Peripherally Inserted Central Catheter in Trauma Patients: Early Experience at a Single Institute
Journal of Acute Care Surgery
; (2): 69-74, 2017.
Article
em Ko
| WPRIM
| ID: wpr-648632
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: A peripherally inserted central catheter (PICC) provides effective, reliable intravenous access in patients who require long term therapy such as intravenous antibiotics, total parenteral nutrition, transfusion or inotropic agents. This retrospective study evaluated the usefulness of PICC in trauma patients by examining patient characteristics and common complications, including PICC related bloodstream infection. METHODS: We reviewed the trauma patients who underwent PICC at Pusan National University Hospital Trauma Center from January 2016 to February 2017. RESULTS: From January 2016 to February 2017, 32 patients underwent PICC. Total catheter insertion days were 875 days, and the average catheter indwelling time was 27.3±25.02 days. The most common indication for PICC was total parenteral nutrition (n=20, 62.5%), while the remainder was to ensure a long-term fluid administration route (n=12, 37.5%). Catheter related complications included infection (n=3, 9.4%; 3.42 per 1,000 catheter-days), catheter tip malposition (n=2, 6.3%), catheter dislodgement (n=1, 3.1%), insertion site leakage (n=1, 3.1%) and arm swelling (n=1, 3.1%). No statistically significant differences were found between those who developed bloodstream infection and those who did not. CONCLUSION: If the PICC is performed by correcting adjustable factors that increase the risk of infection, effective and reliable intravenous access can be maintained in patients who require long-term therapy without bleeding, pneumothorax, or other complications of central venous catheter insertion.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Braço
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Pneumotórax
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Centros de Traumatologia
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Estudos Retrospectivos
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Nutrição Parenteral Total
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Catéteres
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Cateteres Venosos Centrais
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Hemorragia
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Antibacterianos
Tipo de estudo:
Observational_studies
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Risk_factors_studies
Limite:
Humans
Idioma:
Ko
Ano de publicação:
2017
Tipo de documento:
Article