Comparative research on application between power peripherally inserted central catheters and double cavity central venous catheter with the patients in intensive care unit
10.3760/cma.j.issn.1672-7088.2015.34.002
- VernacularTitle:双腔耐高压注射型经外周置入中心静脉导管与双腔中心静脉导管在重症监护病房的应用比较研究
- Author:
Xiuzhu CAO
;
Linfang ZHAO
;
Limin HUANG
;
Yaping WANG
;
Xianghong JIN
- Publication Type:Journal Article
- Keywords:
Catheterization;
central venous;
Catheterization;
peripheral;
Intensive care unit
- From:
Chinese Journal of Practical Nursing
2015;31(34):2579-2583
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the safety and effectiveness of power peripherally inserted central catheters (Power PICC) and double cavity central venous catheter (CVC) application in intensive care unit (ICU). Methods 458 cases were reviewed during January to September in 2014 and divided into two groups: Power PICC group (245 cases) and CVC group (213 cases) , and average retention time, successful rate of inserting catheter and the incidence of complications were compared. Results The average retention time of Power PICC group was (21.6±5.8) days which was longer than (13.1±3.4) days of CVC group (t=2.234, P <0.05). No statistics difference of successful rate between two groups (P>0.05). No significant difference for the total incidence of complications between two groups as 14.69% (36/245) and 19.72%(42/213)(P>0.05). No significant difference for the total incidence of complications in the operation time between two groups as 5.31% (13/245) and 4.23% (9/213)(P>0.05). But rate of catheter malposition for Power PICC group [ 2.86% (7/245) ] was higher than CVC group 0 (X2=4.428, P <0.05). Rate of the total incidence of complications in the retention time Power PICC group [ 9.39%(23/245) ] was lower than CVC group [ 15.96%(33/213)(P<0.05). And rate of catheter related blood stream infection of CVC group [3.29%(7/213)] was much more higher than Power PICC group (0)(X2=6.139,P<0.05). Conclusions Power PICC and CVC are both applicable for ICU, and Power PICC has more advantage regarding safety and effectiveness than CVC and can be one replacement for CVC.
