The journal of vascular access
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Randomized Controlled Trial Comparative Study
Securement methods for peripheral venous catheters to prevent failure: a randomised controlled pilot trial.
To assess the effectiveness of four securement methods to prevent peripheral intravenous catheter (PIVC) failure. ⋯ Current SPU dressings alone do not prevent many cases of PIVC failure. TA appears promising as an innovative solution, but may not be suitable for all patients. A larger Australian National Health and Medical Research Council (NHMRC)-funded trial has commenced.
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Randomized Controlled Trial
Distal tourniquet-facilitated radial arterial cannulation in adults--a double-blinded, prospective, randomized and controlled study.
Relatively small radial artery may be challenging for cannulation. We investigated whether a distal tourniquet would inflate the proximal radial artery and therefore facilitate cannulation in adults. ⋯ Distal tourniquet could inflate the proximal radial artery and facilitate palpation of radial artery cannulation.
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Randomized Controlled Trial Comparative Study
A prospective, randomized comparison of three different types of valved and non-valved peripherally inserted central catheters.
Few randomized studies have investigated the impact of valved and non-valved power-injectable peripherally inserted central catheters (PICCs) in terms of incidence of occlusion, infection, malfunction and venous thrombosis. ⋯ We found no clinical advantages of valved vs. non-valved PICCs.
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Randomized Controlled Trial Comparative Study
Safe administration of vancomycin through a novel midline catheter: a randomized, prospective clinical trial.
According to the 2011 Infusion Nursing Standards of Practice, the low pH of intravenous vancomycin requires that it be administered through a central line. However, a careful review of the literature and a retrospective analysis of the experience at New York Hospital Queens (NYHQ) did not support the position of the Standards. ⋯ Short-term intravenous vancomycin can be safely and cost-efficiently administered in the deep vessels of the upper arm using the midline study device.
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Randomized Controlled Trial
Verification of intravenous catheter placement by auscultation--a simple, noninvasive technique.
Verification of proper placement of an intravenous catheter may not always be simple. We evaluated the auscultation technique for this purpose. ⋯ Being simple, handy and noninvasive, we recommend to use the auscultation technique for verification of the proper placement of an intravenous catheter when uncertain of its position. Data obtained in our limited sample of healthy subjects need to be confirmed in the clinical setting.