Complications and cost associated with parenteral nutrition delivered to hospitalized patients through either subclavian or peripherally-inserted central catheters

Cowl, Clayton T.; Weinstock, Jonathan; Al‐Jurf, Adel S.; Ephgrave, Kimberly S.; Murray, Joseph A.; Dillon, Krista N.

doi:10.1054/clnu.2000.0103

Cited by 158 publications

(138 citation statements)

References 17 publications

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“…In addition, catheter related blood stream infections (CRBSI) and thrombosis are the most concerning complications of PICC line insertion. Several studies comparing PICC associated CRBSI to CVCs did not find an increase rate of infection with PICC [8,12,15,22,23]. The literature on PICC associated thrombosis is mixed, with several studies not finding any increased risk of thrombosis and others reporting thrombosis rates as high as 20% in critically ill patients [12,20,24].…”

Section: Discussionmentioning

confidence: 99%

Peripherally inserted central catheters are equivalent to centrally inserted catheters in intensive care unit patients for central venous pressure monitoring

Latham

Rawson

Dwyer

et al. 2012

J Clin Monit Comput

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To determine the equivalency of pressure measurements from peripherally inserted central catheters(PICCs) versus centrally inserted central venous catheters(CVCs) in vitro as well as in vivo. The in vitro study was performed in a clinical laboratory. Static pressure measurements from PICCs and CVCs were obtained in vitro over a physiologic range of 5–25 mmHg. Triple and dual lumen PICCs were directly compared to CVC controls.Dynamic pressure waveforms were recorded to simulate physiologic intravascular pressure variation. The in vivo study was executed in the medical intensive care unit(MICU) of a tertiary-level academic medical center. Data was collected from ten adult patients with both a PICC and a CVC in place for on-going clinical care. Measurements of central venous pressure (CVP) were recorded simultaneously from PICCs and CVCs. Duplicate measurements were taken after a stable waveform was recorded. For the in vitro study, a total of 540 pressure measurements were recorded. The average bias determined by Bland–Altman plot was 0 mmHg for the 5Fr PICC and 0.071 mmHg for the 6Fr PICC. The correlation coefficient for both catheters was 1.0 (P<0.001). Dynamic pressure waveforms revealed equivalent amplitude. During the in vivo trial, 70CVP measurements were collected. The paired CVP measurements were found to be highly reliable across subjects (r = 0.99, P<0.0001). No significance in the average difference in CVP measurement (PICC–CVC) was determined by the Wilcoxon Signed Rank test (S = 1,P = 0.93). In conclusion, PICCs are equivalent to CVCs when measuring static and dynamic pressure in vitro and CVP in ICU patients.

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Section: Discussionmentioning

confidence: 99%

Peripherally inserted central catheters are equivalent to centrally inserted catheters in intensive care unit patients for central venous pressure monitoring

Latham

Rawson

Dwyer

et al. 2012

J Clin Monit Comput

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show abstract

“…The rate of complications of PICCs ranges from 35-65% [1,[11][12]. In some studies, PICCs had lower rates of catheter-related bloodstream infections in the outpatient setting compared to CVCs [12][13], while PICCs and CVCs had similar rates in the inpatient setting [14].…”

Section: Discussionmentioning

confidence: 99%

Septic Thrombophlebitis Complicating a Peripherally Inserted Central Catheter

Esmadi¹

2012

J Med Cases

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Peripherally inserted central venous catheters are associated with several complications. Thrombosis, catheter-related infection and phlebitis are well-recognized complications. However, septic thrombophlebitis is very rare. We describe a 44-year-old patient with heart failure who developed extensive septic thrombophlebitis of the right internal jugular, brachicephalic, facial veins and superior vena cava as a complication of prolonged use of a peripherally inserted central venous catheter that was inserted for dobutamine infusion. The catheter was displaced into the internal jugular vein by manipulation of the patient who used it for injection of illegal drugs. Blood cultures grew Citrobacter amalonaticus and Coagulase-negative Staphylococcus with the former growing more often making it the more likely causative agent. The patient was treated successfully with antibiotics and anticoagulation. To our knowledge Citrobacter amalonaticus has not been previously recognized to be associated with septic thrombophlebitis.

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“…22,23 These complications usually warrant further intensive therapy and an extended antibiotic course. In an earlier study, PICC lines were associated with higher rates of thrombophlebitis, more difficult line insertion attempts, and migration of the line after insertion, 24 which points to the need for both pree and posteline insertion evaluation. In Haglund et al's study, 4 patients were reported to have thrombosis of the PICC line.…”

mentioning

confidence: 97%

Implications of Central Venous Catheters in Patients With Stage D Heart Failure Who are Stable but Inotrope Dependent

Gorodeski¹,

Kim²

2014

Journal of Cardiac Failure

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Complications and cost associated with parenteral nutrition delivered to hospitalized patients through either subclavian or peripherally-inserted central catheters

Cited by 158 publications

References 17 publications

Peripherally inserted central catheters are equivalent to centrally inserted catheters in intensive care unit patients for central venous pressure monitoring

Peripherally inserted central catheters are equivalent to centrally inserted catheters in intensive care unit patients for central venous pressure monitoring

Septic Thrombophlebitis Complicating a Peripherally Inserted Central Catheter

Implications of Central Venous Catheters in Patients With Stage D Heart Failure Who are Stable but Inotrope Dependent

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