Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study

Wang, Dan; Niu, Fangfang; Gao, Huining; Yu, Mingkai; Li, Yuhang; Xu, Liqun; Cao, Huizhi; Wang, Lili; Liu, Jinhua; Ding, Xiuhua; Wang, Ying; Yu, Cuntao; Li, Yong; Yu, Kaijiang; Wang, Changsong

doi:10.1136/bmjopen-2018-027278

Cited by 8 publications

(9 citation statements)

References 30 publications

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“…The discrepancy between studies is likely due to differences in the methodologies applied and application and TA B L E 5 Distribution of the laboratory profile of patients at the time of PICC removal after the first pass (n = 359). interpretation of the guidelines for the passage and maintenance of catheters, type of cancer studied, socioeconomic factors of the countries where the studies were carried out, and even the weather (Ornowska et al, 2022;Vashi et al, 2017;Wang et al, 2019;Yun & Yang, 2021).…”

Section: Discussion/con Clus Ionmentioning

confidence: 99%

Clinical study of complications of a peripherally inserted central catheter in cancer patients

et al. 2023

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Aim To evaluate complications after PICC use in cancer patients. Design This was a clinical and retrospective study in which the risk factors and complications of PICC use were evaluated. Methods This study was carried out in the patient, emergency room, and intensive care units through the evaluation of electronic medical records. To assess the association between qualitative variables, the chi‐squared test or Fisher's exact test was used, and to compare the reason for withdrawal, the Kruskal–Wallis test was applied. Results A total of 359 patients (53.5% men) with 43.1 ± 14 years who had a PICC (88% with solid tumours) were evaluated. The most common complications were mechanical complications (61.2%), infection (38%), and thrombosis (57.1%). Patients with double‐lumen catheters experienced thrombosis (85.7%). This study demonstrated the effectiveness of PICC and that patients with haematological cancer are more prone to multiple PICC passages and more mechanical complications and infections.

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Section: Discussion/con Clus Ionmentioning

confidence: 99%

Clinical study of complications of a peripherally inserted central catheter in cancer patients

et al. 2023

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“…The anxiety levels before and after PICC. The state trait anxiety inventory (STAI) scale [11] was used to evaluate the anxiety levels of the patients 24 h before and after the catheterization. Each item has 4 levels (1 for no anxiety, 2 for little anxious, 3 for moderate anxiety, 4 for obvious anxiety), and a total score of 20 to 80 can be used to quantify the unpleasant short-term emotional experiences [12] .…”

Section: Observation Indexesmentioning

confidence: 99%

Study on the Safety and Accuracy of Intracavitary Electrocardiography and Ultrasound in the Peripherally Inserted Central Venous Catheter tip positioning of Breast Cancer Patients

Xu¹,

Xu²,

Song³

et al. 2021

ijps

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Fei et al.: Safety and accuracy of intracavitary electrocardiography and ultrasound in breast cancer patientsThis study aims to explore the safety and accuracy of the intracavitary electrocardiography and ultrasound in the peripherally inserted central venous catheter tip positioning of breast cancer patients. A total of 176 breast cancer patients who were treated in the breast surgery department of our hospital from January 2018 to January 2019 were selected. They were randomly divided into the Electrocardiogram-UI group (n=88) and the control group (n=88). In the Electrocardiogram-UI group, the peripherally inserted central venous catheter tip positioning was under the guidance of the bedside Electrocardiogram combined with ultrasound, while the peripherally inserted central venous catheter insertion in the control group was performed by the traditional technology. The accuracy of peripherally inserted central venous catheter tip positioning, psychological state, anxiety, pain degree, and complications were compared between the two groups after surgery. The results showed that the positioning accuracy rate of the catheter tip in the Electrocardiogram-UI group was 99.40 %, while that in the control group was 92.10 %. In the control group, the accuracy rate of the catheter tip positioning in the 6th, 7th and 8th ribs was 20.30 %, 64.10 %, and 14.70 % respectively, while that in the Electrocardiogram-UI group was 32.20 %, 40.30 % and 19.60 % respectively, with a significant difference between the two groups. And 24 h before the catheter insertion, there was no significant difference in the anxiety scores between the two groups. However, 24 h after the catheter insertion, the anxiety and pain scores in the Electrocardiogram-UI group were significantly lower than that of the control group. In terms of the complications, in the first w, two patients in the Electrocardiogram-UI group had thrombosis, while four patients in the control group. No patients had the symptoms of the chest discomfort, arrhythmia, or infection in both groups. At the end of three and six mo, the incidence of thrombosis in the Electrocardiogram-UI group was significantly lower than that of the control group. The peripherally inserted central venous catheter tip positioning technology guided by Electrocardiogram combined with ultrasound is an ideal method for peripherally inserted central venous catheter insertion. It can improve the quality of life of the breast cancer patients and promote the prognosis of the breast cancer patients.

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“…[2] Retrospective studies of hospitalized patients have demonstrated that PICC tip malposition is common, with rates ranging from 2.3% to 76%. [5] Improved venipuncture accuracy has resulted in increased procedural success, mainly owing to the expanded availability of portable ultrasonography. [2,6] In vitro measurement is the most widely used method in clinical practice and is an approach that is recommended by the Infusion Nurses Society.…”

Section: Introductionmentioning

confidence: 99%

Tip orientation under real-time point-of-care neck ultrasonic monitoring is advantageous in peripherally inserted central catheter procedures: a retrospective cohort study

Liu¹,

Jiang

et al. 2023

Emerg Crit Care Med

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BackgroundWe analyzed the success and catheter tip malposition rates of peripherally inserted central catheter (PICC) placement using ultrasonic monitoring.MethodsA total of 564 patients were recruited and assigned to either the intervention or control group. In the intervention group, 282 patients underwent ultrasound-guided PICC insertion, which helped to identify the position and depth of the catheter tip. From a total of 9000 patients, 282 were selectively chosen to receive the traditional method using body surface measurements (control group). The primary endpoint was the success rate; the secondary endpoint was the catheter tip malposition rate as detected by postprocedure chest radiography.ResultsIn the intervention group, a total of 94 catheters were in a suboptimal position; 26 were too deep, 68 were too shallow, and 1 was inserted into the subclavian vein, with success and malposition rates of 66.3% and 0.4%, respectively. In the control group, 139 catheters were in a suboptimal position; 88 were too deep, 51 were too shallow, 9 were inserted into the jugular vein, and 2 were inserted into the subclavian vein, with success and malposition rates of 46.8% (P < 0.001) and 3.9% (P = 0.004), respectively. Significant differences were observed in success and malposition rates between the 2 groups.ConclusionUltrasound-guided PICC procedures achieved higher success rates and lower malposition rates.

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Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study

Cited by 8 publications

References 30 publications

Clinical study of complications of a peripherally inserted central catheter in cancer patients

Clinical study of complications of a peripherally inserted central catheter in cancer patients

Study on the Safety and Accuracy of Intracavitary Electrocardiography and Ultrasound in the Peripherally Inserted Central Venous Catheter tip positioning of Breast Cancer Patients

Tip orientation under real-time point-of-care neck ultrasonic monitoring is advantageous in peripherally inserted central catheter procedures: a retrospective cohort study

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