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https://www.readbyqxmd.com/read/29922068/the-safety-and-accuracy-of-ecg-guided-picc-tip-position-verification-applied-in-patients-with-atrial-fibrillation
#1
Yufang Gao, Yuxiu Liu, Hui Zhang, Fang Fang, Lei Song
Background: Tip position verification of peripherally inserted central catheters (PICCs) is essential to the use of the catheter. Postprocedural chest X-ray as the "gold standard" practice for PICC tip confirmation can lead to a significant delay for patient IV therapy, cost more, and lead to radiation exposure for both patients and staffs. Intracavitary electrocardiogram (IC-ECG)-guided PICC placement which provides real-time tip confirmation during the insertion procedure has been widely used...
2018: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/29907487/4-dimensional-cone-beam-computed-tomography-measured-target-motion-underrepresents-actual-motion
#2
Elisabeth Steiner, Chun-Chien Shieh, Vincent Caillet, Jeremy Booth, Nicholas Hardcastle, Adam Briggs, Dasantha Jayamanne, Carol Haddad, Thomas Eade, Paul Keall
PURPOSE: Four-dimensional cone beam computed tomography (4DCBCT) facilitates verification of lung tumor motion before each treatment fraction and enables accurate patient setup in lung stereotactic ablative body radiation therapy. This work aims to quantify the real-time motion represented in 4DCBCT, depending on the reconstruction algorithm and the respiratory signal utilized for reconstruction. METHODS AND MATERIALS: Eight lung cancer patients were implanted with electromagnetic Calypso beacons in airways close to the tumor, enabling real-time motion measurements...
April 27, 2018: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/29872323/the-incidence-and-predictors-of-symptomatic-venous-thromboembolism-associated-with-peripherally-inserted-central-catheters-in-patients-with-nasopharyngeal-carcinoma
#3
Yu-Jing Liang, Yan He, Jian-Mei Li, Lin-Min Chen, Li-Ping Chen, Cong Wang, Lu Ji, Zhen-Xiu Li, Lin-Quan Tang, Qiu-Yan Chen, Yu-Ying Fan, Wen Hu
Background: Despite wide usage, peripherally inserted central catheter (PICC)-related venous thromboembolism (VTE) is common in nasopharyngeal carcinoma (NPC) patients. Patients and methods: This was a retrospective cohort study of NPC patients with PICC insertions from February 2, 2007 to December 25, 2014 in Sun Yat-Sen University Cancer Centre. Univariable and multivariable logistic regression analyses were used to estimate odds ratios (ORs) with 95% confidence intervals (CIs) for the correlations between risk factors and symptomatic PICC-VTE...
2018: OncoTargets and Therapy
https://www.readbyqxmd.com/read/29869851/peripherally-inserted-central-catheters-piccs-and-potential-cost-savings-and-shortened-bed-stays-in-an-acute-hospital-setting
#4
C O'Brien, J McMorrow, E O'Dwyer, P Govender, W C Torreggiani
Peripheral inserted central catheters (PICCs) have increasingly become the mainstay of patients requiring prolonged treatment with antibiotics, transfusions, oncologic IV therapy and total parental nutrition. They may also be used in delivering a number of other medications to patients. In recent years, bed occupancy rates have become hugely pressurized in many hospitals and any potential solutions to free up beds is welcome. Recent introductions of doctor or nurse led intravenous (IV) outpatient based treatment teams has been having a direct effect on early discharge of patients and in some cases avoiding admission completely...
January 10, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29849853/fibrin-sheath-of-a-peripherally-inserted-central-catheter-undepicted-with-gray-scale-real-time-b-mode-ultrasonography-a-case-report
#5
Naoko Mogi, Motoo Nakagawa, Hidekazu Matsumae, Ayako Hattori, Masashi Shimohira, Yuta Shibamoto
An 11-year-old male was admitted to our hospital with the acute exacerbation of chronic heart failure. A peripherally inserted central catheter (PICC) was inserted from the left forearm. Ten days after its insertion, the withdrawal of PICC was attempted because of occlusion. However, it was not possible to remove PICC because a fibrin sheath had attached around its tip. A color Doppler and probe compression technique revealed the presence of a fibrin sheath, which could not be detected by gray-scale (real-time B-mode) ultrasonography...
June 2018: Radiology case reports
https://www.readbyqxmd.com/read/29849343/delayed-migration-and-perforation-of-the-jugular-vein-by-a-peripherally-inserted-central-catheter
#6
Joshua J Oliver, R Erik Connor, Jacob R Powell, Jessica M Oliver, Brit Long
We report a case of peripherally inserted central catheter (PICC) migration and perforation of the left internal jugular vein in a home health setting in an 80-year-old female. A left sided PICC was placed for treatment of diverticulitis following hospital discharge. She complained of sudden onset left sided neck pain immediately after starting an infusion of vancomycin. In the emergency department the injury was identified by portable chest radiograph and computed tomography of her neck. Following removal of the line, she had an uneventful course...
November 2017: Clinical practice and cases in emergency medicine
https://www.readbyqxmd.com/read/29847401/the-extended-dwell-peripheral-intravenous-catheter-is-an-alternative-method-of-nicu-intravenous-access
#7
Kimberlee B Chenoweth, Jia-Wen Guo, Belinda Chan
BACKGROUND: Establishing vascular access is a common neonatal intensive care unit procedure. The extended dwell peripheral intravenous (EPIV) catheter is a 6-cm and 8-cm silicone catheter for peripheral vein insertion, which is a newer vascular access device than peripherally inserted central catheters (PICCs) and peripheral intravenous (PIV) catheter. Extended dwell peripheral intravenous catheters have been widely used in adults but evidence in neonates is lacking. PURPOSE: To explore indwell time, success rate, catheter-associated complications, and cost among EPIV catheters, PICCs, and PIV catheters in neonates...
May 28, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29807945/does-the-use-of-an-iodine-containing-contrast-agent-to-visualise-the-picc-tip-in-preterm-babies-cause-hypothyroidism-a-randomised-controlled-trial
#8
Chandra Prakash Rath, Mary Thomas, Drew Sullivan, Martin Kluckow
AIM: To compare thyroid function tests in preterm neonates (<30 weeks and >48 hour old) exposed to iodine-based contrast with controls and ascertain the certainty of peripherally inserted central catheter (PICC) tip position. METHODS: Infants requiring a PICC were randomised to receive 0.3 mL of iodine-containing contrast or normal saline. The primary outcome was the difference in thyroid-stimulating hormone (TSH) levels on day 14 post PICC insertion and on day 28 of life...
May 28, 2018: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/29791668/phlebitis-and-infiltration-vascular-trauma-associated-with-the-peripheral-venous-catheter
#9
Luciene Muniz Braga, Pedro Miguel Parreira, Anabela de Sousa Salgueiro Oliveira, Lisete Dos Santos Mendes Mónico, Cristina Arreguy-Sena, Maria Adriana Henriques
OBJECTIVE: to determine the incidence rate and risk factors for the nursing-sensitive indicators phlebitis and infiltration in patients with peripheral venous catheters (PVCs). METHOD: cohort study with 110 patients. Scales were used to assess and document phlebitis and infiltration. Socio-demographic variables, clinical variables related to the PVC, medication and hospitalization variables were collected. Descriptive and inferential analysis and multivariate logistic models were used...
2018: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29764571/-efficiency-of-electrocardiogram-monitor-for-positioning-the-catheter-tip-in-peripherally-inserted-central-catheter-placement-in-neonates
#10
Qi-Ying Ling, Hong Chen, Min Tang, Yi Qu, Bin-Zhi Tang
OBJECTIVE: To study the efficiency of electrocardiogram (ECG) monitor for positioning the catheter tip in the placement of peripherally inserted central catheter (PICC) in neonates. METHODS: A total of 160 neonates who were admitted to the neonatal intensive care unit (NICU) from January 2015 to December 2017 and underwent the PICC placement via the veins of upper extremity were enrolled. They were randomly divided into an observation group and a control group, with 80 neonates in each group...
May 2018: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/29740192/safety-of-fentanyl-for-peripherally-inserted-central-catheter-in-non-intubated-infants-in-the-neonatal-intensive-care-unit
#11
Yair Kasirer, Vibhuti Shah, Eugene W Yoon, Ruben Bromiker, Carol Mcnair, Anna Taddio
OBJECTIVE: To evaluate the safety of fentanyl in non-intubated infants undergoing peripherally inserted central catheter (PICC) placement. METHODS: A retrospective chart review of PICC placements over a 3 years' period. We compared the 12h periods before and after fentanyl for clinically significant cardiorespiratory events (spells). RESULTS: Of the 998 neonates screened, 258 were eligible. The mean standard deviation gestational age was 34...
May 8, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29721628/impact-of-tumor-localization-on-the-outcomes-of-surgery-for-an-intrahepatic-cholangiocarcinoma
#12
Tatsuya Orimo, Toshiya Kamiyama, Tomoko Mitsuhashi, Hirofumi Kamachi, Hideki Yokoo, Kenji Wakayama, Shingo Shimada, Akihisa Nagatsu, Akinobu Taketomi
BACKGROUND: Intrahepatic cholangiocarcinoma (ICC) shows differing clinical outcomes depending on its localization. METHODS: We reviewed the surgical outcomes of 104 ICC patients who underwent liver resection at our institution. We divided ICC into hilar type (HICC) and peripheral type (PICC) depending on positive contact with the hepatic hilum on preoperative computed tomography (CT). RESULTS: The survival outcomes were significantly poorer in HICC patients...
May 2, 2018: Journal of Gastroenterology
https://www.readbyqxmd.com/read/29709343/increased-risk-of-thrombosis-associated-with-peripherally-inserted-central-catheters-compared-with-conventional-central-venous-catheters-in-children-with-leukemia
#13
Pierre-Amaël Noailly Charny, Nathalie Bleyzac, Robin Ohannessian, Edouard Aubert, Yves Bertand, Cecile Renard
OBJECTIVE: To study the risk of catheter-associated thrombosis (CAT) between peripherally inserted central catheters (PICCs) and tunneled central venous catheters in children with leukemia. STUDY DESIGN: We analyzed all PICCs and conventional tunneled catheters placed in patients aged <18 years and admitted to our institute for leukemia treatment between February 2008 and April 2014. Cases of symptomatic CAT were confirmed by ultrasound and treated with low-molecular-weight heparin...
April 27, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29698720/comparison-of-two-lidocaine-administration-techniques-on-perceived-pain-from-bedside-procedures-a-randomized-clinical-trial
#14
Bhakti K Patel, Blair N Wendlandt, Krysta S Wolfe, Shruti B Patel, Elizabeth Doman, Anne S Pohlman, Jesse B Hall, John P Kress
BACKGROUND: Lidocaine is used to alleviate procedural pain but paradoxically increases pain during injection. Pain perception can be modulated by non-noxious stimuli such as temperature or touch according to the gate control theory of pain. We postulated that lidocaine dripped onto the skin prior to injection would cool or touch the skin surface to reduce pain perception from the procedure. METHODS: A randomized clinical trial of patients referred to the procedure service from February 2011 through March 2015 was conducted...
April 24, 2018: Chest
https://www.readbyqxmd.com/read/29695685/malposition-of-peripherally-inserted-central-catheter-into-the-right-inferior-thyroid-vein-a-case-report
#15
Yuri Imakiire, Tomoaki Yanaru, Hitomi Kumano, Erisa Nakamori, Ken Yamaura
BACKGROUND A peripherally inserted central catheter (PICC) causes few serious complications but can be malpositioned. To avoid malpositioning, ultrasound guidance is widely used. Here, we report the case of a patient who received a PICC that was inserted under ultrasound guidance, but the catheter tip accidentally entered the right inferior thyroid vein. CASE REPORT A 58-year-old woman was scheduled for reconstructive mammoplasty. After general anesthesia, a PICC was inserted via the right basilic vein. The PICC was inserted under guidance using a portable ultrasound machine with a high-frequency linear transducer...
April 26, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/29689743/extravasation-of-total-parenteral-nutrition-into-the-liver-from-an-upper-extremity-peripherally-inserted-central-venous-catheter
#16
Arpit Gupta, Alok Bhutada, Miheret Yitayew, Shantanu Rastogi
Peripherally inserted central catheters (PICC) are the mainstay of central venous access in preterm infants, and one of the common procedures performed in neonatal intensive care unit (NICU). Complications of PICC include infection, mechanical dysfunction, thrombosis, migration, and extravasation of the infusate. In this report, we describe a case of PICC inserted from an upper extremity with migration into the inferior vena cava (IVC) and the hepatic vein associated with extravasation of the total parenteral nutrition (TPN) into the peritoneum and the liver...
2018: Journal of Neonatal-perinatal Medicine
https://www.readbyqxmd.com/read/29684986/simplified-equation-for-determining-proper-depth-of-peripherally-inserted-central-catheter-in-relation-to-anatomical-landmarks
#17
Sang-Soo Kang, Yang-Sik Shin, Seon-Yi Lee, Hyunzu Kim
Background: The aim of this study was to develop a formula guiding the peripherally inserted central catheter (PICC) tip placement based on anatomical landmarks such as the upper arm, clavicle, and sternum as well as the patient's height, weight, and body mass index. Methods: Fifty-five patients who were scheduled to have PICCs were included in the study. We measured four distances along the passage of the PICC, which were as follows; the tip of the third finger to the middle of the elbow crease (Distance A), the middle of the elbow crease to the acromion process (Distance B), the acromion process to the sternal head of the clavicle (Distance C), and the sternal head of the clavicle to the end of the xiphoid process (Distance D)...
April 24, 2018: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/29683035/is-peripherally-inserted-central-catheter-related-thrombosis-associated-with-abo-blood-group-a-case-control-pilot-study
#18
Raad A Haddad, Yanal Alnimer, Ahmed Abdalla, Carlos F Ríos-Bedoya, Ghassan Bachuwa
Peripherally inserted central catheter (PICC) use is associated with many complications including line-related thrombosis. Several studies and meta-analyses confirmed the increased risk to develop venous thromboembolism in non-O blood group individuals. Our pilot study aimed to examine whether PICC-related thrombosis is influenced by ABO blood group. We identified patients admitted to Hurley Medical Center between March 2012 and March 2016 who had PICC placed during their admission, had their ABO blood group identified in their medical record, and had upper extremity venous Doppler ultrasound performed on the same side of PICC...
January 1, 2018: Clinical and Applied Thrombosis/hemostasis
https://www.readbyqxmd.com/read/29669583/protocol-for-a-systematic-review-and-thematic-synthesis-of-patient-experiences-of-central-venous-access-devices-in-anti-cancer-treatment
#19
Caoimhe Ryan, Hannah Hesselgreaves, Olivia Wu, Jim Paul, Judith Dixon-Hughes, Jonathan G Moss
BACKGROUND: Three types of central venous access devices (CVADs)-peripherally inserted central catheters (PICCs), skin-tunnelled central catheters (Hickman-type devices), and implantable chest wall Ports (Ports)-are routinely used in the intravenous administration of anti-cancer treatment. These devices avoid the need for peripheral cannulation and allow for home delivery of treatment. Assessments of these devices have tended to focus on medical and economic factors, but there is increased interest in the importance of patient experiences and perspectives in this area...
April 18, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/29666098/a-misplaced-peripherally-inserted-central-catheter-presenting-as-contralateral-pleural-effusion
#20
Jogender Kumar, Sudeep K C, Kanya Mukhopadhyay, Somosri Ray
A preterm neonate born at 27 weeks, with a birth weight of 555 g, was on continuous positive airway pressure (CPAP) for apnoea of prematurity and initially received total parenteral nutrition (TPN) through the umbilical venous catheter. Peripherally inserted central catheter (PICC) was inserted in the left basilica vein on day 8 to continue TPN. The baby developed respiratory distress with persistent hypoxia after TPN was initiated through the PICC line. The baby required mechanical ventilation due to worsening of respiratory distress, and chest X-ray, as well as ultrasound conducted 12 hours, postinfusion of TPN revealed right-sided pleural effusion...
April 17, 2018: BMJ Case Reports
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