Journal of Infusion Nursing最新文献_第2页

Usability of Light-Linking Technology for Infusion Line Identification: A Simulation Study With ICU Nurses. 光连接技术在输液管路识别中的可用性：ICU 护士的模拟研究。

IF 2.9

Journal of Infusion Nursing Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1097/NAN.0000000000000563

Carolyn Huffman, Wendy Butcher, Cliff Gonzales, Kerrin Hampton, Lindsay Munn, Ian Saunders, Greg Russell

{"title":"Usability of Light-Linking Technology for Infusion Line Identification: A Simulation Study With ICU Nurses.","authors":"Carolyn Huffman, Wendy Butcher, Cliff Gonzales, Kerrin Hampton, Lindsay Munn, Ian Saunders, Greg Russell","doi":"10.1097/NAN.0000000000000563","DOIUrl":"10.1097/NAN.0000000000000563","url":null,"abstract":"Critical care nurses are faced with increasing task loads due to increasing patient complexity. In addition to this complexity, most critical care patients have a maze of infusion and monitoring lines that must be navigated when administering medications. Task load is escalated when a nurse must identify an injection port and administer a medication rapidly. This study tested a commercially available light-linking infusion line identification device. Researchers compared standard labeling practices to the light-linking technology on time to injection, error rate, usability, and task load. Forty-seven intensive care nurses completed 188 critical care simulations using a randomized cross-over design. Simulations were carried out in both daylight and low-light conditions. The light-linking technology reduced overall time to injection compared to standard labeling practices and demonstrated a significant decrease in time to injection in low-light settings, greater perceived usability, and lower perceived task load. Injection error rate could not be adequately assessed, but 6 of 8 errors were committed in low-light conditions.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"47 6","pages":"377-387"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584725","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

Midline Catheter-Associated Thrombosis (MCAT): Does Tip Location in the Axillary Vein Increase Risk? 中线导管相关血栓形成 (MCAT)：尖端位于腋静脉是否会增加风险？

IF 2.9

Journal of Infusion Nursing Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1097/NAN.0000000000000558

Max S Schechter, Sarah W Baron, Arash Gohari, William N Southern, Benjamin T Galen

{"title":"Midline Catheter-Associated Thrombosis (MCAT): Does Tip Location in the Axillary Vein Increase Risk?","authors":"Max S Schechter, Sarah W Baron, Arash Gohari, William N Southern, Benjamin T Galen","doi":"10.1097/NAN.0000000000000558","DOIUrl":"10.1097/NAN.0000000000000558","url":null,"abstract":"Midline catheters, used for short- and intermediate-term venous access, are recommended to be placed with the tip in an upper arm vein rather than more proximally, in the axillary vein. Despite guidelines recommending against proximal location of the midline catheter tip, the impact of midline catheter tip location on midline catheter-associated thrombosis (MCAT) risk is unclear. Using a retrospective cohort of hospitalized patients who not only had a midline catheter but also had a chest x-ray and venous duplex performed, the authors evaluated whether axillary vein tip location increased the risk of MCAT. Of the 41 midline catheters with tips located in an arm vein, 17 (41.5%) resulted in a thrombus versus 7 (38.9%) of the 18 midline catheters with tips located in the axillary vein. When compared to midline catheter tips located in an arm vein, midline catheter tips located in the axillary vein were not significantly more likely to result in MCAT in unadjusted analysis (odds ratio [OR] = 0.90 [95% CI, 0.29-2.79], P = .85) or adjusted analysis (OR = 0.62 [95% CI, 0.18-2.12], P = .45). These findings support emerging evidence that there does not appear to be an increased risk of MCAT in midlines with an axillary vein tip location. The practice of avoiding the axillary vein for midline catheter tip placement should be reconsidered.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"47 6","pages":"363-368"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584721","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

An Exemplary Publication. 典范出版物。

IF 2.9

Journal of Infusion Nursing Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1097/NAN.0000000000000583

Dawn Berndt

引用次数: 0

Complications Related to the Securement Device in Peripheral Intravenous Catheters: A Randomized Study. 与外周静脉导管固定装置有关的并发症：随机研究

IF 2.9

Journal of Infusion Nursing Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1097/NAN.0000000000000561

Marta Ferraz-Torres, Elena Sancho-Sena, María Inés Corcuera-Martinez, Oscar Martinez-Garcia, María Belén Suarez-Mier

{"title":"Complications Related to the Securement Device in Peripheral Intravenous Catheters: A Randomized Study.","authors":"Marta Ferraz-Torres, Elena Sancho-Sena, María Inés Corcuera-Martinez, Oscar Martinez-Garcia, María Belén Suarez-Mier","doi":"10.1097/NAN.0000000000000561","DOIUrl":"10.1097/NAN.0000000000000561","url":null,"abstract":"Studies have not demonstrated the effectiveness of the different types of dressings in reducing the rate of complications. The purpose of this study was to determine which type of dressing is most beneficial in reducing the rate of complications. A total of 281 patients requiring a peripheral intravenous catheter were randomized to receive partially reinforced dressings or fully reinforced dressings (dressings with integral catheter securement). Patients were followed throughout their entire catheter course, and complications included infection, occlusion, phlebitis, accidental dislodgement, extravasation, and medical adhesive-related skin injury. Catheter outcome data were compared to determine whether statistically significant differences existed between the 2 groups. The groups had equivalent demographic characteristics and catheter indications. The average securement time with partially reinforced dressings was 2.72 days, and that for fully reinforced dressings was 2.64 days. However, catheters secured with fully reinforced dressings were associated with fewer total complications, such as infectious phlebitis (P = .043) and accidental dislodgement (P = .03). The fully reinforced securement device significantly reduced the rate of complications related to accidental dislodgement of the device and cases of infectious phlebitis. The use of fully reinforced dressings could reduce catheter-associated complications and improve the quality of patient care.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"47 6","pages":"391-396"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584720","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

Parenteral Nutrition Safety. 肠外营养安全。

IF 2.9

Journal of Infusion Nursing Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1097/NAN.0000000000000575

Andrew Mays

引用次数: 0

The Midline Catheter Within the Context of Home Intravenous Antibiotic Treatment. 家庭静脉注射抗生素治疗背景下的中线导管。

IF 2.9

Journal of Infusion Nursing Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1097/NAN.0000000000000559

Elisabeth Lafuente Cabrero, Roser Terradas Robledo, Anna Civit Cuñado, Diana García Sardelli, Carla Molina Huerta, Laia Lacueva Perez, Purificacion Estevez Estevez, Cristina Esquinas, Avelina Tortosa

{"title":"The Midline Catheter Within the Context of Home Intravenous Antibiotic Treatment.","authors":"Elisabeth Lafuente Cabrero, Roser Terradas Robledo, Anna Civit Cuñado, Diana García Sardelli, Carla Molina Huerta, Laia Lacueva Perez, Purificacion Estevez Estevez, Cristina Esquinas, Avelina Tortosa","doi":"10.1097/NAN.0000000000000559","DOIUrl":"10.1097/NAN.0000000000000559","url":null,"abstract":"Home intravenous antibiotic treatment (HIAT) consists of the administration of intravenous antibiotic therapy in the home of the patient. Short peripheral intravenous catheters have long been the first option for antimicrobial therapies. However, these devices are known for their short durability. At present, the midline catheter is one of the median duration devices most commonly used and recommended within the context of HIAT. The objective of this study was to evaluate the occurrence of complications related to midline catheters implanted by a vascular access team in patients undergoing HIAT within the context of home hospitalization. This was a prospective observational study, which consecutively included 77 patients. A total of 92 midline catheters were analyzed. The complications observed were device obstruction (8.7%), infiltration (3.3%), dislodgement (2.2%), and thrombosis (1.1%). Bivariate analysis showed that the pH of the drug and ertapenem administration were associated with catheter obstruction. The authors found a low prevalence of midline catheter-associated complications in patients undergoing HIAT. The use of antireflux needleless connectors should be considered to reduce obstructions. In addition, algorithms that include the variable of type of daily life activity should be developed for deciding the most appropriate catheter for home hospitalized patients receiving HIAT.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"47 6","pages":"369-376"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584724","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

Infiltration and Extravasation Risk with Midline Catheters: A Narrative Literature Review. 中线导管的浸润和外渗风险：叙述性文献综述。

IF 2.9

Journal of Infusion Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.1097/NAN.0000000000000566

Lynn Hadaway, Lisa A Gorski

{"title":"Infiltration and Extravasation Risk with Midline Catheters: A Narrative Literature Review.","authors":"Lynn Hadaway, Lisa A Gorski","doi":"10.1097/NAN.0000000000000566","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000566","url":null,"abstract":"Midline catheters have recently gained popularity in clinical use, with a common reason being the reduction of central venous catheter use and central line-associated bloodstream infections. At the same time, the number of nononcology vesicant medications has increased, and midline catheters are frequently being used for infusions of vesicant medications. The Infusion Nurses Society (INS) Vesicant Task Force identified midline catheter use as a possible risk factor for extravasation and concluded that a thorough literature review was necessary. This review highlights the variations in catheter terminology and tip locations, the frequency of infiltration and extravasation in published studies, and case reports of infiltration and extravasation from midline catheters. It also examines the many clinical issues requiring evidence-based decision-making for the most appropriate type of vascular access devices. After more than 30 years of clinical practice with midline catheters and what appears to be a significant number of studies, evidence is still insufficient to answer questions about infusion of vesicant and irritant medications through midline catheters. Given the absence of consensus on tip location, inadequate evidence of clinical outcomes, and importance of patient safety, the continuous infusion of vesicants, all parenteral nutrition formulas, and infusates with extremes in pH and osmolarity should be avoided through midline catheters.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"47 5","pages":"324-346"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298285","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

INS Vesicant Task Force: Preventing Extravasation Through Evidence-Based Clinical Resources. INS Vesicant 特别工作组：通过循证临床资源预防外渗。

IF 2.9

Journal of Infusion Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.1097/NAN.0000000000000572

Dawn Berndt

引用次数: 0

Development of an Evidence-Based List of Non-Antineoplastic Vesicants: 2024 Update. 制定以证据为基础的非抗肿瘤膀胱炎药物清单：2024 年更新。

IF 2.9

Journal of Infusion Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.1097/NAN.0000000000000568

Lisa A Gorski, Jennie Ong, Ruth Van Gerpen, Barb Nickel, Kathy Kokotis, Lynn Hadaway

引用次数: 0

Operational Definition of the Concept of Success in Peripheral Intravenous Catheterization in Hospitalized Children. 住院儿童外周静脉导管插入术成功概念的操作定义。

IF 2.9

Journal of Infusion Nursing Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI: 10.1097/NAN.0000000000000550

Luciano Marques Dos Santos, Denise Miyuki Kusahara, Elisa Conceição Rodrigues, Bruna Figueiredo Manzo, Mavilde da Luz Gonçalves Pedreira, Ariane Ferreira Machado Avelar

{"title":"Operational Definition of the Concept of Success in Peripheral Intravenous Catheterization in Hospitalized Children.","authors":"Luciano Marques Dos Santos, Denise Miyuki Kusahara, Elisa Conceição Rodrigues, Bruna Figueiredo Manzo, Mavilde da Luz Gonçalves Pedreira, Ariane Ferreira Machado Avelar","doi":"10.1097/NAN.0000000000000550","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000550","url":null,"abstract":"The objective of this study was to operationally define the concept of success in peripheral intravenous catheterization in children considering the Walker and Avant model. This is a methodological study, carried out through the following steps: concept selection, the definition of the analysis objective, identification of possible uses of the concept, determination of critical or essential attributes, construction of a model and opposite case, and identification of antecedents and consequences. The study was carried out based on a search in international databases from January to March 2021. The sample consisted of 47 studies conducted in 17 countries between 2008 and 2021. Five attributes, 20 antecedents, 10 consequences, and an empirical reference of the studied concept were identified. Also, 2 cases, model and opposite, were elaborated, and an operational definition of the concept was developed. The Walker and Avant method enabled the operationalization of the concept of success of peripheral intravenous catheterization in children based on attributes, antecedents and consequents, and model and opposite cases.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"47 4","pages":"224-232"},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538765","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