Peripherally Inserted Central Catheters In Critically Ill Patients-Complications And Its Preventive Measures

A peripherally inserted central catheter(PICC)is extensively used in a critical care setting as it plays a vital role in providing safe central venous entree.However,it is associated with several complications,which should be detected for several important purposes for instance for reducing patient's improvement duration,reducing health care cost and declining incidences of various complications associated with PICC.Therefore,this study aims to contribute in outlining the current standard guidelines and literature concerning,PICC-related complication and measures to prevent these complications with evidence based nursing in its minimization.The databases(CINAHL,PubMed,VIP,CNKI,Cochrane,Embase and Google Scholar)were searched between 2006 and 2017 using search terms,namely,complication,critical care,critically ill,ICU,PICC and prevention.A manual search of the reference lists of found papers were conducted.In spite of the expected benefits of PICC,several factors are influencing the nurses in providing the care of the patient in clinical practice.Understanding the evidence-based guidelines regarding insertion technique,early detection of complication and care bundle on PICC is significant in complication prevention.Implementation of education,training and appropriate multidisciplinary approaches on PICC care among health care providers is the key to prevent complications.Thus,the strict care of indwelling PICC lines,the targeted and reasonable PICC associated complication prevention and nursing care has a major clinical significance in reducing the occurrence of potential PICC complications.