Effectiveness of subcutaneous tunneling technique in reducing PICC dislodgement and malposition: a pilot multicenter randomized controlled trial
Catégorie d'article: Original article
Publié en ligne: 14 mars 2025
Pages: 145 - 153
Reçu: 27 mars 2024
Accepté: 04 août 2024
DOI: https://doi.org/10.2478/fon-2025-0016
Mots clés
© 2025 Yuan Sheng et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Objective
To evaluate the impact of subcutaneous tunneling on peripherally inserted central catheters (PICCs) dislodgement and malposition. Dislodged or malpositioned PICCs can lead to improper treatment. The subcutaneous tunneling strategy may be effective, but there is insufficient evidence, and proximal movement has not been explored.
Methods
We randomized 630 patients who needed PICCs placement to either the tunneled PICCs (experimental group) or the nontunneled PICCs (control group). Dislodgement and malposition of the catheter were the primary outcomes, and catheter-related infection (CRI) and catheter-related thrombosis (CRT) were the secondary outcomes.
Results
Subcutaneous tunneling does not significantly reduce distal catheter movement, but it significantly reduces proximal catheter movement (4.3% vs. 9.9%,
Conclusions
Although subcutaneous tunneling does not significantly improve catheter prolapse, it should still be used clinically because proximal catheter movement can be a more serious problem associated with CRI and CRT.