Improved central line catheter care in a pediatric cardiac intensive care unit
This article illustrates how a multidisciplinary collaboration and the use of scientific evaluation and implementation tools can facilitate a decrease in CLABSIs” Thornton et al (2019). Abstract: Central line-associated bloodstream infection (CLABSI) can result in increased length of hospital stay and increased costs for both patients and organizations. This article illustrates how a multidisciplinary collaboration […]
Pancytopenia as a consequence of sepsis and intravenous antibiotic drug toxicity
This case presents a unique case of pancytopenia involving elements of drug-induced aplastic anemia as well as DIC-related sepsis” Cho et al (2019). Abstract: This case involves a 62-year-old male with a prior history of epidural abscess and L1-L2 osteodiscitis who was admitted because of low back pain. The patient was previously treated for methicillin-susceptible […]
What US hospitals are currently doing to prevent common device-associated infections?
Despite focused initiatives to reduce device-associated infection among hospitalised patients, the practices US hospitals are currently using are unknown. We thus used a national survey to ascertain the use of several established and novel practices to prevent device-associated infections” Saint et al 92019). Abstract: BACKGROUND: Despite focused initiatives to reduce device-associated infection among hospitalised patients, […]
Clinical impact of peripherally inserted central catheters vs implanted port catheters
Our aim was to study the incidence of catheter-related deep venous thrombosis in patients with cancer receiving chemotherapy through either a PICC or a PORT” Taxbro et al 92019). Abstract: BACKGROUND: Centrally inserted totally implanted vascular access ports (PORTs) and peripherally inserted central catheters (PICCs) are widely used for the administration of chemotherapy. Our aim […]
Interventions to improve hand hygiene compliance in emergency departments
To investigate hand hygiene compliance (HHC) rate, factors affecting the HHC rate, and intervention strategies to improve HHC in EDs” Sea et al (2019). Summary: Background: The emergency department (ED) is where hand hygiene problems are significant as the procedures in the ED are often high risk and invasive. To date, there have been no […]
Catheter-related bloodstream infection by Microbacterium paraoxydans in a pediatric patient
We herein reported an 11-year-old girl with acute leukemia who was found to have catheter-related bloodstream infection in her neutropenic phase. Gram-positive bacilli repeatedly grew on the blood cultures and were later confirmed by 16S rRNA analysis as Microbacterium paraoxydans” Amano et al (2019). Abstract: Microbacterium species are coryneform gram-positive rods that are widely distributed […]
Vascular access decision making in hemodialysis
Finally, CVC use is believed to result in excess mortality in patients on hemodialysis. However, recent data suggest that CVC use is simply a surrogate marker of sicker patients who are more likely to die, rather than being a mediator of mortality” Allon (2019) Abstract: This commentary critically examines key assumptions and recommendations in the […]
Peripheral IV catheter failure in 2019
Based on these data, we asked the lead author to update readers on the status of catheter failure and what has been improved since 2015″ Helm (2019). Abstract: Still considered a “hot topic” 4 years later, JIN is pleased to reprint this classic article from May/June 2015, Issue 3. Since publication, “Accepted but Unacceptable: Peripheral […]
Peripheral IV catheter failure from 2015
“Peripheral intravenous (IV) catheter insertion, the most common invasive hospital procedure performed worldwide, is associated with a variety of complications and an unacceptably high overall failure rate of 35% to 50% in even the best of hands” Helm et al (2019).
Flow properties of cannulae for extracorporeal membrane oxygenation
The use of extracorporeal life support devices such as extracorporeal membrane oxygenation in adults requires cannulation of the patient’s vessels with comparatively large diameter cannulae to allow circulation of large volumes of blood (>5 L/min)” Broman et al (2019). Abstract: The use of extracorporeal life support devices such as extracorporeal membrane oxygenation in adults requires cannulation […]
Genetics and functionality of vascular access devices in dialysis
Thromboses and stenoses of permanent vascular access appear to be a serious hazard for patients with end-stage kidney disease on programmed haemodialysis” Kalinin et al (2019). Abstract: Thromboses and stenoses of permanent vascular access appear to be a serious hazard for patients with end-stage kidney disease on programmed haemodialysis. Relapses of these pathological conditions are […]
Economic impact of antimicrobial stewardship programmes in hospitals
Antimicrobial stewardship programmes (ASPs) include strategies that enable sustainable management of rational anti-infective treatment in the clinical setting” Huebner et al (2019). Summary: Background: Antimicrobial stewardship programmes (ASPs) include strategies that enable sustainable management of rational anti-infective treatment in the clinical setting. The successful introduction of ASPs requires close interdisciplinary collaboration among various health professionals, […]
Patient diaries during use of central venous catheters
Limited data exist regarding patients’ experiences with outpatient CVADs. This study characterized outpatient CVAD care via 14-day patient diaries” Nailon et al (2019). Abstract: Patients are increasingly receiving therapy at home via central vascular access devices (CVADs). Limited data exist regarding patients’ experiences with outpatient CVADs. This study characterized outpatient CVAD care via 14-day patient […]
Effectiveness of the K-Card process for central venous catheter maintenance bundle
The purpose of this study was to evaluate the effectiveness of the K-Card process for central venous line (CVL) maintenance bundle compliance in a pediatric intensive care unit” Frith et al (2019). Abstract: BACKGROUND: The Kamishibai Card (K-Card) process is a storytelling methodology designed to help identify barriers and remove or redesign them. PURPOSE: The […]
Leaching of DEHP into solution during various infusion situations
The work explored the DEHP migration parameters in PVC infusion in clinic, based on the previous research on the test model of DEHP migrated from PVC infusion, to assess the safety of PVC infusion” Wang et al (2019). Abstract: The work explored the DEHP migration parameters in PVC infusion in clinic, based on the previous […]
Clinical prediction model for CLABSI in children
We were able to identify risk factors and develop a clinical prediction model for CLABSI in children presenting to the emergency department” Figueroa-Phillips et al (2019). Abstract: OBJECTIVE: The majority of the children with a central line who present to the emergency department with fever or other signs of bacteremia do not have a central […]
Feasibility of extracorporeal photopheresis in pediatric patients
We retrospectively studied the feasibility, safety, and efficacy of ECP in 15 children with steroid-dependent/refractory acute or chronic GVHD, who initiated ECP treatment between April 2014 and January 2018″ Winther-Jørgensen et al (2019). Abstract: Graft-versus-host disease (GVHD) is a main cause of morbidity and mortality following hematopoietic stem cell transplantation. The cumulative incidence of acute […]
Role of the VIP score in clinically indicated peripheral IV replacement
A pre-post quality improvement initiative was implemented following complications surrounding removal of timed SPC catheters compared with those removed by clinical indication, using the Visual Infusion Phlebitis (VIP) scale” Maier (2019). Abstract: Short peripheral catheters (SPCs) are the most frequently used medical devices in hospital settings. Many hospital policies state that SPCs be replaced at […]
Closed-loop documentation system for IV infusion administration
Many studies have highlighted the patient safety risks in intravenous medication administration, and various technological solutions have been proposed to mitigate those risks, including ‘smart pumps’ and closed-loop systems” Furniss et al (2019). Abstract: Many studies have highlighted the patient safety risks in intravenous medication administration, and various technological solutions have been proposed to mitigate […]
Thrombolytic therapy with urokinase for thrombosed hemodialysis arteriovenous fistula
Arteriovenous fistula (AVF) thrombosis is a common complication in patients undergoing hemodialysis, and early intervention is required. Urokinase has been used as a thrombolytic agent for declotting the thrombosed access” Wan et al (2019). Abstract: Arteriovenous fistula (AVF) thrombosis is a common complication in patients undergoing hemodialysis, and early intervention is required. Urokinase has been […]
Teaching clinical skills in pre-registration nurse education
This article explores the value of teaching clinical skills in pre-registration nurse education. It touches on stages of competence and the knowledge necessary to enable the learner to meet the standards of proficiency expected of registered nurses” Francis and O’Brien (2019). Abstract: This article explores the value of teaching clinical skills in pre-registration nurse education. […]
Chronic venous changes induced by central lines in children
To explore the hypothesis that central venous stenosis/obstructions (CVS/O) in children are influenced by prior central venous access devices (CVADs) and are associated with future risk for thromboses” Gnannt et al (2019). Abstract: PURPOSE: To explore the hypothesis that central venous stenosis/obstructions (CVS/O) in children are influenced by prior central venous access devices (CVADs) and […]
Prevalence of idle peripherally inserted central catheters
We aimed to assess the prevalence and risks of idle peripherally inserted central catheters in adult patients” Xiong et al (2019). Abstract: BACKGROUND: Increasing studies concern about idle vascular access devices, but still scant data on idle peripherally inserted central catheters. We aimed to assess the prevalence and risks of idle peripherally inserted central catheters […]
Reducing the risk of implantable port catheter fracture
For subcutaneously implanted central venous ports, some complications due to prolonged placement have been reported. We investigated the appropriate puncture points and port placement sites to prevent catheter fracture in right internal jugular port placement” Matsunari et al (2019). Abstract: BACKGROUND: For subcutaneously implanted central venous ports, some complications due to prolonged placement have been […]
Pharmacokinetics of Cefazolin and Vancomycin in Infants
There is little evidence to describe the optimal dosing regimen for surgical site infection prophylaxis in infants undergoing cardiac surgery, and a great deal of institutional variability exists in dosing prophylactic antibiotics” Ingrande et al (2019). Abstract: BACKGROUND: Gram-positive bacteria account for nearly three-quarters of all surgical site infections. Antibiotic prophylaxis against these bacteria with […]
Use of epinephrine during neonatal resuscitation
Strong evidence from large clinical trials is lacking owing to the infrequent use of epinephrine during neonatal resuscitation” Vali et al (2019). Abstract: Epinephrine is the only medication recommended by the International Liaison Committee on Resuscitation for use in newborn resuscitation. Strong evidence from large clinical trials is lacking owing to the infrequent use of […]
Clinical procedure course for medical students
This clinical procedures course introduces students to several basic diagnostic and therapeutic procedures, both invasive and noninvasive. These include managing pediatric and adult airways, starting intravenous lines, inserting arterial and central lines, inserting Foley catheters and nasogastric tubes, and performing lumbar punctures and paracentesis” Romeo et al (2016). Abstract: INTRODUCTION: Doctors perform many clinical procedures […]
Clinical evaluation of two central venous catheter stabilization systems
We report a comparison of a suture-free system with standard sutures for securing short-term CVC in an international multicentre, prospective, randomized, non-blinded, observational feasibility study” Karpanen et al (2019). Abstract: Background: Central venous catheters (CVCs) are commonly secured with sutures which are associated with microbial colonization and infection. We report a comparison of a suture-free […]
Mathematical model determines efficacy of three drug infusion methods
A mathematical model for the treatment of cancer using chemovirotherapy is developed with the aim of determining the efficacy of three drug infusion methods: constant, single bolus, and periodic treatments” Malinzi et al (2019). Abstract: A mathematical model for the treatment of cancer using chemovirotherapy is developed with the aim of determining the efficacy of […]
Cost-effectiveness-analysis of ultrasound guidance for central venous catheterization
Because from the German perspective, the cost-effectiveness of ultrasound guidance is unclear, this study examined the cost-effectiveness of ultrasound guidance versus the landmark method for adults undergoing a central venous catheterization” Seleznova et al (2019). Abstract: BACKGROUND: Ultrasound guidance for central venous catheterization is a commonly used alternative to the conventional landmark method. Because from […]