Safety of peripherally inserted central catheters during pregnancy: a retrospective study

Jacques, L; Foeller, Megan; Farez, Rahmouna; Kaljo, Kristina; Nugent, Melodee; Simpson, Pippa; Klatt, Timothy E.

doi:10.1080/14767058.2017.1311314

Cited by 12 publications

(12 citation statements)

References 18 publications

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“…The incidence of PICC‐RT varies by patient population (Fallouh et al., 2015). Studies conducted in cancer patients reported a rate of 4% to 51% (Aw et al., 2012; Bertoglio et al., 2016; Kang, Chen, et al., 2017; Liu et al., 2015), higher than the non‐cancer populations (2%–5%) (Chopra et al., 2013, 2018; Jacques et al., 2018). The incidence of PICC‐RT in patients with lung cancer remains to be determined.…”

Section: Introductionmentioning

confidence: 99%

Incidence and risk factors of symptomatic thrombosis related to peripherally inserted central catheter in patients with lung cancer

Chen

Wan

Zhu

2020

Journal of Advanced Nursing

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Aims To determine the incidence and risk factors associated with peripherally inserted central catheter‐related thrombosis (PICC‐RT) in patients with lung cancer. Design A retrospective cross‐sectional design. Methods Patients with lung cancer receiving PICC insertion during 1 March 2014‐31 May 2019 at a tertiary hospital in Shanghai, China were enrolled (N = 748). Symptomatic PICC‐RT was confirmed by Doppler ultrasonography in the presence of clinical symptoms and signs. Univariate and multivariate logistic regression analyses were performed to identify risk factors of symptomatic PICC‐RT. Results Among the patients (mean age, 60.7 years; males, 67.1%), 55 (7.35%) had symptomatic PICC‐RT. Based on the multivariate analysis, history of smoking [OR 2.49 (1.13–5.46), p < .05], use of Carboplatin [OR 2.23 (1.19–4.17), p < .05] or Docetaxel [OR 7.23 (1.65–31.56), p < .05], PICC size [OR 3.52 (1.78–6.99), p < .001], and level of D‐dimer [OR 5.32 (2.39–11.83), p < .001] were significant risk factors of PICC‐RT. Conclusion Several modifiable factors (e.g., PICC size and level of D‐dimer) were related to PICC‐RT. In the future, prospective studies are warranted to examine whether those factors could increase the risk of PICC‐RT. Meanwhile, healthcare professionals are recommended to perform a comprehensive assessment of the patients receiving PICC insertion. Close attention should be paid to those at risk for PICC‐RT. Impact Identification of risk factors associated with PICC‐RT is an important step towards individualizing the care plan for patients receiving PICC. Our findings provided evidence for the management of PICC‐RT in patients with lung cancer. In clinical practice, nurses could deliver appropriate interventions against modifiable risk factors to reduce the risk of PICC‐RT.

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Section: Introductionmentioning

confidence: 99%

Incidence and risk factors of symptomatic thrombosis related to peripherally inserted central catheter in patients with lung cancer

Chen

Wan

Zhu

2020

Journal of Advanced Nursing

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“…Totally 112 patients were enrolled in the study and infection rate was 3.6%. In total, the complication rates in this population were similar to that in non-pregnant population [12].…”

Section: Literature Retrievedmentioning

confidence: 64%

Peripheral Inserted Central Catheter Use and Related Infections in Clinical Practice: A Literature Update

et al. 2019

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Peripherally inserted central catheter (PICC) lines are commonly used by clinicians in daily practice. This strategy has been established the latest years as a common approach in many clinical conditions. Apart from their usefulness, PICC use is related to some complications. Aim of this review is to summarize all relevant publications regarding the PICC-related infection, as sepsis remains a high mortality syndrome. We conducted a PubMed search to identify all relevant publications referring to infective complications after insertion and use of PICC lines in hospitalized adult patients. A great number of publications suggest that PICC lines are widely used in the management of patients. The use of peripheral inserted central lines is related with a few complications, including bloodstream infections. Existing data mainly support their use in specific clinical conditions because of the low infectious rates. Some conflicting data also exist regarding PICC use, due to an unclear benefit from their use compared to other commonly used strategies. Although a number of complications, including bloodstream infections are related with insertion of PICC lines, their use has a promising role and can be used when indicated in a wide variety of clinical conditions, especially in specific categories of patients and prolonged periods.

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“…A similar conclusion was recently reached with regard to peripherally inserted catheters in pregnancy and puerperium. 8 Regarding patients with an AV access, an interesting case report 9 warns against the risk of development of fistula aneurysms in pregnancy, but the frequency of this complication is still unknown, and we suggest that patients already treated with an AV access should continue to do so, with careful observation of the access.…”

mentioning

confidence: 91%

“…A similar conclusion was recently reached with regard to peripherally inserted catheters in pregnancy and puerperium. 8…”

mentioning

confidence: 99%

Patients’ wishes, pregnancy and vascular access: When one size does not fit all

2018

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Pregnancy in dialysis patients is a rare but important event that challenges our knowledge and demands rethinking many aspects of our practice, including vascular access. This editorial briefly discusses some open questions on vascular access in this situation that challenge the motto 'fistula first' and underline the need for personalised approaches. Information on vascular access in pregnant women is scant. Different approaches may be considered between women on dialysis already on a well-functioning tunnelled catheter and newly placed catheters: while a tunnelled catheter in a woman already stabilised on outpatient dialysis, who has shown being able to take correct care of it and who has freely chosen this option, is a reasonable choice, central venous catheters placed during pregnancy, especially in the hospital setting, may have a high risk of complications. Conversely, pregnancy may increase the risk of development of fistula aneurysms, but the frequency of this complication is still unknown. The problem of whether or not shifting pregnant patients on peritoneal dialysis to daily haemodialysis sessions is still open, as well as the role of patients' preference for avoidance of an invasive procedure, or refuse of pain. In the wait for answers, reflecting on the problems encountered by pregnant women on dialysis should make us reflect on how to improve vascular access management for all our patients.

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Safety of peripherally inserted central catheters during pregnancy: a retrospective study

Abstract: In contrast with previous studies, we report a complication rate associated with peripheral line use in pregnant and postpartum women that appears similar to that in non-pregnant populations.

Cited by 12 publications

References 18 publications

Incidence and risk factors of symptomatic thrombosis related to peripherally inserted central catheter in patients with lung cancer

Incidence and risk factors of symptomatic thrombosis related to peripherally inserted central catheter in patients with lung cancer

Peripheral Inserted Central Catheter Use and Related Infections in Clinical Practice: A Literature Update

Patients’ wishes, pregnancy and vascular access: When one size does not fit all

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