Journal of Infusion Nursing最新文献

Infusion Therapy Nursing Team: Implementation and Effectiveness of Initial Results. 输液治疗护理团队：实施和初步效果。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NAN.0000000000000596

Luiz Fernando Dos Santos Messias, Viviane Ferreira Cesar, Jeiel Carlos Lamonica Crespo, Isabela Dos Santos Andrade, Julia Campelo Fedrigo, Nathalia Moraes Menezes, Luci Maria Ferreira, Adriano Rogério Baldacin Rodrigues, Jurema da Silva Herbas Palomo

{"title":"Infusion Therapy Nursing Team: Implementation and Effectiveness of Initial Results.","authors":"Luiz Fernando Dos Santos Messias, Viviane Ferreira Cesar, Jeiel Carlos Lamonica Crespo, Isabela Dos Santos Andrade, Julia Campelo Fedrigo, Nathalia Moraes Menezes, Luci Maria Ferreira, Adriano Rogério Baldacin Rodrigues, Jurema da Silva Herbas Palomo","doi":"10.1097/NAN.0000000000000596","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000596","url":null,"abstract":"The responsibilities of an infusion therapy team may include choosing the most appropriate vascular access, performing safe insertion, maintaining the access, and even infusing medications and solutions. The objective of this study was to describe the scope of action and activities developed in the first year of operation of an infusion therapy team at a public hospital and to describe the effectiveness of the results. The team was formed by 2 infusion therapy nurses. In the first year, 1502 activities were carried out, with a predominance of peripherally inserted central catheter (PICC) insertions (896; 59.6%); consultations related to infusion therapy (185; 12.3%); and PICC clearance procedures (103; 6.8%). PICCs were inserted using tip navigation and intracavitary electrocardiogram guidance in 82.5% of cases. The PICC first-attempt insertion success was 81.7%. The cannulation with a guide was performed in 51% of the insertions, and the success of venipuncture in the first attempt while using the guide did not differ from the rate without using the guide, P = .98. The consultations were mostly related to the insertion site (33.0%) and the contraindication for PICC insertion (17.8%). The performance had positive impacts on application, dissemination of good practices, and cost reduction.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 4","pages":"261-267"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Comparison of Flushing With Prefilled Saline Syringes Versus Manually Prepared Saline Syringes on Colonization of Peripheral Intravenous Catheters in Children. 预充生理盐水注射器冲洗与人工制备生理盐水注射器冲洗对儿童外周静脉导管定植效果的比较。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NAN.0000000000000599

İlker Devrim, Deniz Ergun, Pelin Kaçar, Miray Yılmaz Çelebi, Arife Özer, Emel Koyun, Yurdagül Koç, Özge Demir Yıldız, Ela Akgül, Fahri Yüce Ayhan, Nuri Bayram

{"title":"The Comparison of Flushing With Prefilled Saline Syringes Versus Manually Prepared Saline Syringes on Colonization of Peripheral Intravenous Catheters in Children.","authors":"İlker Devrim, Deniz Ergun, Pelin Kaçar, Miray Yılmaz Çelebi, Arife Özer, Emel Koyun, Yurdagül Koç, Özge Demir Yıldız, Ela Akgül, Fahri Yüce Ayhan, Nuri Bayram","doi":"10.1097/NAN.0000000000000599","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000599","url":null,"abstract":"We appreciate the study performed and described by Devrim et al, who practice at Dr. Behçet Uz Children's Diseases and Surgery Training and Research Hospital in Izmir, Turkey. This study aimed to compare the colonization rates of short-term PIVC tips between patients' catheters flushed with manually prepared saline syringes and single-use prefilled saline syringes. The practice of manually preparing saline syringes for use in flushing intravenous catheters is uncommon in many health care organizations. While many health care organizations have permanently exchanged manual flush syringe preparation for prefilled single-use saline syringes, we are respectful of professionals and organizations who serve in areas where practice is different. As noted, we appreciate Devrim et al's study and described findings. The conclusion of this study affirms and further substantiates the INS Infusion Therapy Standards of Practice described in Standard 38. Flushing and Locking. Practice Recommendation - A. Use single-dose systems (eg, single-dose vials and syringes or prefilled labeled syringes) for all VAD flushing and locking. Additional recommendations are listed in A.2. and A.3. Use commercially manufactured prefilled flush syringes (when available) to reduce the risk of catheter-associated bloodstream infection (CABSI) and device failure, save time for syringe preparation, and aid optimal flushing technique and objectives. 3. Do not use IV solution containers (eg, bags or bottles) as a source for obtaining flush solutions (see Standard 56, Compounding and Preparation of Parenteral Solutions and Medications).","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 4","pages":"247-252"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Characteristics Associated With Peripheral Parenteral Nutrition Extravasation: A Descriptive Analysis in a Japanese University Hospital. 评价外周肠外营养外渗的相关特征：日本一家大学医院的描述性分析。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NAN.0000000000000600

Mika Maezawa, Mayu Fukuda, Tomoko Akase, Mitsuhiro Nakamura

{"title":"Evaluation of Characteristics Associated With Peripheral Parenteral Nutrition Extravasation: A Descriptive Analysis in a Japanese University Hospital.","authors":"Mika Maezawa, Mayu Fukuda, Tomoko Akase, Mitsuhiro Nakamura","doi":"10.1097/NAN.0000000000000600","DOIUrl":"10.1097/NAN.0000000000000600","url":null,"abstract":"Objective: This study aimed to describe the characteristics of patients who experienced peripheral parenteral nutrition (PPN) extravasation and to analyze the clinical contexts at the time of PPN extravasation.Methods: This descriptive study included patients who experienced PPN extravasation between 2018 and 2023 at a university hospital in Japan and was based on extravasation reports registered in the electronic medical record system by nurses.Results: In total, 302 PPN extravasation cases were reported in 235 patients. The most common age group was the 70s (33.89%), with neoplasms as the predominant diagnosis (42.68%). Median (interquartile range) albumin and D-dimer levels were 2.9 (2.5-3.3) g/dL and 4.57 (1.69-8.96) µg/mL, respectively. The most common symptom of PPN extravasation was swelling (75.50%), followed by pain (50.00%). PPN extravasation was most frequently detected between 10:00 and 11:00 AM, and detections were made primarily through nurse observation (54.87%).Conclusions: Aging, neoplasms (especially hematological malignancy), malnutrition, and blood coagulation abnormalities were common characteristics of patients with PPN extravasation. Nurses should be careful about PPN extravasation even at midnight or in the early hours of the morning because of the relatively poor subjective symptoms, such as pain and discomfort, caused by PPN extravasation.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 4","pages":"238-246"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of the Nurse in the Use of Intraosseous Vascular Access Devices: Joint Position Statement. 护士在使用骨内血管通路装置中的作用：联合立场声明。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NAN.0000000000000610

引用次数: 0

Use of Midline Catheters for Blood Specimen Collection in Difficult Intravenous Access Patients: A Quality Improvement Project. 使用中线导管采集血样的困难静脉患者：一个质量改进项目。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NAN.0000000000000598

Danielle Kennedy, Melissa Neri, Patricia C Pawlow

{"title":"Use of Midline Catheters for Blood Specimen Collection in Difficult Intravenous Access Patients: A Quality Improvement Project.","authors":"Danielle Kennedy, Melissa Neri, Patricia C Pawlow","doi":"10.1097/NAN.0000000000000598","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000598","url":null,"abstract":"Background: Vascular access can be challenging in certain populations. Midline catheters (MLCs) are a potential solution, enabling the avoidance of central catheters, yet providing more consistent access. Although research evaluates the use of MLCs for treatment delivery, there is limited evidence regarding the use of MLCs for specimen collection.Objective: This project aimed to examine the evidence and explore a change in practice regarding the collection of specimens using MLCs.Methods: A vascular access team followed patients with MLCs used for laboratory specimen collection over 6 months. Either vascular access nurses or registered nurses drew the laboratories from the MLCs and monitored outcome data while the MLC was in use.Results: Fifty-three patients with MLCs were ordered for laboratory draws. The average dwell time was 7.23 days, and the average number of days an MLC successfully gave blood return was 4.09. Overall, the patients avoided venipuncture over 225 days. Extremely low complication rates were documented and were comparable to previous research.Conclusion: Midline catheters can be used for specimen collection in difficult-to-access populations. The low complication rates and decreased patient venipunctures support consideration of this intervention. However, more work is needed to standardize best practice in this area.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 4","pages":"256-260"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Area-Under-the-Curve-Based Monitoring of Intravenous Vancomycin for Adults: Practical Considerations for Nurses. 基于曲线下面积的成人静脉注射万古霉素监测：护士的实际考虑。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NAN.0000000000000606

Genene Salman, Michael Beshir

引用次数: 0

Ultrasonography-Observed Subcutaneous Edema Immediately After Peripheral Intravenous Catheter Placement Is a Factor in Subsequent Catheter Failure. 超声检查：外周静脉置管后立即皮下水肿是导致导管失效的一个因素。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NAN.0000000000000595

Toshiaki Takahashi, Gojiro Nakagami, Ryoko Murayama, Mari Abe, Hiromi Sanada

{"title":"Ultrasonography-Observed Subcutaneous Edema Immediately After Peripheral Intravenous Catheter Placement Is a Factor in Subsequent Catheter Failure.","authors":"Toshiaki Takahashi, Gojiro Nakagami, Ryoko Murayama, Mari Abe, Hiromi Sanada","doi":"10.1097/NAN.0000000000000595","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000595","url":null,"abstract":"Objective: This study aimed to examine the effects of subcutaneous tissue edema at the site of peripheral intravenous catheters (PIVCs) on catheter failure.Methods: A secondary analysis was conducted based on an interventional study performed in 1 ward of the University of Tokyo Hospital. Participants included patients with PIVCs without ultrasonographic-guided insertion. Ultrasonographic images were obtained immediately after catheter placement was completed to assess for success of catheterization and subcutaneous edema. Catheter failure was defined as a PIVC with incomplete treatment. Other measured variables included nursing skill defined as number of experiences of catheterization, medications, medical history, anatomical site of catheterization, diameter of vein, and depth of the catheterization.Results: Of the 273 PIVC cases analyzed, 19 (7.0%) had subcutaneous edema immediately after catheter placement, and 79 (28.9%) resulted in catheter failure, 15 (78.9%) of which occurred among patients with subcutaneous edema (P < .01). Subcutaneous edema immediately after catheter placement was significantly associated with catheter failure occurrence (P < .01), with an adjusted hazard ratio of 9.4 (95% confidence interval 4.62-19.44).Conclusion: Subcutaneous edema was identified as a predictor of catheter failure. Ultrasonographic observation of subcutaneous edema at PIVC placement may be effective in preventing catheter failure occurrence.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 4","pages":"268-274"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Use of Plastic Cannulas Versus Metal Cannulas in Arteriovenous Graft and Fistula: A Systematic Review and Meta-Analysis. 塑料套管与金属套管在动静脉移植物和瘘管中的应用：系统回顾和荟萃分析。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NAN.0000000000000602

Khulud Abudawood, Raghad Alghumuy, Ghada Kurban

{"title":"The Use of Plastic Cannulas Versus Metal Cannulas in Arteriovenous Graft and Fistula: A Systematic Review and Meta-Analysis.","authors":"Khulud Abudawood, Raghad Alghumuy, Ghada Kurban","doi":"10.1097/NAN.0000000000000602","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000602","url":null,"abstract":"Hemodialysis (HD) is a standard procedure for patients with end-stage renal disease, which utilizes arteriovenous fistulas (AVF) and grafts (AVG) for vascular access. Although plastic cannulas are emerging as cost-effective alternatives to traditional metal cannulas, there is limited evidence supporting their use in HD. This systematic review and meta-analysis aimed to compare dialysis adequacy and complications between plastic and metal cannulas for AVF and AVG access. A search identified randomized controlled trials (RCTs) published from 2018 to 2021 that focused on dialysis adequacy as the primary endpoint and vascular complications, such as infiltration and hematoma, as the secondary endpoint. Three studies involving 139 adult patients undergoing HD were included. Pooled analysis indicated that plastic cannulas were associated with a higher dialysis adequacy standardized mean difference (0.43), 95% confidence interval (CI [0.07-0.78]), P = .02, I2 = 0%, and fewer complications (risk ratios = 0.60, 95% CI [0.41-0.88], P = .009, I2 = 0%) than metal cannulas. These findings suggest plastic cannulas may be a more efficient and safer option for HD patients. Further RCTs are warranted to validate these results.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 4","pages":"275-285"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transitions and Change. 过渡和变化。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NAN.0000000000000608

Dawn Berndt

引用次数: 0

Erratum: Rising to the Challenge: Team Thoughts for Overcoming IV Fluid Shortages in Disaster Management. 勘误：迎接挑战：克服灾害管理中静脉输液短缺的团队思想。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NAN.0000000000000605

引用次数: 0