Complications of peripherally inserted central catheters in advanced cancer patients undergoing combined radiotherapy and chemotherapy

Xie, Jun; Xu, Ling; Xu, Xiaomin; Huang, Yunjuan

doi:10.1111/jocn.13825

Cited by 17 publications

(19 citation statements)

References 43 publications

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“…However, due to patient health status, catheter implanting techniques, catheter maintenance, and other factors, complications associated with PICCs exist. 7,8 To improve the quality of PICCs, nurses have turned to advanced PICC implanting techniques. At present, PICCs are nontunneled and routinely implanted with B-mode ultrasound guidance and the modified Seldinger technique (MST).…”

Section: Introductionmentioning

confidence: 99%

Effect of tunneled and nontunneled peripherally inserted central catheter placement: A randomized controlled trial

Dai

et al. 2019

J Vasc Access

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Purpose: To compare the effect of tunneled and nontunneled peripherally inserted central catheter placement under B-mode ultrasound. Methods: A single center, randomized, controlled, nonblinded, prospective trial was conducted in Guangzhou, China, between July 2018 and May 2019. A total of 174 participants were randomized to the experimental group (tunneled peripherally inserted central catheter) or the control group (nontunneled peripherally inserted central catheter) and were followed until extubation. Basic characteristics, peripherally inserted central catheter characteristics, the incidence of complications, and the costs of peripherally inserted central catheter placement and maintenance were collected. Data were analyzed by intention-to-treat. Results: A total of 168 of the participants had successful peripherally inserted central catheter placements (85/87, 97.7% in the experimental group and 83/87, 95.4% in the control group, P = 0.682). Compared to the control group, the experimental group had a lower incidence of complications during the placement (18.4% vs 32.2%, P = 0.036), a lower incidence of wound oozing (27.6% vs 57.5%, P < 0.001), a lower incidence of medical adhesive–related skin injury (9.2% vs 25.3%, P = 0.005), a lower incidence of venous thrombosis (1.1% vs 9.2%, P = 0.034), a lower incidence of catheter dislodgement (1.1% vs 9.2%, P = 0.034), and lower costs of peripherally inserted central catheter maintenance at 1, 2, and 3 months ( P < 0.05). Conclusion: Tunneled peripherally inserted central catheter may be recommended for good effectiveness.

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Section: Introductionmentioning

confidence: 99%

Effect of tunneled and nontunneled peripherally inserted central catheter placement: A randomized controlled trial

Dai

et al. 2019

J Vasc Access

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“…They found the overall complication rate was 53.1%: 15.1% patients exhibited PICC-related infectious complications and of which 3.9% were CLABSI; 11.4% developed PICC-related thrombosis; 9.1% were phlebitis. Comorbidity, body mass index (BMI) and duration of radio-chemotherapy were associated with PICC-related complications [19]. Bertoglio S reported 25% developed complications with 12% UEDVT and 2% CLABSI [20].…”

Section: Incidence and Risk Factors Of Picc-related Complicationsmentioning

confidence: 99%

“…Liem TK et al and Fairhall M et al have reported infection was the most common and severe complication [23]. The incidence rates of infections ranged from 3.9 to 37.9 % [19,24]. Thrombosis is considered the second major complication [23].…”

Section: Prevention Measures For Picc-related Complicationsmentioning

confidence: 99%

Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review

Mingkun¹,

Yin²,

Feng³

et al. 2019

EJCBS

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Peripherally inserted central catheters (PICCs) are widely used in cancer and critical patients for it's convenience and performance compared to central venous catheters (CVCs), however, PICCs are still associated with some complications which increase disease burden and health care cost. No agreement about incidence and risk factors of PICC-related complications has reached from previous studies although much work has been done in this area. Lack of targeted prevention may lead to difficulties and stagnation in prevention of PICC-related complications. Our review reviewed current literatures on PICC-related complications and risk factors aiming to provide reference for further PICC research and prevention measures. In this review, we searched PICC relate literatures, and listed the incidence and risk factors of PICC-related complications. Different studies reported different data and risk factors, and we have detailed in this review. The total incidence rate of complications ranged from 3% to 61.67%, infection and venous thrombosis are the most two common complications. The risk factors varied from study to study, but it is basically divided into patient related-, operation related-and material related-. For the prevention measures, we considered standardized operation and nursing according to guidance played an important role. In this field, better research and conclusions are needed to guide the work of medical staff.

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“…Long term CVC use is associated with an increased risk of infection. 1, 2 However, the benefits of CVC use generally outweigh the risks, and it significantly improves the quality of life of the patient receiving treatment.…”

Section: Introductionmentioning

confidence: 99%

Transient bacteremia induced by dental cleaning is not associated with infection of central venous catheters in patients with cancer

Usmani¹,

Choquette²,

Bona³

et al. 2018

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Complications of peripherally inserted central catheters in advanced cancer patients undergoing combined radiotherapy and chemotherapy

Abstract: Doctors need to be aware of the risk of peripherally inserted central catheter-related complications in patients with advanced cancers.

Cited by 17 publications

References 43 publications

Effect of tunneled and nontunneled peripherally inserted central catheter placement: A randomized controlled trial

Effect of tunneled and nontunneled peripherally inserted central catheter placement: A randomized controlled trial

Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review

Transient bacteremia induced by dental cleaning is not associated with infection of central venous catheters in patients with cancer

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