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Intravenous vascular access

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https://www.readbyqxmd.com/read/27886365/the-use-of-ultrasound-for-peripheral-iv-placement-by-vascular-access-team-nurses-at-a-tertiary-children-s-hospital
#1
Marsha Elkhunovich, Joanna Barreras, Valerie Bock Pinero, Nurit Ziv, Aisha Vaiyani, Thomas Mailhot
PURPOSE: Children receiving treatment in the hospital frequently require intravenous (IV) access. Placement of short peripheral catheters can be painful and challenging especially in those children who have difficult access. Many children's hospitals have teams of specialized vascular access nurses experienced in peripheral catheter insertion, and at times use vein visualization devices, including ultrasound (US), to assist in peripheral IV placement. Our objectives were to describe the prevalence and success rate of US-guided peripheral IV placement by vascular access team nurses at a single tertiary children's hospital...
November 15, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27864995/a-systematic-review-effectiveness-of-pediatric-peripheral-intravenous-catheterization-strategies
#2
REVIEW
Shannon I A Parker, Karen Benzies, K Alix Hayden
AIM: To identify interventions associated with peripheral intravenous catheterization first attempt success in pediatric inpatients and emergency department patients who require vascular access for therapeutic interventions. BACKGROUND: Unsuccessful peripheral intravenous catheterization puts children at risk for increased pain and treatment delays. Effective interventions to increase peripheral intravenous catheterization first attempt success are unclear. DESIGN: Systematic review of randomized controlled trials according to the Cochrane Handbook for the Systematic Review of Interventions...
November 16, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27855144/notes-from-the-field-fungal-bloodstream-infections-associated-with-a-compounded-intravenous-medication-at-an-outpatient-oncology-clinic-new-york-city-2016
#3
Amber M Vasquez, Jason Lake, Stephanie Ngai, Megan Halbrook, Snigdha Vallabhaneni, M Shannon Keckler, Heather Moulton-Meissner, Shawn R Lockhart, Christopher T Lee, Kiran Perkins, Joseph F Perz, Mike Antwi, Miranda S Moore, Jane Greenko, Eleanor Adams, Janet Haas, Sandra Elkind, Marjorie Berman, Dani Zavasky, Tom Chiller, Joel Ackelsberg
On May 24, 2016, the New York City Department of Health and Mental Hygiene notified CDC of two cases of Exophiala dermatitidis bloodstream infections among patients with malignancies who had received care from a single physician at an outpatient oncology facility (clinic A). Review of January 1-May 31, 2016 microbiology records identified E. dermatitidis bloodstream infections in two additional patients who also had received care at clinic A. All four patients had implanted vascular access ports and had received intravenous (IV) medications, including a compounded IV flush solution containing saline, heparin, vancomycin, and ceftazidime, compounded and administered at clinic A...
November 18, 2016: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/27828932/successful-infusion-therapy-in-older-adults
#4
Kay Coulter
Older adults are a special patient population who require attention to a variety of issues and considerations related to infusion therapy. The need to alter practice approaches includes vascular access techniques and the administration of intravenous medications, fluids, and blood components. In addition, older adults will manifest very different signs and symptoms related to development of an infection in the body. This article reviews the normal physical changes that occur in their major body systems and discusses recommendations to accomplish successful venous access and correct administration of infusates...
November 2016: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/27785562/utility-of-near-infrared-light-devices-for-pediatric-peripheral-intravenous-cannulation-a-systematic-review-and-meta-analysis
#5
Joon Min Park, Min Joung Kim, Hyeon Woo Yim, Won-Chul Lee, Hyunsuk Jeong, Na Jin Kim
: We investigated the utility of near-infrared (NIR) light devices for peripheral intravenous cannulation (PIVC) in pediatric patients. We searched three databases, MEDLINE, EMBASE, and the Cochrane CENTRAL. Randomized controlled trials that compared PIVC using NIR light devices and the "traditional" method (with no assistive device) were included. The primary outcome was a failure rate at the first attempt, and the effect size was measured by the risk ratio for failure. Subgroup analysis was performed according to control group risk for failure at first attempt as an indicator of difficult procedure (low vs...
October 26, 2016: European Journal of Pediatrics
https://www.readbyqxmd.com/read/27779964/intraosseous-infusion-as-a-bridge-to-definitive-access
#6
Megan Johnson, Kenji Inaba, Saskya Byerly, Erika Falsgraf, Lydia Lam, Elizabeth Benjamin, Aaron Strumwasser, Jean-Stephane David, Demetrios Demetriades
Intraosseous (IO) needle placement is an alternative for patients with difficult venous access. The purpose of this retrospective study was to examine indications and outcomes associated with IO use at a Level 1 trauma center (January 2008-May 2015). Data points included demographics, time to insertion, intravenous (IV) access points, indications, infusions, hospital and intensive care unit length of stay, and mortality. Of 68 patients with IO insertion analyzed (63.2% blunt trauma, 29.4% penetrating trauma, and 7...
October 2016: American Surgeon
https://www.readbyqxmd.com/read/27749292/airway-management-of-a-3-year-old-child-with-a-penetrating-oropharyngeal-foreign-body-risking-vascular-injury
#7
Jenny Feldman Eskildsen, Brian D Thorp, Hemanth A Baboolal
Management of anesthesia for a child with an upper airway foreign body is fraught with particular challenges. We present the case of a 3-year-old girl who presented to the emergency department with a 12-cm sewing needle protruding from her mouth and unknown vascular involvement. We were faced with establishing a secure airway despite exclusion of mask ventilation or use of a laryngeal mask airway. Moreover, peripheral intravenous access was lost before adequate sedation. Ultimately, we were able to safely induce anesthesia and achieve endotracheal intubation...
October 5, 2016: A & A Case Reports
https://www.readbyqxmd.com/read/27669404/use-of-intraosseous-devices-in-trauma-a-survey-of-trauma-practitioners-in-canada-australia-and-new-zealand
#8
Paul T Engels, Mete Erdogan, Sandy L Widder, Michael B Butler, Nelofar Kureshi, Kate Martin, Robert S Green
BACKGROUND: Although used primarily in the pediatric population for decades, the use of intraosseous (IO) devices in the resuscitation of severely injured adult trauma patients has recently become more commonplace. The objective of this study was to determine the experience level, beliefs and attitudes of trauma practitioners in Canada, Australia and New Zealand regarding the use of IO devices in adult trauma patients. METHODS: We administered a web-based survey to all members of 4 national trauma and emergency medicine organizations in Canada, Australia and New Zealand...
October 1, 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/27646929/pediatric-patients-undergoing-arteriovenous-fistula-surgery-without-intraoperative-heparin
#9
Susanne Regus, Veronika Almási-Sperling, Werner Lang
INTRODUCTION: Arteriovenous fistula (AVF) creation in children could be extremely challenging for vascular surgeons due to small vessels with a high tendency of vasospasm. This could be one reason for primary failures (PF) and early access thrombosis. There exists no guideline for the need of intraoperative heparin administration during hemodialysis fistula creation. The aim of this study was to evaluate the effect of intra-operative heparin administration on immediate outcome. METHODS: Medical records of 42 pediatric patients aged between 7 and 17 years were retrospectively reviewed...
September 20, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27543323/assessment-of-cardiac-troponin-i-responses-in-nonhuman-primates-during-restraint-blood-collection-and-dosing-in-preclinical-safety-studies
#10
William J Reagan, Robert Barnes, Peter Harris, Sandy Summers, Sarah Lopes, Makeida Stubbs, David Blackwell, Jill Steidl-Nichols
Limited information has been published on the use of cardiac troponin I (cTnI) as a biomarker of cardiac injury in monkeys. The purpose of these studies was to characterize the cTnI response seen in cynomolgus macaques during routine dosing and blood collection procedures typically used in preclinical safety studies and to better understand the pathogenesis of this response. We measured cTnI using two different methods, the Siemens Immulite cTnI assay and the more sensitive Siemens Troponin I-Ultra assay. We were able to demonstrate that after oral, subcutaneous, or intravenous dosing of common vehicles, as well as serial chair restraint for venipuncture blood collection, that minimal to mild transient increases in cTnI could be detected in monkeys with both assays...
August 19, 2016: Toxicologic Pathology
https://www.readbyqxmd.com/read/27534402/intracoronary-versus-intravenous-eptifibatide-during-percutaneous-coronary-intervention-for-acute-st-segment-elevation-myocardial-infarction-a-randomized-controlled-trial
#11
Hamid Reza Sanati, Ali Zahedmehr, Ata Firouzi, Melody Farrashi, Kamyar Amin, Mohammad Mehdi Peighambari, Farshad Shakerian, Reza Kiani
Although aspirin and clopidogrel seem to be quite enough during low risk percutaneous coronary intervention (PCI), the combination may need some reinforcement in complex situations such as primary PCI. By modifying the route and also the duration of administration, glycoprotein IIb/IIIa inhibitors might be a viable option. The aim of this study is to compare the benefits and disadvantages of three different methods of administration of eptifibatide in primary PCI population. Primary PCI candidates were randomized in three groups on which three different methods of administration of eptifibitide were tested: intravenous bolus injection followed by 12-h infusion (IV-IV), intracoronary bolus injection followed by intravenous infusion (IC-IV) and, only intracoronary bolus injection (IC)...
August 17, 2016: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/27506420/diabetes-induction-by-total-pancreatectomy-in-minipigs-with-simultaneous-splenectomy-a-feasible-approach-for-advanced-diabetes-research
#12
Sophie Heinke, Barbara Ludwig, Undine Schubert, Janine Schmid, Thomas Kiss, Anja Steffen, Stefan Bornstein, Stefan Ludwig
BACKGROUND: Safe and reliable diabetes models are a key prerequisite for advanced preclinical studies on diabetes. Chemical induction is the standard model of diabetes in rodents and also widely used in large animal models of non-human primates and minipigs. However, uncertain efficacy, the potential of beta-cell regeneration, and relevant side effects are debatable aspects particularly in large animals. Therefore, we aimed to evaluate a surgical approach of total pancreatectomy combined with splenectomy for diabetes induction in an exploratory study in Goettingen minipigs...
September 2016: Xenotransplantation
https://www.readbyqxmd.com/read/27446523/acute-ischemic-stroke-involving-both-anterior-and-posterior-circulation-treated-by-endovascular-revascularization-for-acute-basilar-artery-occlusion-via-persistent-primitive-trigeminal-artery
#13
Taichiro Imahori, Atsushi Fujita, Kohkichi Hosoda, Eiji Kohmura
We report a case of acute ischemic stroke involving both the anterior and posterior circulation associated with a persistent primitive trigeminal artery (PPTA), treated by endovascular revascularization for acute basilar artery (BA) occlusion via the PPTA. An otherwise healthy 67-year-old man experienced sudden loss of consciousness and quadriplegia. Magnetic resonance imaging showed an extensive acute infarction in the right cerebral hemisphere, and magnetic resonance angiography showed occlusion of the right middle cerebral artery (MCA) and BA...
July 2016: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/27430087/long-term-radial-artery-patency-following-transradial-coronary-catheterization-via-a-7-fr-sheath
#14
Dan Levin, Salim Adawi, David A Halon, Avinoam Shiran, Ihab Asmer, Ronen Rubinshtein, Ronen Jaffe
BACKGROUND: Radial artery occlusion (RAO) may occur following transradial catheterization, precluding future use of the vessel for vascular access or as a coronary bypass graft. Recanalization of RAO may occur; however, long-term radial artery patency when revascularization is more likely to be required has not been investigated. Transradial catheterization is usually performed via 5-Fr or 6-Fr catheters. Insertion of 7-Fr sheaths into the radial artery enables complex coronary interventions but may increase the risk of RAO...
May 2016: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/27422220/a-randomized-controlled-trial-assessing-the-use-of-ultrasound-for-nurse-performed-intravenous-placement-in-difficult-access-patients-in-the-ed
#15
Amit Bahl, Ananda Vishnu Pandurangadu, Jared Tucker, Michael Bagan
OBJECTIVE: This study analyzed outcomes associated with nurse-performed ultrasound (US)-guided intravenous (IV) placement compared to standard of care (SOC) palpation IV technique on poor vascular access patients. METHODS: This was a randomized, prospective single-site study. Phase 1 involved education/training of a cohort of nurses to perform US-guided IVs. This consisted of a didactic module and hands-on requirement of 10 proctored functional IVs on live subjects...
July 1, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27397758/single-treatment-of-vx-poisoned-guinea-pigs-with-the-phosphotriesterase-mutant-c23al-intraosseous-versus-intravenous-injection
#16
Timo Wille, Katharina Neumaier, Marianne Koller, Christina Ehinger, Nidhi Aggarwal, Yacov Ashani, Moshe Goldsmith, Joel L Sussman, Dan S Tawfik, Horst Thiermann, Franz Worek
The recent attacks with the nerve agent sarin in Syria reveal the necessity of effective countermeasures against highly toxic organophosphorus compounds. Multiple studies provide evidence that a rapid onset of antidotal therapy might be life-saving but current standard antidotal protocols comprising reactivators and competitive muscarinic antagonists show a limited efficacy for several nerve agents. We here set out to test the newly developed phosphotriesterase (PTE) mutant C23AL by intravenous (i.v.), intramuscular (i...
September 6, 2016: Toxicology Letters
https://www.readbyqxmd.com/read/27312758/peripheral-intravenous-cannulation-complication-rates-in-the-neonatal-population-a-multicenter-observational-study
#17
Monique Legemaat, Peter J Carr, Roland M van Rens, Monique van Dijk, Irina E Poslawsky, Agnes van den Hoogen
INTRODUCTION: Neonates admitted to a neonatal intensive care unit (NICU) rely highly on intravenous (IV) therapy, for which the peripheral intravenous cannula (PIVC) is the preferred device to allow such therapies to proceed. Placement of a PIVC is a painful procedure and repeated attempts for successful insertion should therefore be limited. We aimed to quantify the incidence, complications, and factors associated with these complications. METHODS: We conducted a prospective observational study to examine PIVC-related complications in level III NICUs of two university medical centers (UMC) in The Netherlands...
July 12, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27282705/trapezius-placement-of-implanted-ports-understanding-the-procedure
#18
Steve Hill
Totally implantable vascular access devices (TIVADs) are indicated for intermittent long-term intravenous access. It is widely accepted within medical literature that TIVADs are associated with statistically significant lower infection rates than other central venous access devices. Typical sites for implantation are on the anterior chest wall, using the internal jugular, axillary, cephalic or a subclavian vein. This article follows on from a previous discussion of the benefits of this approach, which illustrated and examined clinical outcomes of trapezius-placement versus anterior chest wall placed ports, for patients with metastatic subcutaneous disease on the anterior chest wall...
January 27, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27231848/phosphatidylserine-targeted-liposome-for-enhanced-glioma-selective-imaging
#19
Liang Zhang, Amyn A Habib, Dawen Zhao
Phosphatidylserine (PS), which is normally intracellular, becomes exposed on the outer surface of viable endothelial cells (ECs) of tumor vasculature. Utilizing a PS-targeting antibody, we have recently established a PS-targeted liposomal (PS-L) nanoplatform that has demonstrated to be highly tumor-selective. Because of the vascular lumen-exposed PS that is immediately accessible without a need to penetrate the intact blood brain barrier (BBB), we hypothesize that the systemically administered PS-L binds specifically to tumor vascular ECs, becomes subsequently internalized into the cells and then enables its cargos to be efficiently delivered to glioma parenchyma...
June 21, 2016: Oncotarget
https://www.readbyqxmd.com/read/27173161/89zr-bevacizumab-pet-visualizes-disease-manifestations-in-patients-with-von-hippel-lindau-disease
#20
Sjoukje F Oosting, Sophie J van Asselt, Adrienne H Brouwers, Alfons H H Bongaerts, Julia D J Steinberg, Johan R de Jong, Marjolijn N Lub-de Hooge, Anouk N A van der Horst-Schrivers, Annemiek M E Walenkamp, Eelco W Hoving, Wim J Sluiter, Bernard A Zonnenberg, Elisabeth G E de Vries, Thera P Links
UNLABELLED: Patients with von Hippel-Lindau disease (VHL) are at risk to develop multiple tumors. The growth of lesions is unpredictable, and regular surveillance is critical for early treatment to control local damage. Vascular endothelial growth factor A (VEGF-A) produced locally is supposed to play an important role in development of disease manifestations and is a target for antiangiogenic therapy with the monoclonal antibody bevacizumab. We aimed to assess whether VHL manifestations can be visualized with (89)Zr-bevacizumab PET and to explore whether (89)Zr-bevacizumab PET can differentiate progressive from nonprogressive lesions...
August 2016: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
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