Useful Equation for Proper Estimate of Left Side Peripherally Inserted Central Venous Catheter Length in Relation to the Height

Jeon, Eui-Yong; Koh, Sung Hye; Lee, In Jae; Ha, Hongil; Park, Bum Jung

doi:10.5301/jva.5000309

Cited by 12 publications

(15 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We need to position the tip of our neonatal PICC catheter as accurately as possible, and this accuracy is best above 60%. 12 In order to achieve good therapeutic effect and prevent catheter-related complications, the position of the catheter tip is very important. The optimal position of the tip of the PICC catheter currently recommended is between the inferior-middle 1/3 segment of the superior vena cava and the cavo-atrial junction (CAJ).…”

Section: Discussionmentioning

confidence: 99%

Comparison of formula‐based PICC catheterisation versus common method for the treatment of newborns

et al. 2021

Int J Clin Pract

View full text Add to dashboard Cite

Aims: Whether PICC in newborns can improve its success rate and reduce the complications by using the formula method to calculate the depth of catheterisation.Methods: A total of 130 newborns were prospectively studied from December 2018 to December 2019. All newborns were randomly divided into two groups that use formula method and common method respectively. The PICC catheter length of the two groups was observed. The unplanned extubation rate, one-time puncture success rate, catheter indwelling time, complications, duration of hospital stays and pain scores were recorded during the whole research process and compared between these two groups. Results:The formula method significantly improved the puncture success rate and reduced the secondary adjustment rate. The length of the catheter adjustment was significantly lower than the control group. The retention time also increased significantly. The incidence of PICC-related complications, including phlebitis, thrombosis, catheter-related infection and catheter displacement, was significantly reduced by using the formula method. Conclusions:The formula method in neonatal PICC catheter had great outcomes in terms of improving the success rate of one-time puncture and prolonging the indwelling time of catheter. What's knownPeripherally inserted central catheter (PICC) is an effective and safe infusion route for newborns, especially premature infants or those with very low birth weight What's newThis study showed that the formula method could significantly reduce the probability of secondary adjustment of indwelling catheter, reduce the pain score and the occurrence of related side effects.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of formula‐based PICC catheterisation versus common method for the treatment of newborns

et al. 2021

Int J Clin Pract

View full text Add to dashboard Cite

show abstract

“…As sternal length showed the largest correlation coefficient, it was selected over patient height or arm lengths. A previous retrospective study developed a formula using the patient height, but its accuracy was relatively low [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Simplified equation for determining proper depth of peripherally inserted central catheter in relation to anatomical landmarks

Kang

Shin²,

Lee³

et al. 2018

Korean J Anesthesiol

View full text Add to dashboard Cite

BackgroundThe aim of this study was to develop a formula guiding the peripherally inserted central catheter (PICC) tip placement based on anatomical landmarks such as the upper arm, clavicle, and sternum as well as the patient’s height, weight, and body mass index.MethodsFifty-five patients who were scheduled to have PICCs were included in the study. We measured four distances along the passage of the PICC, which were as follows; the tip of the third finger to the middle of the elbow crease (Distance A), the middle of the elbow crease to the acromion process (Distance B), the acromion process to the sternal head of the clavicle (Distance C), and the sternal head of the clavicle to the end of the xiphoid process (Distance D). The lengths from the elbow creases to their carina bifurcations as determined by fluoroscopy during PICC insertions were recorded and used as reference.ResultsThe formula for determining PICC depth based on the four distances was determined by regression analysis. The optimal formula was determined to be 25.3 + 0.5 × (Distance C) + 0.6 × (Distance D) which yielded an R2 value of 0.3.ConclusionsThe formula proposed for proper depth of the adult, 25.0 + 0.5 × (clavicle length) + 0.6 × (sternum length) for PICC insertion can be used to place the tip at the carina bifurcation level. The distance from elbow crease to catheter insertion point should be added to the length generated by this formula.

show abstract

“…The initial successful placement of the PICC through the use of a simple bedside technique is important because incorrect placement may cause several manipulations, increase the chance of radiation exposure and contrast material use in the angiographic suite, increase the chance of multiple chest radiographs, and delay the progress of treatment (13). The trimming method for the appropriate PICC length, in accordance with the described above, can be a very useful method for decreasing the procedure time and chance of fluoroscopic exposure (6). The reported success rate of non-fluoroscopic PICC insertion has been variable, ranging from 37% to 99% (14, 15).…”

Section: Discussionmentioning

confidence: 99%

“…1). The equation to determine the appropriate length for trimming the PICC was based on the cubital crease to carina length (CCL), which is equal to the distance from the cubital crease to the puncture point + the length of the PICC inside the body—the distance from the carina to the catheter tip on post-procedural chest radiograph (6). This method is described as the non-fluoroscopic PICC insertion method because successful insertion of the full length of the PICC was performed without any fluoroscopic exposure or guidewire assistance in a single-step procedure at the bedside or angiographic suite.…”

Section: Methodsmentioning

confidence: 99%

Which Arm and Vein are more Appropriate for Single-Step, Non-Fluoroscopic, Peripherally Inserted Central Catheter Insertion?

et al. 2015

Self Cite

View full text Add to dashboard Cite

show abstract

Useful Equation for Proper Estimate of Left Side Peripherally Inserted Central Venous Catheter Length in Relation to the Height

Abstract: The equation of our study would provide a new equation for proper estimation of catheter length in case of bedside insertion of left arm PICC in relation to height and be helpful for optimal positioning of catheter tip of PICC.

Cited by 12 publications

References 24 publications

Comparison of formula‐based PICC catheterisation versus common method for the treatment of newborns

Comparison of formula‐based PICC catheterisation versus common method for the treatment of newborns

Simplified equation for determining proper depth of peripherally inserted central catheter in relation to anatomical landmarks

Which Arm and Vein are more Appropriate for Single-Step, Non-Fluoroscopic, Peripherally Inserted Central Catheter Insertion?

Contact Info

Product

Resources

About