Tip orientation under real-time point-of-care neck ultrasonic monitoring is advantageous in peripherally inserted central catheter procedures: a retrospective cohort study
Abstract. Background. We analyzed the success and catheter tip malposition rates of peripherally inserted central catheter (PICC) placement using ultrasonic monitoring. Methods. A total of 564 patients were recruited and assigned to either the intervention or control group. In the intervention group...
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| Language: | English |
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Wolters Kluwer Health/LWW
2023-06-01
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| Series: | Emergency and Critical Care Medicine |
| Online Access: | http://journals.lww.com/10.1097/EC9.0000000000000093 |
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| author | Shuiqing Liu Shaowei Jiang Jing Ma Feng Qian Chengjin Gao |
| author_facet | Shuiqing Liu Shaowei Jiang Jing Ma Feng Qian Chengjin Gao |
| author_sort | Shuiqing Liu |
| collection | DOAJ |
| description | Abstract. Background. We analyzed the success and catheter tip malposition rates of peripherally inserted central catheter (PICC) placement using ultrasonic monitoring.
Methods. A total of 564 patients were recruited and assigned to either the intervention or control group. In the intervention group, 282 patients underwent ultrasound-guided PICC insertion, which helped to identify the position and depth of the catheter tip. From a total of 9000 patients, 282 were selectively chosen to receive the traditional method using body surface measurements (control group). The primary endpoint was the success rate; the secondary endpoint was the catheter tip malposition rate as detected by postprocedure chest radiography.
Results. In the intervention group, a total of 94 catheters were in a suboptimal position; 26 were too deep, 68 were too shallow, and 1 was inserted into the subclavian vein, with success and malposition rates of 66.3% and 0.4%, respectively. In the control group, 139 catheters were in a suboptimal position; 88 were too deep, 51 were too shallow, 9 were inserted into the jugular vein, and 2 were inserted into the subclavian vein, with success and malposition rates of 46.8% (P < 0.001) and 3.9% (P = 0.004), respectively. Significant differences were observed in success and malposition rates between the 2 groups.
Conclusion. Ultrasound-guided PICC procedures achieved higher success rates and lower malposition rates. |
| format | Article |
| id | doaj-art-c1fab913e99345faa892104a54995020 |
| institution | OA Journals |
| issn | 2097-0617 2693-860X |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Emergency and Critical Care Medicine |
| spelling | doaj-art-c1fab913e99345faa892104a549950202025-08-20T02:08:11ZengWolters Kluwer Health/LWWEmergency and Critical Care Medicine2097-06172693-860X2023-06-0132576310.1097/EC9.0000000000000093202306000-00004Tip orientation under real-time point-of-care neck ultrasonic monitoring is advantageous in peripherally inserted central catheter procedures: a retrospective cohort studyShuiqing Liu0Shaowei Jiang1Jing Ma2Feng Qian3Chengjin Gao4a Department of Ultrasound, The Third Affiliated Hospital of Soochow University, Changzhou, Chinab Department of Emergency, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, Chinac Department of Pharmacy, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.a Department of Ultrasound, The Third Affiliated Hospital of Soochow University, Changzhou, Chinab Department of Emergency, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaAbstract. Background. We analyzed the success and catheter tip malposition rates of peripherally inserted central catheter (PICC) placement using ultrasonic monitoring. Methods. A total of 564 patients were recruited and assigned to either the intervention or control group. In the intervention group, 282 patients underwent ultrasound-guided PICC insertion, which helped to identify the position and depth of the catheter tip. From a total of 9000 patients, 282 were selectively chosen to receive the traditional method using body surface measurements (control group). The primary endpoint was the success rate; the secondary endpoint was the catheter tip malposition rate as detected by postprocedure chest radiography. Results. In the intervention group, a total of 94 catheters were in a suboptimal position; 26 were too deep, 68 were too shallow, and 1 was inserted into the subclavian vein, with success and malposition rates of 66.3% and 0.4%, respectively. In the control group, 139 catheters were in a suboptimal position; 88 were too deep, 51 were too shallow, 9 were inserted into the jugular vein, and 2 were inserted into the subclavian vein, with success and malposition rates of 46.8% (P < 0.001) and 3.9% (P = 0.004), respectively. Significant differences were observed in success and malposition rates between the 2 groups. Conclusion. Ultrasound-guided PICC procedures achieved higher success rates and lower malposition rates.http://journals.lww.com/10.1097/EC9.0000000000000093 |
| spellingShingle | Shuiqing Liu Shaowei Jiang Jing Ma Feng Qian Chengjin Gao Tip orientation under real-time point-of-care neck ultrasonic monitoring is advantageous in peripherally inserted central catheter procedures: a retrospective cohort study Emergency and Critical Care Medicine |
| title | Tip orientation under real-time point-of-care neck ultrasonic monitoring is advantageous in peripherally inserted central catheter procedures: a retrospective cohort study |
| title_full | Tip orientation under real-time point-of-care neck ultrasonic monitoring is advantageous in peripherally inserted central catheter procedures: a retrospective cohort study |
| title_fullStr | Tip orientation under real-time point-of-care neck ultrasonic monitoring is advantageous in peripherally inserted central catheter procedures: a retrospective cohort study |
| title_full_unstemmed | Tip orientation under real-time point-of-care neck ultrasonic monitoring is advantageous in peripherally inserted central catheter procedures: a retrospective cohort study |
| title_short | Tip orientation under real-time point-of-care neck ultrasonic monitoring is advantageous in peripherally inserted central catheter procedures: a retrospective cohort study |
| title_sort | tip orientation under real time point of care neck ultrasonic monitoring is advantageous in peripherally inserted central catheter procedures a retrospective cohort study |
| url | http://journals.lww.com/10.1097/EC9.0000000000000093 |
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