| How fast is too fast? a practice change in umbilical arterial catheter blood sampling using the Iowa Model for Evidence-Based Practice. | |
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MedLine Citation:
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PMID: 18690080 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A multidisciplinary team at the University of Iowa Children's Hospital utilized the Iowa Model of Evidence-Based Practice to Promote Quality Care as a basis for changing practice related to the rate of drawing and flushing umbilical artery catheters in very low birth-weight infants. Research indicates that rapid withdrawal of blood or flushing of catheters that are placed in the aorta can affect cerebral blood flow velocity, volume, and oxygenation. Alteration of cerebral blood flow in premature infants has been correlated with the incidence of intraventricular hemorrhage and periventricular leukomalacia, which can be a significant cause of morbidity and mortality in this population. Using this research as a guide, along with expert opinion, scientific principles, and theories, a new standard of practice was written, and the staff educated. |
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Authors:
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Myrna Gordon; Lisa Bartruff; Sara Gordon; Maria Lofgren; John A Widness |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Advances in neonatal care : official journal of the National Association of Neonatal Nurses Volume: 8 ISSN: 1536-0903 ISO Abbreviation: Adv Neonatal Care Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-08-11 Completed Date: 2008-12-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101125644 Medline TA: Adv Neonatal Care Country: United States |
Other Details:
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Languages: eng Pagination: 198-207 Citation Subset: IM |
Affiliation:
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University of Iowa Children's Hospital, University of Iowa Hospitals and Clinics, Iowa, USA. myrna-gordon@uiowa.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood Flow Velocity Blood Specimen Collection / adverse effects, methods*, standards* Catheterization, Peripheral / adverse effects, methods* Cerebrovascular Circulation / physiology Evidence-Based Medicine Hospitals, Pediatric Humans Infant, Newborn Infant, Very Low Birth Weight / physiology* Intensive Care Units, Neonatal Iowa Ischemia / prevention & control Monitoring, Physiologic / methods, standards* Practice Guidelines as Topic Quality of Health Care Questionnaires Umbilical Arteries* / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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