Guidelines for Continuous Pulse Oximetry

Posted on December 13, 2013 by carolynmbrown

Jeffrey J. Pretto, Teanau Roebuck, Lutz Beckert and Garun Hamilton. Clinical use of pulse oximetry: Official guidelines from the Thoracic Society of Australia and New Zealand. Respirology. 2014 Jan;19(1):38-46. doi: 10.1111/resp.12204. Epub 2013 Nov 20.

Pulse Oximetry. [Recommended Practices], 2016.

Dao Le, Long Khanh,. Pulse Oximetry: Clinician Information. {Evidence Summaries]. 2016.

Practice guidelines for the prevention, detection, and management of respiratory depression associated with neuraxial opioid administration: An updated report by the American Society of Anesthesiologists Task Force on Neuraxial Opioids and the American Society of Regional Anesthesia and Pain Medicine. Anesthesiology. 2016 Mar;124(3):535-52. doi: 10.1097/ALN.0000000000000975.

Pedersen T1, Nicholson A, Hovhannisyan K, Møller AM, Smith AF, Lewis SR. Pulse oximetry for perioperative monitoring. Cochrane Database Syst Rev. 2014 Mar 17;(3):CD002013. doi: 10.1002/14651858.CD002013.pub3. PubMed PMID: 24638894 .

I searched PubMed, CINAHL AND Joanna Briggs. Keywords: Continuous Pulse Oximetry Guidelines.

Updated Joanna Briggs and Cochrane links, 10/16/2017 ldt

Use of betadine on postoperative surgical sites

Posted on December 9, 2013 by John

“Efficacy of dilute betadine solution irrigation in the prevention of postoperative infection of spinal surgery.” Spine (Philadelphia, Pa. 1976) 30.15 (2005):1689.

Lid scrub may reduce endophthalmitis rate when used with topical Betadine… including commentary by Trattler WB. Ocular Surgery News 2009 vol:27 iss:19 pg:16

Swenson BR ; Hedrick TL ; Metzger R ; Bonatti H ; Pruett TL ; Sawyer RG. Effects of preoperative skin preparation on postoperative wound infection rates: a prospective study of 3 skin preparation protocols. Infection Control & Hospital Epidemiology, 2009 Oct; 30 (10): 964-71.

Giordano, Salvatore, et al. “Povidone-iodine combined with antibiotic topical irrigation to reduce capsular contracture in cosmetic breast augmentation: a comparative study.” Aesthetic surgery journal 33.5 (2013):675-680.

Haas, David Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections. Cochrane Database of Systematic Reviews. 2014 Dec 21;(12):CD007892. doi: 10.1002/14651858.CD007892.pub5.

Spinal Surgery: Prevention and Management of Infection. [Recommended Practices] 2013

Searched CINAHL, PubMed & Joanna Briggs. Keywords: Betadine or Povidone-iodine, postoperative

Reviewed by John Nemeth 4/14

Updated links for last two items, 10/16/2017 ldt

What is the effectiveness of sitters for preventing patient falls?

Posted on December 4, 2013 by John

Adams, Jewel, and RobertaKaplow. “A sitter-reduction program in an acute health care system.” Nursing economic$ 31.2 (2013):83-89.

Spiva, LeeAnna, et al. “An evaluation of a sitter reduction program intervention.” Journal of nursing care quality 27.4 (2012):341-345.

Tzeng, Huey-Ming, Chang-YiYin, and JulieGrunawalt. “Effective assessment of use of sitters by nurses in inpatient care settings.” Journal of advanced nursing 64.2 (2008):176-183.

Harding, Andrew D. “Observation assistants: sitter effectiveness and industry measures.” Nursing economic$ 28.5 (2010):330-336.

“Falls/ambulation: Reducing sitter use: Decision outcomes.” Nursing Management 42.12 (2011):37.

Searched CINAHL and PubMed. Keywords: sitter and (fall or falls)

Reviewed by John Nemeth 4/14

What is the evidence behind recommended syringe size in pushing medications through IVs?

Posted on November 27, 2013 by Amy

No relevant references were identified in searches of Joanna Briggs, PubMed and CINAHL for combinations of these terms:
Iv push, Infusion, Catheter
Complications, adverse effects, adverse events, rupture
Syringe
Size, diameter

A search on Google revealed a discussion board on your topic.
http://allnurses.com/infusion-nursing-intravenous/question-about-piccs-241871-page3.html

There was a reference in the discussion board to this article:
Catheter Connection Column. Journal of Vascular Access Devices. Volume 3 No 3, Fall 1998

A cited reference search on this reference in CINAHL identified two papers that cite the it:
Douglas L, et al. Central venous access devices: review of practice. Paediatric Nursing, 2009 Jun; 21 (5): 19-22.

Dougherty L. Central venous access devices. Nursing Standard, 2000 Jul 12-18; 14 (43): 45-50, 53-4.

jkn March 2014

Is use of a secondary IV, or piggyback system, reduce the rate of central line-associated bloodstream infections?

Posted on November 25, 2013 by Amy

A search of Joanna Briggs for the term piggyback identified several evidence summaries and recommendations. Each of them cited the 2002 CDC guidelines as evidence in discussing piggyback systems.

MMWR Recomm Rep. 2002 Aug 9;51(RR-10):1-29.
O’Grady NP, et al. Guidelines for the prevention of intravascular catheter-related infections. Centers for Disease Control and Prevention.

On p. 11, the guidelines state that “modified piggyback systems have the potential to prevent contamination…” and cite this single study:

JPEN J Parenter Enteral Nutr. 1992 Nov-Dec;16(6):581-5.
Inoue Y, et al. Prevention of catheter-related sepsis during parenteral nutrition: effect of a new connection device.

A search of PubMed was conducted using the following terms:
(piggyback OR secondary iv OR (secondary AND infusion)) AND infections AND prevention AND central venous catheters

The results include the Inoue study. No other studies focus on prevention of catheter-associated bloodstream infections, but may report data on infection rates, which may also be useful. However, the populations for most of the other studies were neonates.

jkn 3/14

What is the standard of care for the post-operative patient who received spinal anesthesia?

Posted on October 31, 2013 by John

Searches of PubMed, The Joanna Briggs Institute EBP Database, and the National Guideline Clearinghouse yielded the following practice guideline.

Whitaker Chair, D K, et al. “Immediate post-anaesthesia recovery 2013: Association of Anaesthetists of Great Britain and Ireland.” Anaesthesia 68.3 (2013):288-297.

The abstract states, “The standard of nursing and medical care should be equal to that in the hospital’s critical care units.”

Reviewed 4/8/2014 ldt

What patient education interventions are used in the preoperative care of patients?

Posted on October 11, 2013 by Amy

A search of Joanna Briggs Institute and PubMed identified the following references.
The PubMed search included terms for these concepts: preoperative period, pain, psychology, adults, patient education.

From Joanna Briggs:

Cabilan C, et al. Prehabilitation for surgical patients: a systematic review protocol. 2013.
This is protocol for a systematic review, but in the background information, it references several papers on presurgical interventions specifically concerning the outcome of pain.

Stern C. Knowledge retention from preoperative patient information. 2005 (updated 2010).
This systematic review references several studies investigating usefulness of preoperative education on outcomes such as pain.

From PubMed:
(“Preoperative care”[mesh] OR “preoperative period”[mesh]) AND pain AND (psychology OR anxiety OR fear) AND adults AND patient education

This search may include references cited in the Joanna Briggs reviews. It also includes a systematic review on outcomes of preoperative patient education in surgical setting:
Ronco M, et al. Patient education outcomes in surgery: a systematic review from 2004 to 2010. Int J Evid Based Healthc. 2012 Dec;10(4):309-23.

Evidence Matters

Evidence-based information for Emory