To determine if peripherally inserted central catheters are a viable alternative to physician inserted central lines for monitoring of central venous pressures in the intensive care setting (ICU.
Simultaneous hard copy recordings of central venous pressure by physician inserted central lnes and PICC lines inserted by specially trained RN’s were studied for reliability and simularity of tracings. Comparison of waveform analysis and numerical value of both catheters was performed on all subjects in the study.
Limited study of intensive care patients showed no difference in numerical value or hard copy waveform alanysis.
PICC lines can be used to monitro central venous pressures in critically ill patients in the ICU setting.
PICC lines have a lower incidence of infection than central venous catheters and may stay safely incerted for longer periods, this would decrease the risk of nosocomial infections. PICC lines as an alternative for short term monitoring of central venous pressure would decrease hospital costs and provide accurate information regarding the patient’s volume status.
M.K. Arnone, None.