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Related Experiment Videos

Peripherally inserted central catheters in general medicine

P K Ng1, M J Ault, A G Ellrodt

  • 1Division of General Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.

Mayo Clinic Proceedings
|March 1, 1997
PubMed
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Peripherally inserted central venous catheters (PICCs) demonstrate high success rates and safety for long-term vascular access. PICCs are a cost-effective alternative to central venous catheters, with infection rates independent of insertion method.

Area of Science:

  • Vascular Access Devices
  • Medical Device Efficacy
  • Healthcare Economics

Background:

  • Central venous catheters are essential for long-term vascular access.
  • Peripherally inserted central venous catheters (PICCs) offer an alternative insertion method.
  • Evaluating PICC success rates, complications, and cost-effectiveness is crucial.

Purpose of the Study:

  • To determine the success rate and complication profile of peripherally inserted central venous catheters (PICCs).
  • To compare the costs of PICCs versus centrally inserted central catheters.
  • To assess PICC applicability in high-risk patient populations.

Main Methods:

  • A cohort study of 1,000 patients undergoing PICC insertion.
  • Data collection on insertion success, complications, therapy completion, and costs.

Related Experiment Videos

  • Analysis of PICC use in transplant, HIV-infected, ICU, and pediatric patients.

    • Main Results:

    • 96.3% of 1,000 PICC insertions were successful.
    • Complications occurred in 17.7% of cases; therapy completion rate was 68.9%.
    • PICC insertion costs were lower than those for centrally inserted central catheters.

    Conclusions:

    • PICCs are safe and effective for long-term vascular needs across various patient groups.
    • Infection rates were not influenced by insertion mode or immune status; total parenteral nutrition was a risk factor.
    • Cost and safety favor PICCs as a preferred vascular access device.