scholarly journals Assessing the effect of multiple peripherally inserted central catheter insertions in a pediatric population: a single-center retrospective review

2017 ◽  
Vol 28 (2) ◽  
pp. S7-S8
Author(s):  
C Li ◽  
J Babb ◽  
D Sridhar
2020 ◽  
Author(s):  
Li-Xian Chang ◽  
Yu-Wen Chen ◽  
Meng-Chuan Wang ◽  
Su-Yu Zhao ◽  
Min Wang ◽  
...  

Abstract Background: The peripherally inserted central catheter (PICC) has been widely used. However, there is still a lack of large sample size-based relevant risk factor investigation in children with blood diseases in china. Methods: We performed a retrospective, the single-center cohort study of child blood disease patients with PICC insertion. Totally, 2974 patients were enrolled for our study. Results: B-ultrasound plus Seldinger technology significantly improved the success rate of PICC insertion. The most common non-infectious complications were rash, followed by catheter blockage, mechanical phlebitis, and catheter broke. the male, 1-3 years old, Power PICC solo catheter and spring are risk factors for the rash. The power PICC solo catheter was the most important risk factor for catheter blockage. Insertion site under the elbow was the most important risk factor for phlebitis and catheter damage. Conclusion: Our finding first shed new light on the risk factors associated with PICC complications for Chinese blood disease children.


2003 ◽  
Vol 142 (2) ◽  
pp. 141-144 ◽  
Author(s):  
Lionel M.L. Chow ◽  
Jeremy N. Friedman ◽  
Colin MacArthur ◽  
Ricardo Restrepo ◽  
Michael Temple ◽  
...  

2011 ◽  
Vol 16 (2) ◽  
pp. 86-93 ◽  
Author(s):  
Stephanie Juanita Klee

Abstract Introduction: The peripherally inserted central catheter (PICC) is being used more frequently in pediatric populations in both hospital and home care settings in order to provide secure vascular access. In 2007, the Power PICC was introduced to pediatric populations. In contrast to traditional PICCs, the power injectable PICC withstands higher flow rates and can deliver contrast injections. Although effectiveness studies of power injectable PICCs have been performed in adults, only limited published research is available regarding pediatric populations. Purpose: This study aimed to develop criteria for identifying the ideal pediatric candidate for the power injectable PICC. A secondary aim was to identify contraindications and barriers to power injectable catheter use in pediatric populations. Methods: Retrospective and prospective chart reviews were used to analyze complication rates for 97 power injectable PICCs placed in patients aged 4 months to 17 years. Results: A low incidence of catheter complications was identified during and post- insertion. Our documented infection rate of 1.30 per 1000 catheter days was similar to the infection rate of 1.27 per 1000 catheter days found in the Abedin & Kapoor (2008) study. Discussion: The introduction into a pediatric hospital of power injectable PICCs for power injection scans for contrast injection was safe and effective in patients with many disease processes. Conclusion: In properly selected pediatric patients, the power injectable PICC is not associated with an increased risk to thrombosis or infection and can improve patient outcome.


Author(s):  
Hirotaka Sakai ◽  
Mitsunaga Iwata ◽  
Teruhiko Terasawa

Abstract The Michigan peripherally inserted central catheter–associated bloodstream infection score (MPC score) had been developed for hospitalized medical patients but had not been externally validated. A retrospective analysis of a clinically heterogeneous case-mix in a university hospital cohort in Japan failed to validate its originally reported good performance.


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