Risk factors for development of complication following peripherally inserted central catheters: A retrospective analysis of 850 patients
Hakan Aydın, Gülsen Korfalı, Suna Gören, Esra Mercanoğlu Efe 1 * , Bachri Ramadan Moustafa, Tolga Yazıcı
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1 Uludağ Universitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon A.D., Görükle, Bursa, Turkey* Corresponding Author

Abstract

Objectives: Peripherally inserted central venous catheters (PICCs) are inserted into central veins through the upper extremity veins. In this retrospective study, we aimed to evaluate PICC procedures, related complications, their causes and factors influencing the success of the procedure during anaesthesia
Methods: ‘Central Venous Catheterization Forms’ filled out for 850 patients in whom a PICC was inserted by residents during general anaesthesia between November 2009 and March 2013 in the operating room of Uludag University Medical Faculty Hospital were retrospectively analysed.
Results: A total of 1174 procedures were evaluated. The most preferred vein for the first attempt was the right basilic vein (32.7%). Difficulty (more than two attempts) with the PICC procedure was correlated with the patient’s age (p<0.001), BMI <20 kg/m² (p<0.05), previously used vein (p<0.001) and resident’s experience (p<0.001). A total of 8.2% of patients had complications, with the most frequent complication subcutaneous haematoma at the procedure site (5.3%). Risk factors for complications were advanced age (p<0.05), female gender (p=0.024), BMI >30 kg/m² (p<0.05), resident with less than 4 years of training (p=0.001), number of PICC attempts ≥2 (p<0.001), more than one resident involved in the catheterization procedure (p<0.001) and previous failed PICC procedures (p<0.001).
Conclusion: We conclude that catheterization should be performed under the surveillance of a staff keeping in mind the risks of complications. In the case of failure following 2 attempts, the procedure should be handed over to a more experienced staff member.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Research Article

J Clin Exp Invest, 2014, Volume 5, Issue 1, 29-35

https://doi.org/10.5799/ahinjs.01.2014.01.0354

Publication date: 11 Mar 2014

Article Views: 2656

Article Downloads: 1048

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