Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Comparison of Complications of Peripherally Inserted Central Catheters with Ultrasound Guidance or Conventional Methods in Cancer Patients

  • Gong, Ping (Department of Chemotherapy, JiangSu Cancer Hospital and Research Institute) ;
  • Huang, Xin-En (Department of Chemotherapy, JiangSu Cancer Hospital and Research Institute) ;
  • Chen, Chuan-Ying (Department of Chemotherapy, JiangSu Cancer Hospital and Research Institute) ;
  • Liu, Jian-Hong (Department of Chemotherapy, JiangSu Cancer Hospital and Research Institute) ;
  • Meng, Ai-Feng (Department of Chemotherapy, JiangSu Cancer Hospital and Research Institute) ;
  • Feng, Ji-Feng (Department of Chemotherapy, JiangSu Cancer Hospital and Research Institute)
  • Published : 2012.05.30
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Abstract

Objective: To compare the complications of peripherally inserted central catheters (PICC) by a modified Seldinger technique under ultrasound guidance or the conventional (peel-away cannula) technique. Methods: From February to December of 2010, cancer patients who received PICC at the Department of Chemotherapy in Jiangsu Cancer Hospital were recruited into this study, and designated UPICC if their PICC lines were inserted under ultrasound guidance, otherwise CPICC if were performed by peel-away cannula technique. The rates of successful placement, hemorrhage around the insertion area, phlebitis, comfort of the insertion arm, infection and thrombus related to catheterization were analyzed and compared on days 1, 5 and 6 after PICC and thereafter. Results: A total of 180 cancer patients were recruited, 90 in each group. The rates of successful catheter placement between two groups differed with statistical significance (P <0.05), favoring UPICC. More phlebitis and finger swelling were detected in the CPICC group (P <0.05). From day 6 to the date the catheter was removed and thereafter, more venous thrombosis and a higher rate of discomfort of insertion arms were also observed in the CPICC group. Conclusion: Compared with CPICC, UPICC could improve the rate of successful insertion, reduce catheter related complications and increase comfort of the involved arm, thus deserving to be further investigated in randomized clinical studies.

Keywords

References

  1. Du C (2005). Moist heat on the preventive the PICC caused by mechanical phlebitis. Chin J Practical Nursing, 21, 8.
  2. Fearonce G, Faraklas I, Saffle JR, et al (2010). Peripherally inserted central venous catheters and central venons catheters in burn patients:a comparative reviem. Burn Care Res, 31, 31-5. https://doi.org/10.1097/BCR.0b013e3181cb8eaa
  3. Fernandez L (2012). Superficial phlebitis. In: Up To Date [online] 2004; 12. 2: 4. Available at: www.uptodate.com. Accessed May 13, 2012.
  4. Fletcher JJ, Stetler W, Wilson TJ (2011).The clinical significance of peripherally inserted central venous catheter-related deep vein thrombosis. Neurocrit Care, 15, 454-60. https://doi.org/10.1007/s12028-011-9554-3
  5. Huang XE, Hirose K, Wakai K, et al (2004). Comparison of lifestyle risk factors by family history for gastric, breast, lung and colorectal cancer. Asian Pac J Cancer Prev, 5, 419-27.
  6. Huang XE, Li CG, Li Y, et al (2011). Weekly TP regimen as a postoperative adjuvant chemotherapy for completely resected breast cancer in China: final result of a phase II trial. Asian Pacific J Cancer Prev, 12, 2797-800.
  7. Jiang Y, Huang XE, Yan PW, et al (2010). Validation of treatment efficacy of a computer-assisted program for breast cancer patients receiving postoperative adjuvant chemotherapy. Asian Pacific J Cancer Prev, 11, 1059-62.
  8. Li CG, Huang XE, Li Y, et al (2011). Phase II trial of irinotecan plus nedaplatin (INP) in treating patients with extensive stage small cell lung cancer. Asian Pacific J Cancer Prev, 12, 487-90.
  9. Li Y, Yan PW, Huang XE, et al (2011). MDR1 gene C3435T polymorphism is associated with clinical outcomes in gastric cancer patients treated with postoperative adjuvant chemotherapy. Asian Pacific J Cancer Prev, 12, 2405-9.
  10. Nicholson J (2010). Development of an ultrasound-guided PICC insertion service. Br J Nurs, 19, S9-17.
  11. Schweickert WD, Herlitz J, Pohlman AS, et al (2009). A randomized, controlled trial evaluating postinsertion neck ultrasound in peripherally inserted central catheter procedures. Crit Care Med, 37, 1217-21. https://doi.org/10.1097/CCM.0b013e31819cee7f
  12. Smeltzer S, Bare B (2000). Brunner and Suddarth's Textbook of Medical-Surgical Nursing. 9th ed. Philadelphia: Lippincott: 241-2.
  13. Sperry BW, Roskos M, Oskoui R (2012). The effect of laterality on venous thromboembolism formation after peripherally inserted central catheter placement. J Vasc Access, 13, 91-5. https://doi.org/10.5301/jva.5000014
  14. Wu Q (2008). PICC catheter-induced phlebitis related clinical factors. Modern Oncol, 16, 324-5.
  15. Yaghmai B, Owens CA, Wamer D (1998). Peripherally inserted central catheters Semin. Intervent Radiol, 15, 305-14. https://doi.org/10.1055/s-0028-1082211
  16. Yan PW, Huang XE, Jiang Y, et al (2010). Clinical comparison of safety and efficacy of vinorelbine/epirubicin (NE) with fluorouracil/epirubicin/cyclophosphamide (FEC). Asian Pacific J Cancer Prev, 11, 1115-8.
  17. Zheng CH, Wang F (2004). Peripheral puncture inserted central venous catheter complications and prevention. J Nursing, 39, 700-2.
  18. Zhou JN, Huang XE, Ye Z, et al (2009). Weekly paclitaxel/ docetaxel combined with a paltinum in the treatment of advanced non-samll cell lung cancer: a study on efficacy, safety and pre-medication. Asian Pacific J Cancer Prev, 10, 1147-50.
  19. Zhou W, Cao YR (2008). The PICC catheter in patients with deep venous thrombosis in nursing experience. Aged Care Med, 6, 59-60.

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