Safety and Efficacy of Peripherally Inserted Central Catheters in Terminally Ill Cancer Patients: Single Institute Experience / 한국호스피스완화의료학회지
Korean Journal of Hospice and Palliative Care
;
: 179-184, 2014.
Article
Dans Anglais
| WPRIM
| ID: wpr-156563
ABSTRACT
PURPOSE:
We investigated the safety and efficacy of peripherally inserted central catheters (PICCs) in terminally ill cancer patients.METHODS:
A retrospective review was conducted on patients who underwent PICC at the hospice-palliative division of KEPCO (Korea Electric Power Corporation) Medical Center between January 2013 and December 2013. All PICCs were inserted by an interventional radiologist.RESULTS:
A total of 30 terminally ill cancer patients received the PICC procedure during the study period. Including one patient who had had two PICC insertions during the period, we analyzed a total of 31 episodes of catheterization and 571 PICC days. The median catheter life span was 14.0 days (range, 1~90 days). In 25 cases, catheters were maintained until the intended time (discharge, transfer, or death), while they were removed prematurely in six other cases (19%; 10.5/1000 PICC days). Thus, the catheter maintenance success rate was 81%. Of those six premature PICC removal cases, self-removal due to delirium occurred in four cases (13%; 7.0/1000 PICC days), and catheter-related blood stream infection and thrombosis were reported in one case, each (3%; 1.8/1000 PICC days). Complication cases totaled eight (26%; 14.1/1000 PICC days). The time to complication development ranged from two to 14 days and the median was seven days. There was no PICC complication-related death.CONCLUSION:
Considering characteristics of terminally ill cancer patients, such as a poor general condition, vulnerability to trivial damage, and a limited period of survival, PICC could be a safe intravenous procedure.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Soins palliatifs
/
Soins terminaux
/
Thrombose
/
Cathétérisme veineux central
/
Cathétérisme périphérique
/
Cathétérisme
/
Études rétrospectives
/
Accompagnement de la fin de la vie
/
Malades en phase terminale
/
Délire avec confusion
Type d'étude:
Étude observationnelle
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Hospice and Palliative Care
Année:
2014
Type:
Article
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