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Related Experiment Video

Updated: Jul 11, 2025

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
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A GAVeCeLT bundle for PICC-port insertion: The SIP-Port protocol.

Fabrizio Brescia1, Maria Giuseppina Annetta2, Fulvio Pinelli3

  • 1Unit of Anesthesia and Intensive Care Medicine, Vascular Access Team, Centro di Riferimento Oncologico di Aviano, IRCCS, Aviano, Italy.

The Journal of Vascular Access
|November 13, 2023
PubMed
Summary

The new Safe Insertion of PICC-Ports (SIP-Port) bundle improves safety for PICC-ports, a type of brachial port. This evidence-based approach minimizes complications, offering better outcomes than traditional brachial ports.

Keywords:
PICC-portsUltrasound guidancearm portbrachial portscentral venous accesspatient safetyperipherally inserted central cathetersstandardized assessment

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Area of Science:

  • Vascular Access Devices
  • Interventional Radiology
  • Medical Device Technology

Background:

  • PICC-ports, a novel brachial port, are inserted using peripherally inserted central catheter (PICC) techniques.
  • Studies indicate PICC-port insertion is safe with fewer complications than traditional brachial ports.
  • PICC-ports offer aesthetic benefits and improve patient compliance.

Purpose of the Study:

  • To introduce the Safe Insertion of PICC-Ports (SIP-Port) bundle, developed by GAVeCeLT.
  • To further minimize immediate, early, and late complications associated with PICC-port insertion.
  • To delineate the distinctions between traditional brachial ports and PICC-ports.

Main Methods:

  • The SIP-Port bundle comprises eight evidence-based steps for PICC-port insertion.
  • Key steps include preprocedural ultrasound assessment (RaPeVA protocol), sterile techniques, and vein selection.
  • Ultrasound guidance is used for puncture, cannulation, and tip navigation, with intra-procedural tip location assessment.

Main Results:

  • The SIP-Port bundle aims to further reduce complications associated with PICC-port insertion.
  • This standardized approach enhances the safety and efficacy of PICC-port placement.
  • The bundle is integral to GAVeCeLT's training courses for PICC-port insertion.

Conclusions:

  • The SIP-Port bundle represents a significant advancement in safe PICC-port insertion techniques.
  • Adherence to the SIP-Port bundle is expected to optimize patient outcomes and minimize adverse events.
  • This standardized protocol reinforces the advantages of PICC-ports over traditional brachial ports.