Assessing the accuracy of the infusion pump operation
Medication infusion pumps are the most popular device in almost all areas of a hospital; therefore, it is important to frequently inspect the accuracy of the infusion pump operation to prevent underdose/overdose accidents” Kim et al (2019). Abstract: Medication infusion pumps are the most popular device in almost all areas of a hospital; therefore, it […]
Hepatic artery infusion pump for nasopharyngeal carcinoma
To evaluate the benefits and risks of hepatic artery infusion (HAI) gemcitabine and floxuridine (FUDR) in patients with nasopharyngeal carcinoma liver metastases” Peng et al (2019). Abstract: To evaluate the benefits and risks of hepatic artery infusion (HAI) gemcitabine and floxuridine (FUDR) in patients with nasopharyngeal carcinoma liver metastases. HAI catheter systems were implanted under […]
Elimination kinetics of the water volume in infusion fluids
The distribution and elimination kinetics of the water volume in infusion fluids can be studied by volume kinetics” Hahn et al (2019). Abstract: The distribution and elimination kinetics of the water volume in infusion fluids can be studied by volume kinetics. The approach is a modification of drug pharmacokinetics, which uses repeated measurements of blood […]
Hazardous drug residues in the home setting
Careless handling causes toxic HD residues to infiltrate hospital and ambulatory care settings and can even be tracked to patient homes” Huff (2020). Abstract: Safety concerns have existed for more than 40 years about how hazardous drug (HD) exposure contributes to adverse health outcomes in health care workers. Careless handling causes toxic HD residues to […]
Vascular access needs of patients with factitious disorder
When considering a patient with factitious disorder as a candidate for infusion therapy, the clinician must be aware of the challenges associated with providing an invasive treatment to high-risk patients while promoting safety” McMillan (2020). Abstract: Factitious disorder, formerly known as Munchausen syndrome, is a type of mental illness in which patients fabricate symptoms to […]
Long-term subcutaneous hydration therapy for pediatric patients
Long-term subcutaneous hydration has not been described in pediatrics. A case of a 4-year-old born prematurely with subsequent intestinal failure, large vessel thrombi, and repeated central line-associated bloodstream infections prompting catheter removal is discussed” Wheaton et al (2020). Abstract: Long-term subcutaneous hydration has not been described in pediatrics. A case of a 4-year-old born prematurely […]
USP general chapter and Its impact on nursing practice
The Infusion Nurses Society (INS) and the Journal of Infusion Nursing (JIN) editors are pleased to debut Pharmacology Report, a recurring bimonthly column authored by Susan Kleppin, RPh, FASHP” Kleppin (2020). Abstract: The Infusion Nurses Society (INS) and the Journal of Infusion Nursing (JIN) editors are pleased to debut Pharmacology Report, a recurring bimonthly column […]
Impact of crystalloid versus colloid fluids on postoperative nausea
The objective of this systematic review was to determine whether administering colloids to adults undergoing noncardiac surgery significantly reduces PONV incidence and rescue antiemetic use, compared with administering crystalloids” Lee et al (2019). Abstract: STUDY OBJECTIVE: Evidence suggests that administering appropriate volumes of perioperative fluid replacement therapies can decrease the incidence of postoperative nausea and […]
Peripheral venipuncture education strategies for nursing students
This integrative literature review identified strategies to teach peripheral venipuncture to nursing students” de Souza-Junior et al (2020). Abstract: This integrative literature review identified strategies to teach peripheral venipuncture to nursing students. The following databases were searched for primary studies: Biblioteca Virtual em Saúde (BVS), PubMed, Web of Science, Education Resources Information Center (ERIC), SCOPUS, […]
Best practice for small-volume intermittent IV infusions
Results suggest that intermittent IV infusions should only be delivered as a secondary infusion through a primary infusion administration set with a continuous infusion or an infusion that can flush the administration set at the completion of the secondary infusion” Harding et al (2020). Abstract: This study investigated the delivery of small-volume intermittent intravenous (IV) […]
Hepatic arterial infusion chemotherapy for metastatic breast cancer patients
Hepatic arterial infusion chemotherapy (HAIC) is a treatment option for metastatic breast cancer (MBC) patients with extensive liver metastasis” Furuta et al (2020). Abstract: BACKGROUND/AIM: Hepatic arterial infusion chemotherapy (HAIC) is a treatment option for metastatic breast cancer (MBC) patients with extensive liver metastasis (LM); however, the appropriate regimen and the treatment effects have not […]
Changeover from a syringe pump to an infusion pump
This study compared the operator workloads associated with the Anyfusion® pump and with the conventional method using two infusion devices (a syringe pump and an infusion pump)” Min et al (2019). Abstract: BACKGROUND: A changeover from a syringe pump to an infusion pump may transiently interrupt drug administration and result in medication errors. A newly […]
Review of fluid volumes infused during burn resuscitation
‘Fluid creep’ or excessive fluid delivered to burn patients during early resuscitation has been suggested by several studies from individual burn centers” Shah et al (2019). Abstract: INTRODUCTION: ‘Fluid creep’ or excessive fluid delivered to burn patients during early resuscitation has been suggested by several studies from individual burn centers. METHODS: We performed a Medline […]
Midline IV catheters in critically ill emergency department patients
We conducted a prospective observational case series of all patients who had a midline catheter insertion attempted in the ED” Spiegel et al (2019). Abstract: STUDY OBJECTIVE: Midline catheters are an alternative to more invasive types of vascular access in patients in whom obtaining peripheral access has proven difficult. Little is known of the safety […]
Education and devices to prevent blood and body fluid exposures
Despite recent technological advances such as safety-engineered devices (SEDs), these injuries continue to occur in healthcare facilities worldwide” Cheetham et al (2019). Abstract: BACKGROUND: Healthcare workers are at risk of blood and body fluid exposures (BBFE) while delivering care to patients. Despite recent technological advances such as safety-engineered devices (SEDs), these injuries continue to occur […]
Propionibacterium acnes osteomyelitis after intraosseous cannulation
We report here an extremely rare incident of P. acnes tibial osteomyelitis at the IO access site” Cole et al (2019). Abstract: Propionibacterium acnes osteomyelitis secondary to intraosseous (IO) cannulation is not well documented in literature. We report here an extremely rare incident of P. acnes tibial osteomyelitis at the IO access site, in a […]
How to reduce pain during venipuncture in premature infants
To evaluate the efficacy of the reduction of visual and auditory stimuli on pain during venipuncture in premature newborns of 32-36 weeks of gestation” Bonjorn Juarez et al (2019). Abstract: AIM: To evaluate the efficacy of the reduction of visual and auditory stimuli on pain during venipuncture in premature newborns of 32-36 weeks of gestation. […]
Central venous access device removal in children
To assess the utility of routine preprocedural bloodwork during elective removal of central venous access devices (CVADs) with respect to bleeding complications” Donnellan et al 92019). Abstract: PURPOSE: To assess the utility of routine preprocedural bloodwork during elective removal of central venous access devices (CVADs) with respect to bleeding complications. MATERIALS AND METHODS: Patients who […]
Accessing medical care following needlestick injury
First responders have an increased risk of occupational exposure to HIV as the result of a needlestick injury (NSI) because of the chaotic prehospital environment in which they provide care” Carter et al (2019). Abstract: First responders have an increased risk of occupational exposure to HIV as the result of a needlestick injury (NSI) because […]
Outcomes of outpatient parenteral antibiotic therapy
HRQoL at baseline was significantly associated with lower risk of complications and early OPAT termination, as well as greater likelihood of return to work while on OPAT” Wee et al (2019). Abstract: While health-related quality of life (HRQoL) is an important component of patient-centred care, few studies have looked at the association between HRQoL and […]
Survey of non-resuscitation fluids administered during septic shock
The objective of the study was to quantify and characterize non-resuscitation fluid administered to patients with septic shock” Lindén-Søndersø et al (2019). Abstract: Background: The indication, composition and timing of administration of non-resuscitation fluid in septic shock have so far received little attention and accordingly the potential to reduce this source of fluid is unknown. […]
Simultaneous placement of leadless pacemaker and dialysis catheter
The described case emphasizes the necessity of multispecialty collaboration and gains of new pacing technology in patients who need placement of vascular access for hemodialysis and cardiac implantable electronic device where vascular access is scarce” Bednarczyk et al (2019). Abstract: The problem with limited venous access may occur in patients receiving long-term hemodialysis treatment with […]
Early cannulation of percutaneously created AV hemodialysis fistulae
The results of this study suggest that the possibility of successful early cannulation with a percutaneous arteriovenous fistula can be considered as an additional factor in making this access a reasonable alternative for a surgically created arteriovenous fistula in appropriate patients” Mallios et al (2019). Abstract: INTRODUCTION: The optimal vascular access for most dialysis patients […]
Hospital-based CLABSI prevention program
Fourteen CLABSIs were reported in the 17-month period prior to the implementation of the program, while no new CLABSIs occurred in the 30 months following implementation of the program” Conwell et al (2019). Abstract: Central venous catheter (CVC) vascular access is common among patients on hemodialysis. CVC use carries a substantial risk of central line-associated […]
Ultrasound-guided or landmark technique for CVC insertion
The real-time USG guided technique significantly reduces the number of attempts to cannulate, has a higher first-pass success rate, a quicker flash time, and fewer complications when compared to the AL technique” Kunhahamed et al (2019). Abstract: BACKGROUND AND OBJECTIVES: Central venous catheter placement is a frequently performed procedure in emergency medicine as well as […]
Effect of Epinephrine infusion on survival in critically ill patients
Current randomized evidence showed that continuous IV administration of epinephrine as inotropic/vasopressor agent is not associated with a worse outcome in critically ill patients” Belletti et al (2019). Abstract: OBJECTIVES: Epinephrine is frequently used as an inotropic and vasopressor agent in critically ill patients requiring hemodynamic support. Data from observational trials suggested that epinephrine use […]
Creative attitude toward hemodialysis access
Creating and maintaining a functional vascular access (VA) is a critical factor in the survival of a dialysis patient” Sousa et al (2019). Abstract: Creating and maintaining a functional vascular access (VA) is a critical factor in the survival of a dialysis patient. It implies a creative attitude either to maintain its functionality or to […]
Infusion-related reactions during Natalizumab treatment
Although NTZ is usually well-tolerated, infusion-related reactions (IRRs) may occur, and the patients have to be monitored during the infusion and for one hour afterwards” Sacco et al (2019). Abstract: BACKGROUND: Natalizumab (NTZ) is a humanized monoclonal antibody used in the treatment of relapsing remitting multiple sclerosis. Although NTZ is usually well-tolerated, infusion-related reactions (IRRs) […]
PICC placement via upper versus lower extremity veins
To investigate the effect of placement of peripherally inserted central catheter (PICC) via the upper versus lower extremity veins in neonates through a Meta analysis” Chen et al (2019). Abstract: OBJECTIVE: To investigate the effect of placement of peripherally inserted central catheter (PICC) via the upper versus lower extremity veins in neonates through a Meta […]
Diagnostic blood loss from phlebotomy and hospital acquired anemia
The study was performed to estimate the diagnostic blood loss (DBL) volume during hospitalization and investigate its relationship with the development of moderate to severe hospital acquired anemia (HAA) and increased number of red blood cell (RBC) transfusion following extensive burns” Yao et al (2019). Abstract: PURPOSE: The study was performed to estimate the diagnostic […]