2012
DOI: 10.1186/cc11181
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Clinical experience with power-injectable PICCs in intensive care patients

Abstract: IntroductionIn the ICU, peripherally inserted central catheters (PICCs) may be an alternative option to standard central venous catheters, particularly in patients with coagulation disorders or at high risk for infection. Some limits of PICCs (such as low flow rates) may be overcome with the use of power-injectable catheters.MethodsWe retrospectively reviewed all of the power-injectable PICCs inserted in adult and pediatric patients in the ICU during a 12-month period, focusing on the rate of complications at … Show more

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Cited by 64 publications
(90 citation statements)
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“…Two studies in ICU patients with PICCs, one regarding standard ones [128] and another power-injectable ones (three-lumen 6 Fr ) [129] have described a high incidence of symptomatic PICC-related thrombosis. Conversely, two other studies in patients with powerinjectable PICCs have found a lesser rate of thrombosis (≤ 5%) [15,130] . Chopra et al [131] in a recent meta-analysis reported a high incidence of PICC-related thrombosis.…”
Section: Strengths and Limitations Of Piccsmentioning
confidence: 99%
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“…Two studies in ICU patients with PICCs, one regarding standard ones [128] and another power-injectable ones (three-lumen 6 Fr ) [129] have described a high incidence of symptomatic PICC-related thrombosis. Conversely, two other studies in patients with powerinjectable PICCs have found a lesser rate of thrombosis (≤ 5%) [15,130] . Chopra et al [131] in a recent meta-analysis reported a high incidence of PICC-related thrombosis.…”
Section: Strengths and Limitations Of Piccsmentioning
confidence: 99%
“…In a large trial on CVADs in critically ill patients, CICCs were related to a relevant higher incidence of CRBSIs compared to PICCs [133] . Three recent papers in ICU patients reported a CRBSI rate equal to zero [15,129,134] . The hypothesis regarding a lower risk of CRBSI with PICCs than CICCs should be demonstrated by appropriately designed RCTs [135] .…”
Section: Comparison Between Ciccs and Piccsmentioning
confidence: 99%
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