Subcutaneous tunneling technique to improve outcomes for patients undergoing chemotherapy with peripherally inserted central catheters: a randomized controlled trial

Author:

Xiao Mao-fang1,Xiao Cai-qiong2,Li Jia3ORCID,Dai Can4,Fan Yu-ying2,Cao Hui-jiao5,Qin Hui-ying4ORCID

Affiliation:

1. School of Nursing, Sun Yat-sen University, Yuexiu District, Guangzhou, Guangdong, China

2. Department of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China

3. Department of Catheter Clinic, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China

4. Department of Nursing, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China

5. General Department, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China

Abstract

Objective To compare the value of the subcutaneous tunneling technique versus the normal technique in improving the outcomes of patients undergoing chemotherapy with peripherally inserted central catheters (PICCs). Methods One hundred thirty patients were randomly divided into an experimental group (subcutaneous tunneling technique) and control group (normal technique) according to the PICC placement technique, and clinical data were compared between the groups. Results In total, 129 PICCs were successfully inserted. Compared with the control group, the experimental group had a lower occurrence of complications after placement (especially catheter dislodgement: 3.1% vs. 15.4%, venous thrombosis: 3.1% vs. 15.4%, and wound oozing: 14.1% vs. 27.7%), lower occurrence of unscheduled PICC removal (3.1% vs. 13.8%), greater comfort during placement (14.16 ± 2.21 vs. 15.09 ± 2.49 on a scale ranging from 6 to 30 points, with higher scores indicating lower degrees of comfort), and lower costs of PICC maintenance (median (interquartile range) per-day maintenance cost: 13.90 (10.99–32.83) vs. 15.69 (10.51–57.46) Yuan). The occurrence of complications and amount of bleeding during placement were not significantly different between the two groups. Conclusions The subcutaneous tunneling technique can improve PICC placement by reducing complications and costs of maintenance with better patient comfort during placement.

Funder

Medical Scientific Research Foundation of Guangdong Province of China

Publisher

SAGE Publications

Subject

Biochemistry, medical,Cell Biology,Biochemistry,General Medicine

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