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Misplacement of piccs following power-injected CT contrast media
- Source :
- British journal of nursing (Mark Allen Publishing). 29(19)
- Publication Year :
- 2020
-
Abstract
- Peripherally inserted central catheters (PICCs) may be used to administer contrast injection during CT (computed tomography) scans to improve diagnostic accuracy. This is usually done with the use of a power injector. Research has shown that misplacement of catheters following contrast injection can occur. The aim of this review was to analyse appropriately positioned pre-scan PICCs that malposition following injection of contrast media during a CT scan, evaluate whether tip location or right or left insertion plays a part in the displacement of PICCs after CT, and to ensure those involved are aware of the risks and the safety checks required following such procedures. A quantitative method was used, gathering information from the team's insertion database to review 2045 records of contrast-injectable PICCs between 1 January 2015 and 30 April 2020. Analysis of the data indicated that 1% of appropriately sited PICCs malposition following contrast CT injection and that the catheter is able to self-correct back to its original position at an average interval of 24–72 hours without any other intervention. Further research is needed to explore other factors that could influence the rate of self-correction and complications of prolonged catheter malposition.
- Subjects :
- medicine.medical_specialty
Catheterization, Central Venous
media_common.quotation_subject
Contrast Media
Computed tomography
Diagnostic accuracy
03 medical and health sciences
0302 clinical medicine
Risk Factors
Catheterization, Peripheral
medicine
Contrast (vision)
Humans
General Nursing
media_common
Retrospective Studies
030504 nursing
medicine.diagnostic_test
business.industry
Power injection
Catheter
030220 oncology & carcinogenesis
Contrast injection
Radiology
0305 other medical science
business
Tomography, X-Ray Computed
Subjects
Details
- ISSN :
- 09660461
- Volume :
- 29
- Issue :
- 19
- Database :
- OpenAIRE
- Journal :
- British journal of nursing (Mark Allen Publishing)
- Accession number :
- edsair.doi.dedup.....18da45aafe3147721049fda2e5183c0e