Peripherally inserted central catheters a walk down memory lane 英文参考文献.docVIP

Ligtenberg et al. Critical Care 2012,16:418 /content/16/2/418 LET TER Peripherally inserted central catheters: a walk down memory lane … Jack JM Ligtenberg* , Mirjam Holman , Matijs van Meurs , Jan C ter Maaten and Jan G Zijlstra 1 1 2 1 2 See related research by Pittiruti et al., /content/16/1/R21/abstract Central venous catheters (CVCs) are essential in the treatment of critically ill patients. For skilled intensive care unit (ICU) physicians, insertion of these catheters in large central veins is routine practice. Peripherally inserted central catheters (PICCs) were used in the early phase of intensive care as a surrogate for centrally inserted lines by less experienced physicians and in some In a study in the previous issue of Critical Care, Pittiruti and colleagues [2] evaluated 89 patients in whom ultrasound-guided insertion of multi-lumen CVCs in the deep veins of the upper mid arm (PICC) was performed. Besides 13 minor complications at insertion and two cases of sympto matic thrombosis (however, not routinely screened for), few complications occurred, and the departments (for example, hematology) with very speci? c authors conclude that PICC can be successfully used in patient categories. With the development of the ICU, peripherally inserted lines have been abandoned for more most ICU patients. Before we advocate its routine use in the ICU, we need more and better studies. PICCs cannot than two decades, at least in our center. Many bleeding compare with the historical experience with centrally and more serious local complications occurred. In more inserted central catheters (CICCs). Skilled personnel, skilled hands, these line