Adrenal insufficiency of patients treated with extracorporeal photopheresis
The aim of the study was to ascertain the number of patients with GvHD receiving ECP that are affected by adrenocortical insufficiency” Rushton et al (2019). Abstract: Graft versus host disease (GvHD) is a serious and common complication of allogenic haematopoietic stem cell transplant. Corticosteroids are considered the standard care for initial treatment of GvHD […]
Taurolidine-citrate lock solution for the prevention of central line-associated bloodstream infection
Taurolidine-citrate solution (TCS) is a catheter-lock solution with broad-spectrum antimicrobial action. This study’s aim was to evaluate the efficacy of TCS in reducing CLABSI rates in paediatric haematology-oncology (H/O) and gastrointestinal (GI) patients with long-term CVC” Chong et al (2019). Abstract: AIM: Central line-associated bloodstream infection associated bloodstream infection (CLABSI) is a serious complication of […]
Article describes role of hepatic artery infusion of chemotherapy
Hepatic arterial infusion chemotherapy (HAIC), in combination with systemic chemotherapy, leverages a multimodality approach to achieving control of hepatic disease and/or expanding resectability in patients with liver-only disease or liver-dominant disease” Datta et al 92019). Abstract: IMPORTANCE: Although liver metastasis develops in more than half of patients with colorectal cancer, only 15% to 20% of […]
Prevalence of mupirocin and chlorhexidine resistance
This study aimed to investigate the impact of MRSA decolonization strategies, using mupirocin and chlorhexidine, on their CoNS susceptibility” Eed et al (2019) . Abstract: Background: The widespread of methicillin-resistant Staphylococcus aureus (MRSA) antimicrobial decolonization in the clinical setting may lead to an increase in the prevalence of multiresistance to coagulase-negative staphylococci (CoNS) owing to […]
Intraosseous contrast administration for emergency computed tomography
The aim of the study was to evaluate the feasibility of intraosseous (i.o.) contrast media injection (CMI) for emergency computed tomography (CT) of severe trauma and the associated image quality compared to intravenous (i.v.) CMI” Schindler et al 92019). Abstract: OBJECTIVE: The aim of the study was to evaluate the feasibility of intraosseous (i.o.) contrast […]
Risk factors of ambulatory CLABSI in pediatric short bowel syndrome
Children with short bowel syndrome (SBS) receiving home parenteral nutrition (HPN) are predisposed to ambulatory central line-associated bloodstream infection (A-CLABSI). Data describing risk factors of this infection in children are limited” Seddik et al (2019). Abstract: BACKGROUND: Children with short bowel syndrome (SBS) receiving home parenteral nutrition (HPN) are predisposed to ambulatory central line-associated bloodstream […]
Peripherally inserted central catheter ports placed at bedside by specialist nurses
Most peripheral ports can be placed bedside by specialist nurses in designated clinical areas rather than costly operating rooms or interventional radiology suites” Katsoulas et al (2019). Abstract: Implanted ports are an important vascular access device for patients with malignancies requiring long-term chemotherapy. Peripherally placed ports are increasing in use as they are a safe, […]
Risk factors for UEDVT in children with percutaneous non-tunnelled central venous catheters
Venous thrombosis (VT) in children is often associated with a central venous catheter (CVC). We aimed to determine the incidence of VT associated with percutaneous non-tunnelled CVCs in a general paediatric population, and to identify risk factors for VT in this cohort” Östlund et al (2019). Abstract: BACKGROUND: Venous thrombosis (VT) in children is often […]
Vascular access by nurses for chemotherapy administration
Our hospital has an established outpatient chemotherapy room, and medical doctors have accessed veins for infusion so far. We trialed venous access by nurses for the purpose of managing safe and proper cancer chemotherapy, reducing the work of doctors, and reducing patient waiting time” Suzuki et al (2019). Abstract: Our hospital has an established outpatient […]
IV fluid overload may contribute to lower enteral nutrition infusion
The results of this study support the assumption that the administration of intravenous fluids > 35mL/kg and sodium ≥ 8.73g on the first day of hospitalization may contribute to the lower infusion of enteral nutrition in critically ill patients” Dock-Nascimento et al (2019). Abstract: OBJECTIVE: To evaluate the effects of intravenous infusion of fluids and […]
Infectious and noninfectious CVAD complications in home parenteral nutrition patients
The aim of this review was to synthesize and evaluate what is known about catheter complications and prevention strategies in the PN population” Reitzel et al 92019). Abstract: Patients receiving parenteral nutrition (PN) as their primary source of nutrition are at high risk for both infectious and noninfectious catheter complications (catheter-related infections, catheter occlusion, and […]
Specialist vascular access lowers incidence of PICC associated UEDVT
A proper technique is crucial at the moment of peripherally inserted central catheter insertion. Peripherally inserted central catheter-related deep vein thrombosis rate appears to be low when evidence-based technical factors are taken into consideration during the insertion procedure” Balsorano et al (2019). Abstract: BACKGROUND: Technical factors at the moment of catheter insertion might have a […]
Ivenix infusion system designed to reduce errors is FDA cleared
The product is a large-volume infusion pump that features proprietary adaptive flow control technology that measures the fluid moving through the pump and adjusts its action in real time” Medgadget (2019). Extract: Medgadget report “The product is a large-volume infusion pump that features proprietary adaptive flow control technology that measures the fluid moving through the […]
Hepatic extravasation complicated by umbilical venous catheterization
The study aimed to evaluate the sonographic appearance, risk factors, and outcomes of UVC-related hepatic extravasation (HE) in neonates” Chen et al (2019). Abstract: BACKGROUND: Care of newborns in the neonatal intensive care unit generally involves umbilical venous catheterization (UVC) for central vein access to enable medical needs. The study aimed to evaluate the sonographic […]
Radiologic management of central venous access
A central catheter can be placed into a small or large vein in the body, with the tip located in a large vein close to the heart in the chest, and is used for a longer time” Savo and Dill (2019). Abstract: Venous access is a procedure in which a catheter is placed into a […]
Outcomes of children with chronic intestinal failure
Retrospective review of children requiring parenteral nutrition (PN) for >3 months who were assessed for home PN between 1991 and 2011″ Jo et al (2019). Abstract: BACKGROUND & AIMS: To aid decisions on prognosis and transplantation, this study describes the outcome of children with intestinal failure managed by the multidisciplinary intestinal rehabilitation program at the […]
Chronically retained central venous catheter in deceased donor liver allograft
Here we describe a chronically retained catheter within the inferior vena cava (IVC) that was asymptomatic and neither diagnosed nor addressed until time of deceased donor liver donation” Zielsdorf et al (2019). Abstract: Central venous catheters (CVC) are commonly used across multiple medical specialties and are inserted for various reasons. A known, but rare, serious […]
Residual lipid emulsion in chambers of flushed totally implantable ports
The aim of the present study was to use a quantitative fluorescence imaging technique to evaluate the invisible amount of residual lipid emulsion in port chambers flushed with various fundamental protocols” Okamura et al (2019). Abstract: The aim of the present study was to use a quantitative fluorescence imaging technique to evaluate the invisible amount […]
Guide to sonographic confirmation of central venous catheter position
Though the use of ultrasound (US) is widespread for the placement of central venous catheters (CVCs), its real time use for guiding optimal tip position is not established yet in paediatric population” Kesarkar et al (2019). Abstract: Central Venous Cannulation is a crucial skill for an anesthesiologist. To prevent complications like arrhythmias, cardiac perforation, tamponade, […]
Migration of PICC after contrast-enhanced computed tomography
Surprisingly, two days after catheter insertion, chest X-rays showed the catheter had become displaced into the ipsilateral internal jugular vein” Lee and Seong (2019). Extract: A 35-year-old man with end-stage renal disease was admitted for chronic respiratory failure. During hospitalization, arteriovenous graft malfunction occurred and a computed tomography (CT) angiography was planned. A 5 French […]
Repair of central venous catheter in adult home parenteral nutrition patients
Catheter repair can increase the catheter survival without increasing the risk of CLABSI, providing not only socioeconomic benefit but also decreasing risk of compromising future vascular access” Velapati et al 92019). Abstract: BACKGROUND: Patients with chronic intestinal failure who require long-term parenteral nutrition rely on central venous catheters (CVCs) for access to nutrition and hydration. […]
Survival time of Staphylococcus aureus on ultrasound probes
The use of ultrasound (US) transducer heads on patient skin requires the use of a coupling gel. If not properly cleaned between patients the risk for cross contamination increases, potentially leading to healthcare associated infections (HAIs). This study examined survival time of Staphylococcus aureus (SA) in various matrices” Levine et al (2019). Abstract: BACKGROUND: The […]
Review of patients with lower extremity dialysis vascular access
Lower extremity arteriovenous (AV) access is an alternative when upper extremity access options have been exhausted. Our goal was to assess short- and medium-term outcomes of lower extremity hemodialysis access” Pike et al (2019). Abstract: OBJECTIVE: Lower extremity arteriovenous (AV) access is an alternative when upper extremity access options have been exhausted. Our goal was […]
Custom 3-Dimensional printed ultrasound-compatible VA training model
To generate 3-dimensional (3D) printed ultrasound (US)-compatible vascular models (3DPVAM) and test them for noninferiority in training medical students in femoral artery access” Sheu et al (2019). Abstract: PURPOSE: To generate 3-dimensional (3D) printed ultrasound (US)-compatible vascular models (3DPVAM) and test them for noninferiority in training medical students in femoral artery access. MATERIALS AND METHODS: […]
Vascular access outcomes in patients initiating dialysis with a tunneled catheter
Our aim was to determine factors that influence time to removal of tunneled hemodialysis catheter (THC), probability of repeat vascular access creation, and time to repeat vascular access” Copeland et al (2019). Abstract: BACKGROUND: Our aim was to determine factors that influence time to removal of tunneled hemodialysis catheter (THC), probability of repeat vascular access […]
Patient positioning tool for central venous access and brachial plexus blocks
Positioning of the patient is an important prerequisite for central venous cannulation (CVC) and to perform the brachial plexus blocks (BPB) in the operation theater” Hooda et al (2019). Abstract: Positioning of the patient is an important prerequisite for central venous cannulation (CVC) and to perform the brachial plexus blocks (BPB) in the operation theater. […]
Complications in internal jugular vs subclavian ultrasound-guided central venous catheterization
Results demonstrated that the complication rates of IJV and SCV catheterizations using US are very low, showing no superiority of the SCV approach compared to the IJV” Shin et al (2019). Abstract: PURPOSE: The use of real-time ultrasound (US) has been shown to reduce complications of central venous (CV) catheterization. However, complication rates have not […]
Use of PICCs in patients with advanced chronic kidney disease
In this sample of hospitalized patients who received PICCs, placement in those with CKD was common and not concordant with clinical guidelines” Paje et al 92019). Abstract: BACKGROUND: Existing guidelines, including Choosing Wisely recommendations, endorse avoiding placement of peripherally inserted central catheters (PICCs) in patients with chronic kidney disease (CKD). OBJECTIVE: To describe the frequency […]
Are infusion sets with precision flow regulators suitable for pediatric anesthesia?
Infusion sets with precision flow regulators are frequently used in children undergoing surgery in order to control the perioperative administration of fluids” Bollinger et al (2019). Abstract: BACKGROUND: Infusion sets with precision flow regulators are frequently used in children undergoing surgery in order to control the perioperative administration of fluids. There are no data about […]
Impact of repeat infection timeframe on CLABSI surveillance
In January 2015, NHSN updated surveillance procedures to include the implementation of the 14-day repeat infection timeframe (RIT), to clarify the definition of resolved versus continued infection” Williams et al (2019). Abstract: BACKGROUND: Mandatory reporting of central line-associated bloodstream infections (CLABSIs) to the National Healthcare Safety Network (NHSN) is used as a measure of healthcare […]