TITLE

Vancomycin Administration Through a Novel Midline Catheter: Summary of a 5-Year, 1086-Patient Experience in an Urban Community Hospital

AUTHOR(S)
Caparas, Jona V.; Hung, Hwei-San
PUB. DATE
March 2017
SOURCE
Journal of the Association for Vascular Access;Mar2017, Vol. 22 Issue 1, p38
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background The 2016 Infusion Therapy Standards of Practice no longer require that low pH (<5) medications be administered via central venous access devices. Nevertheless, the practice of placing PICCs for vancomycin administration often persists. Purpose To demonstrate the safety and efficacy of intravenous vancomycin administration through a short and long term midline catheter. Methodology A retrospective chart review was performed on 1086 patients who received intravenous vancomycin through a midline catheter. Results There were no catheter-associated bloodstream infections and no deep vein thromboses. Phlebitis occurred rarely (0.6%), as did benign infiltrations (1.2%). There were no extravasation injuries. Conclusions These outcomes summarize more than 5 years of experience administering intravenous vancomycin (4 mg/mL) safely and cost-efficiently through a nontrimmable midline catheter.
ACCESSION #
121506133

 

Related Articles

  • Peripheral cannulation versus peripheral inserted central catheter. McGowan, Donna // British Journal of Nursing;4/25/2013 IV Therapy Supplement, Vol. 22 Issue 8, pS22 

    The article discusses intravenous (IV) therapy with a focus on peripheral cannulation and peripheral inserted central catheter (PICC). The article notes standards for IV therapy including the recommendations of the Royal College of Nursing (RCN, 2010) concerning IV hydration, the venous access...

  • Peripherally Inserted Central Catheter Postinsertion Complications: A Retrospective Study. Seckold, Tammy; Walker, Sandra; Dwyer, Trudy; Signal, Tania // Journal of the Association for Vascular Access;2019, Vol. 24 Issue 1, p10 

    Background: Peripherally inserted central catheters (PICCs) are increasing in popularity with over 4.3 million insertions globally each year. However, there remains little quality evidence as to the safest catheter to insert with the lowest levels of postinsertion complications. Methods:...

  • Proactive placement of peripherally inserted central catheters. Harrold, Karen; Martin, Annette; Gale, Sue // British Journal of Nursing;2015 Supplement, pS16 

    The article presents information developed from a presentation at the Fifth National Infusion and Vascular Access Society Conference on July 9-10, 2015 concerning proactive peripherally inserted central catheter (PICC) placement. It states all PICC referrals over a one-year period were reviewed...

  • Comparing Incidence of Thrombosis in PICC and Midlines and Evaluating the Role of Anticoagulation, Site of Insertion, and Risk Factors. Zohourian, Hajir; Schaubschlager, Taylor; Phan, Lee; Polsinelli, Elizabeth; Hunter, Kaydian; Timis, Alexandra; Sanchez, Darlene; Maini, Archana; Hardigan, Patrick; Carreon, Arisha; Jani, Vishal // Journal of the Association for Vascular Access;2019, Vol. 24 Issue 1, p38 

    Background: Benefits of using peripherally inserted central venous catheters (PICCs) have often overshadowed the risk of catheter thrombosis (CT). Quality improvement models should be implemented to reduce this complication rate. Methods: Incidence rate of CT was the main outcome. Predictors...

  • Living with a Central Venous Catheter: Complications and Catheter Reactions. Paliobeis, Theresa // Journal of the Association for Vascular Access;Sep2015, Vol. 20 Issue 3, p129 

    The article presents the views of a patient that have lived past five years with a peripherally inserted central catheter (PICC) for treatment of a chronic urinary tract infection (UTI) associated with a neurogenic bladder. She faced many complications including occluded lines, extensive...

  • Persistent hiccup caused by peripherally inserted central catheter migration. Zhang, Yeling; Jiang, Haiping; Wei, Lili; Yu, Hongsheng // Journal of Anesthesia;2011, Vol. 25 Issue 4, p625 

    A peripherally inserted central catheter (PICC) provides an important access for patients requiring prolonged intravenous infusion. However, intravascular migration and subsequent malposition of a PICC may be caused by its flexibility and thinness and by changes in intrathoracic pressure and...

  • Retrospective Analysis of a Pediatric Vascular Access Program and Clinical Outcomes. Pitts, Stephanie // Journal of the Association for Vascular Access;Summer2013, Vol. 18 Issue 2, p114 

    Background: The specialty of pediatric vascular access has grown rapidly during the past 5 years across the United States. The majority of children's hospitals have nurse-led vascular access teams that are providing comprehensive services, including the placement of peripherally inserted central...

  • Vascular access in neonatal care settings: selecting the appropriate device. Hugill, Kevin // British Journal of Nursing;2/11/2016, Vol. 25 Issue 3, p171 

    The aim of this article is to increase knowledge and understanding of issues relating to choosing and using vascular access devices in the neonatal patient population. The article reviews the range of options for acquiring peripheral and central circulatory access in the newborn and considers...

  • Le motivazioni al posizionamento di un accesso vascolare centrale ad inserzione periferica: l'esperienza di un PICC team. Conti, Fabio; Sili, Alessandro; Vellone, Ercole; Alvaro, Rosaria // SCENARIO: Official Italian Journal of ANIARTI;Jun2013, Vol. 30 Issue 2, p4 

    Introduction: central or peripheral placement of a vascular device is the principal route for administering medications in hospitalized patients. The choice of the devices and their correct management are done to prevent repeated venipunctures during the patients' hospitalization. Objective: the...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics