Your browser doesn't support javascript.
loading
PICC line management among patients with chronic kidney disease.
Oza-Gajera, Bharvi P; Davis, James A; Farrington, Crystal; Lerma, Edgar V; Moossavi, Shahriar; Sheta, Mohamed A; Dwyer, Amy; Almehmi, Ammar.
Afiliação
  • Oza-Gajera BP; University of Cincinnati, Cincinnati, OH, USA.
  • Davis JA; Washington University North County Dialysis, St. Louis, MO, USA.
  • Farrington C; University of Alabama at Birmingham, Birmingham, AL, USA.
  • Lerma EV; Section of Nephrology, University of Illinois at Chicago College of Medicine, Chicago, CA, USA.
  • Moossavi S; Wake Forest School of Medicine, Winston-Salem, NC, USA.
  • Sheta MA; Global Vascular Access Center, Houston, TX, USA.
  • Dwyer A; University of Louisville, Louisville, KY, USA.
  • Almehmi A; University of Alabama at Birmingham, Birmingham, AL, USA.
J Vasc Access ; 24(2): 329-337, 2023 Mar.
Article em En | MEDLINE | ID: mdl-34218708
More than 1 million peripherally inserted central catheters (PICC) are placed annually in the US and are used to provide convenient vascular access for a variety of reasons including long term antibiotic treatment, chemotherapy, parenteral nutrition, and blood draws. Although they are relatively easy to place and inexpensive, PICC line use is associated with many complications such as phlebitis/thrombophlebitis, venous thrombosis, catheter-related infection, wound infection, and central vein stenosis. These complications are far more deleterious for patients with chronic kidney disease (CKD) whose lives depend on a functioning hemodialysis access once they reach end stage kidney disease (ESKD). Despite recent guidelines to avoid PICC lines in CKD and ESKD patients, clinical use remains high. There is an ongoing urgency to educate and inform health care providers and the CKD patients themselves in preserving their venous real estate. In this article, we review AV access and PICC line background, complications associated with PICC lines in the CKD population, and recommendations for alternatives to placing a PICC line in this vulnerable patient population.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cateterismo Venoso Central / Cateterismo Periférico / Trombose Venosa / Insuficiência Renal Crônica / Infecções Relacionadas a Cateter / Cateteres Venosos Centrais / Falência Renal Crônica Tipo de estudo: Guideline Limite: Humans Idioma: En Revista: J Vasc Access Assunto da revista: ANGIOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cateterismo Venoso Central / Cateterismo Periférico / Trombose Venosa / Insuficiência Renal Crônica / Infecções Relacionadas a Cateter / Cateteres Venosos Centrais / Falência Renal Crônica Tipo de estudo: Guideline Limite: Humans Idioma: En Revista: J Vasc Access Assunto da revista: ANGIOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos