Complications associated with the use of peripherally inserted central catheters and midline catheters in COVID-19 patients: An observational prospective study

Frondizi, Federico; Dolcetti, Laura; Pittiruti, Mauro; Calabrese, Maria; Fantoni, Massimo; Biasucci, Daniele Guerino; Scoppettuolo, Giancarlo

doi:10.1016/j.ajic.2023.05.002

American Journal of Infection Control

2023

DOI: 10.1016/j.ajic.2023.05.002

|View full text |Cite

Complications associated with the use of peripherally inserted central catheters and midline catheters in COVID-19 patients: An observational prospective study

Federico Frondizi,

Laura Dolcetti,

Mauro Pittiruti

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article3

Relationship

Self Cite0

Independent3

Authors

Journals

Cited by 3 publications

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Poland’s first vascular access team 3-year analysis: Insights and learnings

Latos,

Kosson,

Zawadka

2024

J Vasc Access

View full text Add to dashboard Cite

Background: During the COVID-19 pandemic, Poland saw a surge in interest in midline catheters (MCs) and Long Peripheral Catheters (LPCs) for intravenous therapy. Before this, MCs were not extensively utilised in the country, and there was no formally established Polish vascular access team. MCs, which have been used for years in many countries, are now becoming increasingly common in Poland. This study aimed to analyse the use of MCs in a 3-year perspective of their introduction in daily clinical practice based on a nurse-led Vascular Access Team (VAT). Methods: The records of adult patients who received intravenous therapy with 727 MCs and 293 LPCs from January 2021 to December 2023 at the University Clinical Centre of the Medical University of Warsaw were analysed. Results: The main indication for cannulation was expected intravenous therapy over 5 days (81.66%, n = 833), of which 71.37% ( n = 728) of patients in this group had concomitant difficult intravenous access (DIVA). Over 6 years, centrally inserted central catheters (CICCs) inserted due to DIVA were reduced from n = 108 in 2017 to n = 18 in 2023. The end of intravenous therapy was the reason for the removal of 64.6% of catheters ( n = 659), including death and switch to CICCs as well. Complications leading to premature removal accounted for 31.2%, such as: occlusion (14.6%), patient self-removal (7.1%) and thrombosis (3.43%). Conclusions: The introduction of MCs as a possible option for peripheral venous access reduces the use of CVCs. Developing MCs programmes should be based on investing in staff competencies, which increases success rates. The nurses and physicians should be trained in infusion care to achieve better results in the use of MCs and LPCs. Increasing the competence of nurses in Poland is necessary for the implementation of full-service and top-level functioning of VAT.

show abstract

Poland’s first vascular access team 3-year analysis: Insights and learnings

Latos,

Kosson,

Zawadka

2024

J Vasc Access

View full text Add to dashboard Cite

show abstract

Complications Related to Peripherally Inserted Central Catheters in Covid-19 Patients and the Potential of Insertion Technologies

Silva,

Guimarães,

Stabile

et al. 2024

Texto contexto - enferm.

View full text Add to dashboard Cite

Objective: to assess the incidence of complications related to peripherally inserted central catheters in hospitalized adult patients with Covid-19 and to discuss the potential benefits of employing insertion technologies to prevent complications. Method: a descriptive, exploratory and cross-sectional study was conducted from March 2020 to December 2021 at a high-complexity hospital. The study included patients over 18 years old with a positive diagnosis for Covid-19 who made use of peripherally inserted central catheters for venous infusion. Data collection included sociodemographic and clinical information regarding catheter insertion and use. The analysis involved Chi-square and Fisher's Exact tests, with a significance level of 0.05. Results: a total of 123 inserted catheters were analyzed. The patients' mean age was 50 years old (SD=16.37), most of them male and in the acute phase of infection (59.3%). The following significant complications related to the insertion process were identified: catheter material (p=0.01); use of Sherlock (p=0.03); need for traction (p<0.001); number of punctures (p<0.001); and difficulty in catheter progression (p<0.001). Conclusion: the study identified the main complications related to the insertion and use of PICCs and showed that employing vascular visualization technologies such as ultrasound and Sherlock 3CG® can mitigate complications, as well as maximize patient comfort, experience and safety. The research provides support for the implementation of protocols for insertion and management of peripherally inserted central catheters, thus avoiding the occurrence of adverse events.

show abstract

Complicações Relacionadas Ao Cateter Central De Inserção Periférica Em Pacientes Com Covid-19 E O Potencial Das Tecnologias De Inserção

Silva,

Guimarães,

Stabile

et al. 2024

Texto contexto - enferm.

View full text Add to dashboard Cite

RESUMO Objetivo: avaliar a incidência de complicações relacionadas ao cateter central de inserção periferica em pacientes adultos hospitalizados com Covid-19 e discutir o potencial do uso de tecnologias de inserção na prevenção de complicações. Método: estudo descritivo e exploratório, transversal, realizado no período de março de 2020 a dezembro de 2021, em um hospital de alta complexidade. Foram incluídos no estudo pacientes maiores de 18 anos com diagnóstico positivo para Covid-19 e que fizeram uso do cateter central de inserção periférica para infusão venosa. Fez-se coleta de dados sociodemográficos e clínicos sobre a inserção e uso do cateter. A análise envolveu os testes qui-quadrado e exato de Fischer, com nível de significância de 0,05. Resultados: analisou-se um total de 123 cateteres inseridos. A média de idade dos pacientes foi de 50 anos (DP=16,37 anos), sendo a maioria do sexo masculino e na fase aguda da infecção (59,3%). Foram evidenciadas as seguintes complicações significativas atreladas ao processo de inserção: material do cateter (p=0,01), uso de Sherlock (p=0,03), necessidade de tração (p<0,001), número de punções (p<0,001) e dificuldade de progressão do cateter (p<0,001). Conclusão: o estudo identificou as principais complicações relacionadas à inserção e uso do PICC e mostrou que o uso de tecnologias de visualização vascular como o ultrassom e Sherlock 3CG® pode mitigar complicações, além de maximizar conforto, experiência e segurança do paciente. A investigação apresenta subsídios para implementação de protocolos de inserção e manejo do cateter central de inserção periférica, evitando a ocorrência de eventos adversos.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Complications associated with the use of peripherally inserted central catheters and midline catheters in COVID-19 patients: An observational prospective study

Cited by 3 publications

References 28 publications

Poland’s first vascular access team 3-year analysis: Insights and learnings

Poland’s first vascular access team 3-year analysis: Insights and learnings

Complications Related to Peripherally Inserted Central Catheters in Covid-19 Patients and the Potential of Insertion Technologies

Complicações Relacionadas Ao Cateter Central De Inserção Periférica Em Pacientes Com Covid-19 E O Potencial Das Tecnologias De Inserção

Contact Info

Product

Resources

About