Pilot study of peripheral internal jugular venous catheters on a hospitalist-run medicine procedure service.
J Hosp Med
; 19(1): 31-34, 2024 01.
Article
em En
| MEDLINE
| ID: mdl-37751415
ABSTRACT
Providers caring for hospitalized patients with difficult intravenous access (DIVA) frequently use central venous catheters (CVCs). One potential alternative is a peripheral internal jugular (PIJ) catheter, which is less traumatic to place and has fewer lumens than a CVC. We describe the results of 2 years' experience from a pilot project of a medicine procedure service placing PIJ catheters in hospitalized patients with DIVA. We successfully placed 34/35 (97%) PIJ catheters in 32 patients with zero complications. Median duration of use was 2.5 days (range 0-53 days, IQR 1-5). Catheter failure rate within 7 days was 32.4%, though it varied across catheter types 9.5% in 8-10 cm midline catheters versus 69.2% (p < .001) in 6 cm angiocatheter wire introducers or shorter peripheral intravenous catheters. Our results suggest that PIJ catheters may be an option to reduce the mechanical and infectious risks associated with CVCs in some hospitalized patients with DIVA.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cateterismo Venoso Central
/
Cateterismo Periférico
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Médicos Hospitalares
/
Cateteres Venosos Centrais
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article