Publications by authors named "G Mihala"

Background: Peripheral arterial catheters (ACs) are used in anaesthesia and intensive care settings for blood sampling and monitoring. Despite their importance, ACs often fail, requiring reinsertion. Dressings and securement devices maintain AC function and prevent complications such as infection.

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Objectives: To identify the prevalence and type of central venous access device-associated skin complications for adult cancer patients, describe central venous access device management practices, and identify clinical and demographic characteristics associated with risk of central venous access device-associated skin complications.

Methods: A prospective cohort study of 369 patients (626 central venous access devices; 7,682 catheter days) was undertaken between March 2017 and March 2018 across two cancer care in-patient units in a large teaching hospital.

Results: Twenty-seven percent (n = 168) of participants had a central venous access device-associated skin complication.

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Importance: Peripheral intravenous catheters (PIVCs) facilitate essential treatment. Failure of these essential devices is frequent and new securement strategies may reduce failure and improve patient outcomes.

Objective: To evaluate clinical effectiveness of novel PIVC securement technologies for children to reduce catheter failure.

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Article Synopsis
  • Peripheral intravenous catheters (PIVCs) are vital for IV treatments but often lead to insertion failures and complications that harm patient health and experiences.
  • This study analyzed data from a clinical trial in two hospitals to evaluate if generic quality of life and experience measures are effective in assessing patient outcomes related to PIVCs.
  • Results showed that the measures used (EQ5D-5L, FACIT-TS-G, AHPEQS) had poor discrimination capabilities, indicating they may not adequately capture patients' experiences or outcomes associated with PIVC usage.
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Background: Peripheral intravenous catheters are the most frequently used invasive device in nursing practice, yet are commonly associated with complications. We performed a systematic review to determine the prevalence of peripheral intravenous catheter infection and all-cause failure.

Methods: The Cochrane Library, PubMed, CINAHL, and EMBASE were searched for observational studies and randomised controlled trials that reported peripheral intravenous catheter related infections or failure.

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