Which Arm and Vein are more Appropriate for Single-Step, Non-Fluoroscopic, Peripherally Inserted Central Catheter Insertion?

Jeon, Eui-Yong; Cho, Young K.; Yoon, Dae Young; Hwang, Jin Ho

doi:10.5301/jva.5000506

Cited by 16 publications

(9 citation statements)

References 19 publications

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“…Currently, there is a lack of definite evidence related to arm selection. Several studies have favoured the right side 19 20. However, a study by Minkovich et al showed that a left-sided approach might be more suitable because it produced a lower incidence of malposition 21.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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ObjectivesThe aim of this study was to identify the prevalence of peripherally inserted central catheter (PICC) malposition and the influence of guide wire removal on tip location in PICCs and determine whether related factors, including age, sex, side of insertion and brand of catheter, influence the PICC tip location.SettingSingle-centre research institute in China recruiting patients from the hospital.ParticipantsA total of 837 adult patients with inserted PICCs were recruited from October 2016 to May 2017.InterventionsThis was a cross-sectional study aiming to identify the prevalence of PICC malposition and the influence of guide wire removal on tip location in PICCs. A linear regression model and a variance of factorial design analysis were performed. The PICC tip location was documented on a postinsertion chest X-ray. Multivariable analyses were performed based on the following related factors: age, sex, side of insertion and brand of catheter.ResultsThe tip location moved a mean of 17.4 mm among the 837 included patients. The prevalence of PICC malposition was 83.6% (700/837), while 16.4% (137/837) of PICCs remained in correct location. The mean movement caused by guide wire removal without an adjusted tail end was (−1.95±26.90) mm. The difference between tail end adjustment movement and actual tip position movement in each PICC was (33.0±17.1) mm in type C, which was significantly higher than the findings for type A (12.8±13.3) mm and type B (12.9±12.7) mm.ConclusionsPICC malposition is a frequent event. Different catheter brands were associated with different ranges of movement in tip location after guide wire removal. The age and sex of the patients and the insertion side did not influence the extent of movement.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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“…Além deste, há um estudo que mostra a preponderância da seleção ao membro superior direito (13) . Uma pesquisa mostrou que o membro superior direito tem maior taxa de sucesso de inserção na primeira tentativa do que o membro superior esquerdo (14) . Contudo, alguns estudos mostram a seleção do braço (15)(16) não dominante e sendo esse a maioria o membro superior esquerdo (14) .…”

Section: Discussionunclassified

Característica Dos Cateteres E De Crianças Portadoras De Doença Oncohematológica

Machado

Moura²,

Cunha³

et al. 2017

Cogitare Enferm.

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CHARACTERISTIC OF CATHETERS AND OF CHILDREN WITH ONCOHEMATOLOGICAL DISEASEABSTRACT: The objective in this study was to identify the clinical profile of children/adolescents with onco-hematological diseases and the characteristics of the catheters they use. Descriptive study with quantitative approach of 78 epidemiological surveillance forms. The scenario was a pediatric onco-hematology outpatient clinic. The data were collected in August 2015. It was observed that 32 (59%) of the patients using a totally implanted catheter were male, and seven (53%) patients with a peripherally inserted central venous catheter were female. Ages ranged between 10 and 16 years. The main diagnosis was acute lymphoid leukemia in both. The mean length of use of the totally implanted catheter was 303 days, against 55 days for the peripherally inserted central venous catheter. The end of the treatment is the main motive for the withdrawal of both. The lack of completed information in the forms limited this research. In conclusion, these devices are effective and safe for chemotherapeutic treatment. DESCRIPTORS: Child; Hematology; Catheters; Nursing; Chemotherapy. CARACTERÍSTICA DE LOS CATÉTERESY DE NIÑOS PORTADORES DE ENFERMEDAD ONCO-HEMATOLÓGICARESUMEN: La finalidade del estudio fue identificar el perfil clínico de niños/adolescentes con enfermedad onco-hematológica, así como las características de los catéteres utilizados por ellos. Estudio descriptivo, con abordaje cuantitativo de 78 fichas de registro epidemiológicas. El contexto fue el de un ambulatorio de onco-hematología pediátrica y los datos fueron obtenidos en agosto de 2015. Se observó que 32 (59%) de los portadores de catéter totalmente implantado eran de sexo masculino, y que siete (53%) de los portadores de catéter epicutáneo eran de sexo feminino; la edad variaba entre 10 y 16 años; el diagnóstico principal fue el de leucemia linfoide aguda en ambos sexos. La media de utilización del catéter totalmente implantado fue de 303 días, mientras del catéter epicutáneo fue de 55 días; el término del tratamiento es el principal motivo de retirada de ambos. La falta de informaciones en las fichas de registro fue un factor limitador de esta investigación. Se concluye que estes dispositivos son eficaces y seguros para tratamiento quimioterápico.

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“…), что коррелирует с литературными данны-ми [1,4,5]. Установленный факт свидетельствует о необходимости применения интраоперационной рентгеноскопии, однако результаты, полученные некоторыми авторами, позволяют рассматривать установку ЦКПВ под мониторингом интраопераци-онной электрокардиограммы (ЭКГ) [6][7][8]. На наш взгляд, ЭКГ-контроль с применением современных навигационных систем, например Bard Sherlock (Bard Access Systems, Inc., США), может служить альтернативой установке с использованием ана-томических ориентиров.…”

Section: оригинальные статьиunclassified

Picc in the Treatment of Children With Cancer: Results of a Multicenter Study

Юрьевич¹,

Александрович²,

Владимирович³

et al. 2017

Oncopediatria

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43ОРИГИНАЛЬНЫЕ СТАТЬИ ОБОСНОВАНИЕ Центральные катетеры, вводимые через пери-ферическую вену (ЦКПВ 1 ), -это используемые при лечении детей с онкологическими заболева-ниями системы венозного доступа со средним по продолжительности сроком эксплуатации. Такой

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Which Arm and Vein are more Appropriate for Single-Step, Non-Fluoroscopic, Peripherally Inserted Central Catheter Insertion?

Abstract: Right-arm access through the basilic or brachial vein may be more appropriate for successful nonfluoroscopic PICC insertion compared with the access through the left arm and the cephalic vein.

Cited by 16 publications

References 19 publications

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

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

Característica Dos Cateteres E De Crianças Portadoras De Doença Oncohematológica

Picc in the Treatment of Children With Cancer: Results of a Multicenter Study

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