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Halle Utter
Studies comparing complication rates between POWER versus NON POWER PICC
Are there any controlled studies comparing complications rates, particularly phlebitis/thrombophlebitis, in Power versus Non-Power PICCs?  

Thanks.
lynncrni
To my knowledge, this data
To my knowledge, this data has not been published in any form yet. Lynn

Lynn Hadaway, M.Ed., NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

afruitloop
When looking at power vs.

When looking at power vs. non power and thrombophlebitis, are you looking at the power injection creating a thrombus, like from catheter movement in the SVC?  I would like to see someone do a head to head study with the various types of pressure injectable catheters.  It would take a while, but would definetely be beneficial. 

Cheryl Kelley RN BSN, VA-BC

kokotis
Kathy Kokotis Bard Access

Kathy Kokotis

Bard Access Systems

Well that would be a treat would it not.  It is coming from a Masters student named Inez Nichols in JIN.  I believe it is her master's thesis PICC lines that is.  I also cannot wait for her study as I have not read it. JIN for 2008.

Power PICC lines are made by Arrow, Bard, Cook, MedComp, Boston Scientific, Angiodynamics, Jet Medical, Churchill (Jet, MedComp, Churchill are all the same PICC OEM company).  Yes Arrow also has an acute care power line now (you know those cute little triple lumens in the neck now have power)

 Non Power:  BD First PICC although they I hear have one in the works, VCath which does alot of peds and neonates highly specialized, I think that is it.

Wow all the companies except for peds really do power lines.  WoW!!! wonder why?

I see no difference in issues power or non-power for complications  Someone enlighten me if there is a difference.

 

 

Kathy Kokotis

Bard Access Systems

afruitloop
I totally agree, I think we
I totally agree, I think we are hypothesizing that PICC complications are different with power vs. non-power when actucally we should be looking at the actual diferences in the lines themselves--such as material or especially the design of the various catheters.

Cheryl Kelley RN BSN, VA-BC

kokotis
Kathy Kokotis Bard Access

Kathy Kokotis

Bard Access Systems

Reverse taper - no study to date to show if a reverse taper makes a difference or non-reverse taper for thrombosis

No study to show yet on power vs. non power

The thrombosis studies to date have included both excalibur placed RN lines and MD placed MST/US lines so they are not representative of todays data.  The biggest being Grove which shows the RN's with a 5 Fr DL silicone PICC had a 10% rate of thrombosis with excalibur below arm vs. MD with a 5 Fr DL silicone PICC (I think reverse taper Cook) at 5%.  Technique made the difference and upper arm.  I believe a reverse taper was used by IR but not RN's and the data is from the 90's.  The IR thrombosis rate was 5% lower.  They did use upper arm veins and US.  That alone ought to scare you as all the data is from the 90's.  Even Maki's rant on PICC lines being bad and having high infection rates uses data from 1999!!!!!!

We need new studies with new data.  The joke Maki's study was published chest 2005 relatively new with data from 1999!!!!!  What' wrong with this picture 

 

 

Kathy Kokotis

Bard Access Systems

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