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1 "In Sung Moon"
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Original Article
Surgery
Outcomes of bedside peripherally inserted central catheter placement: a retrospective study at a single institution
Sukyung Kwon, Soo mi Son, Seul Hee Lee, Joung Hee Kim, Hyangkyoung Kim, Jang Yong Kim, Ji Il Kim, In Sung Moon
Acute Crit Care. 2020;35(1):31-37.   Published online February 11, 2020
DOI: https://doi.org/10.4266/acc.2019.00731
  • 6,365 View
  • 225 Download
  • 11 Web of Science
  • 16 Crossref
AbstractAbstract PDF
Background
Bedside insertion of peripherally inserted central catheters (PICCs) has higher rates of malposition than fluoroscopic-guided PICC placement. This study evaluated the success rate of bedside PICC placement, variations in tip location, and risk factors for malposition. Methods: This retrospective study included patients who underwent bedside PICC placement from January 2013 to September 2014 in a single institution. The procedure was conducted under ultrasound guidance or by a blind method. After PICC placement, tip location was determined by chest X-ray. Results: The overall venous access success rate with bedside PICC placement was 98.1% (1,302/ 1,327). There was no significant difference in the venous access success rate between ultrasound-guided placement (868/880, 98.6%) and a blind approach placement (434/447, 97.1%). Optimal tip position was achieved on the first attempt in 1,192 cases (91.6%). Repositioning was attempted in 65 patients; 60 PICCs were repositioned at the bedside, two PICCs were repositioned under fluoroscopic guidance, and three PICCs moved to the desired position without intervention. Final optimal tip position after repositioning was achieved in 1,229 (94.4%). In logistic regression analysis, five factors associated with tip malposition included female sex (Exp(B), 1.687; 95% confidence interval [CI], 1.180 to 2.412; P=0.004), older age (Exp(B), 1.026; 95% CI, 1.012 to 1.039; P<0.001), cancer (Exp(B), 0.650; 95% CI, 0.455 to 0.929; P=0.018), lung disease (Exp(B), 2.416; 95% CI, 1.592 to 3.666; P<0.001), and previous catheter insertions (Exp(B), 1.262; 95% CI, 1.126 to 1.414; P<0.001). Conclusions: Bedside PICC placement without fluoroscopy is effective and safe in central venous catheters. Potential risk factors associated with catheter tip malposition include older age, female sex, cancer, pulmonary disease, and previous central vein catheterizations.

Citations

Citations to this article as recorded by  
  • The Outcomes of Peripherally Inserted Central Catheter (PICC) Insertion in Pediatric Patients at Siriraj Hospital
    Niracha Wongchompoo, Khanita Kasikan, Prasert Sawasdiwipachai
    Siriraj Medical Journal.2024; 76(3): 135.     CrossRef
  • Factors Associated with Successful First-attempt Puncture in Pediatric Patients Undergoing Ultrasound-guided Peripherally Inserted Central Catheter
    Midan Zhang, Xiaofei Chen, Hongqin Zhou, Meifang Xu
    Innovative Journal of Pediatrics.2023;[Epub]     CrossRef
  • Factors Associated with Successful First-attempt Puncture in Pediatric Patients Undergoing Ultrasound-guided Peripherally Inserted Central Catheter
    Midan Zhang, Xiaofei Chen, Hongqin Zhou, Meifang Xu
    Iranian Journal of Pediatrics.2023;[Epub]     CrossRef
  • Feasibility of Ultrasound-Guided, Peripherally Inserted Central Catheter Placement at the Bedside in a Communicable-Disease Isolation Unit
    Kyoung Won Yoon, Wongook Wi, Moon Suk Choi, Eunmi Gil, Chi-Min Park, Keesang Yoo
    Journal of Personalized Medicine.2023; 13(5): 863.     CrossRef
  • Development and validation of an updated PICC length prediction formula based on anteroposterior chest radiographs for the ultrasound-guided bedside placement
    Hyoung Nam Lee, Sangjoon Lee, Sung-Joon Park, Youngjong Cho, Hwan Hoon Chung, Robert Jeenchen Chen
    PLOS ONE.2023; 18(11): e0294598.     CrossRef
  • Analysis of tip malposition and correction of peripherally inserted central catheters under ultrasound-guidance: 5-year outcomes from a single center
    Eunju Jang, Soo Mi Son, Ki-yoon Moon, Seunghoon Lee, Hong Seok Han, Sun Cheol Park, Jang Yong Kim, Sang Seob Yun
    The Journal of Vascular Access.2023;[Epub]     CrossRef
  • Precision at the Bedside: Practical Efficacy of Clockwise Catheter Torque for Accurate Tip Positioning of Peripherally Inserted Central Catheters
    Masayuki Akatsuka, Eriko Sugiyama
    Cureus.2023;[Epub]     CrossRef
  • Guidewire-Assisted Reduction Technology Combined with Postural Reduction Improves the Success Rate of Internal Vein Catheterisation
    Feng-Xian Li, Yan-Ping Li, Hong-Yang Zhang, Mei-Jing Tian, Huan-Huan Gao, Gui-Juan Zhang, Peng Su, Daniel Espino
    Journal of Healthcare Engineering.2022; 2022: 1.     CrossRef
  • Therapeutic Effect of Ultrasound-Guided Peripherally Inserted Central Catheter Combined with Predictive Nursing in Patients with Large-Area Severe Burns
    Baiyan He, Aiqiong Zhang, Shuting He, Pan Zheng
    Computational and Mathematical Methods in Medicine.2022; 2022: 1.     CrossRef
  • Bedside peripherally inserted central catheter placement: focus on the procedure
    Dong Hun Kim
    Trauma Image and Procedure.2022; 7(1): 21.     CrossRef
  • Validation of the PICC length prediction formula based on anteroposterior chest radiographs for bedside ultrasound-guided placement
    Youngjong Cho, Sangjoon Lee, Sung-Joon Park, Hyoung Nam Lee, Hwan Hoon Chung, Robert Jeenchen Chen
    PLOS ONE.2022; 17(11): e0277526.     CrossRef
  • Feasibility of Peripherally Inserted Central Catheter Placement in COVID-19 Patients Isolated in the Intensive Care Unit of a Small Volume Center (291-Bed Hospital)
    Min Chang Kang, Kyungwon Lee
    Journal of Acute Care Surgery.2022; 12(3): 125.     CrossRef
  • Prevalence of complications associated with the use of a peripherally inserted central catheter in newborns: A systematic review protocol
    Edienne Rosângela Sarmento Diniz, Kleyton Santos de Medeiros, Richardson Augusto Rosendo da Silva, Ricardo Ney Cobucci, Angelo Giuseppe Roncalli, Raffaele Serra
    PLOS ONE.2021; 16(7): e0255090.     CrossRef
  • Ultrasound-guided insertion of peripherally inserted central catheter after anesthetic induction in children undergoing surgery for moyamoya disease - Thirty cases report-
    Sang-Hwan Ji, Sol Ji Yoo, Sung-Ae Cho, Young-Eun Jang, Eun-Hee Kim, Ji-Hyun Lee, Jin-Tae Kim, Hee-Soo Kim
    Anesthesia and Pain Medicine.2021; 16(3): 273.     CrossRef
  • Comparing the accuracy and complications of peripherally inserted central catheter (PICC) placement using fluoroscopic and the blind pushing technique
    Brendan Erskine, Pierre Bradley, Tim Joseph, Sabrina Yeh, Warren Clements
    Journal of Medical Radiation Sciences.2021; 68(4): 349.     CrossRef
  • Pneumothorax as a rare complication of peripherally inserted central catheter (PICC) in neonates: A case report study
    Rasoul Goli, Sina Zafarmokhtarian, Mahmoodreza Ghalandari, Navid Babakeshi-sheytanabad, Sajjad Rostami, Hossna Farajollahi
    International Journal of Surgery Case Reports.2021; 88: 106472.     CrossRef

ACC : Acute and Critical Care