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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
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Published on: February 10, 2023

Reducing upper extremity deep vein thrombosis when inserting PICCs.

Carol Brewer1

  • 1Department of Vascular Access, Oxford University Hospitals NHS Trust, Oxford.

British Journal of Nursing (Mark Allen Publishing)
|December 21, 2012
PubMed
Summary
This summary is machine-generated.

Peripherally inserted central catheters (PICCs) can lead to upper extremity deep vein thrombosis (UEDVT). Understanding insertion factors and using evidence-based practices can help reduce this complication and improve patient outcomes.

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Area of Science:

  • Vascular access device management
  • Thrombosis research
  • Clinical nursing practice

Background:

  • Peripherally inserted central catheters (PICCs) are widely used for intravenous therapies.
  • Complications, such as upper extremity deep vein thrombosis (UEDVT), can occur after PICC insertion.
  • Identifying and mitigating risk factors is crucial for patient safety.

Purpose of the Study:

  • To review the contributing factors to UEDVT following PICC insertion.
  • To synthesize current evidence regarding patient assessment, catheter characteristics, insertion techniques, and anticoagulant use.
  • To inform clinical practice and reduce the incidence of PICC-related UEDVT.

Main Methods:

  • Literature review and evidence synthesis.
  • Analysis of factors including patient assessment, catheter materials and size, insertion site, tip position, and ultrasound guidance.
  • Evaluation of the role of anticoagulants in preventing UEDVT.

Main Results:

  • Multiple insertion-related elements are identified as contributory factors to UEDVT.
  • Evidence from research informs current clinical opinions and practices.
  • Specific interventions and assessments are highlighted for their impact on UEDVT risk.

Conclusions:

  • Clinicians and advanced practice nurses play a vital role in minimizing UEDVT incidence.
  • Evidence-based strategies are essential for improving outcomes after PICC insertion.
  • Ongoing research and adherence to best practices are necessary to enhance patient safety.