DIFFERENCES BETWEEN THE USE OF A CENTRAL VENOUS CATHETER AND A CENTRAL VENOUS CATHETER PERIPHERAL INSERTION: ADVANTAGES, DISADVANTAGES AND RISK FACTORS ASSOCIATED WITH EACH PROCEDURE

Abstract

Central venous access is a frequent procedure in intensive care units. The peripherally inserted central venous catheter (PICC) is an intravenous device, made of soft and flexible material (polyurethane or carbonane). its disadvantages, and the risks associated with each procedure. Material and Methods: This article is a systematic review, based on the PRISMA methodology (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Central Venous Catheter: Some complications result from its use, such as infection, obstruction, infiltration or extravasation, among others. Some of these events can be handled, but device removal cannot always be avoided. The peripherally inserted central venous catheter (PICC) is an intravenous device, made of soft and flexible material (polyurethane or carbonane), introduced through a superficial or deep vein of the arm, which progresses to the superior vena cava located in the thorax. In this sense, the PICC is the first choice for central venous access after umbilical catheterization, standing out over the conventional central venous catheter. Final Considerations: It is emphasized that serious complications are associated with the use of CVC and PICC, which may result in death. Therefore, correctly performing the technique of handling these devices, avoiding infections and obstructions, as well as knowing how to identify, prevent and treat possible complications, should be considered good clinical practices that contribute to a better useful life of the device and quality of life for its user.