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10.1177/0885066621989920

http://scihub22266oqcxt.onion/10.1177/0885066621989920
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33530822!ä!33530822

suck abstract from ncbi


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pmid33530822      J+Intensive+Care+Med 2021 ; 36 (6): 719-725
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  • Comparative Analysis of Intravenous Pumps Relocation for Critically Ill Isolated COVID-19 Patients From Bedside to Outside the Patient Room #MMPMID33530822
  • Shah A; Xu J; Friedman S; Puskas JD; Bhatt HV; Yimen M
  • J Intensive Care Med 2021[Jun]; 36 (6): 719-725 PMID33530822show ga
  • OBJECTIVES: To quantify the impact of IV pump relocation for COVID-19 patients from the bedside to outside the patient room on nurse exposure to COVID-19 and conservation of PPE. DESIGN: Original Article. SETTING: Intensive care units at a single-center teaching hospital. PATIENTS: Critically ill COVID-19 patients under contact and special droplet precautions. INTERVENTIONS: Relocation of intravenous pumps for COVID-19 patients from bedside to outside the patient room using extension tubing. MEASUREMENTS AND MAIN RESULTS: The primary objective of the study was to measure the impact of this strategy on COVID-19 exposure, utilizing the number of nurse entries into the patient room as a surrogate endpoint, and extrapolation of this data to determine the reduction or PPE usage. Secondary endpoints included incidence of extravasation, hyperglycemia, hypotension, and diagnosis of CLABSI/bacteremia. A statistically significant reduction in the primary endpoint of the study was observed as room entries prior to pump relocation averaged 15.36 (+/- 4.10) as opposed to an average of 7.92 (+/- 2.19) following pump relocation (p < 0.0001). In both pre- and post-pump relocation groups, there was no incidence of extravasation or CLABSI. No significant differences were noted in number of patients experiencing hyperglycemia, hypotensive episodes, or bacteremia. CONCLUSIONS: There was a significant decrease in COVID-19 exposure based on the number of nurse entries following the relocation of intravenous pumps from inside to outside of the patient room. These results may be cautiously extrapolated to suggest a decrease in personal protective equipment utilization. Future prospective, randomized controlled trials investigating the impact of this strategy are required.
  • |*Critical Care[MESH]
  • |*Infection Control[MESH]
  • |*Infusion Pumps[MESH]
  • |*Patients' Rooms[MESH]
  • |Aged[MESH]
  • |COVID-19/*prevention & control/transmission[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Personal Protective Equipment[MESH]


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