Korean J Hosp Palliat Care.  2014 Sep;17(3):179-184. 10.14475/kjhpc.2014.17.3.179.

Safety and Efficacy of Peripherally Inserted Central Catheters in Terminally Ill Cancer Patients: Single Institute Experience

Affiliations
  • 1Department of Internal Medicine, KEPCO Medical Center, Seoul, Korea.
  • 2Department of Radiology, KEPCO Medical Center, Seoul, Korea.
  • 3Department of Internal Medicine, Kandong Sacred Heart Hospital, University of Hallym College of Medicine, Seoul, Korea. hunhos@hanmail.net

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.

Keyword

Peripheral venous catheterization; Central venous catheterization; Hospice care; Terminal care; Palliative care

MeSH Terms

Catheterization
Catheterization, Central Venous
Catheterization, Peripheral
Catheters*
Delirium
Hospice Care
Humans
Palliative Care
Retrospective Studies
Rivers
Terminal Care
Terminally Ill*
Thrombosis
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