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Clinical Characteristics of Peripherally Inserted Central Catheter in Critically Ill Patients
중환자실에서 말초 정맥 삽입형 중심정맥관을 시행한 환자의 임상양상
J Acute Care Surg 2019;9:18−24
Published online April 30, 2019;  https://doi.org/10.17479/jacs.2019.9.1.18
© 2019 Korean Society of Acute Care Surgery.

Hyoung-Joo Kim, M.D., Chang-Yeon Jung, M.D., Jung-Min Bae, M.D.
김형주ㆍ정창연ㆍ배정민

Department of Surgery, Yeungnam University Medical Center, Daegu, Korea
영남대학교병원 외과
Jung-Min Bae, M.D.
Department of Surgery, Yeungnam University Medical Center, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea
Tel: +82-53-620-3580
Fax: +82-53-624-1213
E-mail: netetern@naver.com
ORCID: https://orcid.org/0000-0003-0923-763X
Received December 20, 2018; Revised March 31, 2019; Accepted April 1, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: Ensuring the stability of central venous catheter placement for treating patients hospitalized in an intensive care unit is very important. Although PICC requires an ultrasound and fluoroscopy machine, it is difficult to use a fluoroscopy machine for PICC insertion in the intensive care unit. This study analyzed the cases of the insertion of a PICC under ultrasonic guidance at the bedsides in the intensive care unit to determine the usefulness of PICC in the intensive care unit.
Methods: A retrospective study was conducted on patients hospitalized in the surgical intensive care unit and received PICC using ultrasonography at their bedsides from October 2015 to January 2018.
Results: One hundred and twenty patients were collected. The number of successful PICCs stood at 105 patients, which was equal to 87.5%. Among them, 65 and 55 cases had left and right insertion, respectively; the corresponding success rate was 81.8%, and 92.3%. No statistically significant difference in success rates was observed between the left and right, as well as in the success rates depending on the presence of shock, sepsis, acute kidney injury, and mechanical ventilation. In the failed 15 cases, seven cases were due to the course of the procedure and eight cases were confirmed have been malpositioned after insertion.
Conclusion: PICC at the bedside in an intensive care unit is a safe method for central venous catheterization without severe complications and death. The insertion sites, left or right, are equally acceptable. Further study of the cases of malposition will be necessary.
Keywords : Peripherally inserted central catheter, Catheterization, peripheral, Critical illness, Intensive care units


April 2019, 9 (1)
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