Double lumen picc line6/26/2023 Furthermore, PICC insertion in the upper mid-arm is characterized by an easy dressing of the exit site, this benefit being particularly evident in patients with tracheostomy. PICC insertion can be carried out with no risk of pleura-pulmonary damage and with no clinically significant risk of local hemorrhage or hematoma, if compared with standard central venous catheters (CVCs). The use of peripherally inserted central catheters (PICCs) has many theoretical advantages in the ICU setting because these devices are associated with low-risk insertion, even in patients with altered coagulation and/or difficult neck anatomy. Their maintenance is associated with an extremely low rate of infective and non-infective complications. Their insertion is successful in 100% of cases and is not associated with significant risks, even in patients with coagulation disorders. Power-injectable PICCs have many advantages in the ICU: they can be used as multipurpose central lines for any type of infusion including high-flow infusion, for hemodynamic monitoring, and for high-pressure injection of contrast media during radiological procedures. ![]() There was one episode of symptomatic thrombosis during the stay in the ICU and one episode after transfer of a patient to a non-intensive ward. Non-infective complications during management were not clinically significant. There were no major complications at insertion and no episodes of catheter-related bloodstream infection. We collected 89 power-injectable PICCs (in adults and in children), both multiple and single lumen. ![]() We retrospectively reviewed all of the power-injectable PICCs inserted in adult and pediatric patients in the ICU during a 12-month period, focusing on the rate of complications at insertion and during maintenance. Some limits of PICCs (such as low flow rates) may be overcome with the use of power-injectable catheters. In the ICU, peripherally inserted central catheters (PICCs) may be an alternative option to standard central venous catheters, particularly in patients with coagulation disorders or at high risk for infection.
0 Comments
Leave a Reply. |