Outcomes of bedside peripherally inserted central catheter placement: a retrospective study at a single institution
| Autor: | Jang Yong Kim, Su-kyung Kwon, Hyangkyoung Kim, Ji Il Kim, Soo Mi Son, Seul Hee Lee, Joung Hee Kim, In Sung Moon |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry catheterization peripheral lcsh:Medical emergencies. Critical care. Intensive care. First aid Retrospective cohort study lcsh:RC86-88.9 vascular access devices catheterization central Critical Care and Intensive Care Medicine Critical Care Nursing Peripherally inserted central catheter Confidence interval Surgery Catheter medicine.anatomical_structure Lung disease Medicine Fluoroscopy Original Article Single institution business Vein |
| Zdroj: | Acute and Critical Care Acute and Critical Care, Vol 35, Iss 1, Pp 31-37 (2020) |
| ISSN: | 2586-6060 2586-6052 |
| DOI: | 10.4266/acc.2019.00731 |
| Popis: | Background: Bedside insertion of peripherally inserted central catheters (PICCs) has higher rates of malposition than fluoroscopic-guided PICC placement. This study evaluated the success rate of bedside PICC placement, variations in tip location, and risk factors for malposition. Methods: This retrospective study included patients who underwent bedside PICC placement from January 2013 to September 2014 in a single institution. The procedure was conducted under ultrasound guidance or by a blind method. After PICC placement, tip location was determined by chest X-ray. Results: The overall venous access success rate with bedside PICC placement was 98.1% (1,302/ 1,327). There was no significant difference in the venous access success rate between ultrasound-guided placement (868/880, 98.6%) and a blind approach placement (434/447, 97.1%). Optimal tip position was achieved on the first attempt in 1,192 cases (91.6%). Repositioning was attempted in 65 patients; 60 PICCs were repositioned at the bedside, two PICCs were repositioned under fluoroscopic guidance, and three PICCs moved to the desired position without intervention. Final optimal tip position after repositioning was achieved in 1,229 (94.4%). In logistic regression analysis, five factors associated with tip malposition included female sex (Exp(B), 1.687; 95% confidence interval [CI], 1.180 to 2.412; P=0.004), older age (Exp(B), 1.026; 95% CI, 1.012 to 1.039; P |
| Databáze: | OpenAIRE |
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