Comparing PICC with short peripheral IV catheter for chemotherapy

Comparing PICC with short peripheral IV catheter for chemotherapy “Routine PICC insertion in terminally ill cancer patients was comparable in safety and efficacy and resulted in superior satisfaction compared with usual IV access” Park et al (2020). Abstract: Purpose: The purpose of this study was to investigate whether routine insertion of PICC at admission to …

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Impact and Safety Associated with Accidental Dislodgement of Vascular Access Devices: A Survey of Professions, Settings, and Devices

Abstract Background Dislodgement rates with intravenous catheters are reported at 1.8%-24% events per year resulting in failed access, interrupted treatment, and greater resource consumption with catheter replacement. The purpose of this study was to quantitatively evaluate the perceptions of frequency, impact, contributing factors, and safety issues from accidental dislodgement affecting intravenous (IV) devices as reported by healthcare clinicians. …

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Supline to upright? Patient position during PICC insertion

Influence of arm position on electrocardiogram.

Influence of arm position change from adduction to abduction on intracavitary electrocardiogram. Abstract PURPOSE: The aim of this study is to evaluate the influence of arm movements from adduction to abduction on intracavitary electrocardiogram and the position of a catheter tip. METHODS: Overall, 192 peripherally inserted central catheter lines were placed under intracavitary electrocardiogram guidance …

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The effect of oral hydration and localised heat on peripheral vein diameter and depth: A randomised controlled trial

Background: Accessing the peripheral veins for blood sampling and short-term peripheral intravenous catheter insertion is common in contemporary healthcare. Clinicians may apply heat or promote oral hydration to increase vein diameter and subsequently reveal veins to improve success rates. However, only limited research has examined the effect of these interventions on vein diameter and depth. …

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PIV Care – What you do (or don’t do) matters to patients

Nurses and midwives care for peripheral intravenous catheters (PIVs) daily in most health-care settings. Rates of PIV failure before the end of treatment are high and this disrupts treatment and is distressing for patients. Patient participation and engagement is a core aspect of maintaining safe, quality health service standards. Understanding patients’ perspectives of the PIV insertion …

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Self-management of peripherally inserted central catheters after patient discharge via the WeChat smartphone application: A systematic review and meta-analysis

WeChat is a smartphone application that may help patients self-manage peripherally inserted central catheters (PICC), although additional data are needed regarding this topic. This systematic review and meta-analysis aimed to determine whether WeChat helped improve PICC-related complications, self-care ability, PICC maintenance dependency in that the behavior of a patient is in compliance with a doctor’s …

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The microbiological characteristics and risk factors for PICC-related bloodstream infections in intensive care unit

The study was aimed to investigate the pathogens distribution and risk factors for PICC-related bloodstream infection in intensive care unit (ICU) patients. 402 patients placed with PICC in ICU were recruited in the study. The microbiological characteristics of PICC-related infection were investigated by Vitek 2 Compact automated microbial system. Antibiotics sensitivity was performed with disk …

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Setting Priorities for Optimizing Vascular Access Decision Making – An International Survey of Patients and Clinicians

Many decisions around vascular access for haemodialysis warrant a collaborative treatment decision­making process, involving both clinician and patient. Yet, patients’ experiences in this regard have been suboptimal. Although clinical practice guidelines could facilitate collaborative decision making, they often focus on the clinicians’ side of the process, while failing to address the patients’ perspective. The objective …

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Rapid Central Vein Assessment (RaCeVA): A systematic, standardised approach for ultrasound assessment before central venous catheterisation

Ultrasound technology has revolutionised the practice of safer vascular access, for both venous and arterial cannulation. There is evidence that ultrasound offers significant advantages in patient safety and procedural quality during the placement of central venous access devices. Having the ability to visualise underlying structures of the chest, neck, and upper/lower extremities, provides for greater …

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Complications with peripherally inserted central catheters (PICCs) used in hospitalised patients and outpatients: a prospective cohort study

Peripherally Inserted Central Catheters (PICCs) are widely used for hospitalised patients and among outpatients. Despite many advantages, PICC-related complications can occur such as infection, thrombosis or mechanical complications. This study aims to evaluate rates and nature of PICC-related complications from insertion to removal, and analyse risk factors of complications at baseline and during healthcare. Read …

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