This is a cross-sectional study aiming to identify the initial tip position of peripherally inserted central catheters (PICC) and to verify the prevalence of success in inserting such catheters in neonates. The study was carried out in the neonatal care unit of Hospital das Clinicas, Universidade de São Paulo. Data were collected prospectively from March to September 2006. 37 neonates underwent...

The study aimed to analyze the history of the use of the peripherally inserted central catheters in adult patients admitted to hospital from 2000 to 2007. The historical cohort approach was used with retrospective data collection from medical records of the Catheter Group of the Moinhos de Vento Hospital Association in Porto Alegre, RS, totaling 229 catheters inserted. The growth curve in the u...

BACKGROUND Procedural pain relief is sub-optimal in infants, especially small and vulnerable ones. Tetracaine gel 4% (Ametop, Smith-Nephew) provides pain relief in children and larger infants, but its efficacy in smaller infants and for peripherally inserted central catheters (PICC) remains uncertain. The objective of this trial was to assess the safety and efficacy of tetracaine gel on the pai...

Background. PICC use may have lower risk of BSI compared to other central catheters but little data exist regarding risks for PICC associated BSI. This study evaluates risks for PICC BSI among patients (pts) at an academic hospital. Methods. PICC BSI rate was calculated among all pts with PICCs inserted between July 2009-July 2012. A nested case control study (1:3 ratio of PICC BSI cases to no ...

Methods All laboratory confirmed blood cultures from the NICU were evaluated to determine CLABSI using the National Healthcare Safety Network (NHSN) definition prior and after 2008.The PICC team are specific bedside nurses trained to insert, monitor insertion site and line removal. They use age/weight specific skin antiseptics (2% CHG, 0.5% and 2% CHG in 70% alcohol) with designated equipment. ...

The aim of this study was to observe and analyze the causes of misplacement of peripherally inserted central catheters (PICCs) in patients with cancer. A total of 3,012 patients who underwent insertion of a PICC were reviewed from August 2000 to March 2012. The locations of the tube tips were recorded by chest X-ray examination. Malposition of the PICC was observed in 237 cases (7.87%), with th...

BACKGROUND Placing a central venous access device via the internal jugular or subclavian vein entails significant risks to both patient and healthcare worker. PURPOSE The purpose of this randomized, prospective study was to determine whether the accelerated Seldinger technique (AST) offers significant safety advantages over the modified Seldinger technique (MST) for peripherally inserted cent...

Peripherally inserted central venous catheters (PICCs) are widely used in cancer patients. Although PICC is a convenient tool, its use is associated with an obvious increase in the incidence of venous thrombosis. The risk factors for deep vein thrombosis associated with the use of PICCs in cancer patients are largely unexplored. This study aimed to investigate the incidence of PICC-associated t...