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Keywords
"Intravenous Cannula" OR "Intr...
"Intravenous Cannula" OR "Intravenous Cannulation" OR "Intravenous Access" OR "Vascular Access"
#21
JOURNAL ARTICLE
D Anandadurai, R Praisie, Sriandaal Venkateshvaran, Sudhir B Nelson, Manoje Thulasiram
Background Needle stick injuries caused by various sharp and other items like hypodermic needles and intravenous cannulas are important occupational hazards for healthcare workers (HCW). Preventing injuries is the most effective way to protect workers and requires good awareness and perceptions associated with practice on a daily basis. Therefore, we did a descriptive cross-sectional study involving healthcare workers in a tertiary care hospital to find the level of awareness, perception, and practice associated with needle stick injury and its prevention...
March 2024: Curēus
#22
Fayha Salah Ahmed, Mohamedi Begum, Mouza Abdulla AlSharhan
Spurious hyperphosphatemia, also known as pseudo-hyperphosphatemia, refers to artifactually elevated serum phosphate values that do not correspond to their actual systemic levels. Vascular access poses a significant challenge for individuals undergoing hemodialysis (HD) due to chronic kidney disease, primarily attributed to the elevated incidence of complications, such as infections or thrombosis associated with catheter use. To mitigate clotting risk during the inter-dialysis intervals, in recent years, a strategy involving the application of concentrated heparin (recombinant tissue plasminogen activator (rt-PA) e...
March 2024: Curēus
#23
JOURNAL ARTICLE
Sonia Chabrak, Abdeddayem Haggui, Emna Allouche, Sana Ouali, Afef Ben Halima, Slim Kacem, Salma Krichen, Sonia Marrakchi, Wafa Fehri, Mohamed Sami Mourali, Zeineb Jabbari, Manel Ben Halima, Elyes Neffati, Aymen Heraiech, Mehdi Slim, Salem Kachboura, Habib Gamra, Majed Hassine, Sondes Kraiem, Sofien Kammoun, Leila Bezdah, Gouider Jridi, Hatem Bouraoui, Samir Kammoun, Rania Hammami, Rafik Chettaoui, Youssef Ben Ameur, Fares Azaiez, Rami Tlili, Kais Battikh, Hedi Ben Slima, Rim Chrigui, Samia Fazaa, Islem Sanaa, Yassine Ellouz, Mohamed Mosrati, Sami Milouchi, Soumaya Jarmouni, Wacef Ayadi, Malek Akrout, Rabie Razgallah, Wissal Neffati, Meriem Drissa, Selma Charfeddine, Salem Abdessalem, Leila Abid, Lilia Zakhama
BACKGROUND: In Tunisia, the number of cardiac implantable electronic devices (CIEDs) is increasing, owing to the increase in patient life expectancy and expanding indications. Despite their life-saving potential and a significant reduction in population morbidity and mortality, their increased numbers have been associated with the development of multiple early and late complications related to vascular access, pockets, leads, or patient characteristics. OBJECTIVE: The study aims to identify the rate, type, and predictors of complications occurring within the first year after CIED implantation...
April 8, 2024: JMIR Research Protocols
#24
REVIEW
Melissa S Cheetham, Isabelle Ethier, Rathika Krishnasamy, Yeoungjee Cho, Suetonia C Palmer, David W Johnson, Jonathan C Craig, Paul Stroumza, Luc Frantzen, Jorgen Hegbrant, Giovanni Fm Strippoli
BACKGROUND: Home haemodialysis (HHD) may be associated with important clinical, social or economic benefits. However, few randomised controlled trials (RCTs) have evaluated HHD versus in-centre HD (ICHD). The relative benefits and harms of these two HD modalities are uncertain. This is an update of a review first published in 2014. This update includes non-randomised studies of interventions (NRSIs). OBJECTIVES: To evaluate the benefits and harms of HHD versus ICHD in adults with kidney failure...
April 8, 2024: Cochrane Database of Systematic Reviews
#25
JOURNAL ARTICLE
Peter Frykholm, Ali-Reza Modiri, Robert Frithiof
BACKGROUND: We have developed a new approach for peripherally inserted central catheter (PICC) insertion that we think has several advantages, including ease of insertion, access to a larger vein and patient comfort. METHODS: In this case series report, the first 19 cases were audited. RESULTS: All PICCs were inserted without complications; 17 on the first attempt. CONCLUSION: We conclude that the novel approach to the axillary vein for PICC insertion is feasible and appears to be safe when performed by an experienced operator...
April 8, 2024: Paediatric Anaesthesia
#26
JOURNAL ARTICLE
Yingjie Wang, Yanlei Qin, Xiaolu Huang, Weihong Liu
OBJECTIVE: To observe the multi-slice spiral CT angiography (MSCTA) imaging features of arteriovenous fistula dysfunction in patients undergoing maintenance hemodialysis and analyze the significance of the imaging examination. METHODS: Altogether 90 patients with end-stage renal disease treated by maintenance hemodialysis in General Hospital of China Resources & Wisco from June 2020 to February 2023 were divided into a normal function group (n=68) and a dysfunction group (n=22) according to the function of autogenous arteriovenous fistula...
2024: American Journal of Translational Research
#27
JOURNAL ARTICLE
Mauricio Suarez, Sergios Charntikov, Y Wendy Huynh, Scott T Barrett, Rick A Bevins, Ken T Wakabayashi
Intravenous self-administration in rats is used widely to study the reinforcing effects of drugs and serves as the gold standard for assessing their use and misuse potential. One challenge that researchers often encounter when scaling up experiments is balancing the cost, time investment to construct, and robustness of each implanted catheter. These catheters include multiple components such as surgical meshing and a variety of entry ports designed to facilitate the connection of the rat to a catheter port tethering system...
June 2024: MethodsX
#28
JOURNAL ARTICLE
Anant D Butala, Shane Nanayakkara, Rohan V Navani, Sonny Palmer, Samer Noaman, Kawa Haji, Nay M Htun, Antony S Walton, Dion Stub
Patients undergoing transcatheter aortic valve implantation (TAVI) commonly experience non-home discharge (NHD), a phenomenon associated with increased health-care expenditure and possibly poorer outcomes. Despite its clinical relevance in TAVI, the incidence and predictors of NHD and its impact on quality of life remain poorly characterised. Also unknown is the proportion of TAVI patients that require long-term residential care following initial NHD. Therefore, we aimed to address these questions using a large and multi-centre Australian cohort...
April 5, 2024: American Journal of Cardiology
#29
JOURNAL ARTICLE
Minlong Liu, Guihe Zhang, Yizhan Cao, Chao Li, Bo Shi, Maomao Zhao, Gang Lin, Xin Chang, Xiangming Ma, Qing Li, Jie Zhao, Dong Chen, Long Zhang
OBJECTIVE: The measurement of the right and left axillary arteries and aortic arch and their vessels by multi-row spiral CT angiography provides the basis for clinical catheter selection and depth for axillary artery placement. This study reported the clinical experience of 7 patients who successfully underwent ultrasound-guided percutaneous axillary artery cannulation for veno-arterial extracorporeal membrane oxygenation (VA-ECMO). METHODS: Patients who had CT angiography of the thoracic aorta at our institution between January 2020 and March 2022 were assessed for eligibility and included...
April 5, 2024: Alternative Therapies in Health and Medicine
#30
JOURNAL ARTICLE
Lihua Shi, Qiyu Chen, Rongrong Yang, Lihong Liao, Jianfang Zhang, Yingchun Liu
Peripherally inserted central catheters are widely used in patients with extensive burns, with the guidelines recommending insertion through unburned skin. This case report describes a patient who was burned over 88% of their surface area and suffered severe inhalation injury. For him, the popliteal vein was the only vein on unburned skin available for catheter catheterization. Based on evidence, we successfully placed a peripherally inserted central catheter through the popliteal vein under ultrasound while the patient was in the prone position and avoided associated complications...
April 6, 2024: Journal of Vascular Access
#31
JOURNAL ARTICLE
Napoli Marcello, Fontò Giulia, Lefons Maria Luisa, Ria Paolo, Zito Anna, Barbarini Silvia, Protopapa Paolo, De Pascalis Antonio
BACKGROUND: Although distal native fistula is the best first-line vascular access (VA), upper arm fistula (UAF) prevalence is increasing worldwide, except in Japan. Our previous survey on 50% of hemodialysis patients (HP) revealed a prevalence of UAF of less than 5%, which is lower than the findings published by the DOPPS 5 study in our country. We analyzed the VA prevalence on 100% of HPs from our department. METHODS: In December 2021, we investigated the prevalence of vascular access of 1295 hemodialysis patients from 17 dialysis factories...
April 6, 2024: Journal of Vascular Access
#32
REVIEW
Jennifer Smith, Danny Soo, Antonio Celenza
BACKGROUND: Pain relief is a priority for patients with hip fractures who present to Emergency Departments (EDs). Intranasal fentanyl (INF) is an ideal option for nurse initiated analgesia as it does not require intravenous access and can expedite care prior to examination by a physician. LOCAL PROBLEM: Pain relief in patients with hip fractures is delayed during episodes of ED crowding. METHODS: A retrospective medical record review was conducted following introduction of an INF guideline in an adult ED in 2018...
April 4, 2024: International Emergency Nursing
#33
JOURNAL ARTICLE
Andrew Barton
Occasionally, the administration of intravenous (IV) therapies can go wrong. Infiltration or extravasation is a complication when a drug or IV therapy leaks into the tissues surrounding the vascular access device. Extravasation can cause serious and often life-changing injuries. Extravasation is often associated with systemic anti-cancer therapy but non-chemotherapy drugs have been reported as having a greater risk of serious complications. This study outlines the first UK Infusion unit evaluation of the ivWatch infusion monitoring device which was undertaken from August 2023 to January 2024...
April 4, 2024: British Journal of Nursing: BJN
#34
JOURNAL ARTICLE
Charlotte Hart, Elizabeth Weathers
AIMS: To share lessons learned from an evidence-based practice (EBP) initiative that implemented near-infrared (NIR) technology in a large US hospital system. A Clinical Technology Implementation Model (CTIM© ) that can be adapted for use in other health institutions is presented. BACKGROUND: EBP implementation, including the adoption of new cutting-edge technologies, is crucial to improving patient care. Yet there are significant delays in changes to clinical practice, often due to organisational challenges that stifle the implementation process...
April 4, 2024: British Journal of Nursing: BJN
#35
JOURNAL ARTICLE
Hui Grace Xu, Amanda Corley, Robert S Ware, Son Nghiem, Scott Stirling, Carrie Wang, Nicole Marsh
INTRODUCTION: First-insertion success rates for peripheral vascular access devices (PVADs) in patients with difficult venous access (DIVA) are low, which negatively affects staff workload, patient experience, and organizational cost. There is mixed evidence regarding the impact of a peripheral vascular access device with retractable coiled tip guidewire (GW; AccuCath™, BD) on the first-insertion success rate. The aim of this study is to investigate whether the use of long GW-PVADs, compared with standard PVADs, reduces the risk of first-time insertion failure, in patients admitted to emergency departments (EDs)...
April 4, 2024: British Journal of Nursing: BJN
#36
JOURNAL ARTICLE
Jamie Lorenc, Nicholas Flaucher, Emily Evans, Jennifer V Schurman
HIGHLIGHTS: Patient comfort during peripheral intravenous (PIV) insertion and specimen collection was increased. The authors extended the contingency plan implemented for PICC insertion to include PIV insertion and specimen collection. The authors met their goals by using quality improvement methodology. Prioritizing patient comfort often requires institutional culture change. BACKGROUND: Needle procedures can cause pain and distress, especially in pediatric patients...
April 4, 2024: British Journal of Nursing: BJN
#37
JOURNAL ARTICLE
Laura E Gilbertson, Wallis T Muhly, Michael C Montana, Vidya Chidambaran, Sabina DiCindio, Kesavan Sadacharam, Robert T Wilder, Simon D Whyte, Alan Hifko, Paul D Sponseller, David D Frankville
BACKGROUND: Adolescent Idiopathic Scoliosis (AIS) affects 2%-4% of the general pediatric population. While surgical correction remains one of the most common orthopedic procedures performed in pediatrics, limited consensus exists on the perioperative anesthetic management. AIMS: To examine the current state of anesthetic management of typical AIS spine fusions at institutions which have a dedicated pediatric orthopedic spine surgeon. METHODS: A web-based survey was sent to all members of the North American Pediatric Spine Anesthesiologists (NAPSA) Collaborative...
April 5, 2024: Paediatric Anaesthesia
#38
Benjamin T Kor, Jennifer J Kor, Todd M Kor, Amy Y He, Thomas M Stewart, Charles R Sims, Ryan E Hofer, Nathan T Kor
INTRODUCTION AND IMPORTANCE: Reports are limited on video-assisted thoracoscopic surgery for lung malignancy of patients with situs inversus totalis (SIT). Patients with SIT have significant anatomic differences with implications that are important for surgery, anesthesia, and nursing to understand in order to provide care for this patient population. CASE PRESENTATION: A 64-year-old man with SIT and lung adenocarcinoma needed flexible bronchoscopy and wedge resection of a 9×8 mm adenocarcinoma in the right upper lobe and underwent video-assisted thoracoscopic surgery...
April 2024: Annals of Medicine and Surgery
#39
JOURNAL ARTICLE
H S Suraj, Sakalecha Anil Kumar, N Rachegowda, Govindaraju Tirupathi Rajeswari, L Yashas Ullas, R B Revanth
Introduction Arteriovenous fistulas (AVFs) are the preferred type of vascular access for hemodialysis due to their lower risk of complications. This study aimed to determine the role of Doppler evaluation in assessing AVF. Materials and methods We conducted an 18-month prospective observational study of 33 hemodialysis patients who underwent a procedure for the creation of AVF at the Department of Radio-Diagnosis at Sri Devaraj Urs Academy of Higher Education and Research. Patients were evaluated using color Doppler ultrasound...
March 2024: Curēus
#40
JOURNAL ARTICLE
Fadi Sawaya, Bernard Abi-Saleh, Abbas Hoteit, Jennifer Jdaidany, Mohamad B Moumneh, Bernard Harbieh, Maurice Khoury, Salim Aramouni, Farah Abdulhai, Marwan Refaat
BACKGROUND: Left atrial appendage (LAA) closure is an alternative to chronic anticoagulation for stroke prevention in patients with nonvalvular atrial fibrillation. Multiple devices were used for LAA closure, with the Amplatzer Amulet LAA Occluder (Abbott, Chicago, IL, USA) and Watchman device (Boston Scientific, Marlborough, MA, USA) being the most commonly used in clinical practice. In August 2021, the FDA approved the use of the Amplatzer Amulet LAA Occluder. There is still a knowledge gap in the safety profile of the Amplatzer Amulet LAA Occluder device in comparison to the Watchman device...
March 2024: Curēus
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