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Related Experiment Videos

Peripherally inserted central catheters. Guidewire versus nonguidewire use: a comparative study.

S C Loughran, S Edwards, S McClure

    Journal of Intravenous Nursing : the Official Publication of the Intravenous Nurses Society
    |May 1, 1992
    PubMed
    Summary

    Using guidewires for peripherally inserted central catheter (PICC) placement does not increase patient risk for complications like phlebitis. This comparative study found similar complication rates between PICC lines inserted with and without guidewires.

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    Area of Science:

    • Medical Devices
    • Vascular Access
    • Patient Safety

    Background:

    • Limited research exists on guidewire use during peripherally inserted central catheter (PICC) insertion.
    • Existing literature offers only speculation on the advantages and disadvantages of guidewire use in PICC placement.
    • No studies have directly compared patient outcomes for PICC lines inserted with versus without guidewires.

    Purpose of the Study:

    • To investigate the practice of using guidewires for peripherally inserted central catheter insertion.
    • To determine if guidewire use increases the risk of catheter-related complications, specifically phlebitis.
    • To compare patient outcomes between PICC lines inserted with and without guidewires.

    Main Methods:

    • A comparative study was conducted at two acute care facilities.

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  • One facility used guidewires for PICC insertion; the other did not.
  • Data from 109 catheters inserted between January 1, 1990, and January 1, 1991, were analyzed.

    • Main Results:

    • No significant difference in phlebitis rates was observed between the two study sites.
    • Catheter-related and non-catheter-related complications were similar across both facilities.
    • The findings do not support the notion that guidewire use elevates complication rates.

    Conclusions:

    • Guidewire use in peripherally inserted central catheter insertion is not associated with increased patient risk for complications.
    • The practice of using guidewires for PICC placement appears safe and does not lead to higher phlebitis rates.
    • This study provides evidence against the perceived increased risk associated with guidewire use in PICC procedures.