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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Peripherally inserted central catheters: use at a tertiary care pediatric center
Craig Gibson1, Bairbre L Connolly, Rahim Moineddin
1Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Ave., Toronto, ON, Canada M5G 1X8.
Journal of Vascular and Interventional Radiology : JVIR
|July 24, 2013
Summary
Pediatric peripherally inserted central catheters (PICCs) use is rising, but dwell times are decreasing. This trend increases complication risks, highlighting the need for improved care and education for pediatricians.
Area of Science:
- Pediatric healthcare
- Vascular access devices
- Clinical practice trends
Background:
- Peripherally inserted central catheters (PICCs) are increasingly utilized in pediatric care.
- Understanding current trends and practices is crucial for optimizing patient outcomes.
Purpose of the Study:
- To examine the utilization patterns and referral practices of PICCs in a tertiary care pediatric setting.
- To assess healthcare staff's understanding of PICC use and associated complications.
Main Methods:
- Observational study analyzing PICC insertion trends from 2001-2012.
- In-depth analysis of PICC referrals over one year.
- Electronic survey of referring clinical staff's perceptions and knowledge.
Main Results:
- A consistent rise in PICC insertions and a decline in median dwell times were observed.
- Discrepancies noted between expected and actual PICC dwell times, with frequent premature removals.
- Staff recognized PICC value and short-term risks but underestimated service scale and long-term complications.
Conclusions:
- Increasing PICC use in children correlates with decreasing dwell times, raising complication concerns.
- Enhanced post-procedure care is vital to prevent premature removals and reduce repeat insertions.
- Pediatricians require further education on PICC-related complications and optimized management strategies.
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