Microbiome signatures in neonatal CLABSI
The blood microbiome in CLABSI neonates clustered separately from the uninfected blood samples in beta diversity plots. We found that the microbiome signature in catheter biofilm and blood of neonates with CLABSI is different than the microbiomes of non-CLABSI neonates” Pammi et al (2020).
Rapid and accurate bayesian diagnosis of heparin-induced thrombocytopenia
Prompt diagnostic work-up of suspected heparin-induced thrombocytopenia (HIT) is critical for guiding initial patient management” Marchetti et al (2020).
Clinical outcomes of teicoplanin use in the OPAT setting
We present a case series of patients undergoing OPAT care being treated by either teicoplanin-based (n = 107) or ceftriaxone-based (n = 191) antibiotic regimens” Dabrowski et al (2020).
Home infusion central line-associated bloodstream infection surveillance definition
Home infusion therapy and healthcare epidemiology experts developed candidate criteria for a home infusion CLABSI surveillance definition” Keller et al (2020).
How to undertake intravenous infusion calculations?
This article provides a step-wise, practical approach to undertaking intravenous (IV) infusion calculations” Brindley (2020).
Effects of transfusion on hemodynamic and oxygenation variables
The objectives of this study were, therefore, to evaluate, using systematic review and meta-analysis, the effects of transfusion on hemodynamic/oxygenation variables in patients without acute bleeding” Cavalcante dos Santos et al (2020).
Patient outcomes associated with repeat blood cultures
We examined factors associated with follow-up blood cultures (FU-BCs) in patients with monomicrobial gram-negative bloodstream infection (GN-BSI), and investigated impact of FU-BCs on therapeutic management and patient outcome” Giannella et al (2020).
TXA administration via IO and IM routes during hemorrhagic shock
TXA administration via IO and IM routes during hemorrhagic shock achieves serum concentrations necessary for inhibition of fibrinolysis and may be practical alternatives when IV access is not available” DeSoucy et al (2020).
What are the options for vascular access in cancer patients?
The most commonly used permanent venous access devices in cancer patients are the port, PICC port and PICC catheter (peripherally inserted central catheter)” Zapletal et al (2019). Abstract: The most commonly used permanent venous access devices in cancer patients are the port, PICC port and PICC catheter (peripherally inserted central catheter). It is always necessary […]
Hypodermoclysis for patients at end-of-life in home care settings
The increase in the elderly population associated with a higher incidence of cancer strongly endorses palliative care (PC). Hypodermoclysis (HDC) is a feasible technique for drugs and fluids delivery at the home care setting” Coelho et al (2020). Abstract: BACKGROUND: The increase in the elderly population associated with a higher incidence of cancer strongly endorses […]
Peripheral IV administration of high-risk infusions in critical care
In critical care, the short peripheral intravenous catheter is an essential venous access route, often used in emergency situations to administer high-risk medications and fluid resuscitation” Nickel (2019). Abstract: In critical care, the short peripheral intravenous catheter is an essential venous access route, often used in emergency situations to administer high-risk medications and fluid resuscitation. […]
Difficult guidewire insertion for central venous access
We describe the application of continuous image intensification to successfully identify the anatomical location and safe circumnavigation of guidewire obstruction during the insertion of a central venous and pulmonary artery catheter for cardiac surgery” Weinberg et al (2020). Abstract: PRESENTATION OF CASE: A 56-year old male presented for an elective redo-sternotomy, aortic valve replacement, tricuspid […]
MRSA and MSSA colonization in dialysis patients
MRSA and MSSA colonization in patients is associated with significant mortality and morbidity in dialysis patients” Price et al (2019). Abstract: Patients with end-stage renal disease are susceptible to infection, particularly methicillin-resistant Staphylococcus aureus (MRSA). Although MRSA-related mortality and morbidity have been studied, methicillin-sensitive Staphylococcus aureus (MSSA) has not been investigated to the same degree. […]
How to teat implantable port fibrin sheath formation?
Therefore, when a port malfunctions, thrombolytics are usually the only option attempted before the port is explanted and a new site is prepared for access. We present a minimally invasive technique demonstrating port salvage that does not require explant” Hagaman et al (2020). Abstract: Industry has long fought the battle to design a vascular catheter […]
Management of drug-induced peripherally inserted central catheter obstruction
The purpose of this research is to describe and understand nurses’ knowledge of drug-induced peripherally inserted central catheter obstruction management in developing countries” Zheng et al (2020). Abstract: OBJECTIVES: The purpose of this research is to describe and understand nurses’ knowledge of drug-induced peripherally inserted central catheter obstruction management in developing countries. This research aims […]
Is intravenous supplementation type associated with complications in chronic intestinal failure?
A 1-year international survey was carried out to investigate whether the European Society for Clinical Nutrition and Metabolism clinical classification of CIF, based on the type and volume of the intravenous supplementation (IVS), could be an indicator of CIF severity” Pironi et al (2020). Abstract: BACKGROUND AND AIM: No marker to categorise the severity of […]
Extravasation of peripheral norepinephrine in the emergency department
…Emergency Department (ED) implemented a protocol that recommends peripheral norepinephrine (pNE) be administered through an 18 gauge or larger at or above the antecubital fossa or the external jugular vein with a maximum dose of 20 μg/min” Nguyen et al (2020). Abstract OBJECTIVE: Vasopressors are typically administered through central venous catheters (CVC) due to a […]
Blood loss and anemia from laboratory testing
Blood loss for laboratory testing is substantial in ICU patients and significantly associated with RBC transfusion” Jackson Chornenki et al (2019). Abstract: BACKGROUND: Anemia is common in critically ill patients and associated with adverse outcomes. Phlebotomy associated with laboratory testing is a potentially modifiable contributor. This study aims to 1) characterize the blood volume taken […]
Ultralong versus standard long peripheral intravenous catheters
This study demonstrated increased catheter survival when the ultralong compared with the standard long ultrasonographically guided intravenous peripheral catheter was used” Bahl et al (2020). Abstract: STUDY OBJECTIVE: Ultrasonographically guided intravenous peripheral catheters have dismal dwell time, with most intravenous lines failing before completion of therapy. Catheter length in the vein is directly related to […]
Neonatal red blood cell transfusion practices in Switzerland
The aim of the study was to analyse Swiss practices in blood transfusion services and neonatal units for the preparation and administration of red blood cells in newborns” Arlettaz Mieth et al (2020). Abstract: WHAT IS KNOWN ON THE SUBJECT? Red blood cell transfusions are frequently used in the care of newborns, particularly premature infants. […]
Will use of an antiseptic barrier cap reduce CLABSI rates?
We assessed the effect of the use of antiseptic barrier caps on the incidence of CLABSI in infants and children and evaluated the implementation process” Helder et al (2020). Abstract: BACKGROUND: The use of antiseptic barrier caps reduced the occurrence of central line-associated bloodstream infections (CLABSI) in adult intensive care settings. We assessed the effect […]
Vancomycin pharmacokinetics in obese patients with sepsis
The objective of this study was to characterize vancomycin pharmacokinetics in obese patients with sepsis or septic shock, and to develop a novel pharmacokinetic dosing model based on pharmacokinetic-pharmacodynamic target requirements” Masich et al (2020). Abstract: STUDY OBJECTIVES: Obese patients with sepsis or septic shock may have altered vancomycin pharmacokinetics compared with the general population, […]
Ultrasound-guided percutaneous retrieval of transected radial artery catheter
To report our technique for percutaneous ultrasound-guided retrieval of accidentally transected arterial lines” Derycke and Mallios (2020). Abstract: OBJECTIVE: To report our technique for percutaneous ultrasound-guided retrieval of accidentally transected arterial lines. CASES DESCRIPTION: Two patients are reported herein; in both of these patients, a part of the 20-gauge catheter inserted for invasive monitoring of […]
Vascular access in breast cancer survivors
Due to increased survival, breast cancer survivors go on to develop other healthcare issues that may require vascular access. Therefore, long-held beliefs with regards to risk factors and preventative measures need to be challenged” Larocque and McDiarmid (2019). Abstract: Breast cancer is the most common cancer in women. Breast cancer related lymphedema (BCRL) is a […]
Does tapping enhance vasodilation for venipuncture?
This study evaluated whether tapping enhances vasodilation in individuals with veins that are relatively difficult to palpate” Ichimura et al (2020). Abstract: INTRODUCTION: This study evaluated whether tapping enhances vasodilation in individuals with veins that are relatively difficult to palpate. MATERIALS AND METHODS: Twenty participants (4 men and 16 women, aged 19-22 years) with cutaneous veins […]
Co-administration of multiple intravenous medicines
This study explores ICU nurses’ views on the everyday practice surrounding co-administration of multiple IV medicines down the same lumen” Oduyale et al (2020). Abstract: BACKGROUND: Co-administration of multiple intravenous (IV) medicines down the same lumen of an IV catheter is often necessary in the intensive care unit (ICU) while ensuring medicine compatibility. AIMS AND […]
Insulin adsorption in ICU infusion sets
Insulin adsorption has been observed in ICU delivery lines, and is especially problematic in the delivery of insulin within the neonatal ICU” Knopp et al (2019). Abstract: Insulin adsorption has been observed in ICU delivery lines, and is especially problematic in the delivery of insulin within the neonatal ICU. This paper presents a two state […]
Forecasting hypotension during vasopressor infusion
For optimal management of hypotension during continuous vasopressor infusion, this study investigated two forecasting models, logistic regression (LR) and auto-regressive (AR) models, to predict sustained hypotension episodes (SHEs) in the ICU, before the SHE occurred” Shin et al (2019). Abstract: For optimal management of hypotension during continuous vasopressor infusion, this study investigated two forecasting models, […]
Perceptions of risk factors for infusion phlebitis among Malaysian nurses
To investigate nurses’ perceptions of risk factors for phlebitis in a tertiary teaching hospital in north-east Peninsular Malaysia” Ying et al 92020). Abstract: Background: Intravenous therapy is an integral part of professional nursing practice. Nurses have a responsibility to recognise risk factors for phlebitis. Aims: To investigate nurses’ perceptions of risk factors for phlebitis in […]
Use of 3.15% chlorhexidine gluconate with 70% alcohol IV hub disinfection
This study found that using alcohol with chlorhexidine gluconate prior to accessing central line hubs and vascular grafts allows for reduction in CLABSI events and sustains statistically significant lower CLABSI rates in the inpatient dialysis population” Marty Cooney et al (2020). Abstract: Purpose: Preventing CLABSI events in the dialysis inpatient population represents significant challenges. Bacteremia […]