Data Review of PICC insertions Specific to Patients with Pacemaker/AICD Pocket Infections
Marianne Lucot RN, BSN
Johns Hopkins
Abstract
Methods
This report involves empirical
research. There was a suspicion
that the PICC service was often
unsuccessful in placing a PICC for a
particular patient population.
These patients had a
pacemaker/AICD pocket infection
which resulted in device
extraction. The physicians were
requesting PICC to be placed on
the affected side and the PICC
service was not able to advance
across the affected side.
PICC service data was reviewed from May 2008
through September 2008 .The data for the
suspected group was then compared to the
overall PICC data
This data reveals that only 14% of the time,
were we able to place a PICC on the same
side as a pacemaker pocket infection and
86% of the time we were unsuccessful with
placement.
Results
Seven patients were found from the review to have
had a pacemaker/AICD pocket infection resulting in
extraction of device. The PICC had been attempted
on the affected side and only one of the seven PICC
insertions was successful...
May through September 2008
PICCs attempted in Patients with
Pacemaker/AICD Pocket Infection
100
86%
……..
80
Axis Title
Objective
Determine if there exists a
significant difference between the
success rate of PICC placements
for patients with pacemaker/AICD
pocket infection vs. the overall
PICC service success rate.
Results
Add Image
60
40
20
14%
0
1
Axis Title
Successful
Unsuccessful
Data Review of PICC insertions specific to patients with
Pacemaker Pocket Infections
Data Review of PICC insertions Specific to Patients with Pacemaker/AICD Pocket Infections
Marianne Lucot RN, BSN
Johns Hopkins Medical Institution
Results
Results
Conclusions
. The total number of PICCs placed
for all service units during this
time frame was determined to be
667 from the PICC statistics. The
number of successful PICC
placements was 620 and the
number of unsuccessful PICC
placements was 47.
PICCs attempted in all Service Units
May through September 2008
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
93%
Successful
Unsuccessful
7%
Successful
Unsuccessful
The PICC service’s overall success
rate of 93% is indicative of their
expertise in placing PICCs
This data changed our practice,
providing evidence to share
with the providers.
The best choice for this group
of patients is to send them
directly to Interventional
Radiology for line insertion
rather than attempting a
bedside PICC.
References
2009 PI Report:
Data Review of PICC insertion
specific to patients with
Pacemaker Pocket Infections