ESPEN Guidelines on Parenteral Nutrition: Central Venous Catheters (access, care, diagnosis and therapy of complications)

Clinical Nutrition

Volumn 28, Issue 4, 2009, Pages 365-377

  Pittiruti, Mauro ^a   Hamilton, Helen ^b   Biffi, Roberto ^c   MacFie, John ^d   Pertkiewicz, Marek ^e  

^a FONDAZIONE POLICLINICO UNIVERSITARIO A GEMELLI IRCCS   (Italy)

^b RADCLIFFE INFIRMARY   (United Kingdom)

^c EUROPEAN INSTITUTE OF ONCOLOGY   (Italy)

^d SCARBOROUGH HOSPITAL   (United Kingdom)

^e MEDICAL UNIVERSITY OF WARSAW   (Poland)

Author keywords

Antibiotic lock therapy; Catheter related bloodstream infection; Catheter related venous thrombosis; Central venous access; Central venous catheters; Chlorhexidine; Clinical practice; Evidence based; Exchange over guide wire; Fibrin sleeve; Guidelines; Heparin lock; Home parenteral nutrition; Midline catheters; Needle free connectors; Parenteral nutrition; Peripheral parenteral nutrition; PICC; Pinch off syndrome; Sutureless securing devices; Totally implantable ports; Tunneled catheters; Ultrasound guidance; Venous access devices

Indexed keywords

ANTIBIOTIC AGENT; CHLORHEXIDINE; LOW MOLECULAR WEIGHT HEPARIN; MINOCYCLINE; PLACEBO; RIFAMPICIN; SULFADIAZINE SILVER; WARFARIN;

ANTIBIOTIC THERAPY; ARTICLE; CATHETER INFECTION; CENTRAL VEIN; CENTRAL VENOUS CATHETER; CLINICAL TRIAL; COST EFFECTIVENESS ANALYSIS; DIAGNOSTIC PROCEDURE; DISINFECTION; ECHOGRAPHY; HAND WASHING; HEALTH EDUCATION; HOSPITAL PATIENT; HUMAN; LOW DRUG DOSE; NURSING; OSMOLARITY; PARENTERAL NUTRITION; POLICY; PRACTICE GUIDELINE; RISK ASSESSMENT; SINGLE DRUG DOSE; SUPERIOR CAVA VEIN; THROMBOPHLEBITIS; VASCULAR ACCESS; VASCULAR ACCESS DEVICE; VEIN PUNCTURE; VEIN THROMBOSIS;

ADULT; ANIMALS; CATHETER-RELATED INFECTIONS; CATHETERIZATION, CENTRAL VENOUS; CATHETERS, INDWELLING; EVIDENCE-BASED MEDICINE; HUMANS; MALNUTRITION; MIDDLE AGED; PARENTERAL NUTRITION; YOUNG ADULT;

EID: 67949106452     PISSN: 02615614     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.clnu.2009.03.015     Document Type: Article

References (64)

1. Kuwahara T., Asanami S., and Kubo S. Experimental infusion phlebitis: tolerance osmolality of peripheral venous endothelial cells. Nutrition 14 6 (1998) 496-501
2. Isaacs J.W., Millikan W.J., Stackhouse J., Hersh T., and Rudman D. Parenteral nutrition of adults with 900-milliosmolar solution via peripheral vein. American Journal of Clinical Nutrition 30 (1977) 552-559
3. Hoffmann E. A randomised study of central venous versus peripheral intravenous nutrition in the perioperative period. Clinical Nutrition 8 4 (1989) 179-180
4. Kane K.F., Cologiovanni L., McKiernan J., Panos M.Z., Ayres R.C., Langman M.J., et al. High osmolality feedings do not increase the incidence of thrombophlebitis during peripheral I.V. nutrition. Journal of Parenteral and Enteral Nutrition 20 3 (1996) 194-197
5. Matsusue S., Nishimura S., Koizumi S., Nakamura T., and Takeda H. Preventive effect of simultaneously infused lipid emulsion against thrombophlebitis during postoperative parenteral nutrition. Surgery Today 25 8 (1995) 667-671
6. Timmer J.G., and Schipper H.G. Peripheral venous nutrition: the equal relevance of volume load and osmolarity in relation to phlebitis. Clinical Nutrition 10 2 (1991) 71-75
7. Palmer D., and McFie J. Venous access for parenteral nutrition. In: Payne James J., and Grimble G.K. (Eds). Artificial nutrition support in clinical practice (2001), Silk DBA, London 379-400
8. Ryder M. Evidence-based practice in the management of vascular access devices for home parenteral nutrition therapy. Journal of Parenteral and Enteral Nutrition 30 (2006) S82-S93
9. Raad I., Davis S., Becker M., Hohn D., Houston D., Umphrey J., Bodey G.P., et al. Low infection rate and long durability of nontunneled silastic catheters. A safe cost-effective alternative for long-term venous access. Archives of Internal Medicine 153 (1993) 1791-1796
10. Ryder M. Peripheral access options. Surgical Oncology Clinics of North America 4 (1995) 395-427
11. Safdar N., and Maki D.G. Risk of catheter-related bloodstream infection with peripherally inserted central venous catheters used in hospitalized patients. Chest 128 (2005) 489-495
12. Macdonald S., Watt A.J.B., McNally D., Edwards R.D., Moss J.G., et al. Comparison of technical success and outcome of tunneled catheters inserted via the jugular and subclavian approaches. Journal of Vascular and Interventional Radiology 11 (2000) 225-231
13. Pittiruti M., Buononato M., Malerba M., Carriero C., Tazza L., Gui D., et al. Which is the easiest and safest technique for central venous access? A retrospective survey of more than 5,400 cases. Journal of Vascular Access 1 (2000) 100-107
14. Pittiruti M, Migliorini I, Emoli A, et al. Preventing central venous catheter related infections: catheter site selection and insertion technique significantly affect the chances of adequate catheter site care. 20th Annual Congress European Society of Intensive Care Medicine, Berlin, 2007, Intensive Care Medicine Suppl. Sept 2007, p. S13.
15. Randolph A.G., Cook D.J., Gonzales C.A., and Pribble C.G. Ultrasound guidance for placement of central venous catheters: a meta-analysis of the literature. Critical Care Medicine 24 12 (1996) 2053-2058
16. Rothschild J.M., and The AHRQ Committee. Making health care safer a critical analysis of patient safety practices. Evidence report/technology assessment: number 43 (July 2001), AHRQ. www.ahrq.gov/clinic/ptsafety/summary.htm
17. Keenan S.P. Use of ultrasound to place central lines. Journal of Critical Care 17 2 (2002) 126-137
18. Hind D., Calvert N., McWilliams R., Davidson A., Paisley S., Beverley C., Thomas S., et al. Ultrasonic locating devices for central venous cannulation: meta-analysis. BMJ 327 7411 (2003) 361
19. Calvert N., Hind D., McWilliams R., Davidson A., Beverley C.A., Thomas S.M., et al. Ultrasound for central venous cannulation: economic evaluation of cost-effectiveness. Anaesthesia 59 11 (2004) 1116-1120
20. Leung J., Duffy M., and Finckh A. Real-time ultrasonographically-guided internal jugular vein catheterization in the emergency department increases success rates and reduces complications: a randomized, prospective study. Annals of Emergency Medicine 48 5 (2006) 540-547
21. Karakitsos D., Labropoulos N., De Groot E., Patrianakos A.P., Kouraklis G., Poularas J., et al. Real-time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Critical Care 10 (2006). http://ccforum.com/content/10/6/R162 R162
22. LeDonne J. The age of reason: the end of blind sticking. Annual Congress of the Association for Vascular Access, Phoenix, 2007. Handout on www.avainfo.org.
23. Parkinson R., Gandhi M., Harper J., and Archibald C. Establishing an ultrasound guided peripherally inserted central catheter (PICC) insertion service. Clinical Radiology 53 (1998) 33-36
24. Simcock L. No going back: advantages of ultrasound guided upper arm PICC placement. JAVA 13 4 (2008) 191-197
25. Pittiruti M, Scoppettuolo G, Emoli A, et al. Parenteral nutrition through ultrasound-placed PICCs and midline catheters is associated with a low rate of complications: an observational study. Nutritional Therapy and Metabolism, in press.
26. Povoski S.P. A prospective analysis of the cephalic vein cutdown approach for chronic indwelling central venous access in 100 consecutive cancer patients. Annals of Surgical Oncology 7 (2000) 496-502
27. Silberzweig J.E., Sacks D., Azita S., and The members of the Society of Interventional Radiology Technology Assessment Committee. Reporting standards for central venous access. Journal of Vascular and Interventional Radiology 14 (2003) S443-S452
28. Francis K.R., Picard D.L., Fajardo M.A., and Pizzi W.F. Avoiding complications and decreasing costs of central venous catheter placement utilizing electrocardiographic guidance. Surgery Gynecology and Obstetrics 175 (1992) 208-211
29. Pittiruti M., Scoppettuolo G., LaGreca A., et al. The EKG method for positioning the tip of PICCs: results from two preliminary studies. JAVA 13 4 (2008) 179-186
30. Maki D.G., Kluger D.M., and Crnich C.J. The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies. Mayo Clinic Proceedings 81 9 (2006) 1159-1171
31. Hockenhull J.C., Dwan K., Boland A., et al. The clinical and cost effectiveness of central venous catheters treated with anti-microbial agents in preventing bloodstream infections: a systematic review and economic evaluation. Health Technology Assessment (2006). www.hta.nhsweb.nhs.uk
32. Dezfulian C., Lavelle J., Nallamothu B.K., Kaufman S.R., Saint S., et al. Rates of infection for single-lumen versus multilumen central venous catheters: a meta-analysis. Critical Care Medicine 31 (2003) 2385-2390
33. Zürcher M., Tramèr M., and Walder B. Colonization and bloodstream infection with single- versus multi-lumen central venous catheters: a quantitative systematic review. Anesthesia and Analgesia 99 (2004) 177-182
34. Garnacho-Montero J., Aldabòs-Pallàs T., Palomar-Martìnez M., Valles J., Almirante B., Garces R., et al. Risk factors and prognosis of catheter related bloodstream infection in critically ill patients: a multicenter study. Intensive Care Medicine 34 (2008) 2185-2193
35. Turcotte S., Dubè S., and Beauchamp G. Peripherally inserted central venous catheters are not superior to central venous catheters in the acute are of surgical patients on the ward. World Journal of Surgery 30 (2006) 1605-1619
36. Deshpande K.S., Hatem C., Ulrich H.L., Currie B.P., Aldrich T.K., Bryan-Brown C.W., Kvetan V., et al. The incidence of infectious complications of central venous catheters at the subclavian, internal jugular, and femoral sites in an intensive care unit population. Critical Care Medicine 33 1 (2005)
37. Lorente L., Villegas J., Martin M.M., Jimenez A., Mora M.L., et al. Catheter-related infection in critically ill patients. Intensive Care Medicine 30 (2004) 1681-1684
38. Durbec O., Viviand X., Potie F., Vialet R., Albanese J., Martin C., et al. A prospective evaluation of the use of femoral venous catheters in critically ill adults. Critical Care Medicine 25 (1997) 1986-1989
39. Reusch S., Walder B., and Tramer M.R. Complications of central venous catheters: internal jugular versus subclavian access - a systematic review. Critical Care Medicine 30 (2002) 454-460
40. Hamilton H.C., and Foxcroft D.R. Central venous access sites for the prevention of venous thrombosis, stenosis and infection in patients requiring long-term intravenous therapy. Cochrane Database of Systematic Reviews 3 (2007) 10.1002/14651858.CD004084.pub2 Art. No.: CD004084
41. Warren D.K., Zack J.E., Mayfield J.L., Chen A., Prentice D., Fraser V.J., et al. The effect of an education programme on the incidence of central venous catheter associated bloodstream infection in a medical ICU. Chest 126 (2004) 1612-1618
42. East D., and Jacoby K. The effect of a nursing staff education program on compliance with central line care policy in the cardiac intensive care unit. Pediatric Nursing 31 (2005) 182-184
43. Pronovost P., Needham D., Berenholtz S., Sinopoli D., Chu H., Cosgrove S., et al. An intervention to decrease catheter-related bloodstream infections in the ICU. The New England Journal of Medicine 355 (2006) 2725-2732
44. Boyce J.M., and Pittett D. HICPAC committee and HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force: guideline for hand hygiene in health-care settings. MMWR Recommendations and Reports 51 RR16 (2002) 1-44
45. Mimoz O., Villeminey S., Ragot S., Dahyot-Fizelier C., Laksiri L., Petitpas F., Debaene B., et al. Chlorhexidine-based antiseptic solution vs alcohol-based povidone-iodine for central venous catheter care. Archives of Internal Medicine 167 19 (2007) 2066-2072
46. Hanazaki K., Shingu K., Adachi W., Miyazaki T., Amano J., et al. Chlorhexidine dressing for the reduction in microbial colonization of the skin with central venous catheters: a prospective randomized controlled trial. Journal of Hospital Infection 42 (1999) 165-167
47. Maki D.G., Mermel L.A., Kluger D., et al. The efficacy of a chlorhexidine-impregnated sponge for the prevention of intravascular-related infections: a prospective, randomized, controlled, multicenter study (2000), American Society for Microbiology, Washington, DC
48. Ho K.M., and Litton E. Use of chlorhexidine-impregnated dressing to prevent vascular and epidural catheter colonization and infection: a meta-analysis. Journal of Antimicrobial Chemotherapy 58 (2006) 281-287
49. Casey A.L., Worthington T., Lambert P.A., Quinn D., Faroqui M.H., Elliott T.S., et al. A randomized, prospective clinical trial to assess the potential infection risk associated with the PosiFlow needleless connector. Journal of Hospital Infection 54 (2003) 288-293
50. McKee R., Dunsmuir R., Whitby M., and Garden O.J. Does antibiotic prophylaxis at the time of catheter insertion reduce the incidence of catheter-related sepsis in intravenous nutrition?. Journal of Hospital Infection 6 (1985) 419-425
51. Ranson M.R., Oppenheim B.A., Jackson A., Kamthan A.G., and Scarffe J.H. Double-blind placebo controlled study of vancomycin prophylaxis for central venous catheter insertion in cancer patients. Journal of Hospital Infection 15 (1990) 95-102
52. Ljungman P., Hägglund H., Björkstrand B., Lönnqvist B., and Ringdén O. Peroperative teicoplanin for prevention of gram-positive infections in neutropenic patients with indwelling central venous catheters: a randomized, controlled study. Support Care Cancer 5 (1997) 485-488
53. Siegman-Igra Y., Anglim A.M., Shapiro D.E., Adal K.A., Strain B.A., Farr B.M., et al. Diagnosis of vascular catheter-related bloodstream infection: a meta-analysis. Journal of Clinical Microbiology 35 (1997) 928-936
54. Blot F., Nitenberg G., Chachaty E., Raynard B., Germann N., Antoun S., et al. Diagnosis of catheter-related bacteremia: a prospective comparison of the time to positivity of hub blood versus peripheral-blood cultures. Lancet 354 (1999) 1071-1077
55. Raad I., Hanna H.A., Alakech B., Chatzinikolaou I., Johnson M.M., and Tarrand J. Differential time to positivity: a useful method for diagnosing catheter-related bloodstream infections. Annals of Internal Medicine 140 1 (2004) 18-25
56. Li J.S., Sexton D.J., Mick N., Nettles R, Fowler Jr. V.G., Ryan T., et al. Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis. Clinical Infectious Diseases 30 (2000) 633-638
57. Raad I. Intravascular-catheter-related infections. Lancet 351 (1998) 893-898
58. Messing B., Man F., Colimon R., Thuillier F., Beliah M., et al. Antibiotic lock technique is an effective treatment of bacterial catheter related sepsis during parenteral nutrition. Clinical Nutrition 9 (1990) 220-227
59. Randolph A.G., Cook D.J., Gonzales C.A., and Andrew M. Benefit of heparin in peripheral venous and arterial catheters: systematic review and meta-analysis of randomised controlled trials. British Medical Journal 316 (1998) 969-975
60. Goode C.J., Titler M., Rakel B., et al. A meta-analysis of effects of heparin flush and saline flush: quality and cost implications. Nursing Research 40 (1991) 324-330
61. Peterson F.Y., and Kirchoff K.T. Analysis of the research about heparinized versus non-heparinized intravascular lines. Heart and Lung 20 (1991) 631-640
62. Jacobs B.R., Schilling S., Doellman D., Hutchinson N., Rickey M., Nelson S., et al. Central venous catheter occlusion: a prospective, controlled trial examining the impact of a positive-pressure valve device. Journal of Parenteral and Enteral Nutrition 28 (2004) 113-118
63. Jay R., Grove J.R., and Pevec W.C. Venous thrombosis related to peripherally inserted central catheters. Journal of Vascular and Interventional Radiology 11 (2000) 837-840
64. Ong B., Gibbs H., Catchpole I., Hetherington R., Harper J., et al. Peripherally inserted central catheters and upper extremity deep vein thrombosis. Australasian Radiology 50 (2006) 451-454