Laterality of a short-term peripheral intravenous catheter does not affect complications or patient satisfaction: a subanalysis of the One Million Global Peripheral Intravenous Catheter Study

2018 ◽  
Vol 40 (1) ◽  
pp. 117-118
Author(s):  
Rami Sommerstein ◽  
Lisa Kottanattu ◽  
Jonas Marschall
Keyword(s):  
Patient Satisfaction ◽  
Intravenous Catheter ◽  
Short Term ◽  
Peripheral Intravenous Catheter ◽  
The One

The AccuCath Intravenous Catheter System With Retractable Coiled Tip Guidewire and Conventional Peripheral Intravenous Catheters: A Prospective, Randomized, Controlled Comparison

2014 ◽  
Vol 19 (2) ◽  
pp. 94-102 ◽  
Author(s):  
Bette K. Idemoto ◽  
James R. Rowbottom ◽  
James D. Reynolds ◽  
Ronald L. Hickman
Keyword(s):  
Patient Satisfaction ◽  
User Satisfaction ◽  
Dwell Time ◽  
Adult Patients ◽  
Background Current ◽  
Intravenous Catheter ◽  
Randomized Controlled ◽  
Catheter System ◽  
Peripheral Intravenous Catheter ◽  
Intravenous Catheters

Abstract Background: Current peripheral intravenous catheter (PIV) first attempt success averages 47%, complications 47%, and dwell time 44 hours. Multiple intravenous (IV) access lines requiring replacement during each admission result in poor satisfaction and unnecessary costs. With 2011 Infusion Nursing Society standards allowing IV lines to dwell until complication, there is incentive to explore improvement opportunities. Purpose: A new, proprietary coiled tip guidewire PIV was compared with conventional IV catheters in adult patients. The experimental IV catheter was projected to have a higher rate of successful placement on first attempt, fewer complications, longer dwell times, higher completion of therapy, higher user satisfaction, and lower overall costs than conventional catheters. Methods: Adult patients requiring nonemergent IV catheters provided consent and were enrolled and randomized. The study, conducted over 4 months, included 248 patients (experimental IV group n =123, conventional IV group n =125). Results: Experimental IV first attempt success was 89% compared with 47% for the conventional catheter. Fifty percent of conventional IV placements required a second attempt. Experimental IV complications occurred 8% of the time and complications occurred with the conventional catheter 52% of the time. Completion of therapy was 89% with the experimental IV versus 34% with the conventional IV (P < .001). Dwell time improved with the experimental IV (mean 4.4 days [105 hours] vs conventional IV at 1.5 days [35 hours]) (P < .001). Overall patient satisfaction using a 5-point Likert scale scored an average of 4.5 with the experimental IV compared with the conventional IV, which scored 3. Conclusions: A new, proprietary coiled tip guidewire-delivered PIV demonstrated clear superiority over the conventional catheter in our study. Clinical outcome results showed statistically significant improvements in first attempt success, complications, completion of therapy, dwell time, and overall patient satisfaction.

An eight-year multicenter study on short-term peripheral intravenous catheter–related bloodstream infection rates in 100 intensive care units of 9 countries in Latin America: Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama, and Venezuela. Findings of the International Nosocomial Infection Control Consortium (INICC)

2021 ◽  
pp. 1-7
Author(s):  
Victor Daniel Rosenthal ◽  
Gustavo Jorge Chaparro ◽  
Eduardo Alexandrino Servolo-Medeiros ◽  
Dayana Souza-Fram ◽  
Daniela Vieira da Silva Escudero ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Latin America ◽  
Intensive Care ◽  
Costa Rica ◽  
Dominican Republic ◽  
Nosocomial Infection ◽  
Infection Control ◽  
Intravenous Catheter ◽  
Short Term ◽  
Peripheral Intravenous Catheter

Abstract Background: Data on short-term peripheral intravenous catheter–related bloodstream infections per 1,000 peripheral venous catheter days (PIVCR BSIs per 1,000 PVC days) rates from Latin America are not available, so they have not been thoroughly studied. Methods: International Nosocomial Infection Control Consortium (INICC) members conducted a prospective, surveillance study on PIVCR BSIs from January 2010 to March 2018 in 100 intensive care units (ICUs) among 41 hospitals, in 26 cities of 9 countries in Latin America (Argentina, Brazil, Colombia, Costa Rica, Dominican-Republic, Ecuador, Mexico, Panama, and Venezuela). The Centers for Disease Control and Prevention (CDC) National Health Safety Network (NHSN) definitions were applied, and INICC methodology and INICC Surveillance Online System software were used. Results: In total, 10,120 ICU patients were followed for 40,078 bed days and 38,262 PVC days. In addition, 79 PIVCR BSIs were identified, with a rate of 2.06 per 1,000 PVC days (95% confidence interval [CI], 1.635–2.257). The average length of stay (ALOS) of patients without a PIVCR BSI was 3.95 days, and the ALOS was 5.29 days for patients with a PIVCR BSI. The crude extra ALOS was 1.34 days (RR, 1.33; 95% CI, 1.0975–1.6351; P = .040). The mortality rate in patients without PIVCR BSI was 3.67%, and this rate was 6.33% in patients with a PIVCR BSI. The crude extra mortality was 1.70 times higher. The microorganism profile showed 48.5% gram-positive bacteria (coagulase-negative Staphylococci 25.7%) and 48.5% gram-negative bacteria: Acinetobacter spp, Escherichia coli, and Klebsiella spp (8.5% each one), Pseudomonas aeruginosa (5.7%), and Candida spp (2.8%). The resistances of Pseudomonas aeruginosa were 0% to amikacin and 50% to meropenem. The resistance of Acinetobacter baumanii to amikacin was 0%, and the resistance of coagulase-negative Staphylococcus to oxacillin was 75%. Conclusions: Our PIVCR BSI rates were higher than rates from more economically developed countries and were similar to those of countries with limited resources.

Catheter-directed foam sclerotherapy treatment of saphenous vein incompetence

VASA ◽  
2012 ◽  
Vol 41 (2) ◽  
pp. 120-124 ◽  
Author(s):  
Asciutto ◽  
Lindblad
Keyword(s):  
Saphenous Vein ◽  
Short Term ◽  
Foam Sclerotherapy ◽  
Results Of Treatment ◽  
Ulcer Healing Rate ◽  
Complete Obliteration ◽  
Ceap Classification ◽  
One Year ◽  
The One

Background: The aim of this study is to report the short-term results of catheter-directed foam sclerotherapy (CDFS) in the treatment of axial saphenous vein incompetence. Patients and methods: Data of all patients undergoing CDFS for symptomatic primary incompetence of the great or small saphenous vein were prospectively collected. Treatment results in terms of occlusion rate and patients’ grade of satisfaction were analysed. All successfully treated patients underwent clinical and duplex follow-up examinations one year postoperatively. Results: Between September 2006 and September 2010, 357 limbs (337 patients) were treated with CDFS at our institution. Based on the CEAP classification, 64 were allocated to clinical class C3 , 128 to class C4, 102 to class C5 and 63 to class C6. Of the 188 patients who completed the one year follow up examination, 67 % had a complete and 14 % a near complete obliteration of the treated vessel. An ulcer-healing rate of 54 % was detected. 92 % of the patients were satisfied with the results of treatment. We registered six cases of thrombophlebitis and two cases of venous thromboembolism, all requiring treatment. Conclusions: The short-term results of CDFS in patients with axial vein incompetence are acceptable in terms of occlusion and complications rates.

Hidden “holes” in the capital of banks and the supply of credit to the real sector of economy

2018 ◽  
pp. 49-68 ◽  
Author(s):  
M. E. Mamonov
Keyword(s):  
Credit Risk ◽  
The Other ◽  
Real Sector ◽  
Capital Management ◽  
Loan Loss ◽  
Short Term ◽  
The Real ◽  
Ex Post ◽  
The One

Our analysis documents that the existence of hidden “holes” in the capital of not yet failed banks - while creating intertemporal pressure on the actual level of capital - leads to changing of maturity of loans supplied rather than to contracting of their volume. Long-term loans decrease, whereas short-term loans rise - and, what is most remarkably, by approximately the same amounts. Standardly, the higher the maturity of loans the higher the credit risk and, thus, the more loan loss reserves (LLP) banks are forced to create, increasing the pressure on capital. Banks that already hide “holes” in the capital, but have not yet faced with license withdrawal, must possess strong incentives to shorten the maturity of supplied loans. On the one hand, it raises the turnovers of LLP and facilitates the flexibility of capital management; on the other hand, it allows increasing the speed of shifting of attracted deposits to loans to related parties in domestic or foreign jurisdictions. This enlarges the potential size of ex post revealed “hole” in the capital and, therefore, allows us to assume that not every loan might be viewed as a good for the economy: excessive short-term and insufficient long-term loans can produce the source for future losses.

scholarly journals Analytical Determination of the Brake Temperature Mode During Repetitive Short-Term Braking

Materials ◽  
2021 ◽  
Vol 14 (8) ◽  
pp. 1912
Author(s):  
Aleksander Yevtushenko ◽  
Katarzyna Topczewska ◽  
Michal Kuciej
Keyword(s):  
Friction Pair ◽  
Thermal Sensitivity ◽  
Finite Difference Methods ◽  
Temporal Variations ◽  
Frictional Heat ◽  
Maximum Temperature ◽  
Analytical Determination ◽  
Flash Temperature ◽  
Short Term ◽  
The One

An algorithm to determine the maximum temperature of brake systems during repetitive short-term (RST) braking mode has been proposed. For this purpose, the intermittent mode of braking was given in the form of a few cyclic stages consisting of subsequent braking and acceleration processes. Based on the Chichinadze’s hypothesis of temperature summation, the evolutions of the maximum temperature during each cycle were calculated as the sum of the mean temperature on the nominal contact surface of the friction pair elements and temperature attained on the real contact areas (flash temperature). In order to find the first component, the analytical solution to the one-dimensional thermal problem of friction for two semi-spaces taking into account frictional heat generation was adapted. To find the flash temperature, the solution to the problem for the semi-infinite rod sliding with variable velocity against a smooth surface was used. In both solutions, the temperature-dependent coefficient of friction and thermal sensitivity of materials were taken into account. Numerical calculations were carried out for disc and drum brake systems. The obtained temporal variations of sliding velocity, friction power and temperature were investigated on each stage of braking. It was found that the obtained results agree well with the corresponding data established by finite element and finite-difference methods.

scholarly journals Ultrasonographic Classification of Subcutaneous Edema Caused by Infusion via Peripheral Intravenous Catheter

2016 ◽  
Vol 24 (2) ◽  
pp. 60-65 ◽  
Author(s):  
Koichi Yabunaka ◽  
Ryoko Murayama ◽  
Hidenori Tanabe ◽  
Toshiaki Takahashi ◽  
Makoto Oe ◽  
...  
Keyword(s):  
Intravenous Catheter ◽  
Subcutaneous Edema ◽  
Peripheral Intravenous Catheter

Ultrasonography-guided peripheral intravenous catheter survival in ED patients with difficult access

2010 ◽  
Vol 28 (1) ◽  
pp. 1-7 ◽  
Author(s):  
James M. Dargin ◽  
Casey M. Rebholz ◽  
Robert A. Lowenstein ◽  
Patricia M. Mitchell ◽  
James A. Feldman
Keyword(s):  
Intravenous Catheter ◽  
Catheter Survival ◽  
Peripheral Intravenous Catheter
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