Innovation in central venous access device security
It is feasible to conduct an efficacy randomized control trial of the studied interventions. Further research is required to definitively identify clinical, cost-effective methods to prevent central venous access device failure by examining new dressing and securement technologies and techniques” Ullman et al (2019). Abstract: OBJECTIVES: Central venous access devices enable many treatments during critical […]
Multifaceted hand hygiene improvement program
Our multifaceted improvement program, for nurses and physicians of the ICUs in the largest hospital of Indonesia, resulted in a significant improvement of the HH knowledge and HH compliance, but HH compliance levels waned over time after the intervention, indicating a need for continued monitoring and repeated interventions” Saharman et al (2019). Abstract: Background: Hand […]
Prone positioning for peripherally inserted central catheter insertion
Peripherally inserted central catheters are usually inserted in supine patients. What should we do when facing a patient who cannot tolerate this position” Longo et al (2019). Abstract: Peripherally inserted central catheters are usually inserted in supine patients. What should we do when facing a patient who cannot tolerate this position? In this article, we […]
Subcutaneous suppressive antibiotic therapy for bone and joint infections
Since 2010, we have used infection salvage therapy using off-label subcutaneous (sc) injection of a β-lactam as PSAT for patients in whom oral PSAT is not possible” Pouderoux et al (2019). Abstract: BACKGROUND: Optimal treatment of prosthetic joint infection and chronic osteomyelitis consists of surgical removal of biofilm-embedded bacteria, followed by a 6-12 week course of […]
Does infusion time affect the retention of parenteral trace elements?
Overall, trace element retention appears to be minimally affected by infusion time” Ferrie (2019). Abstract: When readymade parenteral nutrition in multi-chamber bags is supplied without vitamins and minerals, these have to be added or given separately. Separate rapid infusion has logistical advantages but has been claimed to saturate tissue mechanisms, potentially increasing urine micronutrient losses. […]
Infusion-related events during natalizumab administration
This retrospective cohort study assessed the timing of infusion-related adverse events (IAEs) during natalizumab (NTZ) administration” Loonstra et al (2019). Abstract: This retrospective cohort study assessed the timing of infusion-related adverse events (IAEs) during natalizumab (NTZ) administration in well-documented relapsing-remitting multiple sclerosis (RRMS) patients who had received NTZ infusions in our centre between 2006 and […]
Management of venous perforation during central venous catheterization
When venous perforation occurs during CVC, it is safer and more reliable to adjust or withdraw the catheter under DSA guidance after a false lumen forms outside the catheter” Xu et al (2019). Abstract: RATIONALE: In recent years, central venous catheterization (CVC) has become widely used for hemodialysis patients. Based on 3 cases, we discussed […]
Ipsilateral vocal cord paralysis following central line placement
We present an unusual complication of recurrent laryngeal nerve palsy, leading to right vocal fold paralysis, following insertion of a right internal jugular tunnelled dialysis catheter” Koduri et al (2019). Abstract: BACKGROUND: Central venous catheters are extensively used in critical care units and in dialysis centres to gain access to the blood stream for the […]
Parameters influencing the pharmacodynamics of Piptaz
To assess population pharmacokinetics (PK) and pharmacodynamics (PD) of both piperacillin and tazobactam in neutropenia patients and examine dosage requirements” Benech et al (2019). Abstract: OBJECTIVES: To assess population pharmacokinetics (PK) and pharmacodynamics (PD) of both piperacillin and tazobactam in neutropenia patients and examine dosage requirements related to the MIC distribution for Gram-negative bacteria involved […]
Numeracy performance in first-year nursing students
To examine the factors that influence nursing students’ mathematics self-efficacy, the effect of numeracy instruction on self-efficacy, and the association between self-efficacy and numeracy test performance” Gregory et al (2019). Abstract: AIM AND OBJECTIVES: To examine the factors that influence nursing students’ mathematics self-efficacy, the effect of numeracy instruction on self-efficacy, and the association between […]
Management of central-line-associated bloodstream infections
Chelators such as citrate and EDTA have been widely studied alone or in combination with other antimicrobial agents in catheter lock solutions to prevent catheter-related bloodstream infections and to maintain catheter patency” Chaftari et al (2019). Abstract: The proper functioning of central lines is imperative for the management of patients with cancer or on hemodialysis. […]
Challenges of ultrasound in dialysis vascular access
Ultrasound may be used across the spectrum of dialysis access, including central venous catheter placements, vascular mapping, regional anesthesia, creation, maintenance and assessment of hemodialysis access” Niyyar (2019). Abstract: Sonography is increasingly being used by nephrologists and the field of dialysis access is no exception. Advances in technology have allowed the addition of this universally […]
Decision-making about IV administration set replacement
To explore nurses’ decision making regarding intravenous administration set replacement for vascular access device infusions in paediatric and adult clinical settings” Ray-Barruel et al (2019). Abstract: AIM AND OBJECTIVES: To explore nurses’ decision making regarding intravenous administration set replacement for vascular access device infusions in paediatric and adult clinical settings. BACKGROUND: Intravenous administration sets are […]
Attitudes towards needlestick injuries among junior doctors
To estimate the prevalence of under-reporting of NSIs and to evaluate the knowledge, attitude and behaviour towards NSIs among junior doctors in a tertiary hospital in Singapore” One et al (2019). Abstract: BACKGROUND: Needlestick injuries (NSIs) are common healthcare-related injuries and possible consequences include blood-borne infections. Despite that, a large proportion of NSIs are not […]
Biomarkers for the prediction of catheter-related venous thromboembolism
Pediatric venous thromboembolism (VTE) has increased over the past 10 years, with central venous catheters (CVC) being the strongest risk factor” Nossair et al (2019). Abstract: BACKGROUND: Pediatric venous thromboembolism (VTE) has increased over the past 10 years, with central venous catheters (CVC) being the strongest risk factor. Current tools are not sufficient to predict […]
Central venous catheter use increases ischemic stroke risk
CVC placement increases ischemic stroke risk, particularly in those aged ≤35 years; this trend warrants further investigation” Liao et al (2019). Abstract: BACKGROUND: Central venous catheter (CVC) placement is a common procedure used for the treatment of critically ill patients. However, ischemic stroke is a complication after CVC placement. AIM: This study investigated the association […]
Vascular access-related infections in two haemodialysis units
Access-related infections are a major cause of morbidity and mortality in haemodialysis patients. Our goal was to decrease the rate of these infections by implementing an intervention and surveillance program” Gork et al (2019). Abstract: BACKGROUND: Access-related infections are a major cause of morbidity and mortality in haemodialysis patients. Our goal was to decrease the […]
Venodilation effects of tapping versus massaging for venipuncture
No significant differences were observed between the degrees of venodilation that were achieved using the three investigated venodilation techniques” Yasuda et al (2019). Abstract: AIM: To compare the effectiveness of tapping and massaging venodilation techniques by evaluating venous cross-sectional area, venous depth, venous palpation score, and questionnaire responses of study participants. METHODS: This study had […]
Short versus long axis ultrasound guided approach for internal jugular vein cannulation
The long-axis view for IJV cannulation has similar insertion and procedure timings to the short-axis view. However, the complication rate and number of needle punctures required were less with the long-axis view than with those with the short-axis view” Rath et al (2019). Abstract: OBJECTIVES: Ultrasound-guided internal jugular vein cannulation is a standard procedure performed […]
Endovascular port-a-cath rescue in acute superior vena cava syndrome
Acute superior vena cava (SVC) syndrome is managed by endovascular recanalization, venoplasty with stenting, and anticoagulation. It is often associated with central venous catheters” Amberger et al (2019). Abstract: Acute superior vena cava (SVC) syndrome is managed by endovascular recanalization, venoplasty with stenting, and anticoagulation. It is often associated with central venous catheters. We present […]
High-risk needlestick injuries and virus transmission
Evaluation of the follow-up monitoring after NSI with respect to early recognition of transmission of HIV, HCV and HBV as well as adherence and psychological burden of HCP” Safari et al (2019). Abstract: BACKGROUND: Needlestick injuries (NSI) of healthcare personnel (HCP) are work-related accidents with a risk of transmission of blood-borne human immunodeficiency virus (HIV), […]
AV fistula maturation rate with ipsilateral tunneled dialysis catheter
The effect that ipsilateral tunneled dialysis catheters (TDC) have on arteriovenous fistula (AVF) maturation is unclear” Kim et al (2019). Abstract: OBJECTIVE: The effect that ipsilateral tunneled dialysis catheters (TDC) have on arteriovenous fistula (AVF) maturation is unclear. We sought to define this association by comparing AVF maturation rates in patients with contralateral TDC with […]
Risk factors for a difficult intravenous access
To summarise the evidence about patient-related risk factors for difficult intravenous access in adults, and at identifying nurses’ beliefs and their consistency with evidence” Piredda et al (2019). Abstract: AIMS AND OBJECTIVES: To summarise the evidence about patient-related risk factors for difficult intravenous access in adults, and at identifying nurses’ beliefs and their consistency with […]
Impact of home infusion therapies on caregivers
To describe the scope of home infusion therapy in cancer care, expectations related to caregiver involvement in home infusion therapy, literature addressing the impact upon caregivers, and nursing implications” Gorski (2019). Abstract: OBJECTIVES: To describe the scope of home infusion therapy in cancer care, expectations related to caregiver involvement in home infusion therapy, literature addressing […]
Management of amphotericin-induced infusion phlebitis
Amphotericin-induced phlebitis is a common infusion-related reaction in patients managed for cryptococcal meningitis. High-quality nursing care is critical component to successful cryptococcosis treatment” Ahimbisibwe et al (2019). Abstract: BACKGROUND: Amphotericin-induced phlebitis is a common infusion-related reaction in patients managed for cryptococcal meningitis. High-quality nursing care is critical component to successful cryptococcosis treatment. We highlight the […]
Accidental removal of devices in intensive care unit
In the intensive care unit, invasive devices can be accidentally removed by the patient or by the operators, increasing workload, staff stress level and hospitalisation costs” Galazzi et al (2019). Abstract: BACKGROUND: In the intensive care unit, invasive devices can be accidentally removed by the patient or by the operators, increasing workload, staff stress level […]
Technology-assisted or manual IV room workflow
The benefits of technology-assisted workflow (TAWF) compared with manual workflow (non-TAWF) on i.v. room efficiency, costs, and safety at hospitals with more than 200 beds are evaluated” Eckel et al (2019). Abstract: Purpose: The benefits of technology-assisted workflow (TAWF) compared with manual workflow (non-TAWF) on i.v. room efficiency, costs, and safety at hospitals with more […]
Full text version of Vessel Health and Preservation textbook
Vessel health and preservation (VHP) is a model applied to vascular access and the administration of IV medications and treatment that structures evidence-based practices within four quadrants of medical care: assessment/selection, insertion, management, and evaluation of vascular access devices” Moureau (2019). Extract: Vessel health and preservation (VHP) is a model applied to vascular access and […]
Review of nurse-led central venous catheter insertion
The implementation of the ‘Transfer of competence: nurse-led central venous catheter insertion’ cooperation protocol in 2016, in the Paris hospital trust (AP-HP), has enabled these waiting times to be reduced without any increase in the frequency of complications or effects on the safety of the procedure” Fournier et al (2019). Abstract: Chemotherapy for cancer patients […]
Prolonged Gentamicin-lock therapy reduces hemodialysis catheter-related infections
In the current study, gentamicin-lock therapy was associated with a significant reduction in CRBSI specially with P. aeruginosa and other Gram-negative bacteria” Padilla-Orozco et al (2019). Abstract: INTRODUCTION: The incidence of catheter-related bloodstream infections (CRBSI) ranges from 2.2 to 5.5 episodes per 1,000 catheter-days. Our aim was to evaluate the utility of a generalized and […]