J Acute Care Surg.  2017 Oct;7(2):69-74. 10.17479/jacs.2017.7.2.69.

Peripherally Inserted Central Catheter in Trauma Patients: Early Experience at a Single Institute

Affiliations
  • 1Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea.
  • 2Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea. scout79x@hanmail.net

Abstract

PURPOSE
A peripherally inserted central catheter (PICC) provides effective, reliable intravenous access in patients who require long term therapy such as intravenous antibiotics, total parenteral nutrition, transfusion or inotropic agents. This retrospective study evaluated the usefulness of PICC in trauma patients by examining patient characteristics and common complications, including PICC related bloodstream infection.
METHODS
We reviewed the trauma patients who underwent PICC at Pusan National University Hospital Trauma Center from January 2016 to February 2017.
RESULTS
From January 2016 to February 2017, 32 patients underwent PICC. Total catheter insertion days were 875 days, and the average catheter indwelling time was 27.3±25.02 days. The most common indication for PICC was total parenteral nutrition (n=20, 62.5%), while the remainder was to ensure a long-term fluid administration route (n=12, 37.5%). Catheter related complications included infection (n=3, 9.4%; 3.42 per 1,000 catheter-days), catheter tip malposition (n=2, 6.3%), catheter dislodgement (n=1, 3.1%), insertion site leakage (n=1, 3.1%) and arm swelling (n=1, 3.1%). No statistically significant differences were found between those who developed bloodstream infection and those who did not.
CONCLUSION
If the PICC is performed by correcting adjustable factors that increase the risk of infection, effective and reliable intravenous access can be maintained in patients who require long-term therapy without bleeding, pneumothorax, or other complications of central venous catheter insertion.

Keyword

Peripherally inserted central catheter; Trauma

MeSH Terms

Anti-Bacterial Agents
Arm
Busan
Catheters*
Central Venous Catheters
Hemorrhage
Humans
Parenteral Nutrition, Total
Pneumothorax
Retrospective Studies
Trauma Centers
Anti-Bacterial Agents
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