Invasive blood pressure (BP) versus non invasive BP monitoring in ICU patients

Searches of PubMed, Embase, and CINAHL yielded this one meta-analysis and two systematic reviews.

Kim, Sang-Hyun, et al. “Accuracy and precision of continuous noninvasive arterial pressure monitoring compared with invasive arterial pressure: a systematic review and meta-analysis.” Anesthesiology 120.5 (2014):1080-1097.
Twenty-eight studies with 919 patients were included in this systematic review. “The overall random-effect pooled bias and SD were -1.6 ± 12.2 mmHg (95% limits of agreement -25.5 to 22.2 mmHg) for systolic arterial pressure, 5.3 ± 8.3 mmHg (-11.0 to 21.6 mmHg) for diastolic arterial pressure, and 3.2 ± 8.4 mmHg (-13.4 to 19.7 mmHg) for mean arterial pressure. In 14 studies focusing on currently commercially available devices, bias and SD were -1.8 ± 12.4 mmHg (-26.2 to 22.5 mmHg) for systolic arterial pressure, 6.0 ± 8.6 mmHg (-10.9 to 22.9 mmHg) for diastolic arterial pressure, and 3.9 ± 8.7 mmHg (-13.1 to 21.0 mmHg) for mean arterial pressure.
CONCLUSIONS: The results from this meta-analysis found that inaccuracy and imprecision of continuous noninvasive arterial pressure monitoring devices are larger than what was defined as acceptable. This may have implications for clinical situations where continuous noninvasive arterial pressure is being used for patient care decisions.”

Ben Sivarajan, V, and DesmondBohn. “Monitoring of standard hemodynamic parameters: heart rate, systemic blood pressure, atrial pressure, pulse oximetry, and end-tidal CO2.” Pediatric critical care medicine 12.4 Suppl (2011):S2-S11.
The conclusion of this systematic review states, “literature would suggest that invasive arterial monitoring is the current standard for monitoring in the setting of shock. The use of heart rate, electrocardiography, and atrial pressure monitoring is advantageous in specific clinical scenarios (postoperative cardiac surgery); however, the evidence for this is based on numerous case series only.”

Chatterjee, Arjun, et al. “Results of a survey of blood pressure monitoring by intensivists in critically ill patients: a preliminary study.” Critical care medicine 38.12 (2010):2335-2338.
“Eight hundred eighty individuals received an invitation to complete the survey and 149 responded. We found that 71% (105 of 149) of intensivists estimated the correct cuff size rather than measuring arm circumference directly. In hypotensive patients, 73% of respondents (108 of 149) reported using noninvasive blood pressure measurement measurements for patient management. In patients on a vasopressor medication, 47% (70 of 149) of respondents reported using noninvasive blood pressure measurement for management.”

Increasing employee safety using closed system transfer devices

Miyake, Tomohiro, et al. “Impact of closed-system drug transfer device on exposure of environment and healthcare provider to cyclophosphamide in Japanese hospital.” SpringerPlus 2.1 (2013):273-273.

Wick, Catherine, et al. “Using a closed-system protective device to reduce personnel exposure to antineoplastic agents.” American journal of health-system pharmacy 60.22 (2003):2314-2320.

Sessink, Paul J M, JasonTrahan, and Joseph WCoyne. “Reduction in Surface Contamination With Cyclophosphamide in 30 US Hospital Pharmacies Following Implementation of a Closed-System Drug Transfer Device.” Hospital pharmacy 48.3 (2013):204-212.

Yoshida, Jin, et al. “Use of a closed system device to reduce occupational contamination and exposure to antineoplastic drugs in the hospital work environment.” Annals of occupational hygiene 53.2 (2009):153-160.

Favier, B, et al. “The PhaSeal system: impact of its use on workplace contamination and duration of chemotherapy preparation.” Journal of oncology pharmacy practice 18.1 (2012):37-45.

Harrison BR; Peters BG; Bing MR Comparison of surface contamination with cyclophosphamide and fluorouracil using a closed-system drug transfer device versus standard preparation techniques. American Journal of Health-System Pharmacy 2006 Sep 15; 63 (18): 1736-44.

Respiratory protective equipment: Cytotoxic Drugs. 2017

Gowns, Coveralls, and Overshoes: Cytotoxic Drugs. 2017

Sharma, Laveena [PhD (BiomedSc)]. Cytotoxic Drugs: Handling. 2017

Searched: PubMed, CINAHL, Joanna Briggs. Keywords: PhaSeal, Closed System Transfer device, safety

Updated links for entries from Joanna Briggs, 10/16/2017 ldt

What are some effective methods for effective and timely discharge?

Effective discharge planning — timely assignment of an estimated date of discharge.” Australian health review 35.3 (2011):357.

Hospitalist case managers save money, bed days for IPA: on-site staff help ensure timely discharge.” Case management advisor 20.3 (2009):25.

Lennard, C.Productive Ward initiative promotes better communication between mental health teams and ensures timely discharge for patients. Journal of Psychiatric & Mental Health Nursing , 2014 Feb; 21 (1): 93-6. (23 ref)

Greene J; Caldwell G; McVeigh A; Rankin MG; Sheeran C Timely and effective hospital discharge for older people: a person centred approach. International Journal of Clinical Leadership (INT J CLIN LEADERSH), 2008; 16 (1): 49-57.

Jimenez, Jeanne; DeSanto, Andrea Timely Discharge of Clinically Eligible Patients in the Postpartum Setting.
JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing (JOGNN), 2011 May; 40: S79.

Hospital discharge (pediatric asthma patients): Criteria Led Discharge. Streak, Judith [(nee Gomersall) BA Hons Hons MCom PhD].
[Evidence Summaries] 2013

Hospital Discharge (Patients with Community Acquired Pneumonia): Criteria Led Discharge.
Fong, Eric [MBBS]. [Evidence Summaries] 2016

Updated links 10/12/2017 ldt

Borrowed theories about alarm fatigue

This article on anaesthesia monitor alarms mentions the theory of behavioural economics.

This major paper on alarm fatigue by an MSN student covers the transactional theory of stress and coping.

This PowerPoint on alarm fatigue mentions chaos theory. A book by Lorenz entitled The Essence of Chaos is available at the Woodruff Library; see the catalog entry here.

Can a smile from nursing staff influence patient satisfaction scores in a positive way?

Exceptional service: ‘smile please!‘. Nursing Review 1996 vol:15 iss:1 pg:37

Leicester nurses grin and bear ‘smile’ policy. Nursing Standard 2006 Jun 28-Jul 4; 20 (42): 7.

Satisfaction climbs with smiles, other soft skills.” ED management 16.3 (2004):30.

Semiformal attire and a smile…” [January 2007].” Family practice management 14.4 (2007):16.

Teach staff and managers to put the focus on customers: inservice should cover more than ‘smile therapy’. Homecare education management 1999 vol:4 iss:3 pg:33

Putre, Laura The power of a smile and a handshake. H&HN: Hospitals & Health Networks, 2013 Feb; 87 (2): 51.

Customer satisfaction in the emergency department.” Emergency medicine clinics of North America 22.1 (2004):87.

Effective pain management for post-operative or hospitalized patients.

Eid T; Bucknall T Documenting and implementing evidence-based post-operative pain management in older patients with hip fractures. Journal of Orthopaedic Nursing, 2008 May; 12 (2): 90-8.

Does music reduce postoperative pain? A review. Health Science Journal 2012 vol:6 iss:3 pg:365

Factors influencing the control of post-operative pain in older people.” Reviews in clinical gerontology 15.2 (2005):149.

Mansouri, Parisa;Implementation of a protocol for integrated management of pain, agitation, and delirium can improve clinical outcomes in the intensive care unit: A randomized clinical trial.Journal of Critical Care (J CRIT CARE), 2013; 28 (6): 918-22.

Pain assessment and management in older hospitalised patients: observation shows common themes relating to nurse-patient communication, pain management strategies, organisational aspects of care and the complex nature of pain.” Evidence-based nursing 16.4 (2013):123.

Pain assessment and management in surgical nursing: a literature review. British journal of nursing 2009 vol:18 iss:3 pg:153

SESSION 11: PROTOCOLS AND STANDARDS: Evidenced based nurse driven pain management protocol for the post operative patient. Connect 2011 vol:8 iss:2 pg:48

Carlson CL. Use of three evidence-based postoperative pain assessment practices by registered nurses. Pain Management Nursing (PAIN MANAGE NURS), 2009 Dec; 10 (4): 174-87.

Postoperative Pain Management (Children): Children’s Experiences. Gomersall, Judith Streak 2017

Efficacy of music listening as a postoperative pain management intervention in adult patients: a systematic review. Kusi-Amponsah, Abigail, et al. 2017

Crowe, Linda. Systematic review of the effectiveness of nursing interventions in reducing or relieving post-operative pain. The JBI Library of Systematic Reviews. 6(4):165-224, 2008.

Searched: CINAHL, Joanna Briggs Keywords: pain management, postoperative, post operative, hospitalized

Updated links to entries in Joanna Briggs, 10/16/2017 ldt

Are there studies on the safety of midline catheters?

Sharp, Rebecca, et al. “The safety and efficacy of midlines compared to peripherally inserted central catheters for adult cystic fibrosis patients: A retrospective, observational study.” International journal of nursing studies 51.5 (2014):694-702.

Alexandrou, Evan, et al. “Central venous catheter placement by advanced practice nurses demonstrates low procedural complication and infection rates–a report from 13 years of service.” Critical care medicine 42.3 (2014):536-543.

Kanokkantapong, C, N Leeaphorn, and T Kanjanabuch. “The effects of peritoneal dialysis catheter insertion using paramedian versus midline approach on CAPD patients.” Journal of the Medical Association of Thailand = Chotmaihet thanphaet 94 suppl. 4 (2011):S52-S57.

Amerasekera, S S H, et al. “Imaging of the complications of peripherally inserted central venous catheters.” Clinical radiology 64.8 (2009):832-840.

Griffiths, Vivien. “Midline catheters: indications, complications and maintenance.” Nursing standard 22.11 (2007):48-57.

Anderson, N R. “Midline catheters: the middle ground of intravenous therapy administration.” Journal of infusion nursing 27.5 (2004):313-321.

Applying current research to influence clinical practice: utilization of midline catheters.” Journal of intravenous nursing 21.5 (1998):271.

Complications related to intravenous midline catheter usage: a 2-year study.” Journal of intravenous nursing 21.2 (1998):76.

The risk of midline catheterization in hospitalized patients: a prospective study… republished with permission from Dr. Leonard Mermel. The risk of midline catheterization in hospitalized patients. Ann Intern Med. 1995; 123:841-844. 1996; 12.1:6

Initiating a pediatric peripherally inserted central catheter and midline catheter program.” Journal of intravenous nursing 17.4 (1994):201.

Reviewed and updated 4/8/2014 ldt