Abstract：
:We report the success rate and complications of peripherally inserted central catheters (PICCs) in patients hospitalized in an intensive care unit (ICU). We performed a cohort study in the ICU of a large tertiary care, university-affiliated community hospital. All ICU patients for whom their attending physicians requested a PICC service consultation were included. Main outcome measurements included (1) the success rate for initial PICC placement, (2) the placement complication rate, and (3) the overall success and complication rate. Of the 91 consecutive attempts at PICC placement, 89 (97.8%) were successful: of the 89 successful placements, 25 (28%) required cutdown procedures. There were 20 complications of initial placement and 8 delayed complications, which occurred in 19 PICCs. Complications included recatheterization after first attempt was unsuccessful (10), catheter malposition (7), palpitations or catheter clotting (3 each), heavy bleeding or mechanical phlebitis (2 each), and arterial puncture (1). The overall success rate for completion of therapy using the PICC was 74.7%. The most frequent reasons for failure to complete therapy were catheter dislodgment in 8 patients and "infection" in 9 patients. Of these 9 patients with "infections," 8 catheters were discontinued due to potential infection, and only 1 was removed due to confirmed infection. The confirmed infection rate was 6/10,000 patient days. The PICC appears to be a reasonable alternative to other approaches to peripheral and central venous access. The initial and overall success rates from this preliminary study justify further evaluation of the PICC in critically ill patients.
journal_name
J Intensive Care Medjournal_title
Journal of intensive care medicineauthors
Ng PK,Ault MJ,Maldonado LSdoi
10.1177/088506669601100107subject
Has Abstractpub_date
1996-01-01 00:00:00pages
49-54issue
1eissn
0885-0666issn
1525-1489journal_volume
11pub_type
临床试验,杂志文章abstract：OBJECTIVE:To examine racial and ethnic differences in the utilization of 3 interventions (tracheostomy placement, gastrostomy tube placement, and hospice utilization) among patients with severe acute brain injury (SABI). DESIGN:Retrospective cohort study. SETTING:Data from the National Inpatient Sample, from 2002 to ...
journal_title：Journal of intensive care medicine
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journal_title：Journal of intensive care medicine
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doi：10.1177/088506669501000402
更新日期：1995-07-01 00:00:00
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pub_type： 杂志文章,评审
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journal_title：Journal of intensive care medicine
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doi：10.1177/0885066615578113
更新日期：2016-07-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2019-05-01 00:00:00
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pub_type： 杂志文章,meta分析
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journal_title：Journal of intensive care medicine
pub_type： 杂志文章,评审
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更新日期：2013-09-01 00:00:00
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journal_title：Journal of intensive care medicine
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journal_title：Journal of intensive care medicine
pub_type： 杂志文章
doi：10.1177/0885066620907307
更新日期：2020-10-01 00:00:00
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journal_title：Journal of intensive care medicine
pub_type： 杂志文章
doi：10.1177/0885066603261991
更新日期：2004-03-01 00:00:00
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journal_title：Journal of intensive care medicine
pub_type： 杂志文章
doi：10.1177/0885066619891063
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journal_title：Journal of intensive care medicine
pub_type： 杂志文章
doi：10.1177/0885066607307528
更新日期：2007-11-01 00:00:00
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journal_title：Journal of intensive care medicine
pub_type： 杂志文章
doi：10.1177/0885066608329946
更新日期：2009-03-01 00:00:00
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journal_title：Journal of intensive care medicine
pub_type： 杂志文章
doi：10.1177/0885066603255905
更新日期：2003-09-01 00:00:00
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journal_title：Journal of intensive care medicine
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更新日期：2014-11-01 00:00:00
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journal_title：Journal of intensive care medicine
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journal_title：Journal of intensive care medicine
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更新日期：2009-11-01 00:00:00
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journal_title：Journal of intensive care medicine
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journal_title：Journal of intensive care medicine
pub_type： 杂志文章,评审
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journal_title：Journal of intensive care medicine
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更新日期：2015-09-01 00:00:00
abstract：:Acute diverticulitis is a frequent and important diagnosis in gastrointestinal disease, most commonly involving the colon. It is estimated that approximately 15% to 30% of patients with diverticulosis develop symptomatic diverticulitis at some point in the natural history of the condition, often requiring medical and/...
journal_title：Journal of intensive care medicine
pub_type： 杂志文章,评审
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更新日期：2004-07-01 00:00:00
abstract：BACKGROUND:Admission to an intensive care unit (ICU) specialized for brain and spine injury patients is associated with improved outcome. We investigated the effects of the first dedicated, combined neurological and neurosurgical ICU (NeuroICU) in Korea on patient outcomes. METHODS:The first dedicated NeuroICU in Kore...
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pub_type： 杂志文章
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更新日期：2019-02-01 00:00:00
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更新日期：2014-11-01 00:00:00
