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central venous access, central venous catheter, PICC, catheter related deep vein thrombosis

Vineet Chopra, Latoya Kuhn, David Ratz, Scott A Flanders, Sarah L Krein
BACKGROUND: Peripherally inserted central catheters (PICCs) are increasingly used in hospitalized patients. Yet, little is known about the vascular access nurses who often place them. METHODS: We conducted a Web-based survey to assess vascular access nursing experience, practice, knowledge, and beliefs related to PICC insertion and care in 47 Michigan hospitals. RESULTS: The response rate was 81% (172 received invitations, 140 completed the survey)...
April 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
Vineet Chopra, Nabil Fallouh, Helen McGuirk, Brian Salata, Christina Healy, Zhyldyz Kabaeva, Shawna Smith, Jennifer Meddings, Scott A Flanders
BACKGROUND: Peripherally inserted central catheters (PICCs) are associated with upper extremity-deep vein thrombosis (DVT). However, patterns, risk factors and treatment associated with this event remain poorly defined. OBJECTIVE: To determine patterns, risk factors and treatment related to PICC-DVT in hospitalized patients. DESIGN, SETTING & PATIENTS: Between 2012-2013, consecutive cases of ultrasound-confirmed, symptomatic PICC-DVT were identified...
May 2015: Thrombosis Research
Rhonda E Maneval, Bonnie J Clemence
This is the second part of a 2-part series that reports on the results of a prospective observational cohort study designed to examine risk factors associated with symptomatic upper extremity deep vein thrombosis (UEDVT) in patients with peripherally inserted central catheters (PICCs). Part 1, published in the May/June 2014 issue of the Journal of Infusion Nursing, provided an extensive review and critique of the literature regarding risk factors associated with catheter-related UEDVT and identified 28 suspected risk factors...
July 2014: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
Maralee Kanin, Guy Young
INTRODUCTION: The recent proliferation of deep vein thrombosis in children has been attributed to the increased use of central venous catheters, specifically tunneled lines and peripherally inserted central catheters. A formal comparison of the incidence rate for deep vein thrombosis between tunneled lines and peripherally inserted central catheters has not been undertaken. METHODS: Children < 18 years of age who were admitted to Children's Hospital Los Angeles from July, 2005 to July, 2012 were eligible for inclusion...
November 2013: Thrombosis Research
Rodica Elena Petrea, Feliks Koyfman, Aleksandra Pikula, Jose Rafael Romero, Jason Viereck, Viken L Babikian, Carlos S Kase, Thanh N Nguyen
BACKGROUND: Patent foramen ovale (PFO) has been associated with cryptogenic stroke, particularly in young adults. However, the source of particles leading to cerebral embolism remains frequently unknown despite comprehensive evaluation. OBJECTIVE: To report and comment on therapeutic options for 2 patients with acute ischemic strokes, PFO, and venous access related thrombosis, sources of paradoxical embolism, from Boston Medical Center stroke database. CASE DESCRIPTIONS: Case 1...
January 2013: Journal of Neuroimaging: Official Journal of the American Society of Neuroimaging
Griffin Fearonce, Iris Faraklas, Jeffrey R Saffle, Amalia Cochran
Central venous catheters (CVCs) are traditionally used for central venous access in the intensive care unit setting. Use of peripherally inserted central catheters (PICCs) now often extends into the intensive care unit. The goal of this review is to compare the use and safety of PICCs vs CVCs in burn patients. This institutional review board-approved cohort review included all burn patients at a single center who received one or more PICCs during a 2-year period. Primary outcome was number of days each line remained in place...
January 2010: Journal of Burn Care & Research: Official Publication of the American Burn Association
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