Pilot study of peripheral internal jugular venous catheters on a hospitalist-run medicine procedure service.

Autor: Heath J; Department of Medicine, Division of Hospital Medicine, University of North Carolina, Chapel Hill, North Carolina, USA., Finn E; Department of Medicine, Division of Hospital Medicine, University of North Carolina, Chapel Hill, North Carolina, USA., Dancel R; Department of Medicine, Division of Hospital Medicine, University of North Carolina, Chapel Hill, North Carolina, USA., Stephens JR; Department of Medicine, Division of Hospital Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Jazyk: angličtina
Zdroj: Journal of hospital medicine [J Hosp Med] 2024 Jan; Vol. 19 (1), pp. 31-34. Date of Electronic Publication: 2023 Sep 25.
DOI: 10.1002/jhm.13212
Abstrakt: Providers caring for hospitalized patients with difficult intravenous access (DIVA) frequently use central venous catheters (CVCs). One potential alternative is a peripheral internal jugular (PIJ) catheter, which is less traumatic to place and has fewer lumens than a CVC. We describe the results of 2 years' experience from a pilot project of a medicine procedure service placing PIJ catheters in hospitalized patients with DIVA. We successfully placed 34/35 (97%) PIJ catheters in 32 patients with zero complications. Median duration of use was 2.5 days (range 0-53 days, IQR 1-5). Catheter failure rate within 7 days was 32.4%, though it varied across catheter types: 9.5% in 8-10 cm midline catheters versus 69.2% (p < .001) in 6 cm angiocatheter wire introducers or shorter peripheral intravenous catheters. Our results suggest that PIJ catheters may be an option to reduce the mechanical and infectious risks associated with CVCs in some hospitalized patients with DIVA.
(© 2023 Society of Hospital Medicine.)
Databáze: MEDLINE
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