Malposition of peripherally inserted central catheter: Experience from 3,012 patients with cancer

作者: LINPING SONG , HUI LI

DOI: 10.3892/ETM.2013.1267

关键词: Jugular veinHealth professionalsMedicineSubclavian veinPeripherally inserted central catheterCancerIn patientSurgerySuperior vena cavaAxillary vein

摘要: The aim of this study was to observe and analyze the causes misplacement peripherally inserted central catheters (PICCs) in patients with cancer. A total 3,012 who underwent insertion a PICC were reviewed from August 2000 March 2012. locations tube tips recorded by chest X-ray examination. Malposition observed 237 cases (7.87%), most frequently occurring site being jugular vein, followed axillary vein. By taking different remedies, all malpositioned PICCs relocated back superior vena cava or subclavian In order ensure safe usage PICCs, strict placement guidelines, skilled experienced healthcare professionals cooperation patient is necessary.

参考文章(13)
C Andersen, J Hart, P Vemgal, C Harrison, Mercy Neonatal Nosocomial Infection Working Group, Prospective evaluation of a multi-factorial prevention strategy on the impact of nosocomial infection in very-low-birthweight infants Journal of Hospital Infection. ,vol. 61, pp. 162- 167 ,(2005) , 10.1016/J.JHIN.2005.02.002
Alvin J Yamamoto, Jeffrey A Solomon, Michael C Soulen, James Tang, Kim Parkinson, Richard Lin, Gregory J Schears, None, Sutureless securement device reduces complications of peripherally inserted central venous catheters. Journal of Vascular and Interventional Radiology. ,vol. 13, pp. 77- 81 ,(2002) , 10.1016/S1051-0443(07)60012-8
Geng Tian, Yan Zhu, Li Qi, Fengqin Guo, Haidan Xu, Efficacy of multifaceted interventions in reducing complications of peripherally inserted central catheter in adult oncology patients Supportive Care in Cancer. ,vol. 18, pp. 1293- 1298 ,(2010) , 10.1007/S00520-009-0747-7
Regina Seery Cunningham, T.S. Ravikumar, A Review of Peripherally Inserted Central Venous Catheters in Oncology Patients Surgical Oncology Clinics of North America. ,vol. 4, pp. 429- 441 ,(1995) , 10.1016/S1055-3207(18)30435-6
Ryder Ma, Peripherally inserted central venous catheters. Nursing Clinics of North America. ,vol. 28, pp. 937- 971 ,(1993)
P Clarke, R Wadhawan, J Smyth, AJ Emmerson, Parenteral nutrition solution retrieved by lumbar puncture following left saphenous vein catheterization. Journal of Paediatrics and Child Health. ,vol. 39, pp. 386- 389 ,(2003) , 10.1046/J.1440-1754.2003.00160.X
L James, L C Hadaway, L Bledsoe, A retrospective look at tip location and complications of peripherally inserted central catheter lines. Journal of intravenous nursing. ,vol. 16, pp. 104- 109 ,(1993)
Narendra Aladangady, Rahul Roy, Kate L Costeloe, The cobweb sign: percutaneous silastic long line tip placement in tributaries of superficial veins. Journal of Perinatology. ,vol. 25, pp. 671- 673 ,(2005) , 10.1038/SJ.JP.7211355
Louise J. Walshe, Sharp F. Malak, Janet Eagan, Kent A. Sepkowitz, Complication Rates Among Cancer Patients With Peripherally Inserted Central Catheters Journal of Clinical Oncology. ,vol. 20, pp. 3276- 3281 ,(2002) , 10.1200/JCO.2002.11.135
Sergio G Golombek, Annie J Rohan, Boriana Parvez, Anne L Salice, Edmund F LaGamma, “Proactive” Management of Percutaneously Inserted Central Catheters Results in Decreased Incidence of Infection in the ELBW Population Journal of Perinatology. ,vol. 22, pp. 209- 213 ,(2002) , 10.1038/SJ.JP.7210660