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Related Experiment Videos

Peripherally inserted central catheters in the intensive care unit.

P K Ng1, M J Ault, L S Maldonado

  • 1Cedars-Sinai Medical Center Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Journal of Intensive Care Medicine
|December 9, 1995
PubMed
Summary
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Peripherally inserted central catheters (PICCs) show a high initial success rate (97.8%) in intensive care unit (ICU) patients. While complications occur, PICCs offer a viable option for venous access in critically ill individuals.

Area of Science:

  • Medical Devices
  • Critical Care Medicine
  • Vascular Access

Background:

  • Peripherally inserted central catheters (PICCs) are increasingly utilized for venous access.
  • Assessing their efficacy and safety in intensive care unit (ICU) settings is crucial.

Purpose of the Study:

  • To evaluate the success rate and complication profile of PICCs in hospitalized ICU patients.
  • To determine the overall success rate for completing therapy using PICCs.

Main Methods:

  • A cohort study was conducted in a large tertiary care, university-affiliated community hospital's ICU.
  • Included were all ICU patients for whom a PICC consultation was requested.
  • Outcomes measured included initial placement success, placement complications, and overall therapy completion success and complications.

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Main Results:

  • 97.8% of 91 attempted PICC placements were successful, with 28% requiring cutdown.
  • 20 initial placement complications and 8 delayed complications were observed in 19 PICCs.
  • The overall success rate for completing therapy was 74.7%, with catheter dislodgement and potential infection being primary reasons for failure. Confirmed infection rate was low (6/10,000 patient days).

Conclusions:

  • PICCs demonstrate a high initial success rate and a reasonable overall success rate for therapy completion in critically ill patients.
  • PICCs represent a viable alternative for central venous access in the ICU.
  • Further evaluation of PICC use in critically ill populations is warranted.