Vein tubes ‘fitted needlessly’

Cannulas are used to help take blood and to give drugs and fluids

A third of patients have unnecessary tubes inserted into veins when they are in hospital, pharmacists have warned.

Researchers from Aberdeen’s Robert Gordon University said this needlessly exposed them to serious complications, such as infections and blood clots.

Just under 350 patients were studied over six weeks, the majority of whom had the tubes, called cannulas, fitted.

An A&E expert recognized cannulas should be used less frequently and for shorter periods.

It’s entirely reasonable to look at their use Dr Martin Shalley, emergency medicine consultant

The study was presented to the British Pharmaceutical Conference in Manchester.

Cannulas – hollow plastic tubes with a needle at the tip which cost around £1.70 each – are used to give medication and fluids to people who cannot swallow because they are unconscious or being given nil by mouth, and it has been estimated that around 80% of hospital patients have them fitted.

Drugs may also be more easily absorbed if given this way.

But potential complications include problems with veins (phlebitis), drugs leaking into tissues around the site of the tube, serious infection and blood clots.

‘Common practice’

Of the patients studied – who were all treated in the acute medical assessment unit of Aberdeen Royal Infirmary, 91% of patients had a cannula inserted. But 28% of the tubes were never used.

The researchers also found that in 71% of patient records there was no documentation of a cannula being inserted, while in 57% there was no documentation of it being removed.

Four patients had developed blood poisoning, which infection control specialists said was likely to be linked to the cannula.

The researchers, led by Dr Yash Kumarasamy, said that in many UK hospitals, it has become common practice to insert an intravenous cannula when the patient is admitted, irrespective of need.

He said: “We would like to see the introduction of a formal procedure under which hospital pharmacists review patients and their medications and make recommendations to the treatment team about whether or not a cannula is needed.”

Dr Martin Shalley, a former president of the British Association of Emergency Medicine, agreed there had been an over-reliance on cannula use.

He said many trusts had policies saying cannulas had to be removed after 72 hours

“It used to be a knee-jerk response to insert a cannula – but we now recognise there’s a need to think if fitting one is a benefit for that patient.

“It’s entirely reasonable to look at their use. That’s the case in A&E medicine and across acute medicine too.”

And Dr Shalley said he thought the level of use of cannulas had increased the level of hospital-acquired infections such as MRSA.

Website maps surnames worldwide

There are more Beckhams in the United States than Britain

A website which maps global surnames has been launched to help people find the origins of their name and how far it may have spread.

The Public Profiler site plots eight million last names using data from electoral rolls and phone directories.

The site covers 300 million people in 26 countries, showing the origins of names and where families have moved to.

David Beckham, for example, has an English name, but there are more Beckhams in the US than Britain.

But the region of the world with the highest concentration of people called Beckham was even further from the footballer’s east London origins – in the New Zealand province of Northland.

The site – http://www.publicprofiler.org/worldnames – also reveals which of the five million forenames are most closely associated with different surnames and lists the top regions and cities for each surname.

A name is now not just a statement of who you are but where you are Professor Paul Longley

It was developed by a team of geographers from University College London.

Professor Paul Longley, one of the researchers, said: “The information is not just historical but geographical.

“We can link names to places – a name is now not just a statement of who you are but where you are.”

Most surnames originated in specific places in the world and remain most frequent in those areas, but have often spread to other countries because of migration, the research showed.

Searches for Britain’s three multi-gold medallists at the recent Olympics and the leaders of the three main political parties revealed some mixed results.

• Swimmer Rebecca Adlington’s surname is most prevalent in New Zealand

• Cyclist Chris Hoy’s surname is Irish but more common in Denmark

• Cyclist Bradley Wiggins’s surname is most popular in the US

• Prime Minister Gordon Brown’s surname tops the list in Australia

• Conservative leader David Cameron’s surname is most prevalent in New Zealand

• Liberal Democrat leader Nick Clegg’s surname is still most common in Britain

Prof Longley said that the site was currently struggling to cope with demand.

“We are being deluged with requests and we ask people to be patient. There is obviously a lot of interest in family names and family history globally,” he said.

Reptile ‘first-time’ dad at 111

Tuatara are the last surviving reptiles of their kind

A rare 111-year-old New Zealand reptile is set to become a father, possibly for the first time.

Henry, a tuatara with prehistoric origins, had previously shown no interest in females during nearly 40 years in captivity, say keepers.

But his 80-year-old partner, Mildred, laid 12 eggs in mid-July, 11 of which are due to hatch in about six months.

Henry’s keepers have put his newfound vigour down to a recent operation to remove a tumour from his bottom.

Henry arrived at Southland Museum in the South Island city of Invercargill in 1970 and, his keepers say, soon became overweight and idle.

‘Raging hormones’

Museum curator Lindsay Hazley told AFP news agency: “He bit the tail off his previous female companion twice. But since the operation his hormones have been raging.”

It is not known whether Henry had ever mated in the wild.

Tuatara, which are only found in New Zealand, are sometimes referred to as “living fossils”.

He’s become a real Jack the Lad since he lost his virginity Lindsay Hazley, curator

They are the only surviving members of a family of species which walked the Earth with the dinosaurs more than 200m years ago.

Mr Hazley said he was confident Henry would continue to make the most of his new lease of life and was already showing interest in the other two females in his enclosure, Lucy and Juliet.

“He’s definitely up for it, he’s become a real Jack the Lad since he lost his virginity,” he said.

But he warned it was probably too early to start further prenatal celebrations.

“With these guys, foreplay might take years,” he said. “One has to be patient.”