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How to treat extravasation injuries in infants and young children

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There is some uncertainty about which are most the promising treatments for extravasation injuries in infants and young children. Saline flush-out techniques and conservative management approaches are commonly used and may be suitable for evaluation in trials” Corbett et al (2019). Abstract: BACKGROUND: Extravasation injuries are caused by unintended leakages of fluids or medicines from […]

Variation of central line infections in United States hospitals

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Our descriptive analyses show a wide distribution in rates of central line device days and central line–associated bloodstream infections for a given standardized infection ratio—the measure” Hefner et al (2019). Our descriptive analyses show a wide distribution in rates of central line device days and central line–associated bloodstream infections for a given standardized infection ratio—the […]

Economic burden of chronic diabetic osteomyelitis

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Diabetic foot ulcer (DFU) prevalence is as high as 25% and 40-80% of DFUs become infected (DFI). About 20% of infected ulcers will spread to bone causing diabetic foot osteomyelitis (DFO). DFU costs Medicare $9-13 billion/year” Geraghty and LaPorta (2019). Abstract: Diabetic foot ulcer (DFU) prevalence is as high as 25% and 40-80% of DFUs […]

Reducing blood culture contamination using an initial specimen diversion device

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A diversion device diverts the initial 1-2 mL of blood to remove any potentially contaminated skin plug. This study investigates the effect of the device on culture contamination in hospitalized patients” Zimmerman et al (2019). Abstract: Objectives: False positive blood cultures result from contamination, consuming laboratory resources and causing unnecessary antibiotic treatment and prolonged hospital […]

Night optical device technology enables vascular access in blackout conditions

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Because definitive surgical care is often delayed until a white light environment is permissible, we sought to determine if night optical device (NOD) technology could enable surgical capabilities in blackout conditions” Derickson et al (2019). Abstract INTRODUCTION: During military combat operations and civilian night-time aeromedical transport, medical providers are frequently required to perform life-saving interventions […]

Report of embolized PICC following power injection

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Immediately after the contrast media power injection, the PICC line was embolized to the right segmental pulmonary artery” Vlasenko et al (2019). Abstract: The recent increase in the number of patients with implanted peripherally inserted central catheters (PICCs) requires physicians to be familiar with rare and unusual complication-pinch-off syndrome (POS). We present a case of […]

Hemodialysis vascular access options in the elderly

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Choosing the optimal hemodialysis vascular access for the elderly patient is best achieved by a patient-centered coordinated multidisciplinary team approach that aligns the patient’s end-stage kidney disease Life-Plan” Viecelli and Lok (2019). Abstract: Choosing the optimal hemodialysis vascular access for the elderly patient is best achieved by a patient-centered coordinated multidisciplinary team approach that aligns […]

Simulation for clinical preparedness in pediatric emergencies

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The aim of this pilot study exploring the outcomes of repeated pediatric mock code simulations with structured debriefing demonstrated statistically significant differences in participants’ knowledge of pediatric emergencies, with no significant decline in resuscitation skills” Mariani et al (2019). Abstract: Positive outcomes for pediatric in-hospital cardiopulmonary arrest remain low with little change in mortality rates. […]

Invasive fungal disease in patients with hematological malignancies

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Invasive fungal disease (IFD) is a major infectious complication in patients with hematological malignancies” Wang et al (2018). Abstract: Invasive fungal disease (IFD) is a major infectious complication in patients with hematological malignancies. In this study, we examined 4889 courses of chemotherapy in patients with hematological diseases to establish a training dataset (n = 3500) […]

Closure of common carotid artery perforation caused by misplaced central venous catheter

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A 7-year-old boy with medulloblastoma, after neurosurgical resection of an intracranial tumor, was sent for echo-cardiography examination, because of unsuccessful administration of the second course of chemotherapy via the central venous catheter (VascuPort), which was implanted 4 weeks earlier” Paczkowski et al (2018). Extract: A 7-year-old boy with medulloblastoma, after neurosurgical resection of an intracranial […]