Comparison of two types of catheters through femoral vein catheterization in patients with lung cancer undergoing chemotherapy: A retrospective study

Xu, Binbin; Zhang, Jinghui; Tang, Siyuan; Hou, Jianmei; Ma, Mengdan

doi:10.1177/1129729818769227

Cited by 16 publications

(17 citation statements)

References 13 publications

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“…The peripherally inserted central catheter (PICC) is an intravenous device 1 inserted into the central veins via the peripheral veins [2][3][4][5] (eg, basilic vein, 2 antecubital vein, 2 cephalic vein, 3 brachial vein 3 and femoral vein), 4 5 which are commonly used for prolonged intravenous therapy, blood and nutrition administrations, and frequent blood sampling. [4][5][6][7][8][9][10] It is regarded as a safe, efficient and cost-effective intravenous device due to long indwelling time, reduced vascular damage without repeated puncture, and convenient insertion and removal without the necessity for general anaesthesia or deep cutting and suturing of the wounds. 2 3 9-11 However, its complications cannot be ignored, including thrombosis, 4 5 12-14 catheter exit site infections, 4 bloodstream infections, 12 13 15 accidental dislodgement, 5 11 12 malposition, 11 occlusion, 4 5 11 12 16 leakage, 12 breakage, 5 12 phlebitis 12 and cardiac tamponade.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ knowledge of peripherally inserted central catheter maintenance and its influencing factors in Hunan province, China: a cross-sectional survey

Zhang

Hou

et al. 2020

BMJ Open

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ObjectivesThe present study aimed to assess the level of knowledge on peripherally inserted central catheter (PICC) maintenance among nurses in China and to analyse the related factors influencing this variable.DesignA cross-sectional survey.SettingNinety-one hospitals at three different levels in Hunan Province, China: county hospitals, municipal hospitals and provincial hospitals.ParticipantsA total of 4110 registered nurses engaged in clinical work related to intravenous infusion.Primary and secondary outcome measuresNurses’ knowledge of PICC maintenance was measured by the score of an anonymous, self-reported questionnaire.ResultsThe mean score of PICC maintenance among 4110 nurses was 72.86±14.86. 83.5% of the participants exhibited a score of 60 or above, and 34.1% of them exhibited a good grade with a score of 80 or above. The difference in the correct rate among different dimensions was statistically significant (H=17.721, p<0.01). The generalised linear model indicated that the factors influencing the nurses’ PICC maintenance knowledge included gender, age, professional title, work setting and previous history of PICC maintenance training.ConclusionsIn conclusion, the knowledge of PICC maintenance was at a medium level among nurses in Hunan province, China. Multiple steps should be taken to improve the nurses’ PICC maintenance knowledge, including disseminating PICC maintenance knowledge in multiple ways, such as courses, lectures, seminars and new media. Particular attention should be given to populations who responded poorly in this survey, and targeted education for nurses should be distributed based on their performance on specific dimensions, such as the replacement of dressing and needle-free connectors. In addition, the quality of the nurses’ practical performance could be measured in the future.

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Section: Introductionmentioning

confidence: 99%

Nurses’ knowledge of peripherally inserted central catheter maintenance and its influencing factors in Hunan province, China: a cross-sectional survey

Zhang

Hou

et al. 2020

BMJ Open

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“…Despite several studies were conducted, a number of relevant points with the use of PICC in cancer patients remain unsettled. In particular, the choice of the best PICC type (e.g., with or without distal valve, open-or closed-tip, in polyurethane or silicone, etc) for chemotherapy administration has been examined, but is still open to discussion [3,4,[15][16][17]. In this population of both in-patients and out-patients with cancer, we were able to compare the performances of closed-tip and open-tip PICCs over time.…”

Section: Discussionmentioning

confidence: 99%

Peripherally inserted central catheters in the oncological setting: an Italian experience of 3700 patients

Zerla¹,

Galeone²,

Pelucchi³

et al. 2021

Clin Res Trials

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Background: Peripherally inserted central catheters (PICC) are increasingly used in the treatment of several conditions, including cancer. Use of PICCs may lead to complications, and various potential factors have been associated to their occurrence. Still, quantitative data on the issue are limited.Objective: Main aims of this study are to provide information on the durability of PICC in oncological patients and to identify which factors are associated to complications leading to PICC removal.Interventions/Methods: This is an observational, retrospective study of adult patients with onco-haematological diseases. An expert venous access team managed the full pathway of PICC use. Complications were continuously recorded according to hospital protocol. PICC survival was analysed using Kaplan-Meier curves and through multivariate hazard ratios (HR) and corresponding 95% confidence intervals (CI).Results: A total of 3700 patients were included during 2010-2018, for over 450,000 PICC-days. The HRs of PICC removal were 1.006 (95%CI, 1.001-1.011) for each 1-year increase in patient age, 1.35 (95%CI, 1.08-1.70) for referral to the oncology vs. surgery ward, 1.62 (95%CI, 1.32-1.99) for use of PICC for parenteral nutrition vs. chemotherapy administration, and 3.01 (95%CI, 2.58-3.50) for use of open-tip vs. closed-tip PICC.Conclusions: This Real-World analysis provided new quantitative evidence showing overall long survival times of PICCs in oncological patients. Both patient-related and treatment-related features were associated to PICC complications. Implications for Practice: PICCs were confirmed as a secure and long-lasting venous access device for cancer patients undergoing chemotherapy. In this oncological population, closed-tip PICCs showed overall better performances than open-tip PICCs.

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“…[22] Power-injectable PICCs like POWERPICC ® (Bard Access systems Inc., UT 84116, USA) are designed to withstand the higher pressures of computed tomography contrast infusion and are preferred in oncological patients who may require frequent scans. [23]…”

Section: Types Of Vascular Accessmentioning

confidence: 99%

Vascular access in children

2019

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Securing stable vascular access is an important clinical skill for the anaesthesiologist. Sick children, complex surgeries, chronic illnesses, multiple hospitalisations, and prolonged treatments can make vascular access challenging. A search was done in the English language literature using the keywords “paediatric,” “vascular access,” “venous access,” and “techniques” or “complications” in Pubmed, Embase, and Google scholar databases. Articles were screened and appropriate content was included. Intraosseous access is a lifesaving technique that can be performed even in hypovolaemic patients rapidly. Transillumination and near-infrared light improve visualisation of superficial veins in difficult access. Ultrasonography has become the standard of care in selecting the vessel, size of catheter, guide placement, and prevent complications. Fluoroscopy is used during insertion of long-term vascular access devices. This article reviews the various routes of access, their indications, most appropriate site, securing techniques, advantages, disadvantages, and complications associated with vascular access in children.

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Comparison of two types of catheters through femoral vein catheterization in patients with lung cancer undergoing chemotherapy: A retrospective study

Cited by 16 publications

References 13 publications

Nurses’ knowledge of peripherally inserted central catheter maintenance and its influencing factors in Hunan province, China: a cross-sectional survey

Nurses’ knowledge of peripherally inserted central catheter maintenance and its influencing factors in Hunan province, China: a cross-sectional survey

Peripherally inserted central catheters in the oncological setting: an Italian experience of 3700 patients

Vascular access in children

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