Efficacy of multifaceted interventions in reducing complications of peripherally inserted central catheter in adult oncology patients

Abstract

The results suggest that these interventions implemented in this study may be help in reducing complications of PICC in adult oncology patients.

Upper Extremity Venous Thrombosis in Patients With Cancer With Peripherally Inserted Central Venous Catheters: A Retrospective Analysis of Risk Factors

“…8,[11][12][13][14][15] In addition, the infection rate in this study (13.9%) is higher than the 2.46% to 13.04% reported in previous studies. 3,5,11,14 This was seen despite the fact that evidence-based infection-prevention strategies were performed with every PICC insertion, which entailed using appropriate sterile conditions and follow-up care. 3,[16][17][18] The higher observed rate of both UEVT and infection may be related to the number of days spent with a PICC inserted, because there was no institutional standard for the duration of PICC placement.…”

“…3,5,11,14 This was seen despite the fact that evidence-based infection-prevention strategies were performed with every PICC insertion, which entailed using appropriate sterile conditions and follow-up care. 3,[16][17][18] The higher observed rate of both UEVT and infection may be related to the number of days spent with a PICC inserted, because there was no institutional standard for the duration of PICC placement. Our results showed a median time of 50 days from the day of line insertion to infection.…”

“…In addition, they are more cost effective, and their relative ease of placement prevents delays in therapy. [3][4][5] Unfortunately, one common complication with the use of long-term venous catheters is upper extremity venous thrombosis (UEVT). The incidence of catheter-associated asymptomatic UEVT has been reported to be as high as 66%.…”

Catéter central de acceso periférico en paciente pediátrico con cáncer: estudio de caso

“…Esta duración es comparable con la literatura, que ha reportado duraciones de 72 días (31), 92 días (32), 113 días (33), entre otros. Además no se presentaron complicaciones asociadas al catéter como bacteriemias, tromboflebitis, taquicardias o trombosis, lo que contrasta con la complicaciones comunes reportadas por la literatura, especialmente en pacientes oncológicos (8,34,35,36,37); la ausencia de complicaciones pudo asociarse a la condición estable del paciente, el tipo de neoplasia y las condiciones óptimas para el cuidado intrahospitalario y domiciliario; esto último, apoya la evidencia de que enfermeras y cuidadores entrenados inciden en la disminución de complicaciones (38,39).…”

Le PICC line, une nouvelle stratégie dans l’accès veineux

“…La création d'unités d'accès vasculaire médico-soignantes a permis dans notre établisse-ment au personnel infirmier de poser les PICC dans certaines conditions et sous la responsabilité des équipes anesthé-sistes. Une formation ainsi qu'une éducation des médecins, infirmiers et patients est indispensable au bon fonctionnement de ce processus [43,44].…”