risk of thrombosis when PICCs are placed guidance the study period were determin ed by reviewin g procedur e log billing sheets. Katheria, A. C., Fleming, S. E., & Kim, J. H. (2013). A randomized controlled trial of ultrasound-guided peripherally inserted central catheters compared with standard radiograph in neonates. Journal of Perinatology,33 (10), 791-794. doi:10.1038/jp.2013.58 This was a prospective, randomized, trial of infants who required PICC placement. Catheters were placed using either standard radiograph, with blinded evaluation of the catheters using RTUS or with RTUS guidance, with input on catheter tip location Tottal of 64 patients were enrolled 16 failed PICC attempts . and 1229 The RTUS use significa ntly decrease d the time of line placeme nt by 30 min. Sample group was neonates Time measurem ent of PICC line implemen ation was used to determine success or failure along with radiograph s confirmin g placement The time and success rate of placemen t would indicate positive outcome Study appears to be valid. arly identificatio n of the PICC by RTUS was possible in all cases and would have saved an additional 38 min if radiographs were not required. I would perform a study within all age demographi cs to ensure the validity throughout the lifespan.
- Summer '17
- Nursing, Catheter, Central venous catheter, Peripherally inserted central catheter, PICC, PICC line