Management of obstruction caused by precipitated medication in central venous access devices
The target of this study was to analyze data regarding obstruction caused by precipitated medication or lipids in CVADs and to calculate the efficacy of different treatment methods” Zheng et al (2019). Abstract: At present, central venous access devices (CVADs) are widely used in clinical practice. The reasons for CVAD obstruction caused by precipitated medication […]
Comparison of performance among split-tip and symmetrical-tip hemodialysis catheters
Different tip designs (step, split, and symmetrical) have been developed to ameliorate the catheter-related problems. The aim of the study was to compare the efficacy and safety of split-tip, step-tip, and symmetrical-tip HD catheters” Ling metal (2019). Abstract: OBJECTIVE: Patients with end-stage renal disease need vascular access to ensure sufficient blood flow during hemodialysis (HD). […]
Modified approach for ultrasound-guided axillary venipuncture in the infraclavicular area
The ultrasound-guided oblique-axis/in-plane approach is a safe and reliable alternative to the routine ultrasound-guided approach for axillary venous catheterization” Yao et al (2019). Abstract: BACKGROUND: Catheterization of the axillary vein in the infraclavicular area has important advantages in patients with long-term, indwelling central venous catheters. The two most commonly used ultrasound-guided approaches for catheterization of […]
Survivorship rate of peripheral IV catheters placed in the emergency department
We compare the use and survivorship rate of peripheral intravenous catheters placed in the emergency department (ED) by insertion method” Shokoohi et al (2019). Abstract: STUDY OBJECTIVE: We compare the use and survivorship rate of peripheral intravenous catheters placed in the emergency department (ED) by insertion method. METHODS: We analyzed a prospective cohort of ED […]
Narrative review addresses vascular access device choice
This narrative review addresses vascular access device choice from peripheral intravenous catheters through central venous catheters, including the evolving use of midline catheters” Cawcutt et al (2019). Abstract: This narrative review addresses vascular access device choice from peripheral intravenous catheters through central venous catheters, including the evolving use of midline catheters. The review incorporates best […]
Effect of impregnated central venous catheters on thrombosis in paediatric intensive care
The CATheter infections in CHildren (CATCH) trial reported reduced risks of bloodstream infection with antibiotic impregnated compared with heparin-bonded or standard central venous catheters (CVC) in paediatric intensive care” Wu et al (2019). Abstract: PURPOSE: The CATheter infections in CHildren (CATCH) trial reported reduced risks of bloodstream infection with antibiotic impregnated compared with heparin-bonded or […]
Risk Factors associated with upper extremity deep vein thrombosis following PICC insertion
PICC-related UEDVT is a common complication. Active cancer and higher baseline C-reactive protein level were associated with the occurrence of this condition” Levy et al (2019). Abstract: BACKGROUND: The occurrence of upper extremity deep vein thrombosis (UEDVT) is not uncommon following peripherally inserted central catheter (PICC) insertion. However, the risk factors associated with this condition […]
Antibiotic treatment following coagulase-negative staphylococci CLABSI
CoNS is the main cause of catheter-related bloodstream infections (CRBSI). Current guidelines recommend catheter withdrawal followed by antibiotics for at least 5 days. We aimed to assess the efficacy and safety of a shorter course of antibiotherapy in patients with CoNS CRBSI” San-Juan et al (2019). Abstract: CoNS is the main cause of catheter-related bloodstream […]
Clinical use of electrical stimulation with the Veinplicity® device
Increase in first attempt success was clinically relevant when electrical stimulation with the Veinplicity® device was combined with the application of a tourniquet in participants at moderate risk of a difficult peripheral intravenous access” van Loon et al (2019). Abstract: BACKGROUND: Peripheral intravenous cannulation is one of the most frequently performed medical procedures. Venodilation, which […]
Variation in use and outcomes related to midline catheters
While midline vascular catheters are gaining popularity in clinical practice, patterns of use and outcomes related to these devices are not well known” Chopra et al (2019). Abstract: BACKGROUND: While midline vascular catheters are gaining popularity in clinical practice, patterns of use and outcomes related to these devices are not well known. METHODS: Trained abstractors […]
Clinical decision support system for IV fluid administration
The aim of this study is to make a first step towards a model predictive clinical decision support system for fluid administration, by extending the current fluid exchange models with a regulated cardiovascular circulation, to allow prediction of these indices” Rosalina et al (2019). Abstract: The optimal fluid administration protocol for critically ill perioperative patients […]
Total intravenous anesthesia and target-controlled infusion in children
Propofol administered in conjunction with an opioid such as remifentanil is used to provide total intravenous anesthesia for children. Drugs can be given as infusion controlled manually by the physician or as automated target-controlled infusion that targets plasma or effect site” Anderson and Bagshaw (2019). Abstract: Propofol administered in conjunction with an opioid such as […]
IV lidocaine utilized as an opioid-sparing analgesic
A 55-year-old man with well-controlled human immunodeficiency virus on highly active antiretroviral therapy was prescribed a lidocaine infusion at 1 mg/kg/h for postoperative pain” Kramer (2019). Abstract: IV lidocaine is increasingly being utilized as an opioid-sparing analgesic. A 55-year-old man with well-controlled human immunodeficiency virus on highly active antiretroviral therapy was prescribed a lidocaine infusion […]
Safety outcomes of 100,000 PICC used for IV treatments
This multicenter retrospective study aimed to provide a comprehensive assessment of the safety of PICCs in administering parenteral supportive treatments” Campagna et al (2019). Abstract: The type of central vascular access device providers chosen for providing parenteral supportive treatments has evolved over the past years, going from routinely used centrally inserted catheters to a more […]
Seasonal differences in central line-associated bloodstream infection
Using prospectively collected surveillance data at a tertiary care hospital in Central Europe, we investigated seasonal differences in central line-associated bloodstream infection incidence” Schreiber et al (2019). Abstract: Using prospectively collected surveillance data at a tertiary care hospital in Central Europe, we investigated seasonal differences in central line-associated bloodstream infection incidence. Central line-associated bloodstream infection […]
Catheter-related thrombosis rate of midline and PICC
This was a retrospective comparison spanning 13 months of MCs and PICCs for symptomatic CR thrombosis at an 1100 bed tertiary care academic medical center” Bahl et al (2019). Abstract: Catheter-related (CR) thrombosis is a significant complication of midline catheters (MCs) and peripherally inserted central catheters (PICCs). Limited existing data for MCs suggest a favorable […]
Behavior of health care workers in the area of needlestick injuries
The aim of this study was to analyze behaviors of health care workers (HCWs) in the field of needlestick injuries (NSIs) as well as to learn about their attitudes to patients infected with blood-borne viruses” Garus-Pakowska and Górajski (2019). Abstract: Blood-borne infections represent an important occupational health issue in health care settings. The aim of […]
Use of ECG to verify PICC tip position during follow-up period
To evaluate the feasibility and accuracy of intracavitary electrocardiogram for verifying tip position of peripherally inserted central catheters in cancer patients during follow-up period” You et al (2019). Abstract: PURPOSE: To evaluate the feasibility and accuracy of intracavitary electrocardiogram for verifying tip position of peripherally inserted central catheters in cancer patients during follow-up period. METHODS: […]
Migration of totally implantable venous device into coronary sinus
Totally implantable venous device has a good safety profile, although certain complications may occur. Late mechanical complications include catheter fracture and cardiac migration which are rarely occurring in approximately 0.1% to 1% of patients” Lukito et al 92019). Abstract: INTRODUCTION: Totally implantable venous device has a good safety profile, although certain complications may occur. Late […]
Risk of needlestick injuries in a tertiary university hospital in southern Italy
Worldwide the needlestick injuries of health care workers (HCWs) still represent a major health problem. The authors aimed to evaluate the risk of HCW needlestick injuries in a tertiary university hospital in southern Italy” Bianco et al (2019). Abstract: Worldwide the needlestick injuries of health care workers (HCWs) still represent a major health problem. The […]
Working practices of waste handlers in Ethiopia
Waste handlers play a significant role for its proper management and they need to have adequate knowledge, attitude, and practices. The study aimed to evaluate the knowledge, attitude, and practices of waste handlers regarding medical waste management in Debre Markos town healthcare facilities, northwest Ethiopia” Deress et al (2019). Abstract: OBJECTIVE: Medical waste is a […]
Review of vincristine administration safety in Switzerland
International recommendations are not widely implemented in Swiss hospitals. Syringes are still in use and other safety measures are sparsely disseminated. Thus, Swiss vincristine patients are still at an increased risk for wrong route application” Brühwiler and Schwappach (2019). Abstract: BACKGROUND: Different international organizations recommend safety measures for the use of vincristine to prevent wrong […]
Relationship between hemoglobin levels and vancomycin clearance
It is important to accurately estimate accurate vancomycin (VCM) clearance (CLvcm) for appropriate VCM dosing in the treatment of patients with sepsis” Chuma et al (2019). Abstract: PURPOSE: It is important to accurately estimate accurate vancomycin (VCM) clearance (CLvcm) for appropriate VCM dosing in the treatment of patients with sepsis. However, the pathophysiology of sepsis […]
The DripAssist device in resource-limited environments
The DripAssist device calculates drip rates by counting drops in IV tubing drip chambers and may provide a useful patient safety monitor adjunct” Couperus et al 92019). Abstract: Intravenous (IV) administration of fluids and medications are a significant part of patient treatment. In austere environments, typical methods of counting drops from gravity drips or infusion […]
Occupational exposure to blood and body fluids in Ethiopia
The main objective of this study was to assess the magnitudes of occupational exposure of blood and body fluids and associated factors among health workers at the University of Gondar Hospital” Yasin et al (2019). Abstract: BACKGROUND: Occupational exposure to blood and body fluids (BBFs) is a serious concern for health care workers (HCWs) and […]
Continuous versus intermittent infusions of antibiotics for the treatment of infectious diseases
Therefore, the present meta-analysis aimed to investigate the effectiveness of antibiotic administration in patients with infection and to assess whether the effect differs between the two antibiotic administration types” Chen et al (2019). Abstract: BACKGROUND: Severe sepsis and pneumonia are common problems in the intensive care units (ICUs) and cause high morbidity and mortality. Optimal […]
CLABSI reduction following chlorhexidine bathing in a hematology-oncology unit
The aim was to reduce the incidence of central line-associated bloodstream infections in a hematology-oncology unit through the staff’s continued adherence to the institution’s protocol for CHG baths with wipes, and to identify barriers and the degree to which they interfered with optimal use of the CHG wipes” Jusino-Leon et al (2019). Abstract: BACKGROUND: Chlorhexidine […]
Mechanical ventilation increases pneumothorax risk during subclavian vein puncture
In this study landmark-guided infraclavicular SCV catheterization was associated with a significantly higher rate of pneumothorax when venipuncture was performed during mechanical ventilation and not in apnea” Palmaers et al (2019). Abstract BACKGROUND: Infraclavicular subclavian vein (SCV) catheterization is a standard procedure in anesthesia and intensive care. There is a lack of evidence on how […]
Detection of intravenous infiltration using impedance parameters
Our findings suggest that bioelectrical impedance is an effective method for detection of infiltration in a noninvasive and quantitative manner” Jeong et al (2019). Abstract: This study was aimed to evaluate the changes of impedance parameters of patients who were admitted to a long-term care hospital by measuring bioelectrical impedance. The subjects were 18 patients […]
How to to minimize air bubbles during an infusion?
An antisiphon valve, placed at the end of the IV tubing to pressurize the infusion and to minimize air bubbles, was found to decrease clinically insignificant AIL alarms” Meade et al (2019). Abstract: The administration of 24-hour continuous chemotherapy infusions is common in certain regimens, such as EPOCH (etoposide, prednisone, vincristine, cyclophosphamide, and doxorubicin). Such […]