Development of a Pediatric PICC Team Under an Existing Sedation Service: A 5-Year Experience
AuthorRainey, Shane C
AffiliationUniv Arizona, Coll Med Phoenix, Dept Child Hlth
MetadataShow full item record
PublisherSAGE PUBLICATIONS LTD
CitationRainey, S. C., Deshpande, G., Boehm, H., Camp, K., Fehr, A., Horack, K., & Hanson, K. (2019). Development of a Pediatric PICC Team Under an Existing Sedation Service: A 5-Year Experience. Clinical Medicine Insights: Pediatrics. https://doi.org/10.1177/1179556519884040
RightsCopyright © The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
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AbstractObjective: To examine our institutional experiences with ultrasound-guided peripherally inserted central catheter (US-PICC) placement by a dedicated US-PICC team under the umbrella of an existing pediatric sedation service. Methods: Retrospective review of quality data examining 968 US-PICC encounters over a 5-year period from 2012 to 2016. Data for each encounter included line indications, success rate, dwelling time, need for sedation, and incidence of complications including venous thrombosis, infection, and accidental removal. Results: US-PICC lines were successfully placed in 89% of patients with an average age of 5.4 years. Extended antibiotic treatment was the most common indication for US-PICC placement and the mean dwell time was 23 days. Long-term complications were noted in 6.1% of cases, with venous thrombosis and line infection complicating 1.7% and 0.9% of encounters, respectively. Conclusion: Results suggest that our endeavor of creating a dedicated US-PICC team under an existing pediatric sedation service is successful with regard to the number of lines placed, success rates, and incidence of complications. This approach may be beneficial to other institutions seeing to maximize resource utilization and streamline patient care.
NoteOpen access journal
VersionFinal published version
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- Issue date: 2016 Dec
- Impact of a Surgeon-Led Peripherally Inserted Central Venous Catheter Team on Peripherally Inserted Central Venous Catheter-Related Complications and Costs.
- Authors: Pernar LI, Wolf LL, Seshadri A, Patel V
- Issue date: 2016 Jun
- Introduction of the use of a pediatric PICC line in a French University Hospital: review of the first 91 procedures.
- Authors: Delarbre B, Dabadie A, Stremler-Lebel N, Jolibert M, Cassagneau P, Lebel S, Lacroix F, Caporossi JM, Louis G, Vidal V, Petit P, Gorincour G
- Issue date: 2014 Mar
- Improved care and reduced costs for patients requiring peripherally inserted central catheters: the role of bedside ultrasound and a dedicated team.
- Authors: Robinson MK, Mogensen KM, Grudinskas GF, Kohler S, Jacobs DO
- Issue date: 2005 Sep-Oct
- [Ultrasound-guided peripherally inserted central catheters (PICC) in cancer patients: success of the insertion, survival and complications].
- Authors: Moraza-Dulanto MI, Garate-Echenique L, Miranda-Serrano E, Armenteros-Yeguas V, Tomás-López MA, Benítez-Delgado B
- Issue date: 2012 May-Jun