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Tariq, Mohd; Huang, David T.

doi:10.1186/cc5031

Cited by 12 publications

(3 citation statements)

References 1 publication

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“…First, all CVCs were inserted into patients as in-patients. The incidence of catheter-related infection was higher in the in-patient group than in the out-patient group [ 11 ]. Second, many patients included in this study were in the advanced stage of cancer (metastatic cancer, 42.9%).…”

Section: Discussionmentioning

confidence: 99%

Thrombolytic Therapy Using Urokinase for Management of Central Venous Catheter Thrombosis

Son

Min

Kim

et al. 2014

VSI

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Purpose:The management of central venous catheters (CVCs) and catheter thrombosis vary among centers, and the efficacy of the methods of management of catheter thrombosis in CVCs is rarely reported. We investigated the efficacy of bedside thrombolysis with urokinase for the management of catheter thrombosis.Materials and Methods:We retrospectively reviewed data from patients who had undergone CVC insertion by a single surgeon in a single center between April 2012 and June 2014. We used a protocol for the management of CVCs and when catheter thrombosis was confirmed, 5,000 U urokinase was infused into the catheter.Results:A total of 137 CVCs were inserted in 126 patients. The most common catheter-related complication was thrombosis (12, 8.8%) followed by infection (8, 5.8%). Nine of the 12 patients (75%) with catheter thrombosis were recanalized successfully with urokinase. The rate of CVC recanalization was higher in the peripherally inserted central catheter (PICC) group (87.5%) than the chemoport group (50%). Reintervention for catheter-related thrombosis was needed in only 2.2% of patients when thrombolytic therapy using urokinase was applied. Age <60 years (P=0.035), PICC group (P=0.037) and location of the catheter tip above the superior vena cava (P=0.044) were confirmed as independent risk factors for catheter thrombosis.Conclusion:Thrombolysis therapy using urokinase could successfully manage CVC thrombosis. Reintervention was rarely needed when a protocol using urokinase was applied for the management of CVC thromboses.

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Section: Discussionmentioning

confidence: 99%

Thrombolytic Therapy Using Urokinase for Management of Central Venous Catheter Thrombosis

Son

Min

Kim

et al. 2014

VSI

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“…The incidence of catheter infections in our study was reported in 11 cases (9.73%), which is approximately 3 folds of that reported by earlier studies which were ranging from 2-4%. [13][14][15] However, our study had the remaining catheters in place for an average of 66 days, whereas the other studies had an average placement duration of 14 to 45 days. This suggests that our study indicates a potential relationship between the infection rate and the number of days the catheters remain in place.…”

Section: Original Article Smjmentioning

confidence: 99%

The Outcomes of Peripherally Inserted Central Catheter (PICC) Insertion in Pediatric Patients at Siriraj Hospital

Wongchompoo,

Kasikan,

Sawasdiwipachai

2024

Siriraj Med J

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Objective: Peripherally Inserted Central Catheters (PICC) are widely used for intermediate to long term venous access. Venipunctures and catheterizations in pediatric patients can be challenging and traumatizing to children’s veins due to frequent and painful needle sticks. This study aims to demonstrate the outcomes of PICC insertion and management in pediatric patients by the Anesthesia Line Service Team (ALiST) at Siriraj Hospital. Materials and Methods: This is a retrospective, descriptive study collecting data from January 2018 to December 2021. The inclusion criteria were pediatric patients aged 15 years and under, body weight equal to or exceeding 5 kg with no history of previous complicated central venous accesses. The primary outcome is the success rate of insertion. Results: 124 PICCs were inserted in pediatric patients. The median age of patients was 5.0 years, with a median height of 107.8 cm, and a median weight of 10.0 kg. The successful insertion rate was 96.92%, and all insertions were inserted using ultrasound-guided technique, with or without fluoroscopy. No acute complications were noted during insertion. Most patients received either intravenous sedation (39.5%) or general anesthesia (26.6%) during the procedure. The mean duration of catheter indwelling was 66.48 days. Reasons for removal of PICC included completion of therapy and patient demise (70.97%), catheter malformation (8.06%), accidental removal (4.03%), infection (8.06%), and patient non-adherence (1.61%). Conclusion: Our research demonstrates a notably high rate of successful PICC placement among pediatric patients, with data indicating a minimal occurrence of complications and an extended duration of catheter usage.

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“…Peripherally inserted central catheters (PICCs) are used in clinical practice for reliable intermediate and long-term venous access, and they are a safe and convenient way to administer various medications such as antibiotics and parenteral nutrition. [1,2] PICC has advantages over the traditional venous accesses: lower rates of complications such as pneumothorax, hemothorax, catheter-related infection, and the elimination of unnecessary discomfort caused by the regular exchange of peripheral intravenous lines. [3,4]…”

Section: Introductionmentioning

confidence: 99%

Clinical feasibility and effectiveness of bedside peripherally inserted central catheter using portable digital radiography for patients in an intensive care unit

et al. 2019

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The aim of this study was to evaluate the clinical feasibility and effectiveness of bedside peripherally inserted central catheter (PICC) using portable digital radiography (DR) in intensive care unit (ICU) patients. Sixty-five ICU patients who underwent PICC were enrolled in this study between May 2016 and May 2017. Of these 65 patients, 45 (69.2%) underwent the procedures bedside in ICU using portable DR, and 20 (30.8%) underwent the procedures at the intervention clinic, both performed by a single interventional radiologist. We retrospectively reviewed electronic medical records for clinical presentation, total procedural time, total radiation dose, total patient transfer time, and clinical outcomes. We performed an independent t test to compare the clinical effectiveness between the 2 groups. The technical and clinical success rates were 100% in both groups, and there were no procedure-related complications. The total radiation dose of bedside PICC at ICU was significantly lower than that of conventional PICC at the intervention clinic (557.9 mGy∗ cm 2 ± 209.2 vs 985.2 mGy∗ cm 2 ± 547.6, P < .001). The total procedure time was significantly different between the bedside and conventional PICC groups (26.8 minutes ± 3.9 vs 24.1 minutes ± 5.55, P = .028). The average patient transfer time to the intervention clinic was 26.6 minutes ± 9.8. Bedside PICC using portable DR is a safe and effective procedure option to manage ICU patients in daily clinical practice.

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Untitled

Cited by 12 publications

References 1 publication

Thrombolytic Therapy Using Urokinase for Management of Central Venous Catheter Thrombosis

Thrombolytic Therapy Using Urokinase for Management of Central Venous Catheter Thrombosis

The Outcomes of Peripherally Inserted Central Catheter (PICC) Insertion in Pediatric Patients at Siriraj Hospital

Clinical feasibility and effectiveness of bedside peripherally inserted central catheter using portable digital radiography for patients in an intensive care unit

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