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Periphally inserted central catheters- a 'serious' complication.

British journal of nursing (Mark Allen Publishing)·2013
Same author

Periphally inserted central catheters-a 'serous' complication.

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Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
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Reducing PICC migrations and improving patient outcomes.

Meinir Elen Hughes1

  • 1Intravenous Access Nurse Specialist, Velindre Cancer Centre, Whitchurch, Cardiff.

British Journal of Nursing (Mark Allen Publishing)
|January 28, 2014
PubMed
Summary

The SecurAcath device effectively minimizes peripherally inserted central catheter (PICC) migration, a common issue with central venous catheters. While initial infections and pain were noted, the device significantly reduces catheter movement, improving patient outcomes.

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Area of Science:

  • Medical Devices
  • Vascular Access
  • Patient Safety

Background:

  • Central venous catheters (CVCs) are essential for various therapies but prone to migration.
  • Peripherally inserted central catheters (PICCs) have a high risk of inadvertent movement, potentially causing delayed treatment and complications like thrombosis.
  • Catheter migration necessitates repositioning or replacement, increasing risks and healthcare costs.

Purpose of the Study:

  • To evaluate the efficacy of the SecurAcath device in preventing migration of peripherally inserted central catheters (PICCs).
  • To assess the incidence of catheter migration, infection, pain, and complications associated with the SecurAcath device.
  • To identify challenges related to SecurAcath device removal and propose solutions.

Main Methods:

  • A prospective evaluation of 31 patients utilizing the SecurAcath device for PICC anchorage.
  • Monitoring for catheter migration, infection, pain, and other adverse events.
  • Assessing the ease and challenges of SecurAcath device removal.

Main Results:

  • Only one case of insignificant catheter migration was observed in 31 patients, demonstrating high efficacy.
  • Initial challenges with infection and pain were managed through implemented interventions.
  • SecurAcath device removal presented the most significant challenge, requiring specific guidance and training.

Conclusions:

  • The SecurAcath device is highly effective in minimizing PICC migration, enhancing vascular access safety.
  • While minor complications like infection and pain can occur, they are manageable.
  • Proper training and guidance are crucial for successful and safe SecurAcath device removal.