Imaging of the complications of peripherally inserted central venous catheters

Amerasekera, Steve; Jones, Catherine M.; Patel, R.; Cleasby, Morgan

doi:10.1016/j.crad.2009.02.021

Cited by 123 publications

(98 citation statements)

References 52 publications

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“…Thoracic venous anatomy was defined according to the standard landmarks. 8,9 The primary outcome of the study was the incidence of proper, suboptimal, and aberrant positions of the PICCs. Table 1 reflects patients' demographic data and ASA classifications.…”

Section: Methodsmentioning

confidence: 99%

Frequent malpositions of peripherally inserted central venous catheters in patients undergoing head and neck surgery

Minkovich

Djaiani

McCluskey

et al. 2011

Can J Anesth/J Can Anesth

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Section: Methodsmentioning

confidence: 99%

Frequent malpositions of peripherally inserted central venous catheters in patients undergoing head and neck surgery

Minkovich

Djaiani

McCluskey

et al. 2011

Can J Anesth/J Can Anesth

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“…The X-ray shows the tip of catheter was located at the rabbit superior vena cava, just as the arrow points ( Figure 2). Besides, it greatly reduces risk of complication related to the procedure, such as pneumothorax, haemothorax and accidental arterial puncture, and it is easily performed by nurses rather than doctors, which reduce the medical costs and improves patients' health care, and could be available for outpatients 13 .…”

Section: Resultsmentioning

confidence: 99%

The establishment and evaluation of rabbit model for peripherally inserted central catheter

et al. 2014

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PURPOSE:To establish a model to simulate the clinical specific process of peripherally inserted central catheter (PICC) on rabbits, and detect how long the catheter can be indwelled. METHODS:Seventeen healthy New Zealand white rabbits were inserted the PICC according to the clinical specific procedure. With the principle of random, the rabbits were divided into four groups (14d, 21d, 28d, 35d). Each group contains four rabbits, and Group 1 was served as blank control group. When finishing the experiment, we took the blood vessels which was inserted the catheter and observed the changes of vascular endothelium using the Hematoxylin-Eosin (HE) staining.RESULTS: 90% animals were succeeded in inserting PICC. Early signs of endovascular inflammation were predominantly neutrophils, then mainly monocytes, visible fibrous tissue hyperplasia of the vessel wall, vascular endothelial proliferation and granuloma formation.And after that the irreversible changes in the blood vessels could be observed, especially five weeks after catheterization. CONCLUSIONS:We have succeeded in establishing the rabbit model for peripherally inserted central catheter, and provided a new way for nursing teaching and training. Since the irreversible changes of the vascular endothelium, it is recommended that the time of indwelling is not more than five weeks on animal.

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“…The left brachiocephalic vein crosses the mediastinum to the right side in a direction toward the superior vena cava. The professional knowledge of the venous anatomy is essential for an accurate measurement of the catheter length (12) .…”

Section: Resultsmentioning

confidence: 99%

Causas de remocao nao eletiva do cateter epicutaneo em neonatos

Paiva

Costa

Kimura

et al. 2013

Rev. esc. enferm. USP

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RESUMOObjetivou-se descrever a incidência e as razões de remoção não eletiva do cateter epicutâneo em neonatos, verificando a associação com o sítio de inserção. Estudo de coorte prospectivo realizado em unidade de cuidado intensivo neonatal de um hospital privado terciário na cidade de São Paulo. Foram analisadas 266 inserções de cateter epicutâneo. A incidência de remoção não eletiva foi 39,1%. As complicações pós-inserção mais frequentes foram suspeita de infecção de corrente sanguínea relacionada ao cateter (25%) e ruptura (23,1%). A maioria dos cateteres foi inserida através do hemisfério corporal direito (65%), membros superiores (77,1%) e veias axilares (31,2%). Os resultados sugerem não haver associação entre a incidência de remoção não eletiva e o sítio de inserção do cateter epicutâneo em neonatos. Compete à Enfermagem implementar estratégias para a melhoria da prática assistencial a fim de diminuir a frequência de remoções não eletivas do cateter epicutâneo em neonatos. DESCRITORES Recém-nascido Cateterismo venoso central Enfermagem neonatal ABSTRACTThis study aimed to describe the incidence and reasons for nonelective removal of epicutaneous catheters in neonates, identifying its association with the catheter insertion site. This was a prospective cohort study, conducted in a neonatal intensive care unit of a private tertiary hospital in the city of São Paulo, Brazil. We analyzed 266 epicutaneous catheter insertions. The incidence of non-elective removal was 39.1%. The most frequent post-insertion complications were suspicion of catheterrelated bloodstream infection (25%) and rupture (23.1%). Most catheters were inserted through the right side of the body (65%), in upper limbs (77.1%), and using the axillary veins (31.2%). The findings did not suggest association between the incidence of non-elective removal and the insertion site of the epicutaneous catheter in neonates. Nurses should implement strategies to improve care and decrease incidence of non-elective epicutaneous catheter removals among neonates. DESCRIPTORS Infant, newborn Catheterization central venous Neonatal nursing RESUMENEl objetivo fue describir la incidencia y las razones del retiro no electivo del catéter epicutáneo en neonatos, verificando la asociación con el sitio de inserción. Estudio de cohorte prospectiva conducido en una unidad de cuidados intensivos neonatales de un hospital privado terciario, en la ciudad de São Paulo, Brasil. Fueron analizados 266 inserciones de catéteres. La incidencia de retiro no electivo del catéter epicutáneo fue de 39,1%. Las complicaciones post-inserción más frecuentes fueron la sospecha de infección del torrente sanguíneo relacionada al catéter (25%) y ruptura (23,1%). La mayoría de los catéteres fueron insertados en el hemisferio corporal derecho (65%), en la extremidad superior (77,1%) y en la vena axilar (31,2%). Los resultados sugieren no haber asociación entre el sitio de inserción del catéter y la incidencia del retiro no electivo. Es de competencia de Enfermería implementar estrategias par...

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Imaging of the complications of peripherally inserted central venous catheters

Cited by 123 publications

References 52 publications

Frequent malpositions of peripherally inserted central venous catheters in patients undergoing head and neck surgery

Frequent malpositions of peripherally inserted central venous catheters in patients undergoing head and neck surgery

The establishment and evaluation of rabbit model for peripherally inserted central catheter

Causas de remocao nao eletiva do cateter epicutaneo em neonatos

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