Peripherally inserted central catheter usage patterns and associated symptomatic upper extremity venous thrombosis

Liem, Timothy K.; Yanit, Keenan; Moseley, Shannon E.; Landry, Gregory J.; DeLoughery, Thomas G.; Rumwell, Claudia; Mitchell, Erica L.; Moneta, Gregory L.

doi:10.1016/j.jvs.2011.10.005

Cited by 139 publications

(118 citation statements)

References 22 publications

Supporting

Mentioning

105

Contrasting

Unclassified

Order By: Relevance

“…Studies showed a range of 42 to 82.4% of PICC insertions in the right side of the body (10)(11) . There is similarity in veins of the upper limb on both right and left side from the hands through to the subclavian veins.…”

Section: Resultsmentioning

confidence: 99%

Causas de remocao nao eletiva do cateter epicutaneo em neonatos

Paiva

Costa

Kimura

et al. 2013

Rev. esc. enferm. USP

View full text Add to dashboard Cite

RESUMOObjetivou-se descrever a incidência e as razões de remoção não eletiva do cateter epicutâneo em neonatos, verificando a associação com o sítio de inserção. Estudo de coorte prospectivo realizado em unidade de cuidado intensivo neonatal de um hospital privado terciário na cidade de São Paulo. Foram analisadas 266 inserções de cateter epicutâneo. A incidência de remoção não eletiva foi 39,1%. As complicações pós-inserção mais frequentes foram suspeita de infecção de corrente sanguínea relacionada ao cateter (25%) e ruptura (23,1%). A maioria dos cateteres foi inserida através do hemisfério corporal direito (65%), membros superiores (77,1%) e veias axilares (31,2%). Os resultados sugerem não haver associação entre a incidência de remoção não eletiva e o sítio de inserção do cateter epicutâneo em neonatos. Compete à Enfermagem implementar estratégias para a melhoria da prática assistencial a fim de diminuir a frequência de remoções não eletivas do cateter epicutâneo em neonatos. DESCRITORES Recém-nascido Cateterismo venoso central Enfermagem neonatal ABSTRACTThis study aimed to describe the incidence and reasons for nonelective removal of epicutaneous catheters in neonates, identifying its association with the catheter insertion site. This was a prospective cohort study, conducted in a neonatal intensive care unit of a private tertiary hospital in the city of São Paulo, Brazil. We analyzed 266 epicutaneous catheter insertions. The incidence of non-elective removal was 39.1%. The most frequent post-insertion complications were suspicion of catheterrelated bloodstream infection (25%) and rupture (23.1%). Most catheters were inserted through the right side of the body (65%), in upper limbs (77.1%), and using the axillary veins (31.2%). The findings did not suggest association between the incidence of non-elective removal and the insertion site of the epicutaneous catheter in neonates. Nurses should implement strategies to improve care and decrease incidence of non-elective epicutaneous catheter removals among neonates. DESCRIPTORS Infant, newborn Catheterization central venous Neonatal nursing RESUMENEl objetivo fue describir la incidencia y las razones del retiro no electivo del catéter epicutáneo en neonatos, verificando la asociación con el sitio de inserción. Estudio de cohorte prospectiva conducido en una unidad de cuidados intensivos neonatales de un hospital privado terciario, en la ciudad de São Paulo, Brasil. Fueron analizados 266 inserciones de catéteres. La incidencia de retiro no electivo del catéter epicutáneo fue de 39,1%. Las complicaciones post-inserción más frecuentes fueron la sospecha de infección del torrente sanguíneo relacionada al catéter (25%) y ruptura (23,1%). La mayoría de los catéteres fueron insertados en el hemisferio corporal derecho (65%), en la extremidad superior (77,1%) y en la vena axilar (31,2%). Los resultados sugieren no haber asociación entre el sitio de inserción del catéter y la incidencia del retiro no electivo. Es de competencia de Enfermería implementar estrategias par...

show abstract

Section: Resultsmentioning

confidence: 99%

Causas de remocao nao eletiva do cateter epicutaneo em neonatos

Paiva

Costa

Kimura

et al. 2013

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

“…Researchers noted PICC lines inserted into the basilic vein were associated with higher incidence (3.1%) of VTE than those that are inserted into the cephalic or brachial veins. 14 Location of the catheter insertion has been noted as a predisposing factor to the development of VTE. In a retrospective review of 400 cases, those with left-sided catheter insertion were noted to be more likely to develop a VTE.…”

Section: Venous Thromboembolism (Vte)mentioning

confidence: 99%

“…12,13 In addition to the risk of CLABSI associated with PICC lines, upper extremity venous thromboembolism (VTE) is another potential complication. 14,15 One study found 5% of hospitalized patients develop a symptomatic upper extremity VTE post PICC line insertion. 16 VTEs related to PICC lines present a challenge in clinical practice as it may interrupt and/or delay the patient's medical treatment plan.…”

mentioning

confidence: 99%

“…16 VTEs related to PICC lines present a challenge in clinical practice as it may interrupt and/or delay the patient's medical treatment plan. Factors associated with the development of VTE include catheter size, vein selection, 14 and number of insertion attempts. 17 In addition, researchers acknowledge there may be a reciprocal relationship where infection promotes thrombus formation or the presence of thrombus may facilitate the development of an infection.…”

mentioning

confidence: 99%

See 1 more Smart Citation

A comparative evaluation of antimicrobial coated versus nonantimicrobial coated peripherally inserted central catheters on associated outcomes: A randomized controlled trial

Storey

Brown

Foley

et al. 2016

American Journal of Infection Control

View full text Add to dashboard Cite

“…Increased use of peripherally inserted central catheters (PICCs) is associated with an elevated risk of UEDVT, particularly in critically ill patients and those with malignancy or receiving chemotherapy [1,4,[9][10][11][12]. The occurrence of symptomatic PICC-associated UEDVT is small, but due to the large number of PICCs placed each year, they account for up to 35% of all diagnosed UEDVTs [13]. Roughly 1% to 7% of hospitalized patients who undergo PICC placement will develop venous thrombosis; and, the majority of these events will occur after the 14 th day post placement [10,[14][15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%