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Related Experiment Videos

Peripherally inserted central catheters revisited

J R Smith1, M L Friedell, M L Cheatham

  • 1Department of Surgery, Orlando Regional Medical Center, Florida 32806, USA.

American Journal of Surgery
|September 16, 1998
PubMed
Summary
This summary is machine-generated.

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Peripherally inserted central catheters (PICCs) show higher complication rates than central venous catheters (CVCs). While PICCs offer cost-effective short-term access, CVCs are better for longer durations.

Area of Science:

  • Vascular Access Devices
  • Medical Device Comparison
  • Patient Safety

Background:

  • Central venous catheters (CVC) and peripherally inserted central catheters (PICC) are common vascular access devices.
  • Understanding their comparative indications, complication profiles, and economic implications is crucial for clinical decision-making.

Purpose of the Study:

  • To compare the indications for insertion, complication rates, and economic impact of CVCs versus PICCs.
  • To evaluate the safety and cost-effectiveness of different central venous access methods.

Main Methods:

  • Retrospective review of 838 consecutively placed venous catheters (283 CVC, 555 PICC).
  • Analysis of 49,365 CVC days and 11,814 PICC days.
  • Comparison of complication incidence, types, and associated costs.

Related Experiment Videos

Main Results:

  • PICC group had a significantly higher overall complication rate (35%) compared to CVC group (20%).
  • PICCs were associated with increased catheter malfunction and arm vein phlebitis.
  • Higher complication rates for PICCs were observed in chemotherapy and parenteral hyperalimentation administration.

Conclusions:

  • PICCs demonstrate a significantly higher complication rate than CVCs.
  • PICCs are cost-effective for central access of 2-3 weeks' duration.
  • Operatively placed CVCs are recommended for longer-term central access requirements.