{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T04:39:03Z","timestamp":1774067943097,"version":"3.50.1"},"reference-count":78,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2006,7,21]],"date-time":"2006-07-21T00:00:00Z","timestamp":1153440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Peripherally inserted central venous catheters (PICC) have supplanted central venous catheters (CVC) for the administration of intravenous antibiotics and total parenteral nutrition to patients in our hospital. From the literature, it appears that this change has occurred in a number of other surgical units. Accounting for the change are the expected advantages of low complication rates at insertion, prolonged use without complications and interruption, and cost\u2010 and time\u2010savings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We have proceeded with a review of the literature to understand and justify this change in practice. Our hypothesis was that the routine adoption of PICC instead of CVC for the acute care of surgical patients has occurred in the absence of strong scientific evidence. Our aim was to compare the associated infectious, thrombotic, phlebitic, and other common complications, as well as PICC and CVC durability. Articles concerning various aspects of PICC\u2010 and CVC\u2010related complications in the acute care of adult patients were selected from the literature. Studies were excluded when they primarily addressed the use of long\u2010term catheters, outpatient care, and pediatric patients. Data were extracted from 48 papers published between 1979 and 2004.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our results show that infectious complications do not significantly differ between PICC and CVC. Thrombotic complications appear to be more significant with PICC and to occur early after catheterization. Phlebitic complications accounted for premature catheter removal in approximately 6% of PICC. Finally, prospective data suggest that approximately 40% of PICC will have to be removed before completion of therapy, possibly more often and earlier than CVC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We believe that there is no clear evidence that PICC is superior to CVC in acute care settings. Each approach offers its own advantages and a different profile of complications. Therefore, the choice of central venous access should be individualized for surgical patients on the ward. More comparative prospective studies are needed to document the advantages of PICC over CVC.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-005-0174-y","type":"journal-article","created":{"date-parts":[[2006,7,22]],"date-time":"2006-07-22T14:02:25Z","timestamp":1153576945000},"page":"1605-1619","source":"Crossref","is-referenced-by-count":100,"title":["Peripherally Inserted Central Venous Catheters Are Not Superior to Central Venous Catheters in the Acute Care of Surgical Patients on the Ward"],"prefix":"10.1002","volume":"30","author":[{"given":"Simon","family":"Turcotte","sequence":"first","affiliation":[{"name":"D\u00e9partement de Chirurgie H\u00f4pital Maisonneuve\u2010Rosemont, Centre affili\u00e9 \u00e0 I\u2019Universit\u00e9 de Montr\u00e9al 5415 boul de l\u2019Assomption H1T 2M4 Montr\u00e9al Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serge","family":"Dub\u00e9","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Chirurgie H\u00f4pital Maisonneuve\u2010Rosemont, Centre affili\u00e9 \u00e0 I\u2019Universit\u00e9 de Montr\u00e9al 5415 boul de l\u2019Assomption H1T 2M4 Montr\u00e9al Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilles","family":"Beauchamp","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Chirurgie H\u00f4pital Maisonneuve\u2010Rosemont, Centre affili\u00e9 \u00e0 I\u2019Universit\u00e9 de Montr\u00e9al 5415 boul de l\u2019Assomption H1T 2M4 Montr\u00e9al Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,7,21]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1975.01360110190032"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.4065\/72.3.225"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1444\u20100903.2004.00447.x"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2002.11.135"},{"key":"e_1_2_7_6_2","first-page":"38","article-title":"Central venous catheters for infusion therapy in gastrointestinal cancer. A comparative study of tunnelled centrally placed catheters and peripherally inserted central catheters","volume":"24","author":"Snelling R","year":"2001","journal-title":"J Intraven Nurs"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(07)61307-4"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(98)00121\u20104"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.268.17.2420"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra011883"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/011542650201700285"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0115426502017003142"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/011542650201700299"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0115426593008004145"},{"issue":"10","key":"e_1_2_7_15_2","first-page":"1","article-title":"Guidelines for the prevention of intravascular catheter\u2010related infections","volume":"51","author":"Centers for Disease Control and Prevention","year":"2002","journal-title":"Morbidi Mortal Weekly Rep"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196\u20106553(96)90052\u20108"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.1_suppl.132S"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1054\/clnu.2000.0103"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/014860719902300285"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0115426596011005199"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.6.700"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-127-4-199708150-00001"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.115.6.1632"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-127-4-199708150-00002"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.1086\/646902"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1086\/514687"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109343(92)90233\u20102"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607192016005403"},{"key":"e_1_2_7_29_2","first-page":"203","article-title":"Prospective evaluation of single and triple lumen catheters in TPN","volume":"16","author":"McCarthy MC","year":"1987","journal-title":"J Parenteral Enteral Nutr"},{"key":"e_1_2_7_30_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.258.13.1777"},{"key":"e_1_2_7_31_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-136-11-200206040-00007"},{"key":"e_1_2_7_32_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-132-5-200003070-00009"},{"key":"e_1_2_7_33_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.3.261"},{"key":"e_1_2_7_34_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.267.15.2072"},{"key":"e_1_2_7_35_2","doi-asserted-by":"crossref","unstructured":"GilliesD O'RiordanL CarrD et al. Gauze and tape and transparent polyurethane dressings for central venous catheters. Cochrane Database of Systematic Reviews.Cochrane Wounds Group (2003)","DOI":"10.1002\/14651858.CD003827"},{"key":"e_1_2_7_36_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003246\u2010199708000\u201000033"},{"key":"e_1_2_7_37_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.114.1.207"},{"key":"e_1_2_7_38_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607184008006668"},{"key":"e_1_2_7_39_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000142289.94369.D7"},{"key":"e_1_2_7_40_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.271.13.1014"},{"key":"e_1_2_7_41_2","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X0203000103"},{"key":"e_1_2_7_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(07)61444-4"},{"key":"e_1_2_7_43_2","doi-asserted-by":"publisher","DOI":"10.1177\/014860719602000120"},{"key":"e_1_2_7_44_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607184008004399"},{"key":"e_1_2_7_45_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1983.tb01927.x"},{"key":"e_1_2_7_46_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399\u20106576.1982.tb01736.x"},{"key":"e_1_2_7_47_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097\u20100142(197905)43:5<1937::AID\u2010CNCR2820430554>3.0.CO;2\u2010T"},{"key":"e_1_2_7_48_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129804\u2010200411000\u201000009"},{"key":"e_1_2_7_49_2","doi-asserted-by":"publisher","DOI":"10.1086\/339808"},{"key":"e_1_2_7_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(07)61797-7"},{"key":"e_1_2_7_51_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(96)70724-8"},{"key":"e_1_2_7_52_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607195019002133"},{"key":"e_1_2_7_53_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.154.16.1833"},{"key":"e_1_2_7_54_2","doi-asserted-by":"publisher","DOI":"10.1067\/mic.2001.111536"},{"key":"e_1_2_7_55_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.206.2.9457195"},{"key":"e_1_2_7_56_2","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X9501500206"},{"key":"e_1_2_7_57_2","doi-asserted-by":"publisher","DOI":"10.1086\/501776"},{"key":"e_1_2_7_58_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.153.15.1791"},{"key":"e_1_2_7_59_2","first-page":"477","article-title":"A report from the NNIS System","volume":"25","author":"National Nosocomial Infections Surveillance (NNIS)","year":"1997","journal-title":"Am J Infect Control"},{"key":"e_1_2_7_60_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.20.1.317"},{"key":"e_1_2_7_61_2","first-page":"408","article-title":"Groshong versus Hickman catheters","volume":"174","author":"Pasquale MD","year":"1992","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_7_62_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.146.2.259"},{"key":"e_1_2_7_63_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003246\u2010199612000\u201000020"},{"key":"e_1_2_7_64_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199412293312602"},{"key":"e_1_2_7_65_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197706092962301"},{"key":"e_1_2_7_66_2","first-page":"90","volume-title":"The ICU Book","author":"Marino PL","year":"1998"},{"key":"e_1_2_7_67_2","doi-asserted-by":"publisher","DOI":"10.1177\/011542659100600243"},{"key":"e_1_2_7_68_2","doi-asserted-by":"publisher","DOI":"10.1086\/645782"},{"key":"e_1_2_7_69_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199308000-00014"},{"key":"e_1_2_7_70_2","first-page":"33","article-title":"The influence of an attachable subcutaneous cuff for preventing triple lumen catheter infections in critically ill surgical and trauma patients","volume":"175","author":"Norwood S","year":"1992","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_7_71_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.262.5.613"},{"key":"e_1_2_7_72_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(84)91800\u20102"},{"key":"e_1_2_7_73_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.157.1.57"},{"key":"e_1_2_7_74_2","first-page":"703a","article-title":"A randomized double\u2010blind placebo\u2010controlled study of low dose warfarin for the prevention of symptomatic central venous catheter associated thrombosis in patients with cancer [abstract]","volume":"100","author":"Couban S","year":"2002","journal-title":"Blood"},{"key":"e_1_2_7_75_2","first-page":"1474","article-title":"A phase III double\u2010blind, placebo\u2010controlled study evaluating the efficacy and safety of daily low\u2010molecular\u2010weight heparin (dalteparin sodium, Fragmin) in preventing catheter\u2010related complications in cancer patients with central venous catheters [abstract]","volume":"21","author":"Reichardt P","year":"2002","journal-title":"Clin Oncol"},{"key":"e_1_2_7_76_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445\u20105994.2002.00171.x"},{"key":"e_1_2_7_77_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-76-3-112-6-423"},{"key":"e_1_2_7_78_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.113.1.165"},{"key":"e_1_2_7_79_2","first-page":"251","article-title":"Upper extremity deep venous thrombosis in cancer patients with venous access devices\u07ddprophylaxis with a low molecular weight heparin (Fragmin)","volume":"42","author":"Monreal M","year":"1996","journal-title":"Thromb Haemost"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-005-0174-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-005-0174-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-005-0174-y","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T14:08:12Z","timestamp":1704290892000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-005-0174-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,7,21]]},"references-count":78,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2006,8]]}},"alternative-id":["10.1007\/s00268-005-0174-y"],"URL":"https:\/\/doi.org\/10.1007\/s00268-005-0174-y","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,7,21]]}}}