).
CLABSI a component of late-onset bloodstream infections of infants
“The incidence rates of LO-BSI especially CVC-BSI were higher in the Polish surveillance than those of other national networks, similar to the central- and peripheral utilization ratio“ Wójkowska-Mach et al (2014).
Hospital-acquired parenteral nutrition catheter-related bacteraemia
“We aim to describe the prognosis of PN-CRB and the impact of catheter extraction within 48h from bacteraemia” Rodríguez-Pardo et al (2014).
Vertebral osteomyelitis complication in patients on home parenteral nutrition
“We report that 42.9% of our cases of CVCS developed a secondary VO. Consequently, VO must be part of the differential diagnosis among patients with HPN who complain of back pain” Huard et al (2014).
Pharmacologic roles that parenteral nutritional ingredients play in critical care
“This article reviews some of the pharmacologic roles that parenteral nutritional ingredients (selenium, lipid emulsion, insulin, and levocarnitine) can play in the setting of critical illness” Yogaratnam et al (2014).
Central line surveillance across all hospital settings
“Surveillance programmes have become the most effective tool for controlling catheter-related bloodstream infections (CRBSI). However, few studies have investigated programmes covering all hospital settings” Martínez-Morel et al (2014).
Trends over time of State-mandated CLABSI reporting
“Most states with HAI laws required reporting of central line-associated bloodstream infections in adult intensive care units (92%), and about half required reporting of methicillin-resistant Staphylococcus aureus and Clostridium difficile infections (54% and 51%, respectively)” Herzig et al (2014).