Chest ACCP Member Benefits
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Giuffrida, D.
Right arrow Articles by Rhoades, H.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Giuffrida, D.
Right arrow Articles by Rhoades, H.

Chest, Vol 90, 806-809, Copyright © 1986 by American College of Chest Physicians

ARTICLES

Central vs peripheral venous catheters in critically ill patients

DJ Giuffrida, CW Bryan-Brown, PD Lumb, KB Kwun and HM Rhoades

A prospective study of 2,209 intravenous catheters was performed in a multidisciplinary intensive care unit to determine when and why catheters were removed and which sites of insertion were associated with the least morbidity. Techniques of insertion were vigorously supervised. Central and peripheral catheters were cared for by identical protocols. Overt phlebitis or inflammation around the site was 14 times as common with peripheral catheters (353/1,024) than with centrally inserted central catheters (18/713), even though peripheral catheters were removed on the average at 2.9 days and centrally inserted central catheters at 6.2 days. Pneumothorax occurred in seven out of 713 patients with centrally inserted central catheterization, one with hemothorax and two with pneumothoraces requiring thoracostomy tubes. Five were treated successfully with simple catheter aspiration. Three patients out of 1,496 with peripheral or peripherally inserted central catheters required phlebectomy for suppurative thrombophlebitis. We concluded that overall morbidity in critically ill patients is lower from centrally inserted central catheters than peripheral intravenous catheters, with peripherally inserted central catheters in an intermediate position. Supervision of techniques of insertion has to be kept at a high level to keep complications of central catheterization at an acceptable level. Peripheral catheter sites would be better maintained with more frequent replacement of the catheter.


This article has been cited by other articles:


Home page
 ChestHome page
N. Safdar and D. G. Maki
Risk of Catheter-Related Bloodstream Infection With Peripherally Inserted Central Venous Catheters Used in Hospitalized Patients
Chest, August 1, 2005; 128(2): 489 - 495.
[Abstract] [Full Text] [PDF]

Home page
 Postgrad. Med. J.Home page
C Waitt, P Waitt, and M Pirmohamed
Intravenous therapy
Postgrad. Med. J., January 1, 2004; 80(939): 1 - 6.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
M. Monreal, F. Quilez, C. Rey-Joly, S. Rodriguez, N. Sopena, C. Neira, and J. Roca
Infusion Phlebitis in Patients With Acute Pneumonia: A Prospective Study
Chest, June 1, 1999; 115(6): 1576 - 1580.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
R. R. Thiagarajan, S. L. Bratton, T. Gettmann, and C. Ramamoorthy
Efficacy of Peripherally Inserted Central Venous Catheters Placed in Noncentral Veins
Arch Pediatr Adolesc Med, May 1, 1998; 152(5): 436 - 439.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. R. Thiagarajan, C. Ramamoorthy, T. Gettmann, and S. L. Bratton
Survey of the Use of Peripherally Inserted Central Venous Catheters in Children
Pediatrics, February 1, 1997; 99(2): e4 - e4.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1986 by the American College of Chest Physicians.