Evidence map›Paper›PMID 30589717›Full record

ArticleJournal of infusion nursing : the official publication of the Infusion Nurses Society

Improving Aseptic Technique During the Treatment of Pediatric Septic Shock: A Comparison of 2 Rapid Fluid Delivery Methods.

Hillary Spangler, Mark Piehl, Andrew Lane, Galen Robertson

Open access · hybridAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of infusion nursing : the official publication of the Infusion Nurses Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Time is tissue: Barriers to timely transfusion after pediatric injury.The journal of trauma and acute care surgery · 2023
    Review
  3. Improving fluid resuscitation in pediatric shock with LifeFlowOpen access emergency medicine : OAEM · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 3 countries.

Hillary SpanglerDepartments of Internal Medicine and Pediatrics, University of North Carolina (UNC) Health Care, Chapel Hill, North Carolina (Dr Spangler); 410 Medical, Inc, Durham, North Carolina (Dr Piehl, Mr Lane, and Mr Robertson); University of North Carolina School of Medicine, Department of Pediatrics, Chapel Hill, North Carolina (Dr Piehl); and WakeMed Health and Hospitals, Raleigh, North Carolina (Dr Piehl). Hillary Spangler, MD, is a resident physician in the Departments of Internal Medicine and Pediatrics at University of North Carolina (UNC) Health Care. She received her medical training at UNC Chapel Hill. A pediatric sepsis survivor, Dr Spangler's clinical and research interests involve sepsis and quality improvement. She is also an active participant in UNC's Code Sepsis Initiative. Mark Piehl, MD, MPH, is a pediatric intensivist at WakeMed in Raleigh, North Carolina, and is a clinical associate professor in the Department of Pediatrics at the UNC School of Medicine. He received his MD and MPH degrees from UNC and is now chief medical officer of 410 Medical, Inc. Andrew Lane, MS, BS, is a mechanical engineer at 410 Medical, Inc. He has done research in ergonomics and human factors of medical devices, critical care, and robotics. He obtained a BS in biomedical engineering from UNC Chapel Hill and an MS in mechanical engineering from North Carolina State University. Galen Robertson, MSME, BSME, is a mechanical engineer and the chief operating officer at 410 Medical, Inc. He has been involved in research involving ergonomics and human factors of medical devices in critical care, general surgery, and robotics. He earned his BSME and MSME degrees from Georgia Institute of Technology in Atlanta.
Mark Piehl
Andrew Lane
Galen Robertson
Creative Commons · USBühler (United Kingdom) · GBDurham VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rapid fluid resuscitation is used to treat pediatric septic shock. However, achieving fluid delivery goals while maintaining aseptic technique can be challenging. Two methods of fluid resuscitation-the commonly used push-pull technique (PPT) and a new fluid infusion technique using the LifeFlow device (410 Medical, Inc; Durham, NC)-were compared in a simulated patient model. PPT was associated with multiple aseptic technique violations related to contamination of the syringe barrel. This study confirms the risk of PPT-associated syringe contamination and suggests that this risk could be mitigated with the use of a protected syringe system, such as LifeFlow.

Indexed as

PediatricsFluid TherapyHumansInfection ControlPatient SimulationShock, SepticSyringes

Identifiers

PMID30589717
PMCPMC6314506
OpenAlexW2907772391

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.