Abstract No. 443: Reducing re-insertion rates for pic catheters: how minor adjustments can reduce reinsertion rate by up to 50%

Abstract

This presentation aims to highlight the key decisions in patient preparation and site selection that can have a dramatic impact on PICC complication rate. The demand for PICC insertion is rising to allow safer long term venous access in patients. In order to improve our service, we have been carrying out a continual prospective audit, which has identified a number of areas that affect rate of PICC complications (eg, re-insertion/infection). Using these results we review the topic of how to insert a PICC. Minors details such as distance of insertion from the antecubital fossa, choice of arm, use of fluoroscopic guidance and choice of vein can have major impacts, reducing the infection/re-insertion rate by up to 50%. These factors and their individual impact on complication rate are fully discussed. A ‘how-to' model for an ‘ideal' PICC site is also suggested. Given the increasing demand for PICC placement, factors that keep the complication rate as low as possible can reduce patient morbidity, as well as reducing the demand on interventional radiology services and costs. Being aware of the factors discussed in this poster will help achieve this goal.