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<article class="col-xs-12 col-lg-4 col-xl-4 col-md-4 col-sm-12">
<h4>
IAP Measurements Recommended for Wider Range of Critical Patients
</h4>
<p>
<img src="img/Compass.jpg" class="img-responsive center-block" alt="Compass Hg"/>
</p>
<p>
Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) have long been associated with major traumatic injuries. However, new evidence-based studies are emerging that recognize the risk of IAH and ACS in a wider range of critically ill patient populations, increasing the probability of organ failure and death.<sup>1</sup>
</p>
<p>
As a result, intra-abdominal pressure (IAP) measurement and monitoring is crucial to improving patient survival. To standardize the diverse ways institutions define and manage IAH and ACS, the Abdominal Compartment Society (WSACS), led by Michael Cheatham, MD, chief surgical quality officer at Orlando Regional Medical Center, <a href="img/Compass Results from the International Conference of Experts of Intra-Abdominal Hypterension and Abdominal Compartment Syndrome II Recommendations.pdf">developed evidence-based clinical practice guidelines.</a>
</p>
<p>
WSACS’ medical treatment guidelines begin with screening critical patients for 20 identified, evidence-based risk factors. The general recommendation is that if two or more risk factors are present, a baseline IAP measurement should be taken as well as performing continuous IAP monitoring throughout the patient’s illness.<sup>1</sup>
</p>
<p>
However, traditional physiological pressure measurement and monitoring methods have either been expensive, time consuming, complex to set up, or more importantly, grossly inaccurate.
</p>
<p>
Centurion’s Compass<sup>®</sup> UniversalHg, a sterile, disposal digital pressure sensor, has proven to be an effective, time-saving intra-abdominal pressure measurement device. In a limited preliminary Orlando Regional Medical Center clinical study conducted by the aforementioned Dr. Cheatham, Compass UniversalHg was used to treat patients with percutaneous catheter drainage or those with a surgical drain in the abdomen. The study concluded:
</p>
<p>
“Compass for IAP measurements are comparable to intravesicular pressure monitoring in accuracy, but are more rapidly performed and less subject to operator-induced measurement artifacts.”<sup>2</sup>
</p>
<p>
As awareness of IAH and ACS risk in a wider range of critically ill patients increases, so will the need for easy and accurate intra-abdominal pressure measurement. Compass UniversalHg pressure sensor delivers just that — precise pressure measurement made simple.
</p>
<p>
Learn more about Centurion’s Compass family of physiological pressure sensors at <a href="http://compass.centurionmp.com/">compass.centurionmp.com</a> or 855-CENTURION.
</p>
<hr></hr>
<p>
<ol class="font_small">
<li>Cheatham M. Malbrain M. Kirkpatrick A. Sugrue M. Parr M. De Waele J. Balogh Z. Leppäniemi A. Olvera C. Ivatury R. D'Amours S. Wendon J. Hillman K. Wilmer A. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations. Intensive Care Medicine. 2007 33;6:951-962.</li>
<li>Cheatham M. A Novel Digital Transducer for Direct Intra-abdominal Pressure Monitoring. Abstract. Department of Surgical Education, Orlando Regional Medical Center.</li>
</ol>
</p>
<hr></hr>
<h4>
Centurion Announces Vizient Infusion Therapy Contract
</h4>
<p>
Effective March 1, 2017 Centurion will partner with Vizient, Inc., the largest group purchasing organization in the United States, to offer 52 different Infusion Therapy IV Start Kits to its members under a three-tier pricing structure.
</p>
<p>
Vizient’s membership includes academic medical centers, pediatric facilities, community hospitals, integrated health delivery networks and non-acute health care providers and represents almost $100 billion in annual purchasing volume. VHA, UHC, Novation and Med Assets are among their members.
</p>
<p>
Contract details include price protection for the entire term of the agreement as well as low commitment criteria, which makes it easier to advance to better pricing tiers while prices hold firm.
</p>
<p>
To learn more about this exciting opportunity, contact your local Centurion representative or visit <a href="http://www.centurionmp.com/">centurionmp.com</a>.
</p>
</article>
<article class="col-xs-12 col-lg-4 col-xl-4 col-md-4 col-sm-12 line">
<h4>
Are Irrigation Splash Guards Contributing to Wound Contamination?
</h4>
<p>
<img src="img/IRIG-8.jpg" class="img-responsive center-block" alt="IRIG-8"/>
</p>
<p>
Emergency departments treat up to 14 million traumatic skin injuries annually in the United States.<sup>1</sup> Of those millions of acute wounds, no two are alike in shape, size, depth, or wound classification. These wounds are further separated by how and where they occurred, and how much time it took before patients sought and received medical attention.
</p>
<p>
With all of these variables, two constants aid thorough wound care leading to lower infection rates and faster healing: copious volumes of irrigation solution and constant, effective pressure.
</p>
<p>
Unfortunately, most syringe splash guard devices simply cannot deliver either. Start-and-stop irrigation methods do not achieve a constant flow between each syringe flush or bottle squeeze. To exacerbate the dilemma, irrigating acute wounds with the recommended high volume of irrigant is tedious and time-consuming, especially with a fill-and-squirt method from a syringe. Following the recommended volumes of irrigant, a 15-centimeter wound can take as long as seven minutes to irrigate. In a fast-paced emergency department, every minute counts when treating patients, reducing patient wait times, and preventing patients from leaving without treatment.
</p>
<p>
<strong>A better way</strong><br/>
The innovative design of Centurion’s <strong>IRIG-8<sup>™</sup> Wound Irrigation System</strong> solves the two extreme problems associated with syringe splash guards: either excessive pressure that can further traumatize tissue or weak irrigation pressure that is ineffective in removing the adhesive forces of biofilm.
</p>
<p>
An enlightening 2015 study by Emma Crill, MS published in <em>American Journal of Emergency Medicine</em> comparatively evaluated the effectiveness of IRIG-8 verses a standard 60 mL syringe equipped with a splash guard. The study found a bacterial load increase within simulated wounds when using syringe splash caps. The syringe caps were ineffective in removing the adhesive forces of bacterium that can quickly colonize. The inconsistent pressure may have moved the debris and bacteria within the wound, allowing deeper contamination infiltration. In contrast, IRIG-8 was very effective in lowering the risk of wound infection. The study found:
</p>
<p>
<q>On average, (IRIG-8) led to a 14% decrease in bacterial load, whereas conventional syringe with splash guard washing led to an 11.5% (bacterial load) increase...*<sup>1</sup></q>
</p>
<p>
IRIG-8 delivers constant, steady flow of irrigant and allows the clinician to set fluid delivery between the optimal pressure range of 8-12 psi for enhanced wound healing outcomes. In addition to these clinical benefits, IRIG-8 can deliver a liter of irrigant in under 60 seconds, enough to quickly and effectively treat a 15-centimeter wound. These unparalleled efficiencies and time savings can increase emergency department throughput.
</p>
<p>
You deserve more than protection from splash contamination and your patients deserve more than a squirt during acute wound irrigation. IRIG-8 Wound Irrigation System provides:
</p>
<ul>
<li>Faster, efficient delivery of irrigation fluid</li>
<li>Steady, uninterrupted flow of irrigation fluid</li>
<li>High volume of irrigation fluid delivery made simple, comfortable, and convenient</li>
<li>Clinically effective pressure of fluid delivery for healthier outcomes</li>
</ul>
<p>
To experience accelerated, effective, perfected wound irrigation visit <a href="http://irig8.centurionmp.com/">irig8.centurionmp.com</a> or call 855-CENTURION.
</p>
<p>
*After 24 hours of incubation following irrigating with IRIG-8 vs syringe.
</p>
<img src="img/IRIG-8 Infographic for Newsletter.jpg" class="img-responsive center-block" alt="IRIG-8 infographic"/>
<hr></hr>
<div class="font_small">
<ol>
<li>Crill E. Marriott I. In Vitro Efficacy Testing of a Novel High-pressure Wound Irrigator. American Journal of Emergency Medicine. June 2015. 33;10:1534-1535.</li>
</ol>
</div>
</article>
<article class="col-xs-12 col-lg-4 col-xl-4 col-md-4 col-sm-12">
<h4>
A smARTer Kit Helps Manage Arterial Catheter-related Bloodstream Infections
</h4>
<p>
<img src="img/Artline-Insertion-Tray-w-SHIELD.jpg" class="img-responsive center-block" alt="Artline Kit with SHIELD"/>
</p>
<p>
Placing a radial arterial line isn’t a game — so why is it sometimes a scavenger hunt?
</p>
<p>
Rolled towels in a homemade kit. Searching for missing items. A stock tray with unnecessary components. This hodgepodge approach many times inadvertently introduces non-sterile components into the procedure, such as cutting the arterial line with non-sterile scissors.
</p>
<p>
This lack of standardized protocol may be impacting hospitals financially, and negatively affecting patient outcomes more often than we think by introducing infection risks.
</p>
<p>
<strong>Are you sure it is a CLABSI?</strong>
</p>
<p>
Is your hospital being penalized for central line-associated bloodstream infections (CLABSIs) when an arterial catheter (AC) is really the culprit? Emerging research has identified the under-recognized and under-appreciated problem of potential infection risk associated with arterial lines.
</p>
<p>
A study published in the <em>Society of Critical Care Medicine</em> by Lucet et al. studied 3,532 catheters and 27,541 catheter days. The study concluded that the risk of colonization and major catheter-related bloodstream infections (CRBSIs) for CVCs and ACs are the same, and therefore should be treated with the same precautions.<sup>1</sup>
</p>
<p>
A similar study in the same publication by Boon et al. also concluded ACs should be considered just as likely a potential source of major BSI or sepsis as CVCs.<sup>2</sup>
</p>
<p>
A third study by Wittenkamp et al. in the <em>Scandinavian Journal of Infectious Diseases</em> came to the same conclusion that the incidence of AC- and CVC-related CRBSIs was comparable.<sup>3</sup>
</p>
<p>
<strong>Centurion’s smART Kit delivers smARTer outcomes</strong>
</p>
<p>
<strong>Centurion’s smART Kit<sup>™</sup> for Radial Arterial Catheterization</strong> facilitates a consistent procedure that can help enforce sterile technique, allowing clinicians to prep the patient, place the line and secure the catheter without breaking the sterile field:
</p>
<ul>
<li>Exclusive adjustable armboard for quick wrist positioning replaces rolled towels and tape</li>
<li>New dual-perforated fenestrated drape creates a maximal barrier while reducing the risk of accidentally disrupting the line</li>
<li>Centurion radial arterial line with removable guidewire and DualFlash<sup>™</sup> technology rapidly confirms flashback and helps avert transfixing the artery</li>
<li>ClearShield<sup>™</sup> sterile saline syringe included inside the kit prevents possible field contamination from the introduction of a non-sterile flush</li>
<li>Centurion’s patented SorbaView SHIELD<sup>®</sup> securement dressing secures the line and preserves the site</li>
</ul>
<p>
<strong>smART Kit</strong> is a smarter way to perform consistent procedures when placing a radial arterial line, helping manage the challenge of reducing costly — to both the hospital and patients — arterial line-related infections.
</p>
<p>
Learn more about Centurion Medical Products’ smART Kit and other vascular access solutions at <a href="http://arterial.centurionmp.com/">arterial.centurionmp.com</a> or 855-CENTURION.
</p>
<hr></hr>
<div class="font_small">
<ol>
<li>Lucet J, Bouadma L, Zahar J, Schwebel C, Geffroy A, Pease S, Herault M, Haouache H, Adrie C. Infectious Risk Associated with Arterial Catheters Compared with Central Venous Catheters. Society of Critical Care Medicine. 2010. 38;4:1030-1035.</li>
<li>Boon D, Koh C, Gowardman J, Rickard C, Robertson I, Brown A. Prospective Study of Peripheral Arterial Catheter Infection and Comparison with Concurrently Sited Central Venous Catheters. Society of Critical Care Medicine. 2008. 36;2:397-402.</li>
<li>Wittenkamp B, Chalabi M, Van Mook W, Winkens B, Verbon A, Bergmans D. Catheter-relate Bloodstream Infections: A Prospective Observational Study of Central Venous and Arterial Catheters. Scandinavian Journal of Infectious Diseases. 2013. 45:738-745.</li>
</ol>
</div>
</article>
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