Publications by authors named "Marc Stranz"
Purpose: Infusate osmolarity, pH, and cytotoxicity were investigated as risk factors for midline catheter failure.
Methods: An experimental, randomized, controlled, blinded trial was conducted using an ovine model. Two 10-cm, 18-gauge single-lumen midline catheters were inserted into the cephalic veins of sheep.
Article Synopsis
- The Michigan Appropriateness Guide for Intravenous Catheters in pediatrics (miniMAGIC) aims to improve decision-making for vascular access devices in pediatric patients by providing evidence-based guidance on selection, characteristics, and insertion techniques.
- The development of miniMAGIC followed a structured process using the RAND Corporation and UCLA Appropriateness Method, involving expert input and case scenarios to define the relevant scope.
- The findings establish clear criteria for choosing intravenous catheters across different pediatric age groups and clinical settings, focusing on minimizing harm and considering patient preferences, while also identifying areas for further research and innovation.
Infiltration of a vesicant medication, defined as extravasation, may result in significant patient injuries. The first step in preventing extravasation is the identification and recognition of vesicant medications and solutions. Because there is no list of noncytotoxic vesicants as established by a professional organization, the Infusion Nurses Society, as the global authority in infusion nursing, identified the need to address this gap.
View Article and Find Full Text PDFInfiltration and extravasation are risks of intravenous administration therapy involving unintended leakage of solution into the surrounding tissue. Consequences range from local irritation to amputation. While immediate action using appropriate measures (ie, dilution, extraction, antidotes, and supportive treatments) can decrease the need for surgical intervention, many injuries may be prevented by following established policy and procedures.
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