Peripherally Inserted Central Catheter in Trauma Patients: Early Experience at a Single Institute
Purpose: A peripherally inserted central catheter (PICC) provides effective, reliable intravenous access in patients who require long term therapy such as intravenous antibiotics, total parenteral nutrition, transfusion or inotropic agents. This retrospective study evaluated the usefulness of PICC i...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Acute Care Surgery
2017-10-01
|
| Series: | Journal of Acute Care Surgery |
| Subjects: | |
| Online Access: | http://www.jacs.or.kr/upload/pdf/jacs-7-69.pdf |
| _version_ | 1827815330605432832 |
|---|---|
| author | Gil Hwan Kim Sang Bong Lee Jae Hun Kim Chan Kyu Lee |
| author_facet | Gil Hwan Kim Sang Bong Lee Jae Hun Kim Chan Kyu Lee |
| author_sort | Gil Hwan Kim |
| collection | DOAJ |
| description | Purpose: A peripherally inserted central catheter (PICC) provides effective, reliable intravenous access in patients who require long term therapy such as intravenous antibiotics, total parenteral nutrition, transfusion or inotropic agents. This retrospective study evaluated the usefulness of PICC in trauma patients by examining patient characteristics and common complications, including PICC related bloodstream infection. Methods: We reviewed the trauma patients who underwent PICC at Pusan National University Hospital Trauma Center from January 2016 to February 2017. Results: From January 2016 to February 2017, 32 patients underwent PICC. Total catheter insertion days were 875 days, and the average catheter indwelling time was 27.3±25.02 days. The most common indication for PICC was total parenteral nutrition (n=20, 62.5%), while the remainder was to ensure a long-term fluid administration route (n=12, 37.5%). Catheter related complications included infection (n=3, 9.4%; 3.42 per 1,000 catheter-days), catheter tip malposition (n=2, 6.3%), catheter dislodgement (n=1, 3.1%), insertion site leakage (n=1, 3.1%) and arm swelling (n=1, 3.1%). No statistically significant differences were found between those who developed bloodstream infection and those who did not. Conclusion: If the PICC is performed by correcting adjustable factors that increase the risk of infection, effective and reliable intravenous access can be maintained in patients who require long-term therapy without bleeding, pneumothorax, or other complications of central venous catheter insertion. |
| first_indexed | 2024-03-11T23:58:38Z |
| format | Article |
| id | doaj.art-ed89234222f1462aa8fbeef993408a52 |
| institution | Directory Open Access Journal |
| issn | 2288-5862 2288-9582 |
| language | English |
| last_indexed | 2024-03-11T23:58:38Z |
| publishDate | 2017-10-01 |
| publisher | Korean Society of Acute Care Surgery |
| record_format | Article |
| series | Journal of Acute Care Surgery |
| spelling | doaj.art-ed89234222f1462aa8fbeef993408a522023-09-18T06:42:45ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822017-10-0172697410.17479/jacs.2017.7.2.6944Peripherally Inserted Central Catheter in Trauma Patients: Early Experience at a Single InstituteGil Hwan Kim0Sang Bong Lee1Jae Hun Kim2Chan Kyu Lee3 Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Purpose: A peripherally inserted central catheter (PICC) provides effective, reliable intravenous access in patients who require long term therapy such as intravenous antibiotics, total parenteral nutrition, transfusion or inotropic agents. This retrospective study evaluated the usefulness of PICC in trauma patients by examining patient characteristics and common complications, including PICC related bloodstream infection. Methods: We reviewed the trauma patients who underwent PICC at Pusan National University Hospital Trauma Center from January 2016 to February 2017. Results: From January 2016 to February 2017, 32 patients underwent PICC. Total catheter insertion days were 875 days, and the average catheter indwelling time was 27.3±25.02 days. The most common indication for PICC was total parenteral nutrition (n=20, 62.5%), while the remainder was to ensure a long-term fluid administration route (n=12, 37.5%). Catheter related complications included infection (n=3, 9.4%; 3.42 per 1,000 catheter-days), catheter tip malposition (n=2, 6.3%), catheter dislodgement (n=1, 3.1%), insertion site leakage (n=1, 3.1%) and arm swelling (n=1, 3.1%). No statistically significant differences were found between those who developed bloodstream infection and those who did not. Conclusion: If the PICC is performed by correcting adjustable factors that increase the risk of infection, effective and reliable intravenous access can be maintained in patients who require long-term therapy without bleeding, pneumothorax, or other complications of central venous catheter insertion.http://www.jacs.or.kr/upload/pdf/jacs-7-69.pdfperipherally inserted central cathetertrauma |
| spellingShingle | Gil Hwan Kim Sang Bong Lee Jae Hun Kim Chan Kyu Lee Peripherally Inserted Central Catheter in Trauma Patients: Early Experience at a Single Institute Journal of Acute Care Surgery peripherally inserted central catheter trauma |
| title | Peripherally Inserted Central Catheter in Trauma Patients: Early Experience at a Single Institute |
| title_full | Peripherally Inserted Central Catheter in Trauma Patients: Early Experience at a Single Institute |
| title_fullStr | Peripherally Inserted Central Catheter in Trauma Patients: Early Experience at a Single Institute |
| title_full_unstemmed | Peripherally Inserted Central Catheter in Trauma Patients: Early Experience at a Single Institute |
| title_short | Peripherally Inserted Central Catheter in Trauma Patients: Early Experience at a Single Institute |
| title_sort | peripherally inserted central catheter in trauma patients early experience at a single institute |
| topic | peripherally inserted central catheter trauma |
| url | http://www.jacs.or.kr/upload/pdf/jacs-7-69.pdf |
| work_keys_str_mv | AT gilhwankim peripherallyinsertedcentralcatheterintraumapatientsearlyexperienceatasingleinstitute AT sangbonglee peripherallyinsertedcentralcatheterintraumapatientsearlyexperienceatasingleinstitute AT jaehunkim peripherallyinsertedcentralcatheterintraumapatientsearlyexperienceatasingleinstitute AT chankyulee peripherallyinsertedcentralcatheterintraumapatientsearlyexperienceatasingleinstitute |