Technological Advances for PICC Placement and Management

Pettit, Janet

doi:10.1097/01.anc.0000278210.18639.fd

Cited by 29 publications

(41 citation statements)

References 12 publications

(15 reference statements)

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“…2,3,[5][6][7][8][9] The most common sources are skin flora contaminating the external catheter, hub contamination, or both. 2,3,[5][6][7][8][9] The most common sources are skin flora contaminating the external catheter, hub contamination, or both.…”

Section: Evidence-based Recommendationsmentioning

confidence: 99%

Minimizing Catheter-Related Bloodstream Infections

Cooley

Grady²

2009

Advances in Neonatal Care

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Catheter-related bloodstream infection (CRBSI) is the most common complication related to peripherally inserted central catheters in the neonatal intensive care unit. CRBSIs are responsible for many morbidities and mortalities occurring in special care nurseries. However, these vascular access devices are an essential aspect of neonatal care and therefore are indispensable. To minimize CRBSI incidences and improve patient outcomes, objectives must be established to focus on the prevention of these potentially life-threatening infections. This article identifies the interventions incorporated by our facility to prevent nosocomial bloodstream infections.

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Section: Evidence-based Recommendationsmentioning

confidence: 99%

Minimizing Catheter-Related Bloodstream Infections

Cooley

Grady²

2009

Advances in Neonatal Care

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“…The insertion technique of PICCs is through-the-introducer catheter technique. In this technique, butterfly needle, splitting needle, peelable cannula, split cannula or peripheral venous cannula (PVC) are used as an introducer [6][7][8][9][10][11] . Peripheral insertion is safer than direct central venous puncture.…”

Section: Introductionmentioning

confidence: 99%

“…However, insertion of these thinnest catheters is a very delicate procedure associated with a high failure rate in neonates especially in low birth weight infants because the diameter of the vessel is smaller than the introducer and stabilization of the introducer is too difficult [6][7][8][9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

Peripherally inserted central catheters in the neonatal period

et al. 2011

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PuRPOsE: Peripherally inserted central catheters (PICC) have been extensively used in neonates. However, insertion of these thinnest catheters is a very delicate procedure associated with a high failure rate. In our Neonatal Surgical Intensive Care Unit, we developed a very easy new PICC insertion and evaluated the neonates treated with PICCs which were inserted by using our technique as well as catheter features such as success rate, number of insertion attempts, reason for removal and complications. METHOds: Information was retrospectively collected on all 40 PICCs inserted at Kutahya Evliya Celebi Goverment Hospital andDicle University Hospital during a 6-years period from September 2004 to September 2010. REsuLTs:A total of 40 PICCs were inserted in 37 patients (26, 70% males, 11, 30% females) by using new technique. The median age of patients was 8.3 days (range 1 to 66 days) and the median weight of patients was 2365 g (range 600 to 5000 g). The vein most commonly accessed was long saphenous vein (85%). The length of PICCs in the body was 19.6 cm (range 5 cm to 30 cm). The tip was located in a central vein in all patients. Surgical abdomen was the most common cause for PICC insertion (38%). Duration of catheterization was 7.7±5.6 days (1-F 5.5 days, 2-F 8.6 days). Almost all of the PICCs were inserted successfully (40/42, success rate 95%) and in the first venipucture (36/42, 86%). Completion of therapy and removed after death were achieved with 87% of PICCs.Three minor complications were noted. Minor bleeding in the insertion site which was stopped via compression occurred in two neonates. Major complication was not seen. No deaths were directly attributed to PICCs use. CONCLusION: The new insertion technique of the neonatal peripherally inserted central catheters may be one of the easiest and safest techniques, in comparison to previous techniques reported in the literature.Keywords: Catheterization, Peripheral. Techniques. Infant, Newborn. REsuMOOBJETIVO: Cateteres centrais de inserção periférica (PICC) têm sido usados extensivamente em neonatos. Entretanto, a inserção destes cateteres tão finos é um procedimento muito delicado associado a uma elevada taxa de falha. Em nossa Unidade de Cuidado Intensivo Neonatal, nós desenvolvemos uma técnica muito fácil de inserção de PICC e avaliamos os neonatos tratados com PICCs que foram inseridos usando nossa técnica assim como características relacionadas ao cateter tais como taxa de sucesso, número de tentativas de inserção, razão de remoção e complicações. MéTOdOs: Informações foram coletadas retrospectivamente de todos os 40 PICCs inseridos no Kutahya Evliya Celebi GovermentHospital e Dicle University Hospital durante um período de seis anos, desde Setembro de 2004 até Setembro de 2010.REsuLTAdOs: Um total de 40 PICCs foi inserido em 37 pacientes (26 homens, 70%, 11 mulheres, 30%) usando a nova técnica. A idade media dos pacientes foi de 8,3 dias (variando entre 1 e 66 dias) e a mediana do peso dos pacientes foi 2365g (variando entre 600g e 5000g). A v...

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“…The use of vascular access devices has become a standard practice [1][2][3][4][5][6][7][8], so that it is impossible to mention all the situations where a catheter is used. A catheter can be roughly described as a cylindrical flexible duct made of polymer (silicone or polyurethane), permitting either blood collection or injections, namely, drug solutes, lipids, contrast agents, and so forth.…”

Section: Introductionmentioning

confidence: 99%

Incidence of the Curvature of a Catheter on the Variations of the Inner Volume: Application to the Peripherally Central Catheters

Guiffant

Flaud

Dantan

et al. 2012

ISRN Vascular Medicine

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One particular characteristic of peripherally central catheter (PCC), peripherally inserted central catheter (PICC) or totally implantable venous access device (TIVAD), is to be submitted to a rotational movement around the shoulder in the daily routine. The aim of this paper is to show that these movements induce a variation of the inner volume of the catheter which may be responsible for an internal distal pollution of the lumen. The results are presented in the framework of an open discussion on the catheter protocols of use as well as a possible improvement of the materials.

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Technological Advances for PICC Placement and Management

Cited by 29 publications

References 12 publications

Minimizing Catheter-Related Bloodstream Infections

Minimizing Catheter-Related Bloodstream Infections

Peripherally inserted central catheters in the neonatal period

Incidence of the Curvature of a Catheter on the Variations of the Inner Volume: Application to the Peripherally Central Catheters

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