Session Type
Meeting
Search Results for Picc
Abstract Number: 134
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Peripherally inserted central catheters (PICCs) are increasingly used in the care of hospitalized patients. While major complications such as venous thromboembolism and central line-associated bloodstream infection related to PICCs have been well reported, comparatively less attention has been given to minor complications such as occlusion associated with PICCs. This knowledge gap is important because […]
Abstract Number: 154
SHM Converge 2024
Background: Despite their elevated baseline risks for infection and thrombosis, hospitalized medical patients with active malignancy commonly receive multi-lumen peripherally inserted central catheters (PICCs). We sought to assess the relationship between number of catheter lumens and risk of PICC-related complications among patients with active malignancy. Methods: Trained abstractors collected patient level information, including number of […]
Abstract Number: 154
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The position of the tip of a peripherally inserted central catheter (PICC) is associated with deep vein thrombosis (DVT). Optimal position of the tip is the cavoatrial junction; more proximal tip positions are associated with greater risk of DVT. EKG-guidance has recently emerged as a modality to ensure proper tip position. Compared to chest […]
Abstract Number: 155
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Abstract Number: 163
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Catheter occlusion is often encountered when using peripherally inserted central catheters (PICCs). Patients who experience catheter occlusion are at risk of interruption of therapy, thrombolytic instillment, and complications such as VTE. Whether rates of PICC occlusion vary by flushing protocols, device type, or duration is not known. Methods: Using data from the Michigan Hospital […]
Abstract Number: 164
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Peripherally inserted central catheters (PICCs) are routinely placed in hospitalized patients who are receiving long-term IV antibiotics or who have poor venous access. In our hospital, 1 in 12 patients on the Medicine service receives a PICC line at some point during a hospitalization. 35% of all hospital-acquired venous thromboembolisms (VTEs) on the Medicine […]
Abstract Number: 165
SHM Converge 2024
Background: Outpatient parenteral antimicrobial therapy (OPAT) is common among patients requiring intravenous antibiotics beyond hospitalization. However, OPAT is associated with catheter-related adverse events (AEs), which occur more frequently than drug-related AEs and may lead to care interruptions or harm. We compared AEs related to the most common venous catheters used for OPAT: midline catheters (midlines) […]
Abstract Number: 171
Hospital Medicine 2020, Virtual Competition
Background: Patients with cancer require reliable venous access for therapy. Although peripherally inserted central catheters (PICCs) and implanted ports are often used to meet infusion needs, risk of complications between these devices is unknown. We did a systematic review and meta-analysis to compare the risk of deep vein thrombosis (DVT), exit-site complications and central line-associated […]
Abstract Number: 172
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Since being introduced in the 1950s, midlines have since gained attention as an intravascular access option—particularly in patients requiring intravenous (IV) therapy for extended time periods. They provide an alternative to frequent venipuncture from peipheral intravenous catheters (PIV) and may reduce cost and increase patient satisfaction. The CDC and MAGIC guidelines currently recommend the […]
Abstract Number: 175
Hospital Medicine 2020, Virtual Competition
Background: Central line-associated bloodstream infection (CLABSI) is a morbid and potentially lethal complication. National policies related to CLABSI mandate public reporting of this adverse event, with hospitals receiving penalties based on their CLABSI rates. Contemporary data suggest that peripherally inserted central catheters (PICCs) placed outside critical care settings are a large contributor to hospital CLABSI […]