Efforts of a Unit Practice Council to implement practice change utilizing alcohol impregnated port protectors in a burn ICU.

Background: Burn patients are an especially high-risk population for development of central line associated bloodstream infections (CLABSI) due to open wounds, extended length of intensive care unit stay, frequent use of central venous catheters, and generally immunocompromised state. Implementing evidence-based practices to prevent these infections is a 2014 National Patient Safety Goal per The Joint Commission.

Objectives: The purpose of this project was introduction of a commercially available alcohol impregnated central venous line port protector to reduce the incidence of CLABSI in the burn unit.

Surgical outcomes of superior versus inferior glaucoma drainage device implantation.

Purpose: To compare the safety and intraocular pressure (IOP) lowering efficacy of initial glaucoma drainage device (GDD) implantation performed at the superior versus inferior limbus.

Methods: A retrospective chart review was conducted to identify patients with glaucoma who had undergone initial Baerveldt GDD surgery at the inferior limbus for uncontrolled IOP. All eyes of patients had a minimum of 6 months of postoperative follow-up.

Neurosensory retinal detachment of the macula in retinal phototoxicity documented by optical coherence tomography.

Purpose: To report a neurosensory detachment documented by optical coherence tomography in operating light microscope-induced retinal phototoxicity.

Methods: A 53-year-old man had a pars plana lensectomy, core vitrectomy, and posterior chamber sutured intraocular lens implantation in his right eye. The surgery lasted >3 hours.