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Related Experiment Videos

Peripherally inserted central catheters--use in home care.

J M Brown

    Journal of Intravenous Nursing : the Official Publication of the Intravenous Nurses Society
    |May 1, 1989
    PubMed
    Summary

    Peripherally inserted central venous catheters offer a reliable alternative for intravenous therapy in home care settings. These long-line catheters, inserted by trained nurses, reduce complications and improve patient comfort.

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    Area of Science:

    • Vascular Access Devices
    • Home Healthcare Nursing
    • Intravenous Therapy

    Background:

    • Reliable vascular access is critical for intravenous therapies, especially with increasing home care.
    • Traditional central venous devices (tunneled silastic catheters, subclavian lines) were used when peripheral access failed.
    • Home care nurses face challenges in maintaining vascular access for patients receiving intravenous therapy.

    Purpose of the Study:

    • To evaluate peripherally inserted central venous catheters (PICC) as an alternative to traditional central venous devices in home care.
    • To examine the complication rates, including phlebitis, associated with PICCs in the home setting.
    • To explore nurse training and insertion procedures for PICCs in home care.

    Main Methods:

    • A pilot study examining the use of peripherally inserted central venous catheters (nicknamed long-arm or long-line catheters).

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  • Focus on insertion procedures performed by specially trained home care nurses.
  • Assessment of catheter-related complications, including phlebitis rates.

    • Main Results:

    • Peripherally inserted central venous catheters provide reliable vascular access for various therapies in the home setting.
    • These devices offer potential benefits such as fewer complications, decreased costs, and improved patient comfort.
    • The study examined phlebitis rates and other catheter-related complications.

    Conclusions:

    • Peripherally inserted central venous catheters are a viable alternative for central venous access in home care.
    • Nurse training and standardized insertion protocols are crucial for successful PICC implementation.
    • PICC devices may enhance patient comfort and reduce healthcare costs in home intravenous therapy.