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Can PICC Provide Reliable Data in HF Patients?

Am J Cardiol; ePub 2017 Oct 10; Tecson, et al

Reliable data may be obtained via the peripherally inserted central catheter (PICC) line after evaluation from the pulmonary artery catheter (PAC), and the PICC may provide longer-term hemodynamic assessment while improving patient comfort in patients with heart failure (HF), a recent study suggests. The study enrolled HF patients in the intensive care unit (ICU) with an existing PAC requiring a PICC line to transition. 3 blood samples were taken per person and repeated measures analysis of variance and reliability analysis was performed on 31 participants (77% male, 71% Caucasian, mean age 60 ±8 years, 80% on inotropes). Researchers found:

  • The average venous oxygen saturation (VOS) were 62%, 62%, and 61% for the PICC line, central venous pressure (CVP), and distal port, respectively, with excellent reliability.
  • The median Fick cardiac outputs (FCO) were 5, 5, and 5 L/min at the PICC, CVP, and distal port, respectively (fair-to-good reliability).

Citation:

Tecson KM, Vasudevan A, Bindra A, et al. Validation of peripherally inserted central catheter-derived Fick cardiac outputs in patients with heart failure. [Published online ahead of print October 10, 2017]. doi:10.1016/j.amjcard.2017.09.020.