Review of different central venous catheter replacement methods
Ectopic catheter replacement can improve the primary patency rate and auxiliary primary patency rate of catheters. Ectopic catheter replacement may require sufficient surgical skills with digital subtraction angiography, resulting in a better prognosis” You et al (2019). Abstract: INTRODUCTION: Central venous catheter insertion for long-term vascular access is not recommended in clinical practice. However, since […]
How to approach central venous catheter safety?
CVCs may be associated with insertion-related, mechanical, thrombotic, and infection-related complications that, in turn, are associated with higher mobidiity and mortality, and increased healthcare costs” Levy et al (2019). Extract: Central venous catheters (CVCs), including nontunneled CVCs, peripherally inserted central catheters (PICCs), and tunneled or implanted central access devices, are commonly used in pediatrics for […]
Enhanced infection control interventions reduce neonatal CRBSI
Catheter-related bloodstream infections (CR-BSI) cause high neonatal mortality and are related to inadequate aseptic technique during the care and maintenance of a catheter. The incidence of CR-BSI among neonates in Hung Vuong Hospital was higher than that of other neonatal care centres in Vietnam” Phan et al (2020). Abstract: Background: Catheter-related bloodstream infections (CR-BSI) cause […]
PICC use in allogeneic hematopoietic stem cell transplant recipients
We have prospectively evaluated the safety and efficacy of 100 polyurethanes or silicone PICC, inserted into 100 adult allo-HSCT recipients, at the Hematology of Sapienza University of Rome (Italy), between October 2012 and August 2017″ Mariggiò et al (2020). Abstract: BACKGROUND: Central venous catheters (CVC) are essential for the management of patients with hematologic malignancies, […]
Performance of modern syringe infusion pump assemblies at low infusion rates
The aim of this study was to evaluate the performance of several modern syringe infusion pumps at low infusion rates and the impact on drug concentration” Baeckert et al (2019). Abstract: BACKGROUND: Syringe infusion pumps are used for the precise continuous administration of intravenous drugs. Their compliance and mechanical deficiencies have been found to cause […]
Early mortality attributable to PICC-lines
We report in our study an exhaustive inventory of bacteremia on PICC-line and their 30 days mortality, over a 7 years period” Bessis et al (2020). Abstract: INTRODUCTION: Peripherally inserted central catheters (PICC-line) are devices inserted through peripheral venous access. In our institution, this technology has been rapidly adopted by physicians in their routine practice. […]
Achieving equity in dialysis care and outcomes
Inequities in nephrology referral, vascular access, use of home dialysis modalities, kidney transplantation, and mortality are prominent” Crews and Novick (2020). Abstract: Socially disadvantaged persons, including racial and ethnic minorities, individuals with low incomes, homeless persons, and non-US citizens bear a disproportionate burden of end-stage kidney disease (ESKD). Inequities in nephrology referral, vascular access, use […]
Target controlled infusion algorithm to prevent hypotension associated with labor epidural
The purpose of this study was to design an adaptive optimal controller for an infusion system to regulate mean arterial pressure” Davoud et al (2019). Abstract: Patients receiving labor epidurals commonly experience arterial hypotension as a complication of neuraxial block. The purpose of this study was to design an adaptive optimal controller for an infusion […]
Peripherally inserted central catheter service review
To document the evolution of the Peripherally Inserted Central Catheter service at Princess Margaret Hospital, now Perth Children’s Hospital” Hauser et al (2019). Abstract: BACKGROUND: To document the evolution of the Peripherally Inserted Central Catheter service at Princess Margaret Hospital, now Perth Children’s Hospital. METHODS: Between January 2012 and June 2013 patients referred to Anaesthesia […]
Micropuncture access set use during port implantation
The aim of this study was to compare the perioperative outcomes when using a micropuncture access set (MS) to those when using a conventional puncture set (CS) for implantation of totally implantable venous access device (TAVID)” Lee et al (2019). Abstract: BACKGROUND: The aim of this study was to compare the perioperative outcomes when using […]
What is the effect of bundles on high CLABSI rates?
Modified CVC bundles were implemented across all settings of our hospital” Karapanou et al (2020). Abstract: Background: Our hospital has several characteristics different from the settings in which the central venous catheter (CVC) care bundle has been implemented so far, that is, care bundles or protocols are not systematically used, and the prevalence of central […]
Fluid resuscitation with albumin using BET formula
In conclusion, BET formula is capable of resuscitating burn patients successfully, limiting fluid administration” Blanco-Schweizer et al (2019). Abstract: BET (Biological Engineering Technology) formula uses fluids with high albumin concentration to resuscitate burn patients. It estimates fluid resuscitation as a function of Body Burned Surface Area (BBSA) (ml/h = BBSA (m2) × 220) and administers it through a combination […]
Clinical management of hemophilia A in females
Affected individuals should receive infusion training and education on treatment options, physical activities, the importance of treatment adherence, and recognizing bleeding symptoms warranting treatment” Bryant et al (2019). Abstract: Approximately 50% of female carriers of hemophilia A have factor VIII (FVIII) levels below 0.5 IU/dL and may be categorized as having mild hemophilia. Females with […]
Diagnosis and management of catheter-related bloodstream infections
Treatment of inpatients may involve central venous catheter removal and antibiotics for patients needing short-term parenteral nutrition, but catheter salvage is generally recommended for patients needing long-term parenteral nutrition, where appropriate” bond et al (2019). Abstract: Catheter-related bloodstream infections (CRBSIs) commonly arise from a parenteral nutrition catheter hub. A target for a Nutrition Support Team […]
Economic evaluation of peripherally inserted central catheters
Therefore, we aimed to map the existing research on the economic evaluations of peripherally inserted central catheters and other venous access devices to provide economic evidence for decision-makers to choose a suitable venous access device” Wang et al (2020). Abstract: OBJECTIVE: With the widespread use of peripherally inserted central catheters, plenty of studies have compared […]
Sensitivity of differential time to positivity for CRBSI diagnosis
A retrospective evaluation was undertaken in intestinal failure (IF) patients with long term CVCs to evaluate differential time to positivity (DTP) against paired quantitative blood cultures (PP) for the diagnosis of CRBSI” Chadwick et al (2019). Abstract: BACKGROUND & AIMS: A retrospective evaluation was undertaken in intestinal failure (IF) patients with long term CVCs to […]
Safety culture and adherence to standard precautions
This research describes the relationships among patient safety culture, adherence to SP, and missed nursing care” Hessels and Wurmser (2019). Abstract: Standard Precautions (SP) are an essential, although unmet, component of nursing care. Understanding conditions fostering the integration of SP within nursing workflow is imperative. This research describes the relationships among patient safety culture, adherence […]
Pneumatic tube systems as method of transfer of potential pathogens
We investigated the extent of contamination of pods, used within the PTS with specific alert organisms, namely meticillin-resistant Staphylococcus aureus (MRSA), vancomycin resistant enterococci (VRE) and carbapenemase-producing Enterobacterales (CPE)” McMullen et al (2019). Summary: Pneumatic tube systems (PTS) are useful features in hospitals for efficient transport of items but further scrutiny reveals their potential risks. […]
Enhancement of catheter bundle with chlorhexidine dressings over 11 years
The addition of chlorhexidine dressings to all CVC and arterial lines to an ongoing catheter bundle was associated with a sustained 11-year reduction of all catheter-associated bloodstream infections” Eggimann et al (2020). Abstract: BACKGROUND: Prospective randomized controlled studies have demonstrated that addition of chlorhexidine (CHG) dressings reduces the rate of catheter (central venous and arterial)-associated […]
Interventions for occluded central venous catheters
To identify the interventions used to treat thrombotic events in long-term central venous catheters in pediatric patients with cancer” da Costa et al (2019). Abstract: CONTEXT: Thrombotic occlusion is 1 of the most frequent complications in catheters implanted in children. OBJECTIVE: To identify the interventions used to treat thrombotic events in long-term central venous catheters […]
Complications of patients dialyzed with permanent central catheters
Although arteriovenous (A-V) fistula is a preferred form of vascular access, for various reasons, permanent catheters are implanted in many patients” Szarnecka-Sojda et al (2019). Abstract: Background and Objectives: An increase in the incidence of end-stage renal disease (ESRD) is associated with the need for a wider use of vascular access. Although arteriovenous (A-V) fistula […]
Point-of-care ultrasound in the neonatal ICU
Experience with POCUS in the NICU is growing. Current evidence supports the use of POCUS for a number of diagnostic and procedural applications” Miller et al (2019). Abstract: PURPOSE OF REVIEW: Point-of-care ultrasound (POCUS) is an emerging clinical tool in the neonatal intensive care unit (NICU). Recent literature describing the use of POCUS for various […]
Simulation models for transmission of health care–associated infection
The purpose of this review is to present a systematic review to establish (1) how simulation models have been used to investigate HAIs and their mitigation and (2) how these models have evolved over time, as well as identify (3) gaps in their adoption and (4) useful directions for their future development” Nguyen et al […]
Vascular access creation in octogenarians
The results of our study support primary placement of a brachiocephalic AVF in the octogenarian patient” Drouven et al (2019). Abstract: BACKGROUND: The prevalence of end-stage renal disease is accelerating among older age groups. Patient-specific factors in the elderly patient group might advocate for a different vascular access creation approach, in which patency, risk of […]
The history of hemodialysis in China
A brief review of the history of hemodialysis in China is presented here, including a brief description of pioneers and their contributions” Bi et al (2019). Abstract: The technique of hemodialysis was introduced into China more than 50 years ago; and both research and use of clinical hemodialysis began in mid-1960s to late-1960s. A brief review […]
Epinephrine autoinjectors – the needle length matters
Recently, there has been a concern that the autoinjectors are not designed properly for all patients” Dreborg and Kim (2019). Abstract: Epinephrine autoinjectors should be used for treatment of severe general allergic reactions in the community. Recently, there has been a concern that the autoinjectors are not designed properly for all patients. You may also […]
Terlipressin-related ischaemic necrosis of the skin
We present the case of a patient with extensive skin necrosis, unrelated to the infusion site, in the lower and upper limbs, scrotum and abdomen after the use of terlipressin” Macedo et al 92019). Abstract: Terlipressin is used for the treatment of bleeding oesophageal varices and hepatorenal syndrome in patients with cirrhosis. Adverse effects are […]
Hepatic arterial infusion pump chemotherapy for patients with resected colorectal liver metastases
The objective was to investigate the impact of adjuvant hepatic arterial infusion pump (HAIP) chemotherapy on the rates and patterns of recurrence and survival in patients with resected colorectal liver metastases (CRLM)” Buisman et al (2019). Abstract: BACKGROUND: The objective was to investigate the impact of adjuvant hepatic arterial infusion pump (HAIP) chemotherapy on the […]
Management of peripheral IV catheter guidelines in Germany
Our objective was to describe the practices of PVC handling and assess the implementation of national guidelines for prevention of PVC-related infections in German acute care hospitals, 10 months after their release” Aghdassi et al 92019). Structured summary: Background: Due to their frequent use, peripheral venous catheters (PVCs) are relevant regarding catheter-related infections and their […]
Incidence of peripheral intravenous catheter failure in paediatric patients
Peripheral intravenous catheter failure and complications in paediatrics patients are a significant problem globally” Indarwati et al (2019). Abstract: BACKGROUND: Most paediatric patients have at least one peripheral intravenous catheter insertion during their hospitalisation. Despite the important function of peripheral intravenous catheters for delivery of intravenous therapy, failure and complications rates are widely reported; however […]