Are there studies on the safety of midline catheters?

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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

Evidence on nurse-driven venous thromboembolism (VTE) protocols

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Moore, Cathy, et al. “Enhancing patient outcomes with sequential compression device therapy.” American Nurse Today 8.8 (2013).

“AORN guideline for prevention of venous stasis.” AORN journal 85.3 (2007):607-624.

Ruesch, Cecilee, et al. “Using nursing expertise and telemedicine to increase nursing collaboration and improve patient outcomes.” Telemedicine and e-health 18.8 (2012):591-595.

US Department of Health and Human Services Military Health Systems. “Implementation guide to prevention of venous thromboembolism (VTE).”

Shimet, Troy, et al. “VTE prophylaxis: a nurse-driven protocol.” Critical Care Nurse 28.2 (2008):e51.

Barto, Donna. “‘Let’s be the driver of this bus: nurse driven protocols in acute care.”

Desiongco, Maribeth. “VT/VTE nursing protocol 2009.”

Agramonte, Vicky. “Georgia Hospital Engagement Network Healthcare Acquired Condition Affinity Group: VTE prevention, treatment and adherence to the CMS VTE Core Measure Set.”

 

Should capnography be used in postoperative, unventilated patients?

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There isn’t a consensus on whether capnography should be used in postoperative patients.

Eichhorn, John H. “Review article: practical current issues in perioperative patient safety.” Canadian journal of anesthesia 60.2 (2013):111-118.
The first paragraph of page 116 discusses the lack of consensus on how best to monitor postoperative patients for hypoventilation from postoperative pain medication.

Jarzyna, Donna, et al. “American Society for Pain Management Nursing guidelines on monitoring for opioid-induced sedation and respiratory depression.” Pain management nursing 12.3 (2011):118-145.e10.
Article states, “there is a paucity of information and no consensus about the benefits of technology supported monitoring, such as…capnography.”

Hutchison, Rob, and LesRodriguez. “Capnography and respiratory depression.” American journal of nursing 108.2 (2008):35-39.
This randomized prospective study of 54 postoperative orthopedic patients found a significantly higher rate of respiratory depression in the capnography group, concluding that “capnography may be more appropriate for use with postsurgical high-risk patients taking opioids” and “may have the added advantage of indicating those patients who may be at risk for obstructive sleep apnea.”

What medications are associated with high fall rates?

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Among the medications discussed as contributing to higher rates of falls include psychotropics, analgesics, diuretics, and antihypertensives.

See <a href="” target=”_blank”>Falls > Possible Risk Factors > Medication effects.  In:  DynaMed.  References studies documenting medications associated with falls.

Click here to access collection of articles discussing medications and fall rates.

Characteristics of kidney stones in women

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Wilcox: Therapy in Nephrology & Hypertension, 3rd ed.
Copyright © 2008 Saunders, An Imprint of Elsevier
PART V – Nephrolithiasis
Chapter 35 – Evaluation and Management of Kidney Stone Disease
Eric N. Taylor, Gary C. Curhan
Symptomatic nephrolithiasis classically presents with sudden unilateral flank pain. The pain is caused by the passage of a kidney stone from the renal pelvis to the ureter and is due to ureteral spasm. The pain is often severe and can cause nausea and vomiting. The location of the pain depends on the location of the stone; a stone in the upper ureter may cause pain to radiate anteriorly to the abdomen, and a stone in the lower ureter can cause pain to radiate to the ipsilateral testicle in men or to the ipsilateral labium in women.

Cunningham et al.: Williams Obstetrics, 24th ed.
Copyright © 2014  The McGraw-Hill Companies, Inc.
Chapter 53. Renal and Urinary Tract Disorders
“There is some evidence that pregnant women may have fewer symptoms with stone passage because of urinary tract dilatation (Hendricks, 1991; Tan, 2013). That said, more than 90 percent of pregnant women with nephrolithiasis present with pain. Gross hematuria is less common than in nonpregnant women and was reported to be a presenting symptom in 23 percent of women described by Butler and associates (2000). In another study, however, Lewis and coworkers (2003) found that only 2 percent had hematuria.”

Reviewed and updated 4/24/2014 ldt