Changes in Central Venous Catheter Use in the Hematology Unit with the Introduction of Ultrasound Guidance and a Peripherally Inserted Central Venous Catheter

Utsu, Yoshikazu; Masuda, Saeko; Watanabe, Reiko; Arai, Hironori; Nakamura, Ayako; Matsui, Shinichirou; Izumi, Shintarou; Aotsuka, Nobuyuki

doi:10.2169/internalmedicine.7119-21

Cited by 2 publications

(2 citation statements)

References 31 publications

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“…Peripherally inserted central venous catheters is expected to improve patient safety and has been widely used as an alternative to CICC in hospitalized patients ( 4 ). A meta-analysis comparing PICC with CICC demonstrated that PICC was associated with a lower risk of bloodstream infection ( 41 ); however, most trials were observational studies and only one RCT was included in this meta-analysis.…”

Section: Discussionmentioning

confidence: 99%

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Insertion site of central venous catheter among hospitalized adult patients: A systematic review and network meta-analysis

et al. 2022

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IntroductionCentral venous catheterization is a commonly performed procedure, accounting for approximately 8% of hospitalized patients. Based on the current literatures, the most acceptable site for central venous catheterization is inconclusive, considering various complications in hospitalized patients. Herein, we conducted a network meta-analysis to assess the clinically important complications among internal jugular, subclavian, femoral, and peripheral insertion.Materials and methodsThe Cochrane Central Register of Controlled Trials, MEDLINE, Web of Science, Ichushi databases, Clinicaltrials.gov, and International Clinical Trials Registry Platform were searched. Studies including adults aged ≥ 18 years and randomized control trials that compared two different insertion sites (internal jugular, subclavian, femoral, and peripheral vein) were selected. The primary outcomes were clinically important infectious, thrombotic, and mechanical complications.ResultsAmong the 5,819 records initially identified, 13 trials (6,201 patients) were included for a network meta-analysis. For clinically important infectious complication, subclavian insertion decreased the complication risk, compared with internal jugular [risk ratio (RR), 0.30; 95% confidence interval (CI), 0.11–0.81; moderate certainty], and femoral insertion increased than subclavian insertion (RR 2.56; 95% CI, 1.02–6.44; moderate certainty). Peripheral insertion was also significantly associated with a lower risk compared with internal jugular (RR 0.06; 95% CI, 0.01–0.32; low certainty); subclavian (RR 0.21; 95% CI, 0.05–0.77; moderate certainty); and femoral insertion (RR 0.08; 95% CI, 0.02–0.40; low certainty). For clinically important thrombotic complication, we did not find significant differences between insertion sites. For clinically important mechanical complication, femoral insertion decreased the complication risk, compared with internal jugular (RR 0.42; 95% CI, 0.21–0.82; moderate certainty) and subclavian insertion (RR 0.33; 95% CI, 0.16–0.66; moderate certainty). Peripheral insertion was also associated with the lower complication risk compared with internal jugular (RR 0.39; 95% CI, 0.18–0.85; low certainty) and subclavian insertion (RR 0.31; 95% CI, 0.13–0.75; moderate certainty).ConclusionThe insertion site of the central venous catheter, which is most likely to cause the fewest complications, should be selected. Our findings can provide the rationale for deciding the insertion site for a central venous catheter.Systematic review registration[www.protocols.io], identifier [61375].

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Section: Discussionmentioning

confidence: 99%

“…The anatomic site chosen for CICC placement, including the jugular, subclavian, and femoral veins, influences the risk and type of complications ( 3 ). Recently, peripherally inserted central venous catheters (PICC) have been used as substitutes for CICC in an increasing number of hospitalized patients ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Insertion site of central venous catheter among hospitalized adult patients: A systematic review and network meta-analysis

et al. 2022

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Internal Jugular Vein Catheterization “A Comparative Study of Real-Time Ultrasound - Guided Technique Versus Conventional Landmark Guided Technique.”

Kumar

2022

Global Journal for Research Analysis

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Background and Aim: Central venous catheter placement is a frequently performed procedure in emergency and intensive care units. we aimed to compare real-time ultrasound guided (USG) and the conventional anatomical landmark (LM) technique for the insertion of internal jugular vein catheters. Materials and method: Patients requiring IJV catheterization were prospectively recruited over a period of 1 and half year. It is a single blinded prospective randomised study involving total of 48 cases meeting inclusion criteria were randomly allocated in two groups, 24 patients to each group. Number of attempts, success rate, venous access time, IJV catheterization time and complications were observed in each group. All data were analysed by proper statistical test using SPSS-29 software. The data was analysed by computing percentages and descriptive statistics as mean, standard deviation and standard error of mean. The difference of mean between two techniques is tested using independent Student t-test. For all tests, p value of <0.05 was considered signicant. The nding of this study indicates that internal jugular vein catheterization gui Conclusion: ded by real-time USG results in higher 1st pass success rate, reduced number of cannulation attempt and fewer complication

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Changes in Central Venous Catheter Use in the Hematology Unit with the Introduction of Ultrasound Guidance and a Peripherally Inserted Central Venous Catheter

Cited by 2 publications

References 31 publications

Insertion site of central venous catheter among hospitalized adult patients: A systematic review and network meta-analysis

Insertion site of central venous catheter among hospitalized adult patients: A systematic review and network meta-analysis

Internal Jugular Vein Catheterization “A Comparative Study of Real-Time Ultrasound - Guided Technique Versus Conventional Landmark Guided Technique.”

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