Related Experiment Video
Updated: Jul 18, 2025
05:22
Intracranial Cannula Implantation for Serial Locoregional Chimeric Antigen Receptor CAR T Cell Infusions in Mice
Published on: February 24, 2023
3.1K
Implementation of Tunneled Peripherally Inserted Central Catheters Placement in Cancer Patients: A Randomized
Yuan Sheng1,2, Li-Hong Yang3, Yan Wu4
1School of Nursing and Rehabilitation, Shandong University, Jinan, China.
Clinical Nursing Research
|August 19, 2023
Summary
Subcutaneous tunneling for peripherally inserted central catheters (PICCs) significantly reduces infection and thrombosis complications. This technique enhances patient comfort and safety, making it a valuable advancement in central venous access.
Area of Science:
- Vascular Access Devices
- Minimally Invasive Procedures
- Infection Control
Background:
- Peripherally inserted central catheters (PICCs) are crucial for long-term venous access.
- Complications associated with traditional PICC placement necessitate improved techniques.
- Subcutaneous tunneling is a technique that may mitigate PICC-related issues.
Purpose of the Study:
- To evaluate the impact of subcutaneous tunneling on peripherally inserted central catheter (PICC) placement.
- To compare complication rates between tunneled and non-tunneled PICCs.
- To assess secondary outcomes including bleeding, insertion time, pain, and success rate.
Main Methods:
- A randomized multicenter study involving 694 patients requiring PICC placement.
- Patients were randomized into either a tunneled PICC (experimental) or non-tunneled PICC (control) group.
- Primary outcome was the cumulative frequency of complications; secondary outcomes included bleeding, insertion time, pain, and success rate.
Main Results:
- Tunneled PICCs demonstrated a significant reduction in total complications compared to non-tunneled PICCs.
- Specific complication reductions were observed in infection rates (3.0% vs. 7.1%) and catheter-related thrombosis (3.3% vs. 8.3%).
- A slight increase in bleeding (0.5 ml) and insertion time (3.5 min) was noted with the tunneled technique.
Conclusions:
- Subcutaneous tunneling technology is effective in reducing PICC-related complications, particularly infections and thrombosis.
- The technique enhances patient comfort and safety during PICC placement.
- This study supports the broader adoption of subcutaneous tunneling for PICC procedures.
More Related Videos
Related Concept Videos
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
211
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
211
01:29Endocarditis IV: Nursing Management
16
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
16