Clinical Issue Analysis: Finding Evidence for the Use of Air Eliminating Filters on Intravenous Lines in Adult Patients with Patent Foramen Ovale

2.50
Hdl Handle:
http://hdl.handle.net/10755/164139
Category:
Abstract
Type:
Presentation
Title:
Clinical Issue Analysis: Finding Evidence for the Use of Air Eliminating Filters on Intravenous Lines in Adult Patients with Patent Foramen Ovale
Author(s):
Johnson, Elizabeth; Griffith, Catherine A.
Author Details:
Elizabeth Johnson, RN, MSN, CNS, Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA, email: nacnsorg@nacns.org; Catherine A. Griffith, RN, MSN, CNS, Cardiac Surgery
Abstract:
Problem and Significance: Air embolism is usually a minor complication of IV therapy in individuals with normal cardiac anatomy. If small air bubbles are infused, they are harmlessly eliminated through the lung. Patent foramen ovale (PFO) exists in an estimated 25% of the population. As adults with PFO age, changes in the cardiac structures and hemodynamic pressure gradients may allow stray air from intravenous (IV) infusions to migrate to the left atrium through a naturally enlarging septal channel. Once in the left atrium, misplaced air is then introduced into the systemic circulation, putting the patient at risk for ischemic developments as a result of air embolization. Objective: CNS's for the Oncology and Cardiac Surgical Nursing Services of an academic medical center collaborated to provide evidence-based guidance for staff nurses implementing IV therapies to patients with known PFO. Description: A comprehensive review of medical and nursing literature was conducted to identify evidence for describing best practice with respect to inline IV air filtration in patients with known PFO. Outcomes: No recommendations were found for the use of air eliminating filters (AEFs) in adults with septal anomalies, but useful information on PFO, air embolism and safe use of AEFs was uncovered. Conclusions: Despite finding no recommendations for the use of AEFs, their use remains a justifiable intervention to infuse IV fluids safely to patients with known PFO. Strict adherence to proper technique when using AEFs is essential. Practice implications: CNS practice includes helping to establish best practices and creating a safe practice environment for patients and staff. Creating standards, grounded in evidence, around the delivery of IV therapies can enhance safety and improve patient outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
CNS Leadership: Navigating the Healthcare Environment Toward Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Orlando, Florida, USA
Description:
Conference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleClinical Issue Analysis: Finding Evidence for the Use of Air Eliminating Filters on Intravenous Lines in Adult Patients with Patent Foramen Ovaleen_GB
dc.contributor.authorJohnson, Elizabethen_US
dc.contributor.authorGriffith, Catherine A.en_US
dc.author.detailsElizabeth Johnson, RN, MSN, CNS, Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA, email: nacnsorg@nacns.org; Catherine A. Griffith, RN, MSN, CNS, Cardiac Surgeryen_US
dc.identifier.urihttp://hdl.handle.net/10755/164139-
dc.description.abstractProblem and Significance: Air embolism is usually a minor complication of IV therapy in individuals with normal cardiac anatomy. If small air bubbles are infused, they are harmlessly eliminated through the lung. Patent foramen ovale (PFO) exists in an estimated 25% of the population. As adults with PFO age, changes in the cardiac structures and hemodynamic pressure gradients may allow stray air from intravenous (IV) infusions to migrate to the left atrium through a naturally enlarging septal channel. Once in the left atrium, misplaced air is then introduced into the systemic circulation, putting the patient at risk for ischemic developments as a result of air embolization. Objective: CNS's for the Oncology and Cardiac Surgical Nursing Services of an academic medical center collaborated to provide evidence-based guidance for staff nurses implementing IV therapies to patients with known PFO. Description: A comprehensive review of medical and nursing literature was conducted to identify evidence for describing best practice with respect to inline IV air filtration in patients with known PFO. Outcomes: No recommendations were found for the use of air eliminating filters (AEFs) in adults with septal anomalies, but useful information on PFO, air embolism and safe use of AEFs was uncovered. Conclusions: Despite finding no recommendations for the use of AEFs, their use remains a justifiable intervention to infuse IV fluids safely to patients with known PFO. Strict adherence to proper technique when using AEFs is essential. Practice implications: CNS practice includes helping to establish best practices and creating a safe practice environment for patients and staff. Creating standards, grounded in evidence, around the delivery of IV therapies can enhance safety and improve patient outcomes.en_GB
dc.date.available2011-10-27T11:42:45Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:42:45Z-
dc.conference.date2005en_US
dc.conference.nameCNS Leadership: Navigating the Healthcare Environment Toward Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.descriptionConference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.